Consequences for the child after caesarean section. Caesarean section - consequences. Stitches after caesarean section
It is established by nature that, when born, a child 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 caesarean section need special care.
“After two cesarean saddles, it is imperative that the next birth is the same,” says Maria Rita. Luis Enrique explains that after two operations with a weakened uterine wall, there is a very high risk that the reduction of bleeding or even rupture of the uterus in the scar.
According to Renata from Santa Catarina Hospital, the more surgeries there are in the uterus, whether it's a caesarean section or other types of surgeries - like removal of fibroids - the greater the risk. “Therefore, we must always be vigilant and analyze in each case,” says the obstetrician.
What is the difference between caesarean children and babies born naturally what does special care for a child mean and how to care for cesareans? 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.
Shortly after giving birth, in addition to all the physical, emotional changes, and all the new routine we have to learn to deal with, there are still those more "intimate" questions that we die, shame on doing for a gynecologist, right? Then we tried to eliminate doubts with friends, with more experienced ones, with my mother, with an aunt, with a doctor.
Last year, Flavia raised concerns about birth control pills and contraceptive methods, she recalls. Now she will answer the hairiest doubts of us mothers! Do you really need to respect the 40 day shelf? This 40-day period is the average recovery time for all genital and extragenital organs after childbirth. After this period, the uterus will have a normal size, rebuild its endometrial layer and, if the woman is not breastfeeding, she will be able to have her first menstrual cycle.
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.
Surgical scars also mature and intercourse can be performed safely after this period. Obviously, each woman is unique and eventually all of these processes can be complete in some women with less time, but as a general rule, guidance to avoid intercourse during this period is sensible and appropriate. Is it better to use a blade or wax? The treatment of an operative wound should be accompanied by a doctor, as it can have complications such as infections, hematomas, disappearances, serosa formation, etc. Complications that delay the healing process, for example, making blatant depilation impossible.
· 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 blade can be used earlier, but also in uncomplicated wounds. This is another of the myths associated with normal birth. The vagina is a muscular organ and has great ability to stretch. This is real elasticity, which entails great stresses. As a muscle, you can have your tone modulated by localized exercise, which can be done prophylactically during the prenatal and postpartum periods as a way to restore your pre-gestational state.
It's all about preparing the perineum and assisting during childbirth. A well defined perineum with a well defined duration without unnecessary intervention can have a very positive impact on the quality of this postpartum vagina. What is the history of this "husband" in the case of a normal episiotomy?
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.
Indications for caesarean section
First, it must be said that an episiotomy is a procedure that, although a routine in a normal birth here in Brazil, is neither needed nor recommended in most cases. It is not justified to do a second degree programmed "tear", which is actually an episiotomy, to prevent a tear that doesn't even know if it will happen! Thus, episiotomy is not generally recommended, and should only occur in 10% of vaginal deliveries. Worse than that, in addition to doing an unnecessary procedure, many doctors lure the idea that it attaches to the cavernous muscle, compressing it at the expense, making the vaginal intrusion tighter than it really is.
· 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:
That's why they call this point the "husband point" because theoretically the vagina would be more "tight". Many women have sexual dysfunctions, with severe penetrating pain on this moment not to mention the feelings of mutilation and violence that an episiotomy evokes. Therefore, when talking with a prenatal doctor to avoid an episiotomy in a vaginal delivery, and especially if it is necessary that does not overly tighten the opening of the vagina, it is extremely important to avoid future sexual problems.
For several factors: initially, shortly after placenta abolition, there is a sudden drop in the estrogen and progesterone he produced during pregnancy; a decrease in estrogen levels reduces libido and affects vaginal lubrication. Then, with the establishment of lactation, high levels of prolactin are formed, and this hormone inhibits ovulation, and therefore the production of estrogen, which should be repeated, does not actually occur. Prolactin also changes the behavior of a woman who turns to caring for a child, reducing the interest of a partner.
- Caesarean children need adaptive bathing and swaddling longer and more,
- Children after caesarean require more attention, they are often restless, especially at night,
- Such babies are more sensitive to the transition to their own bed and need to sleep with their mother more. long time,
- Often, cesareans gain weight more slowly than other babies, so breastfeeding is an important part of caring for a newborn after CS,
- Be sure to do gymnastics with a cesarean, in support physical development and the formation of the immune system they need especially,
- Research has shown that children 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 stress experienced 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.
Over time, everything tends to return to normal. Is it true that after giving birth we are less "lubricated" for penetration? Yes, with the drop in PPH levels and the production of prolactin, which inhibits ovulation, we tend to produce significantly less estrogen, and with that the vagina becomes more atrophic, drier, and with much less natural lubrication and the lubrication produced during sexual stimulation. One tip is to resort to a water-based intimate lubricant to help penetrate.
Is it normal to feel pain in sex after childbirth, whether natural or caesarean? Does it have anything to do with childbirth? Postpartum pain during intercourse is usually associated with a lack of vaginal lubrication or recent surgical scarring. Breast-feeding and contraception, is it possible?
HOW TO COMMUNICATE WITH CAESAREN.
As a rule, upon returning from the maternity hospital, they start taking baths and going for walks with a cesarean later, unless, of course, mommy has a good assistant. However, 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.
These hormones do not have a significant effect on the establishment of lactation and do not interfere with their quality or quantity. Is it possible to get pregnant by breastfeeding? Although high level prolactin during breastfeeding can block ovulation, preventing pregnancy, eventually causing ovulatory leaks, and therefore we do not list breastfeeding as an exclusive method of contraception; special care when a woman stops with exclusive breastfeeding and begins to separate feeding; in this case, prolactin levels may not be high enough to suppress ovulation.
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.
We must always associate others more effective methods whether they are hormonal or not. Brazil is a champion country in caesarean section. According to the Ministry of Health, 54% of pregnant women undergo surgery. In some private hospitals, caesarean sections are as high as 92%. The World Health Organization advocates that this figure should not exceed 15% throughout the country. Has a Brazilian woman forgotten how to give birth?
The answer is obviously no. The female body is still fully capable of giving birth. But there is an old imaginary, which has probably gained a lot of strength since the 1970s, that childbirth is dangerous and should be met in a hospital. Thus, the medical interests of the Brazilian scenario.
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 advisable to bathe a newborn cesarean in a thin diaper so that splashes from involuntary movements of the handles do not frighten him.
Over time, this "power" under female body was gaining strength. Why would someone spend hours after work when it can be resolved half an hour after surgery? Labor, for the most part, is long and unpredictable. The agenda in the office does not wait. Some women choose to undergo surgery "of their own choice". Over the years, this woman has been exposed to many myths about normal births, has seen many scenes in films and novels about normal births, and has never heard of a normal, respectful birth report without the invasive procedures common in hospitals.
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. At proper care 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.
The vast majority of women want a normal birth. He tells his doctor about his wish and during prenatal care he is influenced by malicious comments such as "you are really brave" or "This baby is too big for you". If that doesn't work, many pros invoke the killer cord or no extension myth and conclude with "you don't want to risk losing your baby, right?".
But there are women who really need surgery - it saves lives in this case and should be commended! This woman is more rare because it is very difficult to have a real sign of a caesarean section. After all, nature is not stupid. You can choose whether you want a normal delivery or a caesarean section. But to make this choice it is necessary that some things be clear and that some myths be denied. Here are seven facts you need to know before deciding how you want to have your child.
AT recent times many young mothers deliberately go to give birth by caesarean section. It seems to them that they are less painful, faster. But few people think about how the operation will affect the newborn.
How are cesareans physically different from normal newborn babies?
A caesarean section is a very invasive surgery. However, we can take into account possible bleeding, infections, or adverse reactions to anesthesia. While the normal postpartum mortality was 0.2 per 100,000, in the case of a caesarean section it reached 2.2 for the same proportion. Repeating operations on a second or third pregnancy increases the risk even more. No wonder there is maximum amount children who can be carried through surgery.
I have two daughters. The first birth was natural, the second - caesarean. Unfortunately, the daughter sat on the pope the entire pregnancy. I wrote more about childbirth, we talked and. Now I want to tell you what difficulties I had to face after the second birth.
Child and anesthesia
A caesarean section is an abdominal operation, which means that the mother is given anesthesia, which also affects the child. They say that epidural anesthesia is safer, by the way, I chose it. And yet, it is anesthesia.
A caesarean section is often scheduled so that the family and doctor can plan for themselves, which can be dangerous. If the child has not started working, it means that he is not ready to be born. According to the Ministry of Health, preterm birth is the leading cause of infant death in the first month of life, which could have been avoided if the baby's timing had been picked from the mother's belly.
Every body is a body, and no one can guarantee that everyone will behave in the same way. But studies show that after a caesarean section in pregnant women more chances for a miscarriage. Recent studies show that lack of contact with the vaginal flora is directly related to the development of chronic diseases such as asthma, allergies, obesity and type 1 diabetes.
It is believed that the use of muscle relaxants and analgesics during anesthesia entails changes in the vital processes of newborns, respiratory depression and central nervous system. That is why the children after caesarean first time is very sluggish. It's hard to say if this is true, but my daughter was constantly crying.
Physiological features of children after caesarean section
Recovery from surgery is always painful. Some women find it easier to cope with this, others suffer more from the postpartum period. The fact is that newborns need attention and care. Breastfeeding is a delicate phase, as is the adjustment to sleep and the new family member. Being 100% in those hours makes all the difference!
There is always the risk of cutting the baby along with the seven layers of skin being cut until you reach it. It is now known that a caesarean section carries many more risks than a physiological birth. Mom can enter the novel block with her foot. The following procedures are: lying in bed in the delivery room and placing sterile tissues around the abdomen, passing through the disinfectant through the abdomen on the skin. In preparing the instruments, the anesthesiologist uses an epidural or intraradial insertion, and the catheter is placed in the vagina.
Naturally, the pathology of the mother, which led to the decision to conduct such childbirth, can lead to pathology in the baby. It happened to me. Due to the wrong position in the womb, she showed torticollis.
For the first month, my daughter slept on an orthopedic pillow, wore a splint, she was given a massage, fortunately, everything went quickly.
It is believed that such children are more likely to suffer from hyperactivity syndrome.. Everything can be, but both of my daughters were diagnosed with this. It has now been removed from my youngest daughter. But in this regard, there are problems with the eldest daughter, although there were natural childbirth.
A sharp pressure drop between the mother's womb and environment may cause microbleeding in the brain. Yes, I noticed that children born as a result of cesarean are more likely to have intracranial pressure.
Unfortunately, my daughter did too. But timely treatment helped. Previously, she often had a headache, she wrapped her arms around it, cried. This rarely happens now.
It is also believed that these children usually do not gain weight well. I know at least five children after caesarean section. And no one had problems gaining weight, neither did we. Although the younger daughter gained weight worse than the eldest, but in principle, within the normal range.
Their immune system is much weaker, they get sick more often. I fully agree with this. I don't know why this is happening, but that's the way it is. All familiar children get sick much more often. And I noticed that under the same conditions, the youngest daughter is more prone to various diseases.
Caesareans are more likely to have allergic reactions to food. And this, too, oddly enough, coincides. At six months, I could not start complementary foods in any way, all products were rejected immediately. Now my daughter is 1.5 and there are practically no allergic reactions.
Psychological characteristics of children after caesarean section
So far, it is difficult to verify what doctors say about the psychology of children born by caesarean section. But some points are already noticeable.
It is believed that they suffer from attention deficit. My youngest daughter is more drawn to me or dad, she cannot be alone in the room.
Psychologists believe that these children acquire certain character traits: fear of change; distraction; irascibility and anxiety; lethargy; isolation; excessive touchiness; low self-esteem.
I would like to believe that with proper upbringing, such traits will not appear in my daughter.
They are either more aggressive than the rest, or overly passive. It's hard to say, but it seems to me that in this regard, my daughter is all right. Yes, she sometimes fights, but who does not fight at all? Yes, and I would be glad if she was sometimes more calm.
Such children find it difficult to come into contact with new people. This is the absolute truth, the daughter will not go to strangers in her arms, she is wary of those whom she has not seen for a long time or sees for the first time.
Colic
I really want to highlight this topic. When my eldest daughter was born, I had no idea what it was. But already in the first days after the birth of my second daughter, I realized that everything would not be so simple.
Every day in the evening she began to scream, bend her legs .... It was clear that it was colic. I was on a strict diet, it turned out to be a reaction to the antibiotics that all mothers inject after surgery. As a result, the intestinal microflora is disturbed in the child, colic, problems with stools occur.
It was very difficult to fight. They gave plantex, dill water. They massaged and put hot diapers on the stomach. And still, for about 30-40 minutes she screamed non-stop. It ended at about 4 months.
And I believe that most often colic occurs in children after a caesarean section. Many friends had this problem after the operation.
It is difficult to say exactly how this method of delivery will affect the development of the child. After all, the above complications can be in any naturalborn baby. Disputes on this topic will always be relevant. Moreover, each child is individual.
