Childbirth

Childbirth is one of the most important and special moments that every woman can experience. Childbirth can occur in many different ways, and there are types of childbirth that are determined depending on the health of the expectant mother and the baby.

 

The types of delivery are determined depending on the health of the expectant mother and the baby. Although a normal delivery is the least risky type of delivery, other types of deliveries may be preferred in some cases.

Normal delivery: A normal delivery is when the expectant mother gives birth naturally. During a normal delivery, the expectant mother gives birth to the baby by passing through the birth canal. Normal delivery is usually the least risky type of delivery because it is a natural process.

 

Vaginal delivery: Vaginal delivery is a type of normal delivery. However, in some cases, the health of the expectant mother or the baby’s health may be at risk during normal delivery. In this case, doctors prefer vaginal delivery.

 

Normal delivery with epidural anesthesia: Epidural anesthesia is a method used to relieve pain during delivery. In this method, an anesthetic substance is injected into the lumbar region of the expectant mother with a needle. Thanks to this, the expectant mother feels less pain during delivery. Epidural anesthesia is a type of normal delivery and is an effective option for pain management.

 

Cesarean delivery: Cesarean delivery is a surgical procedure for removing the baby from the abdomen. Cesarean delivery is preferred when the health of the expectant mother or the baby is at risk or is not suitable for normal delivery. It is necessary to plan in advance so that cesarean delivery can be performed.

 

Planned Cesarean delivery: In some cases, doctors may want to plan the delivery method of the expectant mother. In this case, a planned cesarean delivery is performed. A planned cesarean delivery can be an alternative to a normal delivery.

 

Emergency Cesarean delivery: Emergency cesarean delivery is performed quickly when an unexpected situation occurs during labor. Emergency cesarean delivery may be necessary for the health of the mother and baby.

 

As a result, the types of deliveries are determined depending on the health of the expectant mother and the baby. Although a normal delivery is the least risky type of delivery, other types of deliveries may be preferred in some cases.

Cesarean Delivery: One of the Modern Methods of Delivery

Cesarean delivery is the delivery performed by surgical intervention in cases where normal delivery is not possible for many reasons. Cesarean delivery is the process of removing the baby from an incision made in the abdominal area of the mother. This procedure is usually performed under epidural anesthesia or general anesthesia.

 

Causes of cesarean delivery

 

  1. The baby is too big to pass through the normal birth canal
  2. Irregular heartbeat of the baby during childbirth
  3. Having a blockage, stenosis or obstruction in the birth canal
  4. The baby does not come to the upside-down position during normal delivery
  5. The health problems of the expectant mother, especially in cases such as high blood pressure, diabetes or heart disease during pregnancy
  6. In multiple pregnancies
  7. In cases where the birth continues for a long time or the expectant mother experiences fatigue

Advantages of cesarean delivery

 

A safe delivery method: Cesarean delivery is used as a safe delivery method in cases where a normal delivery is not possible. It is a risk-free option for both mother and infant health.

 

A planned birth: Cesarean delivery is a form of planned birth, unlike a normal delivery. It is possible to determine the date of birth in advance.

Less pain: Mothers do not feel the labor pain because epidural or general anesthesia is used during cesarean delivery.

Rapid delivery: Cesarean delivery is performed in a shorter time compared to a normal delivery. Therefore, it is especially preferred in emergency situations.

Disadvantages of cesarean delivery

  1. A risky surgical procedure: Cesarean delivery involves some risks because it is a surgical procedure. Complications such as anesthesia complications, bleeding and infection risk may be observed.
  2. Longer healing time: The healing process after cesarean delivery takes longer than normal delivery. Mothers may experience pain, discomfort and restrictions in the abdominal area.
  3. Lack of natural hormone release: Cesarean delivery prevents the natural hormone release, as in normal delivery. Therefore, the breastfeeding process of the baby may be more difficult than normal delivery.
  4. Increased risk in future pregnancies: Cesarean delivery may cause an increase in risk in future pregnancies. In particular, women who have had multiple cesarean deliveries have a higher risk of experiencing complications such as placenta previa, uterine rupture, or postpartum bleeding.

Normal Delivery with Epidural Anesthesia

Epidural anesthesia is one of the most commonly used pain relief methods during normal delivery. This method is performed by injecting a local anesthetic drug into the nerves in the spinal cord area through a thin catheter inserted into the mother’s abdominal area.

Thanks to this, the pain felt by the mother during childbirth is reduced or completely eliminated. Epidural anesthesia is preferred in normal delivery in the following cases:

  • To reduce or eliminate pain during childbirth
  • To make the expectant mother feel more comfortable and comfortable during normal delivery
  • To make the birth easier and more comfortable
  • In cases where a normal delivery is possible, but becomes difficult due to pain

Advantages:

 

  • Reduces or eliminates pain: Thanks to epidural anesthesia, the pain felt by the mother during childbirth is reduced or completely eliminated. This allows the mother to have a more comfortable labor experience.
  • It makes the labor easier: Epidural anesthesia helps muscles relax during labor. This makes the birth easier.
  • Less stress: Thanks to epidural anesthesia, mothers’ birth stress is reduced and they have a more comfortable labor experience.
  • The postpartum healing process accelerates: Epidural anesthesia reduces postpartum pain. This also allows mothers to recover faster.

Disadvantages:

 

  • It involves some risks: Epidural anesthesia involves some risks. In rare cases, a decrease in blood pressure, headache, shortness of breath, allergic reactions and infections may occur.
  • Affects natural birth hormones: Epidural anesthesia can affect natural birth hormones. Therefore, the breastfeeding process of the baby may be more difficult than normal delivery.
  • It may prolong the labor process: Epidural anesthesia can prolong the labor process. Therefore, it is not used in cases where delivery should pass quickly.
  • Risk of transmission of drugs to the baby: Epidural anesthesia carries the risk of exposure of the baby to drugs. For this reason, some mothers may not want to use medications that may harm the baby’s health.
  • It may not help in delivery: Epidural anesthesia reduces the pain felt by the mother during childbirth. However, it does not affect the speed or progression of childbirth. In rare cases, epidural anesthesia can interfere with the normal progression of labor and may require intervention.

As a result, epidural anesthesia allows mothers to feel more comfortable and relaxed during childbirth.

Advantages of a Normal Delivery

Faster healing : The normal postpartum healing process is faster. Postpartum pains and ailments are less.

Less risk of infection: Normal delivery has a lower risk of infection due to vaginal delivery.

Natural hormone release: During normal delivery, the mother’s brain releases hormones that facilitate the childbirth process. These hormones make it easier for the baby to breastfeed immediately after birth.

Baby’s health: In a normal delivery, the baby’s lungs open better and the baby’s natural defense systems work better due to the natural birth of the baby.

Less intervention: In normal delivery, the need for intervention is less. The birth process proceeds naturally and is performed by a doctor in cases where intervention is required.

Postpartum bonding: Normal delivery makes it easier for mother and baby to bond after childbirth. The baby can make skin contact with the mother immediately after birth, and it is easier to give breast milk.

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The diagnosis of pregnancy formed by the combination of male sperm and female egg, that is, the answer to the question ‘am I pregnant’, is made by blood test (beta hcg) and ultrasound to see the gestational sac. Urine pregnancy tests can give misleading results by 5 to 30 percent.

An empty pregnancy is a condition in which there is no embryo, despite the presence of the membrane and placenta that make up the gestational sac. In other words, there is a gestational sac, but it is a case of not forming a baby in it.  It should be treated with medication or surgery.

Nausea and vomiting seen during pregnancy starts at 4 to 6 weeks and reaches its highest level at 8 to 12 weeks and decreases after that. There is more nausea when the stomach is empty. For this purpose, it should be fed at frequent intervals and liquid intake should be reduced with meals and consumed between meals.

In general, the most beneficial and healthy mode of delivery for the baby and mother is a normal vaginal delivery. Even in case of additional illness, a normal delivery is mostly preferred.

Since you secrete milk during breastfeeding, continue your diet as during pregnancy to meet the increased protein and energy needs. Do not breastfeed on an empty stomach. Consume 2.5-3 liters of liquid per day (compote, buttermilk, milk, lemonade).  Do not forget to take at least one glass of liquid after breastfeeding.

An ectopic pregnancy is a condition in which the gestational sac is not in the uterus, which is where it should be, it is located in the tubes or ovaries outside the uterus, or at the lower end of the uterus, or in places such as the outside uterus, between intestines in the abdomen. Ectopic pregnancy must necessarily be treated, otherwise it can be fatal, it is treated with drug therapy, open or closed surgery.

It is the absence of a normal pregnancy appearance due to the abnormal development of the placenta in the early period of pregnancy, and the abnormal formation of the placenta with a grape-like structure. It must definitely be treated with medication or surgery.

Having painful menstrual pains or having painful menstrual periods is called dysmenorrhea. Either it exists from the first periods when menstruation begins, which is called Primary Dysmenorrhea. There are usually no other accompanying disease conditions. Secondary Dysmenorrhea; it is a condition that occurs at an older age. It is the onset of menstrual pains that did not exist before. It may indicate a serious condition such as endometriosis. Secondary dysmenorrhea should be treated.

A transparent, white, odorless, slippery and wet discharge that does not cause itching is considered a normal and untreated discharge. Yellow, green or white discharge that causes itching is called vaginitis. It needs to be treated.

Myoma or myomas are the most common benign tumors of the uterus. It is found in 20-25% of women of reproductive age. With the widespread use of ultrasound, small myomas that do not give any signs have been easily detected and it has been revealed that they are seen even at a very young age. The treatment plans of myomas are determined according to the size they reach, the complaints they cause, and the complications that develop or are likely to develop. Sometimes, just regular follow-up is enough. The most effective treatment is surgery.

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