Whenever a woman is admitted to the hospital, she always has to spend a lot of energy explaining what the birth is all about. A woman always asks the question she shouldn’t ask: “Will I have a normal birth or a cesarean?” Today, I’d like to explain to you about having a baby – can you have a normal birth, mom-to-be? Why do I want to have a normal birth? –Reason 1: Vaginal birth is less invasive] Nowadays, many surgeries can be minimally invasive, but C-section is never minimally invasive. Many women say to their doctors before surgery, “Can we make a smaller incision?” To this I would like to say, “Just kidding! You want to get a baby this big, even if it’s premature, even if it’s only four or five pounds, you want to get it out of your belly quickly and smoothly, can you make the incision smaller? Even if I try to meet the demand, I opened a 15cm opening, I opened a 13cm opening, from the aesthetic point of view, is there a difference? Vaginal birth is the way to go if you want no scars! Reason 2: Vaginal birth is less painful] Many people may say, “Are you kidding me? You’re saying it’s less painful?” In fact, vaginal birth is very painful before delivery, but as soon as the baby comes out, all the pain will disappear immediately. A vaginal birth is painful for about 10 hours at most, while a cesarean birth can be painful for days. The third reason is that vaginal delivery protects the uterus from injury] It is very important to protect the uterus from injury during delivery. What we say is less traumatic and less painful can be a fallacy for patients with less successful labor or for those who have complications in labor. Some people have to pull the forceps at the end of labor, and the perineal wound is very large and painful; some people have a separation of the pubic symphysis, which may be so painful that they cannot walk for half a month …… but in front of the benefit of getting the uterus undamaged, all other pains can actually be ignored, because it is the damage to the uterus that is the original sin of cesarean delivery. The aforementioned incisional pregnancies and dangerous placenta praevia …… are all attributed to the damage to the uterus caused by the cesarean delivery. A woman who has a cesarean birth is at high risk for another pregnancy (even an unplanned one) for the rest of her life. Many mothers feel that childbirth is painful, and I often tell them, “Do you think you are the only one in pain? In fact, the baby is not good either.” Why? Because every time the uterus contracts, the placenta is not supplied with blood, in other words, the fetus is suffering from intermittent oxygen deprivation during the whole labor process. Many people quit when they hear me say this: “How can I let my child be deprived of oxygen?” In fact, there is always a reason why such a process has evolved over millions of years of biological evolution. For a healthy fetus, it is logical that it can tolerate this interstitial hypoxia process (of course, for a fetus with congenital abnormalities, it may be a different story). This interstitial hypoxia process can be interpreted as a signal to the child – you are coming out, you will have to fend for yourself, your mother can no longer provide you with nutrition, you can no longer be a “parasite” in the mother’s tummy. So, the child in this process of oxygen deprivation, its lungs, brain and all the important organs will be more mature, so as to better adapt to the harsh natural environment outside. This process is unique and unrepeatable for a person’s life. Some people may wonder, “What if my baby cannot tolerate this ordeal?” In fact, nowadays, the monitoring during delivery is so strict that if the fetal heart rate varies during delivery and the indication for a cesarean section occurs, there is no harm to the majority of children as long as they are cut out in time. The reason is that it is better for adults and children to have a cesarean section than to have a cesarean section when there is no attack]. If I had known that I would have to suffer twice, I might as well have just dissected from the beginning! Many patients are dissatisfied with their doctors because of the same reason. “I didn’t want to give birth by myself at the beginning, but I had to do it by myself, and now I’m still having a dissection. –This is what many women who have had this experience are saying. But what I want to tell you is that you are not losing out on this issue. For you and for your child, there are benefits to having given birth yourself. From the child’s point of view, the child has gone through this process of birth canal compression anyway, and although it didn’t come out, the effect is there. Almost all obstetricians and pediatricians in the delivery room have the experience that there is an order of magnitude difference in the loudness of the first cry of a newborn who has been transferred to a cesarean section after a failed normal birth compared to a newborn who has been delivered by cesarean section without a normal birth. The first cry of a newborn delivered by C-section is usually very loud, clean and free of noise. To put it bluntly, the maturity level is just not the same. From the mother’s point of view, when a mother who has experienced a failed normal delivery has a cesarean section, the lower part of the uterus and the cervix have been stretched to a long length, and when choosing a uterine incision, even if we cut higher, the actual damage to the uterus may still be in the lower part of the uterus or even the cervix, which is the part of the uterus where pregnancy is least likely to settle, and theoretically, the incidence of the risk of another pregnancy is definitely less than that of Theoretically, the risk of recurrent pregnancy is definitely less than that of direct injury to the uterine body. However, for women who have had a direct cesarean delivery without labor pains, the lower part of the uterus is not elongated, and even if we choose a lower uterine incision, it is still closer to the body of the uterus, and the closer it is to the lining of the uterine body, the closer it is to the normal lining of the uterine cavity, and the easier it is for a fertilized egg to implant there. Therefore, theoretically, the probability of another pregnancy occurring in the scarred area of the uterus would be higher. Trust your doctor and insist on having the baby on your own! Obstetrics is a high-risk department, and as obstetricians, they are under a lot more pressure than the average person all year round. Some people think, “I’m in the hospital, what are the risks?” The risks don’t go away because of where you give birth. Whether in the hospital or at home, in the United States or in China, the risks in obstetrics are always high. The difference is that hospitals have resuscitation and homes don’t. Doctors may tell you that an amniotic fluid embolism can kill you, that a hemorrhage can remove the uterus …… When these accidents occur, doctors may be more anxious than the patient’s family, but doctors are afraid that when problems arise the family will not understand or cooperate, and that is really fatal. Here I send you a sentence: “Give the doctor a way back, is to give their own way back. The more the doctor retreats, the more the patient lives.”