Children after caesarean section. Caesarean section: consequences

A caesarean section is an abdominal operation in which the newborn is taken into the light through an incision in the abdominal wall and uterus. Some women think operational delivery absolutely safe for the further development of the baby and, in order to avoid painful natural childbirth, they are even asked to perform a caesarean section “according to own will". Others, on the contrary, believe that a caesarean section for a child is a stigma for the rest of his life, and the child born after caesarean section will certainly be delayed in development. Consider the most common stereotypes about the development of "Caesar" children and see how they correspond to reality.

Myth #1. Children-"caesarites" lag behind in physical development.

Of course, surgery always has its risks. Due to the lack of normal compression chest the baby’s first breath comes later, amniotic fluid often enters the respiratory tract, and under the influence of drugs for anesthesia, the baby’s nervous system is depressed. All this leads to disruption of the respiratory, cardiovascular and nervous systems. During and after the operation, the child's body experiences hypoxia (oxygen deficiency), which adversely affects early adaptation to new conditions, which can indeed have long-term consequences in the form of a delay physical development.

Caesarean children are at risk for lagging behind in gains in height and weight. But whether the baby will lag behind in physical development or not depends on many factors - in particular, on whether the caesarean section was planned or emergency.

An emergency operation is performed without prior special training when complications arose during natural childbirth. Undoubtedly, the risk in this case is many times higher than the risk of elective surgery.

The threat of a lag in the physical development of “caesarean” depends not only on the method of childbirth, but also on how the pregnancy proceeded, whether the woman has any chronic diseases. In severe pregnancy, especially against the background of such diseases of the mother as diabetes, chronic pyelonephritis, hypertension, the risk of delayed physical development of the baby is very high even during childbirth naturally. At the same time, if the woman is healthy, but the cesarean section was performed due to a clinically narrow pelvis (mismatch between the size of the mother's pelvis and the size of the fetus, which makes it impossible for the normal course of natural childbirth), and if the operation was successful, it is likely that the child will have normal parameters weight and height.

Mention should be made of the physiological decrease in body weight, which is observed in all children immediately after birth. Normally, in the first days of life, an infant loses up to 4–10% of its birth weight, and it is possible to restore the lost weight on an average of the 7–10th day of life. But "Caesarites" usually lose more weight (8-10%), and their initial mass is restored a little later (on the 10-14th day). But later on, proper care height and weight gains return to normal.

Thus, "Caesarites" do not always lag behind in physical development. In addition, the compensatory capabilities of the developing human body are enormous, so the baby may well develop normally and grow up healthy, and sometimes even outpace their peers in terms of their physical indicators.

Myth #2. "Kesaryata" cry more often than children born naturally.

A caesarean section for a child due to oxygen starvation (the baby experiences it during and after the operation) has an adverse effect on the nervous system of the crumbs.

During natural childbirth, the child, passing through the birth canal of the mother, experiences powerful stress. This reaction is accompanied by the release huge amount hormones, activation of neurophysiological processes in the brain and has a positive effect on the early adaptation of the newborn to new living conditions and on further development his nervous system.

Children after caesarean section do not experience this stress that is so positive for the body. On the contrary, under the influence of narcotic drugs and anesthetics (which are used for anesthesia and anesthesia during the operation), the nervous system of the newborn is in a depressed state.

But a caesarean section for a child is only a risk factor for developmental disorders of the nervous system, and not an indispensable condition for this. Therefore, having restored its activity a little later, the further work of the nervous system may well return to normal, and the baby will cry no more than children born naturally.

Myth #3. "Kesaryata" are always hyperactive children.

Hyperactivity is understood as a complex of neurological and behavioral disorders, manifested by impaired concentration and increased activity of the child. Indeed, a caesarean section for a child is one of the risk factors for the development of hyperactivity, which is a symptom of impaired maturation of the nervous system and a consequence of the pathological effects that were described above.

With modern competent treatment under the supervision of a neuropathologist and proper care for a child, hyperactivity can be dealt with. But still it is worth noting that the development of this syndrome is not a mandatory and common condition for babies born operational way.

Myth number 4. After a caesarean section, the mother will not have breast milk, and the child will develop worse.

It is known that the first drops of breast milk (colostrum) have a special nutritional and energy value compared to the composition of breast milk in the future. In the normal course of childbirth in a natural way, the baby is immediately after birth applied to the mother's breast, and he receives these priceless drops. In addition, in this case, the child's intestines are populated with beneficial microflora. Also, early attachment to the breast contributes to the further development of lactation.

scientific fact
Was held interesting research in which an electroencephalogram (EEG) was performed for children born naturally and surgically. The EEG records the electrical activity of the brain, which can be used to judge the functioning of the nervous system. In the course of the work carried out, it turned out that in “cesareans” the restoration of the normal state of the brain occurs only on the 9th–10th day of life, while in babies born naturally, normal EEG values ​​are recorded from the first days of life.

Often, children after a caesarean section are not applied to the mother's breast in the first hours of life. This is due to the severity of the woman's condition after the operation, and in some cases - with the serious condition of the baby. Sometimes, as a result of the stress experienced by a woman in labor during a cesarean section and the lack of early attachment to the breast, lactation is disturbed. But breast milk contains essential substances and trace elements necessary for the normal growth and development of the child. It has been statistically proven that children in breastfeeding, have better indicators of neuropsychic development compared to those who receive artificial nutrition.

Another important aspect is that, as a rule, a woman is prescribed antibiotics after surgery. If the drug can be used during breastfeeding, then the mother is allowed to breastfeed the baby. If the antibiotic is incompatible with breastfeeding, the newborn baby will have to be temporarily transferred to formula feeding.

It turns out that concerns about problems with breastfeeding after a caesarean section are justified to a certain extent. But many mothers who have undergone this operation manage to maintain normal lactation and successfully breastfeed their baby. In addition, in the case of a caesarean section under regional anesthesia (when only the lower half of the body is anesthetized and the woman is conscious during the operation), the newborn is applied to the breast immediately after birth, which in the future avoids many problems with lactation and, accordingly, subsequent development baby.

Myth number 5. "Kesaryats" need special development programs.

Indeed, children born by caesarean section are under special care of the pediatrician and require closer medical attention. Patronage and preventive examinations by a pediatrician, neurologist, and, if necessary, other specialists are carried out more often. This is necessary in order to identify a delay or deviation in the development of the baby as early as possible. However, for the most part, "caesareans" develop normally, and in this case, no special programs to accelerate their development is not required.

If there is a delay in neuropsychic or physical development (as a rule, this occurs in the presence of several aggravating factors, and not only due to operative delivery), treatment of these abnormalities is prescribed.

A caesarean section, like any surgical intervention, is a risk for both the mother and the child, so it is not performed at the request of the woman alone. If, for one reason or another, the baby was born as a result of operative childbirth, do not despair and obviously expect problems with its development. With proper care, careful observation and timely diagnosis of deviations that have arisen, the child will grow and develop normally, and possibly be ahead of his peers in some way.

Every year, the number of women who underwent a caesarean section during the birth of their child is increasing. What is the difference between children after caesarean section? What are the consequences of such a birth path for the child and his mother? How to care for babies born by cesarean?

How does the way they are born affect children?

Psychologists say that the period of birth determines in many ways later life little man. At each stage of natural childbirth, certain personality traits and qualities are laid in the child, namely, perseverance in achieving goals, the ability to endure pain, wait, the ability not to lose faith in one's own strength and adapt to the situation.

Outside interference at any stage of birth can leave an imprint on the character for life. In ancient times, they believed that children who were lucky enough to avoid birth pangs - caesarites, would grow up fearless, confident people, strong in spirit. Even in the old days, the operation to extract the child through an incision on the mother's anterior abdominal wall was called a caesarean section.

That is how Julius Caesar and many other royal persons were born. The ancient Greeks ascribed divine origin to this way of birth. There is even an ancient Greek legend that in this way the god Apollo helped to give birth to his son Asclepius - the god of healing, by the way.

Myth and reality about Caesars

However, modern medicine, which studies the difference between children after cesarean section, ruthlessly dispels the myth about the strength of their personal qualities. According to Western psychologists, babies who have not gone through the stage of contractions, children, born by caesarean, are endowed with fear of change, excessive resentment, irascibility and anxiety, a tendency to exaggerate the complexity of the situation, absent-mindedness, reduced abilities for self-control and planning.

Among cesareans, children are often hyperactive, suffering from a lack of attention. Often this is noted in combination with weak will: the cesarean wants and can only do what interests him. Often a child after a caesarean section is not able to overcome even minor life difficulties.

Caesarean section operation: consequences for the child

Operative mode of delivery for physical health newborns are far from indifferent. Since at natural childbirth the child is forced, passing through the female birth canal, to gradually adapt to the effects of atmospheric pressure, get rid of the fetal fluid, acquire the mother's lactobacilli, which at first will help him, protect himself from pathogenic microorganisms.

Children born by cesarean immediately face a new aggressive environment for them, the crisis of cutting the umbilical cord and separation from the mother, with the action of anesthesia. In addition to the high risk of traumatizing caesarean children, it has long been noticed that adaptive reactions are disturbed in such babies, neurological and respiratory pathologies, and food allergies are much more common.

In children who have undergone a caesarean section using endotracheal anesthesia, the concentration of the hormone cortisol in the body is the lowest, and meanwhile, this hormone is responsible for the response to stress. In addition, there is a lack of thyroid hormones.

There is also immaturity and a shorter lifespan of neutrophils in the blood, leukocytes - "defenders". Due to the rapid transition of the baby from intrauterine to extrauterine existence, his body does not produce enough hormones that normally activate the pulmonary lymph flow.

The consequences for the child of a caesarean section can result in serious problems with the respiratory system. The fact is that the baby's airways cannot always have time to get rid of the fetal fluid, i.e. fetal. Such a development of the situation multiplies the number of complications, in particular infectious ones, from the respiratory system. Also, during the operation, anesthesia is used with the use of potent drugs that can have an inhibitory effect on the respiratory center.

Not so long ago, Norwegian scientists (Institute of Public Health in Oslo), examined 2803 babies, found that children born by cesarean are 7 times more likely to have food allergies. Such statistics are explained by the peculiarities of the microflora of the children's gastrointestinal tract of cesareans. The consequences of a caesarean section for a child are manifested in a delay in the development of intestinal microflora, which causes disturbances in the processes of assimilation of food.

Scientifically dispelled also the myth of the pain trauma of children, when passing naturally through the birth canal. Scientists have proven that before the onset of labor, babies fall asleep, everything in their body slows down. physiological processes, they naturally prepare for the upcoming pressure drop, a gradual transition to a new environment and do not experience physical pain in this state.

Indications for caesarean section

Despite the controversy regarding the pros and cons of an operative delivery, everything fades into the background when it comes to the use of a caesarean section for medical reasons. Whatever consequences a caesarean section has for a child, when a normal birth becomes dangerous to the life and health of the child or mother, it cannot be avoided.

However, among women, one can increasingly hear reflections on the topic of their lack of desire to give birth on their own.

In fact, what are these pains for many hours, why are there tears, stitches, why the risk of postpartum problems, refusal of sexual activity, exacerbation of hemorrhoids ... When it is much easier to resort to surgical services: fell asleep - woke up as a mother. In addition, there is no shortage of medical facilities where a woman can have a caesarean section, due to the commercialization of medicine. Suffice it to say that the statistics show an increase in these transactions over recent times up to 24.8% in some regions.

Undoubtedly, most operations are performed for medical reasons. However, often, taking advantage of the uncertainty of ignorant women, backed up by the financial benefit of paying for services, these testimonies are unjustifiably expanded, taken into account purely formally. For example, not everyone knows that with a woman's myopia, normal childbirth is quite possible if the condition of the fundus is good. Not having enough knowledge, not realizing the real risks of their choice, women often make unreasonable decisions. At the same time, initially this operation was carried out only for dying mothers, in order to save the baby!

The risk to the life and health of a woman in labor during caesarean section, even in the conditions of the current level of development of medicine, increases many times over. After the operation, a woman can expect quite serious complications: from suppuration of the sutures and their divergence, to problems associated with anesthesia. In addition, the pain after surgery is much stronger than the pain after childbirth, and its duration is many times longer.

The consequences for the mother can be not only physical, the psychological state of a woman, her maternal instinct, may suffer. Mom's body does not receive a signal that the birth has passed, as a result of this there is a feeling of some kind of incompleteness, the wrongness of what happened. This can result in serious psychological problems, depression, rejection of maternal feelings, abandonment of the child.

Today it is absolutely clear that the best way births for both mom and her baby are independent, natural births. However, this is true only in the normal course of pregnancy and the ability of the woman's body to give birth on its own.

Unfortunately, it happens that obstetricians are simply forced to resort to such an operation. If we are talking about the risk of life or health, then there is nothing to talk about, and often there is no time. A caesarean section for a baby is a more gentle method of birth than other obstetric methods, especially the infamous forceps for childbirth.

Antenatal care for cesareans

A caesarean section for a child does not pass without a trace, so these babies need extra attention and even more attentive care. It is advisable to start taking care of the baby even before he is born. Be sure to discuss with the doctor the issue of pain relief during surgery, and choose the most gentle way. There is an alternative option that has fewer negative consequences for the child and for the mother - spinal, or epidural, anesthesia. This is the introduction of painkillers into the spinal canal with a local effect on lower part body.

The main advantage of this approach is that the woman in labor does not feel pain, but is conscious all the time, and then quickly comes to her senses. At the same time, the newborn receives significantly less drugs, and the mother is immediately given a crumb for feeding. Feeding a child after a caesarean section helps contract the uterus, improves breastfeeding, especially necessary for caesarean births, and, in addition, is beneficial for the psychological state of the mother and, of course, the baby.

Feeding your baby after a caesarean section

Psychologists say that children who did not immediately feel maternal warmth and protection immediately after childbirth, in most cases, have tense relationships with their parents in the future, they are laid, as it were, an attitude to “winning love”. Over time, this attitude turns into lust for power and the painful experience of rejection. Man wants to subjugate the world, "so badly met him." At the same time, no matter what a person achieves in life, he always remains dissatisfied with his own achievements.

During an operation performed with the help of epidural anesthesia, a woman can observe the whole process and attach the baby to her breast immediately after the operation, which significantly reduces the negative mood of the new little man.

If the mother from the very beginning sets herself up for feeding the child after a cesarean section, she will be able to avoid many problems later. Experts insist that both psychological and emotional development, and the problems of the gastrointestinal tract and infant neurology in infants proceed more smoothly, in comparison with artificial children. Even simple observation of your baby, taking care of him helps the mother to have milk. Therefore, use the time before discharge from the hospital home for maximum recovery - at home, your baby needs a full-fledged mommy.

Features of care for cesareans after birth

• Sometimes cesareans need long time in swaddling, they need adaptive bathing longer, more time in the family with their mother, they later need to go for walks.
• Caesarea is more often seen scary dreams, they are more restless at night and require attention.
• It is very difficult to accustom a child after a caesarean to independent sleep. They cannot be forcibly "relocated" to a separate bed. These babies are especially in dire need of sleep with their mother.
• Often, these children gain weight more slowly than others. Therefore, the mother should try to keep breastfeeding as long as possible.
• It has been proven that it is very necessary to strengthen the immune system. physical exercise. Therefore, do not neglect gymnastics and massage.
• Most of the existing psychological difficulties of the child after caesarean section are successfully overcome or corrected.
• You will need to help the child develop the qualities that are missing in him. For example, in order to overcome the fear of change, it is recommended from birth to change the situation more often. This does not mean at all that you will have to move from one place to another; rearranging the furniture in the nursery, changing the route of walking, and the maximum variety of the children's diet are sufficient. The main thing is that innovations and changes cause crumbs positive emotions. This will quickly push into the background, his internal installation that "everything new is bad."
• From the variety of educational games, psychologists recommend choosing constructors and similar games, with the help of which the baby will understand that it is really possible to build different structures, different objects from the same parts.
• All sorts of things help in the development of personal qualities. role-playing games. Try to play the part strong heroes, and the child is weak: for example, formidable Gray wolf and "little bunny". Create a seemingly hopeless situation so that the child himself finds a way out of it. So he will learn to mobilize in difficult situations and solve problems on your own. Play "daughter-mother" by switching roles with the baby, where the parents will be small children, and the child will be mom (or dad). "Children" fool around and argue, and the "adult" decides which of them is right and who is wrong.
• Having learned to concentrate during the game, find right decisions, win, baby and in real life will be able to believe in their own strength.
• Caesareas more often than others need praise and manifestations of love. Therefore, do not forget to tell the baby how good, smart he is and how much you love him. He must feel that his parents love him simply for what he is, that he does not need to win your love and tenderness. Even when you scold the “prankster”, do it carefully, without undermining his faith in the love of his parents: “I love you very much, but you are behaving badly. I know that you are very smart and can behave well.
• It is very important at the same time not to let the baby manipulate you and your love for him. After all, commanding adults, the child ceases to feel support in them, and hence authority and protection. All this will only increase the fears that the baby is already very susceptible to.

Summing up, I would like to note once again that a caesarean section is necessary only if necessary, to save the mother and child. When there is no evidence, natural childbirth is preferred. No need to make you pay favorite child for your momentary weakness.

Childbirth is a serious test, both for mother and for the baby. Often life makes significant adjustments to the planned future mother childbirth scenario, and the baby is born by caesarean section. And if until recently it was believed that a caesarean section was a safer way of birth for a child in comparison with natural childbirth, today there are more and more facts indicating the opposite. We will talk about how to help the baby as easily as possible to transfer the tests that have fallen on him in this article.

baby after caesarean section

A child after a caesarean section The problem is that the period of adaptation of babies born by caesarean section is more difficult. This is mainly due to the fact that during the operation, the condition of the newborn is influenced to one degree or another by many factors. For example, when it comes to an urgent, unplanned caesarean section, in addition to anesthesia and the surgical intervention itself, the child’s condition is significantly affected by the unfavorable obstetric and / or mother’s diseases that caused the operation, as well as the conditions of intrauterine existence prior to operative delivery.
But even if the operation was carried out in a planned manner, the adaptation of a child removed by caesarean section is more intense than that of a child born naturally. This is due to the lack of impact on the fetus of the physiologically necessary biomechanism of childbirth and the stress response of the fetus to childbirth.

Numerous studies show that newborns born by caesarean section, compared with newborns born through the birth canal, are characterized by a higher frequency of first breath delay, amniotic fluid ingestion and drug depression. Newborns delivered by caesarean section have a lower Apgar score and are therefore more likely to require primary resuscitation. Therefore, attention to cesareans by medical personnel is much greater than to babies born in the "traditional" way.

Until recently, in almost all our maternity hospitals, there was a practice of taking babies after a caesarean section to the children's department to monitor their condition. The child could be separated from the mother for a day or more. At the same time, he was fed with a mixture, and his mother was brought to see 1, at best 2 times a day. At the same time, the mother was in the intensive care unit, since her condition after the operation also requires careful monitoring. Is such a gross interference in the life and health of this couple justified? Is there a compromise between the need for careful monitoring of the course of the postoperative period and the preservation of the unity of mother and child?

To date, there is convincing evidence that the separation of mother and child after childbirth has irreversible negative consequences, both on the physical and mental health both. The well-known French obstetrician-gynecologist Michel Auden wrote about this very convincingly, based on data from evidence-based medicine, in his book “Caesarean section: Safe exit or a threat to the future? The main conclusion of this book: For a child, a caesarean section is not best way birth into the world, but interference in the natural process, which should be used only for health reasons. And this means that the conditions in which the child finds himself immediately after the operation should meet the needs of the newborn child as much as possible.

What are these needs of a newborn?

• Love
• Warmly
• Breast milk
• Purity

How to meet the needs of the baby after a caesarean section

What needs to be done in the case of a cesarean section to ensure that these needs of the baby are met? Actually not so much. If the operation is performed using epidural anesthesia, then skin-to-skin contact between mother and child can be initiated already in the operating room. In addition, the presence of the father during childbirth should be encouraged. In many maternity hospitals in our country, partner deliveries have already become a common practice. The presence of the father during the caesarean section is no exception. Immediately after the child is taken out, it is laid out in skin-to-skin contact with the father, who is already ready to meet the baby in the operating room next to it. Thus, skin-to-skin contact during the first 2 hours after the operation is carried out between the child and the father.

It's hard to describe in words emotional condition, which accompanies young dads during this first meeting with the baby. Many of them cry, from an excess of feelings! But these mean men's tears- these are tears of happiness and joy from the realization that they can do something for their children. In this situation, the father actually becomes indispensable for his cub! It is generally accepted that fathers, when they are entrusted with children, do not so much nurse them as guard them. They, as it were, on the sidelines, help the mother while she is busy with the child. But it is not so. A study of fathers' behavior shows that when they are given the opportunity to actively participate in the care of newborns, they become just as caring nannies as mothers. They may be a little less quick than mothers, but they are capable of deep affection for babies. Therefore, the help and support of the father will be more important than ever for the mother in the first few days after the operation.

Only one thing is required from the maternity hospital - to create conditions for the joint stay of the mother and child immediately after a cesarean section and to ensure free visits to fathers.
The separation of mother and child in the first few days after surgery (usually 2-3 days), as we have already said, can have disastrous consequences for the mother's health, lactation and the health of the child. The mother does not have the opportunity to put the baby to the breast as often as he needs, which leads to a shortage of milk. A child separated from his mother is supplemented with a mixture, with all the ensuing consequences. In addition, he is occasionally worn to his mother for “dates”. By the way, they are usually worn on their hands along cold corridors, exposing it to an additional risk of hypothermia. The lack of physical contact with the mother leads to a violation of the colonization of the child with microflora and increases the risk of infectious diseases. This list of undesirable effects can be very long.

Unfortunately, in our country this provision (joint stay after caesarean section from the very first hours and free visits to fathers) does not find quick understanding among the heads of maternity hospitals and medical personnel. Although the logic and simplicity of this approach is obvious. And in those maternity wards where the joint stay of the mother and child after a cesarean section from the very first hours after the operation is already organized and the father is involved in the care, now they don’t even imagine how it was possible to work differently before.

But what is the main deterrent? The idea that after the operation, due to her condition, a woman cannot take care of a child, she needs intensive care and she needs peace.

However, today, in most cases after caesarean section:

• after 1.5-2 hours, the puerperal woman will be allowed to turn in bed, regardless of the type of anesthesia.
• after 6 hours, the puerperal is allowed to sit on the bed, get up and walk around the ward.
• infusion therapy is limited to 800-1200 ml.
• on the first day after the operation, the puerperal becomes fully mobile, capable of self-service and caring for the newborn
• transfer to the postpartum ward is possible after 10-12 hours.
• The 24-hour coexistence of mother and child is very important in terms of the development of lactation. The fact is that there is an obvious connection between the physiology of childbirth and the physiology of breastfeeding, and this is confirmed by many examples. Therefore, the mechanism of “starting” lactation in women after caesarean section cannot be the same as after physiological birth. In most cases, after a vaginal birth, it is important to intrude as little as possible into the process of starting feeding: it is much more important to give the mother to be alone with the baby in an atmosphere of complete peace and solitude. After a caesarean section, mother and child, for obvious reasons, need help and it is not possible to retire. Therefore, failures in lactation occur much more often.

Breastfeeding after caesarean section

There is evidence to suggest that caesarean section without labor increases the likelihood of breastfeeding difficulties. The explanation for this is quite simple: when the time of birth is scheduled by the doctor, neither mother nor child is given the opportunity to secrete hormones that are responsible for both childbirth and lactation. One study addressing this issue assessed the relationship between the time of initiation of breastfeeding and the amount of daily milk output in women after a repeated caesarean section. It was found that, compared with women operated during labor, those who delivered by elective caesarean had both a delay in the onset of lactation and a lower volume of milk produced.

Speaking about the first attachment of a baby to the breast, today, when epidural and spinal anesthesia is widespread, many women can breastfeed their baby directly on the breast. operating table. If the operation was carried out under a short-term and shallow general anesthesia many children can be breastfed immediately after the mother recovers from anesthesia.

The absence of physical contact and attachment of the child to the breast in the near future after the operation leads to a decrease in the activity of breast sucking, the child's passivity and frequent refusal of the breast. Therefore, in the first days after surgery, most women need help. A woman needs an assistant to bring the baby, adjust the pillows, properly attach the baby to the breast, get comfortable, turn around to give another breast. And she has the right to count on this help.

Unfortunately, today one cannot expect a quick and widespread introduction of the above practices without changing the mentality of medical personnel. It takes time. At the same time, the awareness of future parents that such practices are possible, and they will best meet the needs of both mother and baby, plays a very important role. important role in their practical implementation. So, as they say, everything is in your hands!

It is established by nature that, when born, a baby must go through the difficulties of birth, and having overcome the birth canal, fall into his mother's tender embrace. This is natural way delivery, and it is optimal for the baby, both physically and mentally. When this natural order is violated, undesirable adverse consequences appear, so children after a caesarean section need special care.

What is the difference between caesarean children and babies born naturally, what does special care for a child mean, and how to care for caesareans? We'll talk about this.

· Consequences of caesarean section for a newborn

When the child is in amniotic fluid in the mother's womb, he experiences a certain pressure, similar to that of a scuba diver at depth. In the case of natural delivery, the process of “rise from the depths” is carried out slowly, without harming the baby. Completely different situation at (ks), newborn cesareans rudely and abruptly removed from the maternal womb dissected by the surgeon have a hard time. Most of them are left with some sort of barotrauma. Children after caesarean are physically weaker and need more help.

In addition, childbirth for a child is, in principle, a serious stress. During natural delivery, the mother has the opportunity to take the baby in her arms, put it on her chest and soothe the sound of the heartbeat that is familiar to him, and of course attach the baby to the chest. The gentle hands and gentle voice of the mother give the child a sense of security and safety, and the children of Caesarea are deprived of all this. Torn from their usual conditions, kids experience shock and fear from the unknown and loneliness. That is why it is so important to correct the consequences of this fear in the future. Psychologists have revealed the relationship between the attitude towards the child in infancy and his character in the future: if no one approaches a crying baby for a long time, leaving him to scream all alone, then traits such as cruelty and coldness subsequently appear in his character. Also with cesareans, the stress experienced can affect their psyche in different ways, among the worst consequences are mental deviations, the development of neuralgia. Therefore, the attitude and care of the newborn after the CS should be special and require more care, attention and warmth.

· C-section care begins before delivery

If a caesarean section is planned, take better care of your child while he is in the womb.

Discuss with the doctor what kind of anesthesia will be used, if possible, this should be epidural anesthesia . This type of anesthesia has fewer undesirable consequences, both for the baby and for the mother. First of all, because its action is shorter and the woman is conscious all the time of the operation, so she can take the baby immediately after birth for feeding. Secondly, with epidural anesthesia, the child receives fewer drugs, and, consequently, negative impact on his body is minimal. The ability to attach the baby to the mother's breast immediately after birth helps to smooth out psychological consequences from traumatic unnatural childbirth.

The expectant mother should prepare for breastfeeding immediately, because thanks to this, the child's body will be able to start adaptive processes and form the necessary protection, usually formed during natural childbirth. About the benefits of breastfeeding it is generally unnecessary to speak, but for cesareans it is simply necessary.

· Features of caring for a child after cesarean

About, how to care for cesareans medically how often to conduct examinations, what tests to take, etc. we will talk in another article. Here we will touch on the topic of what home care for a newborn after a cop should be like, and how a mother should behave:

1. Caesarean children need adaptive bathing and swaddling longer and more,
2. Children after caesarean require more attention, they are often restless, especially at night,
3. Such babies are more sensitive to the transition to their own bed and need to sleep with their mother for a longer time,
4. Often, cesareans gain weight more slowly than other babies, so breastfeeding is an important part of caring for a newborn after CS,
5. Be sure to do gymnastics with a cesarean, they especially need support for physical development and the formation of the immune system,
6. Studies have shown that babies born by caesarean section often have psychological problems, such as anxiety, fear of change, short temper, absent-mindedness, difficulty with self-control and planning. Knowing this, pay attention to manifestations of problems of this kind and help the child overcome them.

HOW TO FEED A CESAR. Children after caesarean especially need direct contact and breastfeeding. You should start breastfeeding your caesarean as early as possible and keep breastfeeding as long as possible. At first, the baby may be weak and eat poorly, so you will need to apply it to the chest more often until he gains strength and weight. It is more convenient to do this lying down, so as not to disturb the postoperative sutures with additional loads. The closest contact that occurs between mother and baby during feeding is very important, it will help him survive the experienced stress without negative consequences. Psychologists have come to the conclusion that the majority of cesareans subconsciously live with the feeling that the world did not want them to be born, no one loves them, no one needs them. Prevent from similar thoughts, just helps close contact with mom. During feeding, it is recommended to gently stroke the baby, to say kind words to him. In general, try to tell your child more often that his birth has been expected for a long time, that he is loved, that he is your joy.

HOW TO COMMUNICATE WITH CAESAREN. As a rule, upon returning from the maternity hospital, they begin to take baths and go for walks with a cesarean later, unless, of course, mommy has a good assistant. Nevertheless, new sensations and a change of scenery are not always good for a cesarean, they can remind the child of the fear experienced at birth, so everything that concerns the new and unusual should appear in his life gradually and accompanied by a gentle mother's voice or touch. During walks, experts recommend changing playgrounds and routes more often, giving you the opportunity to get used to changing circumstances and places. This will help the child overcome the fear of change. You should not insist on your own, if the baby is clearly protesting, it makes sense to first calm him down, console him, give him time to get used to. Forced transfer to a crib is also not recommended, such a step can cause children's nightmares. Children after caesarean sometimes really need a feeling of mother's warmth, the smell of milk, the sounds of her heartbeat. Often, silence, peace, mother's hugs for such babies in the future are much more valuable than fun and toys.

MASSAGE AND GYMNASTICS FOR CAESARAT. An important role in childcare after caesarean section plays gymnastics and therapeutic massage . Try to start taking your baby to a massage therapist as early as possible, and at home often stroke and knead on your own. At any opportunity, for example, changing clothes, stroke, massage, play "magpie-crow". It is desirable to do this in conditions that are comfortable for the crumbs.

HOW TO BATH A NEWBORN AFTER A COP. Water is known to beneficial effect not only on the body, but also on the nerves, so the “water” care after a cesarean section should be frequent and long, allowing the baby to swim, relax and feel protected and calm, similar to those that were during his stay in his mother’s tummy. It is desirable to bathe a newborn cesarean in a thin diaper so that splashes from involuntary movements of the handles do not frighten him.

In fact, there is nothing special about caring for a child after a cesarean - only love, care and patience, which loving mother for his child is always available in abundance. With proper care, the possible adverse effects of the operation will disappear without a trace. The baby will grow up healthy and happy. The main thing is to let him feel security and love.

Today, operative childbirth is no longer an exception. Many mothers even consciously ask doctors to perform an operation on them in order to avoid natural labor pains. Indications for operative childbirth are gradually expanding, which has led to the fact that even minor pathologies put an end to the natural birth of a baby. Are children born with the help of surgery different, and what consequences may be present in children who are not born naturally.

Latest Research Results

Previously, doctors and women in labor believed that surgical delivery relieved both the mother and the child of unnecessary suffering. However, as it turned out as a result of many years of research, a quick birth can have consequences on the health and development of the crumbs. It is not in vain that nature has laid down that the baby must go through the birth canal from beginning to end. While moving through the birth canal, the baby begins to adapt to change. environment getting ready to work his circulatory and respiratory system. The baby understands that soon he will leave his mother's shelter and is ready to be born.

Operative childbirth deprives the baby of these advantages. It's just pulled out habitual place existence without making it clear what is going on. Along with this, there is a sharp change in work vascular system, and the lungs open without prior preparation.

As observations have shown, a sharp drop in pressure can provoke such consequences as hemorrhage, spasm of cerebral vessels and brain dysfunction.

On the part of the pulmonary system, too, not everything is so simple. During the movement towards the light during natural childbirth, the remnants of the water in which he lived and developed leave the lungs of the baby, the lungs are massaged and prepared for filling with air. A caesarean section does not give the lungs such a chance, it is fraught with the development of pneumonia or asphyxia in the baby.

An interesting fact is that in a baby who has passed through the birth canal, the lung volume is almost 3 times greater than in a baby who was born with the help of an operation.

In addition, in children born during surgery, the level of the hormone catecholamine, which is responsible for the normal functioning of organs and systems after the baby is born, does not increase. For this reason, newborns, which mothers gave birth on the operating table, often have problems with the work of various organs and body systems. They are more susceptible to infectious diseases, asthma, and lowered immune system activity.

Opinions of psychologists

According to psychologists, a child whose child is forcibly removed from the womb experiences severe stress. The consequences of this are already visible in the first years of a baby's life. The baby subconsciously remembers how he was separated from his mother, so he painfully endures any separation from his mother. Children after a caesarean section usually do not get off their mother's arms from infancy, sleep with their parents and are heavily weaned. Later, they have difficulty adapting to kindergarten and at school. They constantly need a mother nearby to be calm.

In addition to this, in adult life such children rarely become leaders. They do not have the instinct of struggle, the first experience of which occurs during movement through the birth canal. In development, such babies have their own characteristics, they may be late in development and be less mobile.

Also, children after caesarean section are characterized by irascibility, resentment, increased aggression and fear of everything new. AT school years they have a distraction of attention, a lack of ability to plan their day or certain actions.

Caesarean section and breastfeeding

Features of the birth of children during surgery impose a special responsibility on parents. In order to correct all the consequences of an operative birth, it is imperative to breastfeed the baby.

It is mother's milk that will help the baby recover faster from stress and recover from a sudden birth.

However, the beginning of breastfeeding of such children may differ. Usually, when a baby is born, as nature intended, doctors immediately put the baby on the mother's breast. From that moment on, the child receives valuable drops of first nutrition, he is calm and can sleep peacefully in the arms of his mother.

Children after a caesarean section are applied to their mother's breasts after some time. Before the meeting of the baby and mother, a day may pass, or maybe a week, it all depends on the condition of the mother and baby. Usually the first feeding of these babies does not end with success. The child does not want to breastfeed, he does not know how to do this, and mommy has to teach him.

Another problem that young mothers who have given birth by surgery may face is the lack of milk. Women begin to panic when, on the third day, milk does not come, like all women in labor. Take it easy. In fact, this is normal. In women after caesarean milk comes a little later.

It will definitely appear, you just need to wait a bit and put the baby to the breast as often as possible.

Breastfeeding in the case of a caesarean section is necessary not only for the baby, but for his mother. It is breastfeeding that will help the uterus to quickly shrink, heal all the seams, and protect against excess weight and breast problems.

Caring for a baby after a caesarean section

Of course, each child is different and there are no exact recommendations for the care of all children born by caesarean section. However general recommendations, is still there. So, for example, if the baby is restless at night, often wakes up and cries, this may indicate that he has terrible dreams. In this case, you do not need to forcibly put him in the arena, he will be calmer with his mother.

Also, the features of care are prolonged breastfeeding. Continuous feeding will help the baby adapt to outside world, to establish the development process and protect against infectious diseases, which these babies are often susceptible to.

There is an opinion that such children must be swaddled, it all depends on the child. If the baby is not afraid of his hands, if he sleeps calmly next to his mother, then there is no special need for prolonged swaddling.

Regarding weakened immunity and the ban on walking, everything is also individual, like all other children. There is no such standard that a child born with the help of an operation will definitely be sick endlessly, he cannot walk and swim, and in general he must be looked after as if he were sick all his life. No, of course not.

Yes, babies born not naturally are more prone to viral diseases, but this does not mean that they necessarily get sick more often than other babies.

It's all about individual features body, because it is not uncommon for babies who have passed through the birth canal to often get sick or refuse to breastfeed, sleep poorly and do not like to swim.

Every mother of a baby born by caesarean just needs to watch the baby more closely. If you notice that the child is often sick, take measures to strengthen immunity, if he does not sleep well, put him with you, if he does not want to bathe, do not force him.

Another thing is when a child is born with the help of an operation according to the testimony of doctors who were connected precisely with the health of the baby. In this case, of course, constant monitoring by a pediatrician is necessary in order to monitor the health of the child.

Most often, young mothers worry too much about the health of a baby who was born with the help of an operation. If your child does not have congenital pathologies, all the consequences associated with his unnatural birth can be easily resolved. To do this, you just need to give the child more attention and love, engage in hardening and sports, play educational games and, if necessary, teach him leadership qualities. When the baby grows up, sports can greatly help you with this.