Caesarean birth: Difficult to resolve worry soon for the moment

Caesarean birth: Difficult to resolve worry soon for the moment
Author: Xiao Si


It is Mother's Day on May 9, in Guangdong area, it is " Ji Ri " that some ready-to-be mothers choose this day Caesarean birth son. A Hong Kong star drafts today the news of two children of caesarean birth spread far and wide a few days ago, have formed certain social influence. However, the medical expert reminds and says, the caesarean birth is a forced choice constantly, can't imitate with the star. Please pay close attention to - -

The statistic reveals, our country cuts open the belly yield and rises year by year, cut open the belly yield and close to 50% on average in the whole country, the specific hospital has even exceeded 80%, is well-above 15% of the upper limit that World Health Organization recommends, higher than our country by some provinces and cities at the same time " It is lower than 25% to cut open the belly yield "Technical requirement. Trace it to its cause, some lying-in women's wrong idea, some tendentiousness of the hospital, have promoted and cut open the abnormal soaring of the belly yield.

The medical expert points out, cut open the belly yield a bit high in the a very long time of futurely, influence the health and intelligence quality of women and the child postpartum.

The caesarean birth hides the health risk

According to the introduction of the hygiene at the basic level of Municipal Health Bureau of Guangzhou and Wang JunJie, division chief of of mother and child care, from 2001 to 2009, cutting open the belly yield to maintain at between 38% and 42% equally of Guangzhou. And the reporter interviews to know, in hospital of Guangzhou the first, second and third, the ones that cut open belly yield over 50% are not small number.

"Our hospital has pregnant women of 10 to 25 to produce every day, 30% to 35% among them have indication of caesarean birth, be can give a birth naturallied all while being other, and we cut open belly yield 50% to 60%. " The Zhongshan University first Deputy Director of affiliated hospital gynaecology and obstetrics Cai Jian in Guangdong says.

In February of this year, World Health Organization releases saying in the authoritative periodical " lancet " of medical science, find to the investigations of 9 Asian countries such as China, India, Japan, Vietnam, Thailand, from October of 2007 to May of 2008, China will cut open the belly yield and is up to 46.2%, it is World Health Organization that recommends more than 3 times of upper limit, the averages of other 9 countries are 27.3%.

Jian Cai tell reporter whether long-term medical science observe, find, neonate that does not pinch through birth canal, usually it is weaker that the hand eyes for the future coordinate ability, the temper is apter to be irritable, attention is difficult to be centralized, it is higher to suffer from hyperkinetic syndrome and self-closing disease probability, call as at the medical science" Feel that shuts the unregulated disease in interconnected system " . Meanwhile, physiological, 2% to 3% of the caesarean birth neonatal lung respiratory system is not so good, it will be apt to suffer from asthma in the future. "Because need fasting after the operation, will obviously influence the breast milk to feed, and what the colostrum will be brought to babies is much immune information, as to the function which the baby grows up it is very important. " Cai Jian says.

To lying-in woman, the risk of numerous caesarean births is greater. Cai Jian says: "All there is a wound in the operation, the caesarean birth operation is easy to form ' diverticulum ' at the place where the uterus cut-out, easy embryo bed cause uterus break, bleed, induced abortion operation risk to concern uterus improve later in burn by diverticulum in the future, even more pregnant 3 years later, the uterus is easy to break; In addition, because the environment changes, may enable intestines adhesion,etc., threaten women's health postpartum within the organism. "

The social factor influences the lying-in woman to choose

The medical expert points out, say objectively, in recent years, " the baby can't tolerate the vagina and give a birth " Caesarean birth indication to some extent increase. Such as diabetes etc. patient increase, the woman can so as to pregnant, but can't tolerate the vagina and give a birth; Urban pregnant woman's nutrition keeps on a diet generally better, careless at ordinary times, the child in the stomach is too old; The lying-in woman increase etc. at advanced age over the big city 35, this is medical indication of necessary caesarean birth.

What merits attention is, except the above-mentioned factor, the increasingly many social factor is becoming and " pushing hands " behind caesarean birth .

First, lying-in woman's so-called new idea. Cai Jian analyzes: "Has entered pregnancy period successively after 80, after 90, they and older generation lying-in woman are different, accepted some new ideas, if some people think that it is more importantly to keep good figure, other fear natural labors pain. Indeed, it is all possible that natural labor pain lasts 24 hours, the caesarean birth can finish the operation only needing more than ten minutes. So often a lying-in woman says to me, ' doctor I am afraid of aching, want the caesarean birth in any case '. "

Second, some dates of birth of superstition. It is introduced, some family members' superstition " the date of birth and the eight characters of a horoscope " " propitious date " ,Required the lying-in woman to choose to be born at some on the somth of some month, or chose National Day, Mother's Day etc.; Other lying-in women are September on expected date of childbirth, the need of entering school for child's future, choose, do the intersection of caesarean birth and operation, let child August " Born ahead of time " .

Third, the factor of the hospital. It is reported, the hospital of the first, second and third in Guangzhou, the conservative price of caesarean birth is from 6000 yuan to 7000 yuan, and it is about 3000 yuans to give birth to the price naturally. In two first hospitals a little in Ji'an in Jiangxi Province, caesarean birth expenses are about 3000 yuan, and it needs only 1500 yuan to give a birth naturally.

An experienced ob-gyn tells reporters, the natural labor appears from pain to child and produces, need 24 hours long, and caesarean birth operation, " the skilled obstetrician is from playing one hundred sheets to sew up the wound, it can settled until half an hour that it only takes more than ten minutes. "

This doctor says: "In the face of the tense berth day by day, and the lying-in woman lining up to be admitted to hospital, the limited hospital of some medical resources, often incline to implement the caesarean birth for the lying-in woman. "

It is reported separately, the diagnosis of some medical apparatuses, such as Ultrasonography B finds the lying-in woman " there is too little amniotic fluid " ,Some child hearts guard the appearance to excessively monitor, has increased the worry of the ready-to-be mother too. Because relatives excessively pay close attention to, doctor's vigilance is too high, unusually excessively enlarge small some ones that actually could neglect in production process, also resulted in cutting open the belly yield and risen.

A gynaecology and obstetrics director tells reporters, the course of natural labor is relatively long, contain certain risk too. In this respect, some private hospitals are in order to take precautions against the medical risk, has cut open it simply.

It is not a difficult problem to choose the natural labor

Nearly every obstetrical department expert thinks, to most lying-in women, it gives a birth to be first-selection naturally, lying-in woman uterus pinch, shrink, not merely help to reduce the neonatal pneumonia incidence, and is beneficial to recovery of physical efficiency, nursing of the lying-in woman,etc..

It is introduced, give birth to the course naturally, the gradual enhancement that the uterus shrinks pushes foetuses to enter the basin, it is a kind of best exercise that foetus' head is pushed by the birth canal, can force compression and expansion with rhythm happen in foetus' thoracic cage, impel and produce some phosphatide materials in foetus' lung, the alveolus has elasticity even more, ? Sub E Niu the intersection of error and ape engrave on gold or silver Qian of Ba shallow the intersection of S and happy 4 give Guo to stagger Wan the Huaihe River carbon dusk such as Shan such as The thumb Yu gathers around to kill Ji of summer for Feng?

Compared with caesarean birth, the injury of giving a birth naturally is small, it is unexpected not to anaesthetize, have no wound of the uterus belly wall, feel relaxed activity freely after temporary rest postpartum, it is convenient to look after the baby, not because pain and fasting of the wound influence the secretion of the milk, does not need intravenous infusion,etc. to treat and limit the activity even more, beneficial for resuming bodily form as soon as possible.

In Guangzhou, each maternity hospital opens " school for pregnant women " nowadays ,Propagate the advantage of giving a birth naturally, many ready-to-be mothers have insisted on the natural labor already. "Antenatal pain is women all one's life. " Zeng Qiong, a 32 -year-old ready-to-be mother of Guangzhou says: "For the child's health, I would like to choose the natural labor. "

"In fact there is no pain in imagination in the natural labor. " " when the nurse embrace the child crying loudly at the moment that just gave birth to neonatal flavin cloud of people in Guangzhou and said, the mother's enormous happiness sense has concealed all pain. " (according to Xinhua News Agency)

Caesarean birth: Difficult to resolve worry soon for the moment