The success of a thing: the time, the place, and the people. The same reason for the birth of a child, not only the timing, location, and the right people. You also have to be fully prepared mentally. As the due date is approaching, are you …… ready?
Is the choice of delivery method also strongly troubling you?
Repeatedly asked every day: doctor, please help me to see if I can have a normal delivery. I can only say with regret: Sorry, I don’t know. God knows!
This shows that childbirth is a particularly complex process, and if it were under control, then there would be no such thing as a difficult birth.
That’s why many people say: I don’t want to try to give birth, for fear of suffering two crops.
Even so, our principle is: try to have a trial of labor whenever possible and give every opportunity to try. Even if it is a double birth, scarred uterus ……
The first factor that determines vaginal delivery is the size and position of the fetus, the condition of the birth canal, the strength of the contractions, and the confidence of the baby.
The first one: the size and position of the fetus: normal full-term fetus weight is between 2500-4000g.
Too large increases the difficulty of delivery. The problem of fetal position: there are head position, breech position, oblique position, transverse position. Each of them can be subdivided into many types. In any case, 90% of the cases of fetal position are cephalic. In other words, the fetus is head down and buttocks up in the abdomen.
Even in cephalic position, the back of the fetus is divided into anterior, posterior, or lateral?
The occipital anterior position (left, right) is favorable for a normal delivery. Posterior occipital position, transverse occipital position can lead to difficult labor. During labor, the position and orientation of the head changes dynamically. It is possible that the fetal head may get stuck in a certain part of the labor and unfortunately a difficult labor occurs and the labor must be ended by cesarean section [tears].
So the position of the fetal head we may not be able to intervene too much, but the size of the fetus we have a way to control. That is to control their own weight during pregnancy.
Next: the weight control growth during pregnancy at 12.5 kg is appropriate. Too many pregnant women have a heavy burden on themselves. The highest weight of pregnant women I’ve come into contact with was 130 kg. That is a particular problem. Weighing is a burden, because it exceeds the limits of the general scale.
Nowadays, as long as people don’t eat partially, picky and have balanced nutrition. There is usually no need for additional nutrient supplementation. If economic conditions allow, multivitamin or multivitamin supplementation is now advocated.
Calcium supplementation usually needs to be symptomatic or justified. If you oversupplement, the fetus will absorb more, the skull will be hard, and it will affect fetal head shaping (that is, deformation, and children born in normal labor will come out with long heads) and increase the risk of difficult labor.
Okay, let’s move on to the second article: the birth canal.
The birth canal is divided into the bony birth canal (pelvis) and the soft birth canal (cervix, vagina, vulva). Let’s use an analogy: in a house, the pelvis is the frame and the other soft birth canals are the decoration materials. The frame is unchangeable, the soft birth canal is variable. In obese people, the soft tissues are thick, which also makes it more difficult to have a normal birth. Short stature (below 155 cm) and traumatized pelvis should check the internal condition of the pelvis. The choice of delivery method should be made early, while the size of the fetus should be combined with a comprehensive judgment.
As the old saying goes, a matchmaker is half an obstetrics and gynecology specialist. The buttocks are big and thin, good for childbirth. It makes sense.
A part of the pelvis is the bony birth canal, a part that is not easily changed by the outside world. The angle between the entrance plane of the pelvis and the ground plane is called the pelvic tilt. Wearing high heels, lifting the hips, etc. will change the angle.
If the angle is too large, the fetal head will not easily enter the pelvis for articulation
The pelvis is artificially divided into 3 planes in obstetrics: the entrance, the middle pelvis and the exit plane. Each plane has its own characteristics. Moreover, the line connecting the center points of each plane of the pelvis is with curvature. This is commonly known as the pelvic axis. Therefore, the passage of normal delivery is different in width and curve. Therefore, normal birth is quite complicated.
The position of the fetal head is in the middle of the pelvis, and along with the descent the head is rotated in order to pass through the pelvis with the least amount of meridian. (God is so amazing.) If unfortunately the fetal head gets stuck in a certain position and becomes transverse or posterior, obstructed labor may occur and a cesarean will be closer to you!
There is also the soft birth canal: vulva, vagina and cervix. Vulvar scar, longitudinal vaginal septum (double vagina), poor cervical elasticity, and cervical surgical scar are all disadvantages to a normal birth.
Here again, I want to spit on private hospitals. As long as they go to the hospital, they say that people have cervical problems and end up with microwave, physiotherapy, electric scalding, and even Lipo knife. The damage to the cervix is very serious, causing scarring. The root of the problem was laid for the increased difficulty of future normal birth.