Warning! Early cesarean delivery can cause cerebral palsy in children

  Yang Yang is 3 years old, and the right side of his body is like a spasm, unable to move freely, and even one side of his neck is crooked. Looking at Yang Yang’s bright and transparent eyes, I felt really bad. Because of Yang Yang’s disease, Yang Yang’s mother is tired of lumbar strain. What exactly is this disease? The orthopedic department of Hubei Provincial Maternal and Child Health Hospital confirmed that Yang Yang has pediatric cerebral palsy.  Pediatric cerebral palsy is a disease in which infants develop paralysis due to non-progressive, central motor dysfunction caused by damage to the brain parenchyma caused by hypoxia, infection, and trauma. Currently, the number of children like Yang Yang is increasing year by year in China, and pediatric cerebral palsy has become a disease that plagues many families.  The cause: the child’s cerebral palsy may be related to the delivery process “When I was pregnant with Yang Yang, everything was normal, but the delivery took a little longer. Now that the child is like this, I’m heartbroken, why would such a cute child get this disease?” Yang Yang’s mother recalled that sometimes she really felt that God was punishing and chastising her!  Here we introduce cerebral palsy, the onset of pediatric cerebral palsy may arise at some stage of the birth process of a pregnant woman. Specifically, it can be divided into three stages: prenatal, intrapartum and postnatal.  1. Prenatal stage: The baby has cerebral palsy when it is still inside the mother’s body. Most of the causes of cerebral palsy in this stage are genetic, and some of them are caused by the lack of oxygen to the brain due to the umbilical cord being wrapped around the neck and the lack of nutrition in the mother’s body at an advanced age.  2. Intrapartum stage: Certain conditions in the delivery process may cause cerebral palsy in the baby. Specifically, it includes difficult labor, premature birth, too long time for the amniotic fluid to break, and the baby sucking into the amniotic fluid. Among them, the highest incidence rate of pediatric cerebral palsy is caused by premature babies.  3. Postpartum stage: After birth, the infant may suffer from cerebral palsy due to external forces such as falls and injuries, or unfortunately, diseases such as meningitis.  Warning: Early caesarean section has the risk of cerebral palsy “According to relevant statistics, 70% of pediatric cerebral palsy patients are clinically triggered by the disease during the intrapartum stage. However, looking into the causes, early delivery is one of the main factors.” Nowadays, a number of mothers choose early caesarean section as a way of giving birth for various reasons. When choosing such a method, the baby will be born earlier than the normal delivery birth time. However, if the baby is born too early, resulting in immature brain development at the time of birth, there is a risk of developing cerebral palsy disease as a result.  When an infant has cerebral palsy, the mild symptoms are abnormal movements, such as not being able to lift the head, crawl, walk, etc. In severe cases, it can lead to mental retardation and the inability to take care of themselves. Not only does it cause great stress to the parents, but it is also a long-term torture to the child with cerebral palsy.  Treatment: Cerebral palsy cannot be cured but can be almost normal Cerebral palsy is a disability and the disability is incurable. Although this is a very hurtful statement, it is important for cerebral palsy patients and parents to clarify this concept, and the treatment should be considered to improve the disability, self-care ability and motor ability through one or more planned surgical treatments and rehabilitation.  We define the following treatment goals according to the different degrees of cerebral palsy: first, social return, second, self-care, and third, ease of care. So please ask yourself, after the consultation, what goals do I need to achieve?  In addition, for children with spastic cerebral palsy, our treatment philosophy of combining rehabilitation surgery and focusing solely on any one side is not a comprehensive view. If the spasticity is not lifted and rehabilitation alone is time consuming and costly, not many of the patients we see last until developmental maturity, and the obvious result of terminating rehabilitation is a relapse of the spasticity. Surgery alone, or post-operative phase rehabilitation without formalization, also rarely has satisfactory results.  The best time period for surgical treatment is from 2.5 to 6 years of age. First, FSPR surgery can effectively and permanently reduce muscle tone by cutting the root cause of spasticity – the [la fibers] of the heel of the spinal nerve – through highly selective cutting, and then determine whether the spasticity needs to be Limb correction surgery treatment. In some patients with rigid cerebral palsy, because the spasticity is particularly severe, it is necessary to first partially cut off the adductor tendon to facilitate rehabilitation training and create conditions for reoperation.  It should be noted that FSPR surgery does not solve all the problems, but mainly lays a solid foundation for orthopedic and rehabilitation; without FSPR surgery as a foundation, [rehabilitation alone] or [orthopedic + rehabilitation] cannot solve the root cause of spasticity [la fibers], and will cause the deformity to recur within 6-12 months, and the spasticity will still exist.