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Saturday, April 14, 2012

So when a Caesarean Options

 First, with Caesarean section delivery or Cesarean section is the scourge. Development of medical technology is now making a cesarean section is very convenient. Many expectant mothers and make caesar as a top choice.

Nia (39), mother of two sons and one daughter who lives in Menteng, Central Jakarta, said sorry for her three children were born normal. He said now no longer believe in yourself and feel the way birth has been damaged. "If I can repeat, I would choose a cesarean. Now it does not really confident, "said Nia.

Although it could give birth the normal way, Rita (35) also prefer caesarean. From her experience giving birth twice, Rita felt no pain severe pain caused by childbirth. Compared with the normal birth process can be 5-10 hours, a cesarean section takes only half an hour.

Others are stories Juwita (31) who had a cesarean because of her second child was born can not be expressed by normal delivery. After opening the fifth, Juwita had to wait eight hours, and hoped his son could be born normal. "My baby is too big, 4.4 pounds, end up having C-section," he said.

If Rita can recover from a cesarean section within three days, Juwita took two weeks to be free from pain. Juwita also have to spend more because the cost of a Caesarean are three times more expensive than the cost of normal delivery she lived when the first child.

Technological development is quite rapid cesarean in the past 20 years. Mothers Hospital (RSIA) Bunda, Jakarta, technological developments and technology cesarean anesthesia or sedation is equivalent to a hospital abroad.

Stitching techniques to the quality of yarn and needles are so advanced that the patient comfortable. Injections and drugs can block pain in the brain so the patient no longer cry out in pain or hallucinations. Treatment of infection until wound closure technology with waterproof plaster is very good.

Patients were only anesthetized from the waist down so we can provide early initiation of breastfeeding in infants when the doctor was sewing a surgical incision. This is very different from the old Caesarean section that requires general anesthesia and the baby fell asleep, too, due to anesthesia.
Prioritizing the normal way

Mother RSIA Director, Jakarta, said Dr. Mirta Widia Irsan, technological development is also supported by cesarean mastered the skills of obstetricians and gynecologists. "We continue to prioritize and pursue a normal birth for the patient, but the caesarean rate in RSIA Mother is quite high, 60-70 percent," said Mirta.

Ideally the rate of caesarean section in a teaching hospital at 15-20 percent and 20-30 percent at a referral hospital. World Health Organization (WHO) noted an increase in Caesarean rates in some countries. During the years 2007-2008, according to WHO data, there were 110 000 births in the entire Asia and 27 percent of them performed on the operating table.

Cesarean mothers make a prima donna, among others, for reasons of fear of pain to the calculation of "good day". Cesarean delivery is also increasingly diverse inflated false myths that circulate in the community. The myth that, among other things, related to the destruction of the vagina due to childbirth, which is actually nothing to be afraid.

A specialist in obstetrics and gynecology, Muh Ilhamy S, SpOG, who also served as Head of Service Development Sub-Ministry of Health emphasized that cesarean without medical indication at risk of endangering the health of mothers and babies. Complications due to anesthesia or surgery could happen.

Surgery "Caesar" Forever Not Good for Babies
 Cesarean section, according to Ilhamy, usually done for the safety of mothers and babies. However, he did not deny the possibility that some parents have a feeling more comfortable Caesarean birth.

Caesar with medical indications, among others, when the mother should not be strained because of suffering from hypertension, uterine cramps, premature rupture of membranes, or maternal hip circumference size does not fit in the baby's head circumference.

Caesar also be done because of the difficulty of the baby, such as weight babies over 4 pounds, the baby is abnormal, umbilical cord disorders, and premature birth.

In caesarean delivery, the mother may have an infection, bladder injury, until the bleeding. Uterine bleeding that occurs with no sign of pain from a tear that does not seem to harm the baby in subsequent pregnancies. "All the surgery there are risks. At worst, can cause uterine cesarean section defects, "said Ilhamy.

Director General of Health Ministry of Health efforts Supriyantoro said the maternal mortality rate with higher caesarean section compared with vaginal birth. "Caesarean section should be based on medical indications," said Supriyantoro.

As comfortable as anything, cesarean section should remain the last option.

Cesarean section is one of the preferred method of delivery that could pose risks for both mother and baby. But not a few who still assume that the method is safe and will not trigger a particular health risk for infants.
A recent research reveals that cesarean delivery remains a very risky procedure, especially infants. Even cesarean was also considered not much help premature babies that are categorized as small for gestational age (SGA) or the size and weight of his body below the average. Research in the United States said that SGA infants born through Caesarean documented cases higher than the respiratory distress syndrome of premature infants born vaginally (normal).
Deputy medical director of the March of Dimes advocacy agency, Diane Ashton, MD, MPH, said the findings reverse the belief all along that have little risk of cesarean delivery or even pose a risk to infant health. The results are also consistent with the mission of the March of Dimes is urging the medical staff to end the practice of unnecessary labor before the pregnancy reaches 39 weeks.
"Although in many instances, cesarean is medically necessary for the health of the baby or the mother, research suggests that in some cases this may not be useful for some babies," said Ashton.
Research published in the 32nd Annual Society for Maternal-Fetal Medicine Meeting, The Pregnancy Meeting was chaired by Erika F. Werner, MD, MS, assistant professor of Maternal Fetal Medicine at the Johns Hopkins School of Medicine, in collaboration with Heather S. Lipkind, MD, MS, assistant professor of Maternal Fetal Medicine at Yale School of Medicine.
In the study, researchers conducted a review of birth certificate with a total of 2560 infants small size and weight who were born prematurely. A cesarean birth process is generally performed on infants who were diagnosed with intrauterine growth retardation who did not develop normally in the womb.
Dr. Werner and his team found that infants who underwent a cesarean section has not yet entered the age of 34 weeks' gestation have chance 30 percent higher risk of experiencing respiratory distress syndrome than babies born vaginally at the same gestational age.
High rate of premature birth (before 37 weeks), still a serious health problem and a huge cost in the United States, more than 26 billion U.S. Dollars per year, according to the Institute of Medicine report, 2006. It is the leading cause of newborn death, and one million babies worldwide die each year as a result of premature birth.
While the baby is able to survive, most often face lifelong health problems, such as respiratory problems, cerebral palsy, learning disabilities and others.
Researchers from The March of Dimes says, if the conditions of a healthy pregnancy and no complications that require early birth, women should wait until the time of delivery came by itself, or at least until 39 weeks gestation.
Why? berangapan researchers that many important organs infants, such as the brain and lungs, which were not fully developed at the perfect age below 39 weeks gestation.

Source: Eurekalert

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