Caesarean section or product you will choose which one?

Shaanxi Yulin pregnant women fall case is still in the continuous fermentation, which leads to a lot of topics # # # # painless labor pain # # # # tadpole king looked down at their own, how many years passed, still Not see the small tadpole figure, do not know where the problem is good, Closer to home, today we have to talk about the children of these things. 1, children in the end how painful In order to allow men to experience the pain of childbirth, the United States a hospital to stimulate the current way to use the four little brother to experience a. Figure from the watermark next to the little brother ye have a feeling of schadenfreude However, no one can stick to the last. This way has won the support of many female friends, they even asked to join the project before the premarital So, how many children have children in the end? You try not to know! 2, what circumstances can choose cesarean section China’s current cesarean section rate increased year by year, at present, has been significantly higher than the World Health Organization 15%. Chinese Society of Obstetrics and Gynecology Obstetrics and Gynecology Branch of the development of the “cesarean section of the expert consensus (2014)” gives the need for cesarean section 15 cases: 1. Fetal distress: refers to the late pregnancy due to complications or complications caused by acute and chronic fetal distress and childbirth acute fetal distress can not be short-term vaginal delivery. 2. Head basin is not called: absolute head is not called or relative to the basin is not called the full vaginal trial failure. 3. Scar uterus: 2 times and above cesarean section after pregnancy again; previous uterine myoma removal surgery through the bureaucratic. 4. Abnormal fetal position: fetal transverse, early birth single tires (estimated fetal birth weight> 3,500 g) and foot exposed. 5. Pre-placenta and pre-vascular: placental part or completely cover the mouth of the cervix and the front of the blood vessels were. 6. Twins or multiple pregnancy: the first fetal non-head; complex twin pregnancy; Siamese twins, three and more multiple pregnancy should be cesarean section surgery. 7. Umbilical cord prolapse: the fetus may survive, the assessment that can not be promptly vaginal delivery, emergency cesarean section should be surgery to save the fetus as soon as possible. 8. Placental abruption: the fetus may survive, should monitor fetal heart rate and the implementation of emergency cesarean section as soon as possible delivery of the fetus. Severe placental abruption, the fetus has died, should also be an emergency cesarean section surgery. 9. Pregnant women with serious complications and complications: such as heart disease, respiratory disease, severe preeclampsia or eclampsia, acute pregnancy fatty liver, thrombocytopenia and severe pregnancy intrahepatic cholestasis, can not afford vaginal delivery The 10. Pregnant gavage: gestational diabetes mellitus is estimated to have fetal birth weight> 4,250 g. 11. Pregnant women require cesarean section: American Society of Obstetricians and Gynecologists (ACOG) defines cesarean delivery onmaternal request (CDMR) as a full-term single birth, no medical indications for pregnant women Production. (1) only pregnant women personal requirements are not as cesarean section indications, if there are other special reasons to be discussed and detailed records. (2) when pregnant women do not understand the situation in the case of cesarean section, should be detailed to inform cesarean section delivery and vaginal delivery compared to the overall pros and cons and risk, and record. (3) when pregnant women due to fear of vaginal childbirth pain and require cesarean section surgery, should provide psychological counseling to help reduce their fear; labor process application of labor analgesia method to reduce the labor of pregnant women, and shorten the labor. (4) Clinicians have the right to refuse the requirement of cesarean delivery without a clear indication, but the request of the pregnant woman should be respected and provide a secondary recommendation. 12. Birth canal deformity: such as high vaginal complete diaphragm, artificial vaginal surgery and so on. 13. Vulvular disease: such as vulvar or vaginal severe varicose veins. 14. Reproductive tract serious infectious diseases: such as severe gonorrhea, genital warts and so on. 15. Pregnancy with tumors: such as pregnancy with cervical cancer, huge cervical fibroids, uterine fibroids and so on. 3, the consequences of abuse of cesarean section cesarean section, the newborn can produce hyaline membrane lesions, persistent pulmonary hypertension, iatrogenic premature birth, jaundice, neonatal injury, allergic asthma and other effects. Recent effects on maternal supine hypothyroidism syndrome, increased postpartum hemorrhage, increased mattopathy, surgical injuries (ureter, bladder, intestine, etc.), perinatal hysterectomy increased, postpartum pain, pelvic or lower limb venous thrombosis Formation, increased maternal mortality, longer hospitalization, increased costs, and so on. Long-term effects on pregnant women may have chronic pelvic pain, pelvic adhesions, pelvic endometriosis increased incidence of uterine incision ectopic pregnancy, pregnancy prone to uterine rupture, abnormal placental position, re-operation difficult, lower uterine segment Incision ulcers or poor healing, affecting menstruation (cycle, duration, by volume, dysmenorrhea, etc.), and pelvic inflammatory disease. Therefore, regardless of the medical staff, or patients, family members, should have enough understanding of cesarean section, familiar with the indications for surgery, a reasonable choice of production programs, care of pregnant and healthy, to avoid unnecessary harm. 4, painless childbirth side effects painless delivery methods are divided into two categories: drug analgesia and non-drug analgesia. Among them, drug analgesia includes: epidural anesthesia, inhalation pain and intramuscular analgesic drugs; non-drug analgesics include: mental comfort, breathing and water delivery law, for non-drug analgesic methods, Generally no side effects, the effect may also be no drug analgesic method so good. So, will drug side effects have side effects? Here is a professional, if you have the patience, please read it ~ in the actual production of pregnant women, the use of the widest range of analgesic method is epidural anesthesia,Also known as spinal canal labor analgesia. This method is a professional anesthesiologist in the maternal lumbar intervertebral space after the success of the subarachnoid injection of a small amount of local anesthetic or opioid drugs, and in the epidural cavity into a fine catheter, one end of the catheter connected to the electronic Analgesic pump, by maternal self-controlled administration according to the degree of pain (anesthesiologist has set a limited hourly limit, do not worry about overdose), analgesic pump can be used continuously until the end of childbirth. The analgesic method used in the analgesia of the spinal canal is very low, only about 1/5 to 1/10 of the cesarean section, so the fetus will not be affected. However, anything can not be perfect, spinal canal labor analgesia is not completely risky. 1. Now the most commonly used local anesthetic is a “feeling and movement of separation” of nerve block drugs, which selectively block the transmission of maternal pain, and motor nerve is not affected. During childbirth, maternal full activity freely, abdominal muscle contraction and uterine contraction are maintained normally. However, if the local anesthetic premature or excessive dose, it may make the maternal productivity weakened, thereby increasing the length of production, increase the risk of production. It is generally agreed that the best time for anesthesia for the maternal cervix to open 3-5cm time. 2. In the case of epidural anesthesia, if the catheter is mistakenly inserted into the blood vessels, anesthetic into the blood vessels may be toxic. 3. Epidural anesthesia may also cause side effects such as hypotension, urinary retention, delayed respiration, total spinal anesthesia, and pain.

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