Tuesday, 23 July 2013

First birth with cesarean section

After a cesarean delivery for the first child can be a natural birth for the second? 6-7 of 10 women make it. The gynecologist Stefano Bianchi explains how you can give birth naturally after a first C-section.

Stefano Bianchi, Director of the Gynecology and Obstetrics Hospital San Giuseppe di Milano and associate professor at the University of Milan explains how you can give birth naturally after a first C-section. If you have done a section for your firstborn, you can groped natural ways with the second."You can do the so-called trial of labor - says the gynecologist - trying to give birth to the baby by natural means. Statistics show that out of 10 women who try to give birth naturally after a C-section, do make it 6-7.



The candidates, however, must be selected carefully: if there are or occur again the conditions that led to the first res-ponders, the use of the scalpel is inevitable. Otherwise you risk an emergency C-section that could be even more problematic. The trial of labor for example, is not recommended when: it appeals to the C-section due to a very small basin; during the first cesarean There were no complications, such as a severe infectious event, which could have resulted in a healing imperfect, if in the second pregnancy the fetus is large or breech occurs or is it twins.
The rupture of the uterus: a low risk, but possible. During the trial of labor, you may experience unexpected events that require a new section. The most feared is the rupture of the uterus: in the area of the scar tissue, being less elastic, it does not withstand the efforts of contractions and can give: it is an emergency situation with serious consequences for both mother and child, which can cause heavy bleeding, requiring blood transfusions and, in extreme cases, removal of the uterus.

Better a hospital Level II. Rupture of the uterus is an occurrence decidedly uncommon (can occur in less than 1% of cases), but if you plan to give birth vaginally after a C-section, it is advisable to contact a senior center to ensure optimal support, for example where there is a ready availability of blood (which is not at all hospitals there!), a surgical team and an anesthesiologist present 24 hours 24, an operating room always available. This shows why they are often the same doctors to recommend a second C-section, especially when operating in birth children.

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