Delivery: five puzzles of cesarean section   The topic of caesarean section has been discussed frequently in recent years, but many people are still not so clear about some problems, such as whether this mode of delivery is safer, and whether children will be smarter… Let’s ask about caesarean section again.

Puzzle 1: it is said that cesarean section will reduce the risk of maternal and fetal delivery. Is it better than vaginal delivery?

Answer puzzle: Caesarean section is not the most ideal mode of delivery.   Caesarean section is only a last resort mode of delivery, which is an emergency measure to solve dystocia and save the life of fetus and puerpera. To reduce the risk of childbirth, we should rely on the development of social and economic level and the improvement of the overall level of medical care, rather than simply increasing the cesarean section rate.

In fact, the role of caesarean section in reducing maternal and fetal risk or mortality is limited. Many clinical reports show that the mortality of cesarean section is higher than that of vaginal delivery, most of which are caused by anesthesia accidents, bleeding and embolic diseases, so cesarean section also has certain risks.

Puzzle 2: since caesarean section is only a delivery method to solve dystocia, it should not fully follow the individual wishes of the puerpera, then which puerpera need to take caesarean section?

Answer: whether caesarean section is needed during delivery should be considered from both maternal and fetal aspects——

1. Factors of dystocia in late pregnancy, such as cephalopelvic disproportion, pelvic stenosis or deformity, vaginal scar stenosis or pelvic tumor, preeclampsia, severe heart disease, previous cesarean section, elderly primipara and other factors, such as history of infertility, chronic hypertension, macrosomia with fetal weight more than 4000 g, etc.

2. Emergency cesarean section should be performed in case of any accident after delivery, such as weak uterine contraction, cephalopelvic disproportion, or prenatal bleeding due to placenta previa or placental abruption, and failure of trial delivery.

3. Abnormal fetal position, such as transverse position, facial presentation, primiparous breech position, fetal oversize or foot presentation, etc. If persistent occipitoposterior position occurs in labor, emergency caesarean section should also be performed once it is found or invalid.

4. Fetal heart rate changes, amniotic fluid contaminated by meconium, or severe placental dysfunction lead to fetal hypoxia.

5. Look forward to the fetus. If you have a bad history of childbirth or have been infertile for many years, the fetus is very precious.

Recommended reading: cesarean section may lead to childbearing difficulties. Is cesarean section smarter than natural birth? Don’t eat before caesarean section


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