Childbirth by using a caesarean section operation will only be done when there is a problem in a labor. This action will usually only be done when there is a problem in the delivery process which of course can endanger the safety of the baby and mother. Some conditions that require a caesarean section such as the birth canal covered with placenta or also known as placenta previa totalis, condition of fetal distress, mothers who experience hypertension or also called preeclampsia, congestion in labor, position of the baby breech or transverse, the occurrence of bleeding before right childbirth, etc.
This caesarean section is carried out in 2 ways, which is done in a planned and emergency manner. In a caesarean section performed in a planned manner, the surgical process will be decided at a long time, such surgery is also called elective caesarean section. This condition is usually done by a doctor when the pregnant mother has a problem in her health, especially when the mother suffers from a disease that does not allow giving birth under normal conditions.
For example, mothers who suffer from AIDS / HIV, suffer from diabetes, heart disease, hypertension, etc. Other surgical procedures are performed on an emergency basis or electively. What is meant by elective is surgery performed with careful planning, a few days before the time of delivery. Emergency or emergency surgery is a caesarean section performed at the time the labor is underway. This kind of thing usually happens because of an emergency action that must be done immediately because it can endanger the safety of the mother and baby.
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What should be Considered in Caesarean Section or Caesar Surgery
Fetus With Butt Presentation
What is meant by fetal breech presentation is the first pregnancy in a woman with a large enough fetus suspicion, so that congestion may occur at the time of delivery, or also called Feto Pelpic Disproportion, there is also a condition where the fetal head is raised or called deflection, fetus which is wrapped in the umbilical cord, or the condition of the fetus with foot presentation.
When a mother gets a pregnancy in a single sheet, it will be seen as the lowest fetal presentation whether the buttocks, head, or maybe the position is transverse. After that it will be seen if it is possible to do vaginal delivery if the presentation of both fetuses or the position of the two fetuses is the heads. If there is a case of the lowest fetus or the first fetus is not the head, it is better to do a caesarean section. Ultrasound results will clearly show whether each fetus has its own kettle or not.
In the case of twin pregnancies with the position of 2 fetuses with 1 amniotic sac, the risk of getting stuck with each other or hooking one another will be higher, if the condition is like that it would be better if a planned caesarean section is performed. Having more than two fetuses, such as having a fetus 3 or even more, it is better to have a caesarean section planned.
What is meant by placenta previa is the placenta that covers the cervix. When the fetus is in the womb, the supply of food and oxygen also lies in the placenta, therefore it is very unlikely if the placenta exits before the fetus. The fetus will experience death if the placenta exits first, because there are many blood vessels in the placenta, if the location of the placenta covers the exit, it will be very prone to bleeding.
When the uterus has contracted it will certainly cause the placenta which is full of these blood vessels to rupture, this will cause severe bleeding, things like this that will endanger the condition of the fetus and mother.
Maternal Health Conditions
Another thing to watch out for is maternal health. When a mother suffers from diabetes / diabetes, preeclampsia / high blood pressure, HIV / AIDS, herpes, chronic lung disease, heart disease, uterine tumors that are large in size and cover the uterus, cysts that block the uterus, or some other disease, make the mother must take a caesarean section.
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Problems with the fetus
The condition in which the fetus develops amniotic fluid in small amounts or in medical terms is called oligohydramnios, or the condition of the fetus who has a disruption in the process of growth and development.
Emergency or Emergency Caesarean section
Emergency caesarean section is a caesarean section performed during labor. Conditions like this must be done immediately because of problems in the mother’s body or in the fetus. The following are some conditions that force emergency caesarean section;
Birth Process Loss
Congestion in labor can occur in the first phase / lilation phase. It can also be in the second phase / when the mother is pushing. When labor has obstacles in the first phase, the doctor will usually give a drug called oxytocin. Oxytocin serves to strengthen the contractions of the uterine muscles. With the presence of this drug it is expected that the mouth of the uterus will open. Another technique that can be done is to break the membranes or provide intravenous infusion when the mother is dehydrated or dehydrated. If the methods mentioned are not working properly, then the operation is the next action.
When labor experiences obstacles in the second phase, the doctor must be able to decide quickly, whether labor is assisted by using a vacuum or forceps or taking a caesarean section. Before deciding to continue vaginal delivery using a tool or by caesarean section, the doctor will see how the head is positioned on the fetus whether it is at the pelvic floor, maternal dialysis and the absence of an emergency condition in the fetus.
Childbirth barriers like this are the most important cause of cesarean section surgery. Some other considerations are less effective contraception, a fetus that is too large while the birth canal is narrow, the position of the baby’s head is not possible to do a vacuum or forceps.
When the fetus experiences stress, the fetus will experience a lack of oxygen. Things like this will appear in the fetal heartbeat which is getting lower and lower. here are some reasons why the baby’s heart rate decreases;
Prolapse of the umbilical cord: When the umbilical cord comes out first rather than the fetus, the fetus will be pinched, this will cause the blood supply and oxygen to decrease. If something like this is left unchecked it will be dangerous for the fetus, if born normally through the vagina, it is necessary to have a caesarean section immediately.
Bleeding: When a mother experiences very much bleeding due to the placenta that is released from the uterus first or for other reasons, it is necessary to have surgery immediately.
Stress in the fetus: When the fetal heart rate decreases to 70x per minute, it is a sign that immediate caesarean section must be performed. Because the fetal normal heart rate is 120-160 x per minute.