Normal delivery is vaginal termination of pregnancy. It is a natural process and a form of human reproduction since the world existed. The gestation period is 40 weeks. Calculated from the last menstrual date. Birth pain usually occurs between weeks 38-42. While the process is 12-14 hours for first-time births, it can be shortened in later births. There are advantages and disadvantages of normal birth. First of all, it is an action appropriate to the nature of the event. If the expectant mother has managed to give birth normally, she will stand up very quickly. Hospital stay decreases, cost decreases. If the hatch did not take anesthesia, it is fully involved and immediately embraces and nurses the baby. This is an action that increases the convergence of the mother and the baby. In a natural and easily progressing vaginal birth, the baby passes through the birth canal and compresses the chest and removes the fluids in the lungs.
However, normal birth should not be considered if the mother expects the birth event with great fear. It can also be full of surprises until the end of normal birth. Sometimes the expectant mother suffers from labor pains, and if there is an adverse situation, the delivery may have to be terminated by caesarean section. The expectant mother experiences both normal birth and caesarean section, which is undesirable. Since it is not possible to predict when and where normal birth will begin, both the expectant mother and the doctor may be caught unprepared. In vaginal birth, birth canal, birth muscles and bone structure all participate in the event, so vaginal trauma caused by force is inevitable. Urinary incontinence and sexual intercourse may occur due to the deterioration of this anatomic structure.
Nowadays, the advancement of technologies, increasing pregnancies in older ages, not wanting to have surprises, the desire to make the planned planned birth, the increase in overweight babies with the improvement of nutrition and the fact that previous deliveries were performed by cesarean section caused an increase in cesarean rates. Cesarean section is a surgery. It includes all the risks involved in surgery. It takes about a week for the mother to fully recover. There are no surprises. Planned, programmed starts and ends. With advanced anesthesia techniques, mothers can breastfeed their babies no later than 15 minutes after the end of the surgery. If the baby comes upside down, comes with soft parts, the side stands, the placenta is placed in front of the baby, the placenta is separated from the ear early, if there is cord retention, there is an internal disease that threatens maternal health and it is not possible to terminate pregnancy vaginally, the mother is too cowardly If there is no alternative to cesarean section. The mother who had previously delivered by caesarean section is still obliged to give birth again by caesarean section. Because normal labor pains can create tension in the previous surgery site and lead to dangerous consequences. Normal delivery should be allowed in highly selected cases. Babies of mothers whose birth time is not well planned and taken unnecessarily before cesarean section can often have respiratory problems.
Normal delivery with epidural anesthesia is a widely used form of delivery, especially abroad. The success of the anesthesia team is the basic rule here. After opening the mother's cervix 4 centimeters, the anesthetic is administered epidurally, otherwise birth will not progress. In other words, the mother will hear the pain up to 4 centimeters. There is no pain. At this stage, the obstetrician who watches the birth needs maximum attention. Both the pain should not harm the uterus and the baby's well-being must be closely moniterized during the pain that is not felt but is present. In this type of birth, interfering births may increase as the feeling of straining in the hatch is weakened.
In epidural caesarean section, the expectant mother experiences all procedures clearly and without any pain or pain. Postoperative pain relief will continue to be given through the epidural catheter, so it is comfortable for pain. However, as with any method, epidural anesthesia may have undesirable side effects. General anesthesia can be switched in the same session. Permanent headaches, incontinence and persistent itching may be very distressing. In addition, there is no operation to the epidural region in patients with blood disease, such as anatomical disorders, bleeding-clotting problems that describe discomfort in the lumbar region.
I wish all mothers to have healthy, trouble-free births. Associate ProfessorSerap Yaltı