Planned caesarean section: everything you need to know about it

A planned caesarean section can be preset beforehand when monitoring the patient's condition and the course of pregnancy. The examination should be performed by an obstetrician-gynecologist and other specialists. This should be a therapist, an endocrinologist, an oculist. You may also need to consult a surgeon, neurologist, orthopedist. Each of the specialists gives their recommendations regarding the management of pregnancy and makes a conclusion about the method of delivery. As for the final decision on the operation, it is taken by the doctors of the maternity hospital.

So, the planned caesarean section can be prescribed in the following cases:

- with detachment and placenta previa;

- if there are scars on the uterus;

- in the presence of deformation of pelvic bones and tumors on them;

- if the mother has a narrow pelvis;

- with pathologies of development of the vagina and pelvis;

- if the fruit weighs more than 4 kg;

- with a pronounced discrepancy of the pubic bone, accompanied by pain during walking;

- in the presence of uterine myoma, severe gestosis, severe cardiovascular disease, disorders of the nervous system;

- with a strong widening of the veins of the vaginal area;

- with transverse placement of the fetus;

- with chronic hypoxia or fetal hypotrophy ;

- in case of cancer;

- with exacerbation of genital herpes.

Common statements about the operation of some "connoisseurs" can be confusing to a pregnant woman. Therefore, there are cases when a woman herself decides not to give birth in a natural way and chooses a planned cesarean section. The reviews given by the first and second method only confirm that natural births are better than surgical intervention. And, despite the fear, it is not necessary to refuse them if there is no urgent need.

Preparing for an operation

Having received the conclusion about the need for surgical intervention, it will be necessary to sign a written agreement for the planned cesarean section, which is a defense against possible charges of the mother and her relatives. 1-2 weeks before surgery, the patient is sent to the hospital. She may be assigned an additional examination. Some cases require medical correction of the condition. The state of the child is also evaluated. In the absence of severe complications, the patient is placed in the hospital the day before the operation or on the day of her operation. After the 20th week of pregnancy, a woman can be offered to donate blood (about 300 ml), which is frozen and stored in a special freezer. It may be needed for transfusion during surgery. It is necessary to talk with a doctor who should perform a planned cesarean section, all the nuances of the preparatory, operational and post-natal period.

Repeat operation

The second elective cesarean section is safer compared to natural labor in such cases: in the presence of placenta previa or breech presentation of the fetus; If during the previous operation a vertical incision of the uterus was made in connection with a transverse presentation or a severe prematurity of the child; If there was a rupture of the uterus during previous births.