Whenever a woman is admitted to the hospital, it always takes a lot of effort to explain what the birth is all about. The question that should not be asked is: “Will I have a normal birth or a cesarean birth?” Today, I’d like to explain to you about childbirth – can you have a normal birth, mom-to-be?
It is only natural to have a normal birth!
The matter of giving birth to a child has to be told from the beginning of Pan Gu ……
Five billion years ago, the earth began to nurture life, life has evolved to today, the emergence of a highly developed species of intelligence – human beings. With the development of human civilization, we seem to have forgotten our original attributes – animals, to be precise, primate mammals.
As a primate mammal, there was originally only one way to give birth – vaginal birth, or normal birth. In other words, as non-obstetricians, we were not supposed to ask the question, “Do I have a normal birth or a cesarean?” Because the answer has evolved over millions of years to the effect that a normal birth is the right thing to do.
In the long years without C-sections, childbirth was a cruel thing for women who could not deliver vaginally, and for fetuses who could not withstand the rigors of childbirth. For they all became the rejects of natural selection. However, human ingenuity continued to improve the ability to fight natural selection, so cesarean sections were born, and the “damned” now had a chance to live.
New problems arose and people no longer thought that surgery would be such a horrible thing and more and more people chose to have a cesarean.
However, while the ideal is always rich, the reality is usually very hard. The increase in cesarean deliveries has created more and more troublesome problems: more and more second cesarean deliveries, scar pregnancies after cesarean deliveries have started to become common, and aggressive placenta praevia and placental implantation have become more and more common ……
The obstetricians are confused, but the general public is unaware of it. Because there are always a few people around them who had a cesarean delivery and are fine, but they don’t understand: these serious diseases associated with previous cesarean deliveries are quite fatal.
Why should I have a normal birth? –Here are five reasons
Reason 1: Vaginal birth is less invasive
Nowadays, many surgeries can be minimally invasive, but a cesarean delivery is never minimally invasive. Many women say to their doctors before surgery, “Can we make a smaller incision?”
To which I would like to say: just kidding! If you want to get a baby this big, even if it’s premature, even if it’s only 4 or 5 pounds, can you make the incision smaller if you want to get it out of the belly quickly and smoothly? Even if I try to meet the demand, the original 15cm opening, I opened 13cm, from the point of view of aesthetics, there is, difference,?
Vaginal birth is the way to go if you want to avoid scarring!
Reason 2: Vaginal birth is less painful
Many people may say, “Are you kidding me? How can you say it’s less painful when it takes dozens or even tens of hours to give birth? 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 more than 10 hours at most, while a cesarean birth can be painful for days.
Reason 3: Vaginal delivery protects the uterus from injury
Protecting the uterus from injury during childbirth is the most important and crucial point. What we say is less traumatic and less painful can be a fallacy for patients who have a less successful labor or for those who have complications in labor.
Some people have to pull the forceps at the end of life, the perineal wound is very big 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 if it is an unplanned one) for the rest of her life.
Reason 4: Having a baby by yourself, the fetus is more mature]
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 baby 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 test?” In fact, nowadays, the monitoring during delivery is so strict that if the fetal heart rate varies during delivery and the indication for 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 even if the baby is halfway through the cesarean section, it is better for the adult and the child than if the cesarean section is not in progress.
This point is not understood by many people: how can it be beneficial when you have suffered two crops? If I had known that I would have to suffer twice, I might as well have just dissected from the beginning! Many patients are unhappy 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 these experiences are saying.
But what I want to tell you is that you are not losing out on this issue. For both you and your child, there are benefits to having given birth yourself.
From the child’s point of view, the child has gone through the 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 was delivered by cesarean section after a failed normal birth compared to a newborn who was 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 on 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 giving birth 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 you are 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. Your doctor may tell you that an amniotic fluid embolism can kill you, and a hemorrhage can remove your uterus ……
When these accidents occur, the doctor may be more anxious than the patient’s family, but the doctor is afraid that the family will not understand and cooperate when the problem arises, and that is really fatal. I would like to send you a message: “To give the doctor a way back is to give yourself a way back. The more the doctor retreats, the more the patient lives.”