It has been reported that the incidence of cesarean section has been increasing in recent years. According to statistics, in most obstetrics and gynecology hospitals, 10-30% of delivery methods are caesarean sections using the lower uterine segment.
What is a caesarean section?
Caesarean delivery is a method of giving birth through surgery on the abdominal wall. This is because the fetus needs to be expelled urgently while waiting for natural delivery but endangering the life of the mother and fetus. A caesarean section is necessary at this time. Why do doctors choose to give pregnant women a caesarean section? The following are the indicators for choosing a caesarean section:
1. Fetal distress:
This is because the fetus is in a dangerous state due to lack of oxygen and may still be born. If the heartbeat is lower than 120/min, the situation is more critical.
2. The fetus is too large:
The fetus is too large to be delivered through the pelvis. For example: Diabetic mothers will have problems with fetuses that are too large.
3. The pelvis is too small:
Some mothers are too short because their pelvis is too small and there is not enough room for the baby to deliver through the pelvis.
4. The fetal position is incorrect:
Correct delivery should expose the top of the baby\’s head first. The fetal position is incorrect, such as breech, facial, transverse, etc.
5. Mild pregnancy-induced hypertension syndrome:
For mothers with hypertension, proteinuria, and edema syndrome, the fetus will not be able to receive enough nutrients and oxygen from the placenta to withstand the stress of the delivery process.
6. The natural production process cannot continue:
Because the mother\’s uterine contractions are weak and the cervix is not dilated enough, the fetus cannot be delivered.
7. Immature fetus:
Immature fetuses are weaker, usually less than 36 weeks old and weigh less than 5 pounds, and may not be able to withstand the stress of natural labor.
8. The size of the fetus is smaller than the actual confinement:
An incomplete placenta results in insufficient nutrition and oxygen supply to the fetus, causing the fetus to be weak and smaller than its actual month.
9. Placenta previa is also called low-lying placenta. If the placenta is attached too low to the uterus, it can cause bleeding and block the baby\’s birth canal.
10. Placenta separation:
Often placental separation is an emergency that results in vaginal bleeding caused by high blood pressure or trauma.
11. Ovarian cysts:
Cysts in the mother\’s ovaries can prevent the birth of the fetus.
12. Uterine fibroids:
Fibroids in the mother\’s uterus can prevent the birth of the fetus.
13. The mother suffers from a certain disease:
For example: diabetes, kidney disease, etc., will cause stress to the mother and fetus.
14. Those who had cesarean section:
This is the most commonly accepted indicator of caesarean section. Since the uterus is more susceptible to trauma from a previous C-section, the decision to have a C-section reduces the risk of uterine rupture.
In the above fourteen situations, doctors usually decide to perform a cesarean section for the mother to protect the lives of the mother and fetus.