For women in labor, childbirth is both an expectation and a fear. They must face a choice, either to give birth by themselves or to have a cesarean section. So which is the best way to give birth? In recent years, the average rate of cesarean delivery for urban women in China is as high as 60%-70%, and the rate of natural delivery has seriously decreased, which is an abnormal phenomenon that has affected the physical and mental health of women and children in China, and has become another serious public health problem in China. Natural childbirth, which is suitable for moderately sized fetuses, is mostly possible with normal uterine contraction strength and through the mother’s appropriately sized birth canal. Vaginal delivery requires only a small amount of local anesthesia, a quicker postpartum recovery, and a shorter hospital stay. Cesarean delivery requires more complicated anesthesia, and there are chances of surgical bleeding and post-operative complications, which can cause mental and physical trauma to the pregnant woman. What are the advantages and disadvantages of natural childbirth? The advantages of natural childbirth: 1. We know that the regular contraction of the uterus during childbirth can make the fetal lungs get exercise, alveolar expansion promotes fetal lung maturity, and pulmonary hyaline membrane disease rarely occurs in children after birth. Some statistics show that the rate of pulmonary hyaline disease in children delivered by cesarean section is 20 times higher than in children delivered vaginally. Severe pulmonary hyaline disease can lead to respiratory distress and even death. At the same time regular uterine contractions and the squeezing effect of passing through the birth canal can expel amniotic fluid and mucus from the fetal airway. The occurrence of neonatal complications such as wet lung and aspiration pneumonia can be greatly reduced. 2, vaginal delivery, the fetal head due to uterine contractions and birth canal extrusion, head congestion can improve the excitability of the respiratory center of the brain, which is conducive to the rapid establishment of normal breathing after the birth of the newborn. The pain in the abdomen during delivery causes endorphins to be produced in the pregnant woman’s brain, which is a stronger chemical than morphine and can bring a strong feeling of euphoria to the mother. In addition, the pituitary gland will also secrete a hormone called oxytocin, which can not only promote the progress of labor, but also promote the mother’s postpartum milk secretion, and even play a role in promoting the relationship between mother and child. 3, natural vaginal delivery, although after more than ten hours of labor pain, but once the child is born, immediately feel very relaxed, soon able to move to the ground, urinate and defecate freely, diet, life also quickly return to normal, can have plenty of energy to take care of their babies. 4, because of the rapid recovery, it is also easy to breastfeed early, can be very good breastfeeding. 5.Natural delivery has a short hospital stay, which is more conducive to postpartum recovery. 6.Early exercise can be done after delivery, which is also good for recovery of body shape. Vaginal delivery can avoid the pain and disadvantages of cesarean section, such as the risk of anesthesia, bleeding and trauma of surgery, and intestinal flatulence after surgery. In the long run, it is easy to choose contraceptive methods after vaginal delivery, such as early placement of the contraceptive ring, and once pregnant, when abortion is needed, there is no need to worry about perforation of the uterine scar caused by scraping, and no problems such as intestinal adhesions caused by abdominal surgery and endometriosis caused by abdominal wall incision. Disadvantages of natural childbirth: 1, prenatal pain, but painless delivery can be avoided; 2, sudden conditions during vaginal birth; vaginal laxity, but can be avoided by postpartum exercises; sequelae of pelvic cavity uterine bladder prolapse. 3. Vaginal birth is the most natural and safe way to give birth, but it still has its dangers: (1) Vaginal birth can harm perineal tissue and even cause infection or hematoma in the vulva. (2) After delivery, the uterus may bleed due to poor contraction. If the bleeding after delivery is uncontrollable, an emergency caesarean section is required. In severe cases, the uterus may need to be removed, and even life threatening. (3) Postpartum infection or puerperal fever may occur, especially if the water breaks early and the labor process is prolonged. (4) Emergency delivery (less than two hours of labor) can occur. Especially in menstruating mothers and patients with loose cervix. (5) When the fetus is difficult to deliver or the mother’s energy is exhausted and forceps or vacuum suction is needed to assist the delivery, it will cause the fetus to have an enlarged head. (6) The fetus is overweight and prone to difficult shoulder delivery, which can lead to clavicle fracture in the newborn, or brachial plexus injury. (7) Fetal stool is produced in the amniotic fluid, resulting in fetal stool aspiration syndrome in newborns. (8) Fetal accidents in utero; such as umbilical cord wrapping around the neck, knotting or prolapse, etc. (9) Amniotic fluid embolism, which occurs without warning. After talking about the advantages and disadvantages of natural childbirth, I would like to ask what are the advantages and disadvantages of cesarean section. Advantages: it can avoid the sudden situation during natural childbirth and the vagina is not easily damaged. Disadvantages: more bleeding. There are more complications, including wound infection, abdominal organ adhesions and anesthesia sequelae. Slower recovery after delivery. Longer hospital stay and more expensive hospitalization. If the time interval is short, it is not safe to give birth to the second child. The decision of whether to choose cesarean delivery can be made from both maternal and fetal aspects. Maternal side: 1.Pelvic stenosis or pelvic cavity tumor, obstructing the birth canal. 2, prenatal bleeding, for placenta praevia or early abruption of placenta. 3, 35 years old advanced primigravida. 4, Delay in labor. 5.Infection of the mother’s reproductive tract. 6.Problems during delivery, such as uterine rupture. 7.Cesarean section of the previous child. 8, poor obstetric history. For fetus: 1.Fetal malposition. 2.Fetal estimated weight is more than 4000g or less than 1500g. 3.Fetal distress, change in fetal heart sound or fetal hypoxia, fetal stool. 4.Multiple pregnancy. 5.Fetal malformation. 6.Umbilical cord prolapse. V. What are the precautions after cesarean section 1, should not lie down: after surgery, the effect of anesthesia drug disappears, the maternal wound feels pain, and the flat position is the most sensitive to the pain of uterine contraction, so should take the side lying position, so that the body and the bed into 20o ~ 30o angle, the quilt or blanket pad behind, to reduce the body movement of the incision vibration and pulling pain. 2, should not lie still: after the recovery of consciousness after surgery, it should be physical activity, 24 hours later should practice turning, sitting up, and get out of bed slowly, which can enhance gastrointestinal peristalsis, early exhaust, but also to prevent intestinal adhesions and thrombosis and cause embolism of other parts. 3, should not be too full: after caesarean surgery, more food, will lead to abdominal distension, increased abdominal pressure, not for recovery. Therefore, you should fast within 6 hours after surgery, and then gradually increase the amount of food. 4, timely defecation: after the cesarean section, due to the pain caused by the abdomen dare not force, urinary and fecal can not be timely excretion, easy to cause urinary retention and constipation, so after surgery, the mother should be timely defecation according to the usual habits. 5, prevent cold: cold cough can affect wound healing and, severe cough can even cause incision tears. The mother who has suffered from cold should take medication in time. In addition, to ensure that the abdominal incision and perineum clean, do not scratch when itchy, and do not scrub with unclean objects. Self-care after cesarean section 1. It is important to strengthen self-care after surgery for smooth recovery. 2. Cooperate with fluid infusion within three days after surgery to replenish water and correct dehydration. Six hours after the operation, you can eat some liquid food such as egg stew, egg flower soup and lotus root powder. The second day after surgery, you can eat semi-liquid food such as congee and carp soup. 3. Early activity is an important measure to prevent intestinal adhesion, thrombosis and sudden death. After the anesthesia disappears, the muscles of upper and lower limbs can do some retracting and releasing movements, and you can get up and move around six hours after the operation. 4. During cesarean delivery, the uterus bleeds more, so you should pay attention to the amount of vaginal bleeding, and inform the doctor in time if you find that it exceeds the amount of menstruation. 5.When coughing, nausea or vomiting, both sides of the wound should be pressed to prevent the sutures from breaking. 6.Usually, the indwelling catheter can be removed at the end of rehydration on the second day after surgery, and urination should be promptly performed 3-4 hours after removal. If you can’t solve the problem in bed, you should get up and go to the toilet, and if you can’t, you should tell the doctor until you can urinate freely. 7. If the body temperature exceeds 37,4℃, it is not advisable to force discharge. It is best to take the temperature once a day in the afternoon for a week at home, so as to detect hypothermia early and deal with it in time. 8, beware of late postpartum hemorrhage: after returning home, if the malignant fluid increases significantly, such as menstrual-like, you should seek medical attention in a timely manner, especially if you live in rural areas where transportation is difficult, it is more appropriate to go earlier. It is best to go directly to the original delivery hospital for consultation and treatment. 9.Take contraceptive measures in time: intercourse usually starts 42 days after delivery, after the dew is completely clean. Initially it is advisable to use condoms, 3 months after delivery should go to the original surgery hospital to put the ring. Because if once conceived to do abortion, will be particularly dangerous. 10, pay attention to menstrual wound pain: endometriosis at the wound site is sometimes seen, manifested as a continuous swelling and pain at the wound during menstruation, and more serious in January than in January, and hard lumps can appear at a later stage. Once such symptoms appear, you should go to the hospital as soon as possible. There is a saying that children born by cesarean section are smart, is that true? In terms of IQ, there is no difference with children born vaginally, but what about emotional intelligence? As we know, social adaptation is a very important factor in health, and children with poor social adaptation will find it difficult to find their place in the fierce social competition when they grow up, even though there is nothing wrong with them physically. Also, children born by cesarean section have more neurological problems, such as ADHD and sensory integration disorder, than children born by vaginal delivery. These children also have more unbalanced development in language and manual skills. A survey of more than 200 children born by cesarean section over 5 years found that more children had ADHD, although the cause has not yet been identified, but this is very telling. Because the child’s vaginal delivery is also a process of coordinated development of the nervous system, he also has to carry out stress regulation, during the contraction of the uterus, the maternal abdominal blood flow will be reduced, how to get through these difficult seconds, how to ensure that the heart and brain nerves are not damaged in the absence of oxygen, many nerves of the fetus had to play a regulatory role, such as redistribution of blood, to ensure that the function of the heart, brain, adrenal glands is intact and can withstand even a dozen hours. In fact, after the whole labor is initiated, the fetus is allowed to adapt in utero, and there is a process of expulsion of the amniotic fluid from the lungs through the compression of the birth canal, which reduces neonatal respiratory distress syndrome in some infants with less developed lungs. When the child is in the birth canal, skin sensation, pressure pain, motor sensation, temperature sensation, all produce good stimulation for his nervous system, which is actually the first lesson of early neonatal intelligence development. How to improve the chance of natural childbirth? The best age to give birth is our capital The best age to give birth is around 25-28 years old, so if you want to give birth to a healthy baby naturally, you should seize the golden time to give birth. The ligaments between the pelvic bones of young mothers-to-be become relaxed after pregnancy, which helps to increase the space of the birth canal to facilitate the passage of the fetus, while older pregnant women have stiffer bones and suffer from various pregnancy-related co-morbidities will gradually increase, limiting physical strength and muscle contraction, thus increasing the chances of failed attempts at delivery. Method 2: Have good psychological preparation for delivery The mother-to-be should have a good state of mind, realize the benefits of natural childbirth for the future growth and development of the baby, build up confidence; be able to tolerate the pain of contractions; learn more about the process of labor before delivery, which can help you overcome possible tension; trust that doctors, nurses and family members will help and encourage you. If your father-to-be wants to share the hardship and joy of this moment with you, you can also let him support you with love and confidence on the side. Method 3: Maintain sufficient physical strength and energy before delivery Pregnant women need to maintain a normal life and sleep, eat nutritious and easily digestible food, such as milk and eggs, to prepare sufficient physical strength for delivery. It takes sufficient time for contractions to force the opening of the uterus to be fully dilated to facilitate the descent of the fetus during delivery. This process is very difficult to accomplish through a short period of pain. The more zinc a pregnant woman gets, the better her chances of having a natural delivery. According to expert research, the main effect of zinc on childbirth is to enhance the activity of the enzymes related to the uterus, promote the contraction of the uterine muscles and drive the fetus out of the uterine cavity. When zinc is deficient, the uterine muscle contraction is weak and cannot drive out the fetus on its own. Therefore, zinc deficiency in pregnant women increases the pain of childbirth. Childbirth is a normal, natural process. Mothers-to-be can experience a complete experience of motherhood if they believe in the power of nature and their own potential.