Cut open the palace to produce: Not the sufficient and

Cut open the palace to produce: Not the sufficient and cognitive danger
Staff reporter Tan Jia

10 million cuts open the shock that the newborn baby of the palace brings

"In our country, at least more than 50% of the lying-in women give up and give birth to the way naturally now, choose to cut open the palace to produce. 20 million neonates were born every year in our country, this was meaning probably increasing 10 million newly and cutting open the newborn baby of the palace every year, they come in this world in a manner to give a birth naturally, this can be felt shocked! " The intersection of Capital University of Medical Sciences and subsidiary the intersection of Beijing and the intersection of Gynecological and Obstetric Hospital and for far professor in for commemorate Chinese Medical Association enclose produce medical branch establish for 20 years at the academic meeting that hold April 19 piece Confess freely oneself to cutting open the raised worry of the palace yield.

For say, cut open palace, produce, solve, have difficult labour, shorten best way to produce Cheng far piece, but there are achieving, non- natural operation ways as a, certainly will cause the injury to the neonatal health.

To cutting open the neonate that the palace had, cut open the immune factor content in palace newborn baby's body and is obviously lower than the persons who give a birth of vagina, apt to suffer from infective disease, and mortality is high. Because of lack the intersection of natural birth and Cheng, hit to pinch birth canal, cut open palace newborn baby easy to happen, breathe obstacle, it is 5 times of the vaginal newborn baby's that probability of the high pressure of lung artery of continuation takes place in it. Determine the intersection of operation and time of giving a birth according to pregnant week only, might cause unnecessary curing source premature delivery. In addition, it is not rare either to produce the ones that cause in the operation wounded, mainly skin cuts wounded and fracture. May exert a bad influence on the baby's brain function, sense consciousness, nervous system development,etc. to produce while cutting open the palace in the long run. After born to mark neonatal 20 items of behavioral nerve from the 7th day to the 14th day, cut open the newborn baby of the palace and less than giving a birth naturally scoring, though the two do not have obvious difference to grade on the 28th day, but cut open the palace and produce the injury to infant and pre-school children's nervous system and still worth further studying.

In addition as to lying-in woman, might present, lie supine location hypotensive syndrome, uterus unusually bleed, the intersection of internal organs and damage, the intersection of amniotic fluid and the intersection of thromboembolism,etc. and complication in skill, produce the intersection of cotton-padded mattress and the intersection of disease and morbidity while being postoperative and probability taken place to infect increase greatly too puerperium, and cut open the palace and produce the postoperative uterus and excise the incidence 23 times after giving birth to the vagina. Have, analyze, show, cut open palace it produces prominent influence in will it be 15 year postpartum such as mother to be the intersection of membrane and the intersection of malposition and disease, the intersection of sexual life and uncomfortable and pelvic inflammatory disease under uterus.

One was in order to say far: "Only if the one that gave a birth naturally cut open the influence that newborn babies of the palace increase in a large amount and may produce to the development of quality of the population of our country of future, worth causing and paying close attention to more. "

The social factor should not be regarded as operation indication

Compared with risk of the operation, our country seems more shocking to cut open the ascendant trend of the yield of the palace in recent years: In the sixties of last century, our country cut open the yield of the palace and still wandered up and down about 5%. In latter stage of the 1990s of last century, this proportion leapt up and rose by a wide margin. Since the past 10 years, our country has cut open the yield of the palace generally in 50%~60%, cutting open the yield of the palace and is even up to 90% of the specific hospital now. And the yields of cutting open the palace of European countries are about 15% in the same period.

Is originally used for dealing with a few and endangering the pregnant operation way high, nowadays why the tendency in full flourish appears in our country?

"The social factor is causing our country to cut open the main reason why the yield of the palace rises rapidly. " It say as cutting open by palacing and lasting the factors socials of indication and lasting lying-in womanning before producing or producing by Cheng Jiangsu Province the People's Hospital gynaecology and obstetrics Wang Professor through in have difficult labour by sign, but relative or patient propose cutting open the palace and producing the requirement, or according to the social usage free " auspicious day " Make the child born. To the frightened psychology of the pain of childbirth and to giving birth to not understanding that cause a lot of lying-in women to think of physiological course, postoperative complication " Cut for " Everything is just fine.

In fact, " a knife of relaxation " May bring the injury that can't be remedied to them. Wang HaiQi says, takes Jiangsu Province as examples, in the lying-in woman of the death of the whole province from 1990 to 2005, regard social factor as cutting open the palace and producing the proportion of lying-in woman of the death and rising to 17.86% from zero of operation indication. On the other hand, with cut open the intersection of palace and yield, rise, lead to the fact, obviously increase because of the intersection of operation and the intersection of number and proportion of death too. In 1990, Jiangsu Province cut open the yield of the palace about 15%, it was 5.93% that the operation led to mortality. By 2005, it rises to 40% to cut open the yield of the palace, the highest one is up to 65%, the operation leads to mortality and rises to 29.78%.

"The social factor should not be regarded as and cut open the operation indication produced in palace. It is not the mode of production of follow one's bent and choosing to cut open the palace and produce. " Wang HaiQi still proposes, respects the patient's independent right to choose and can't understand briefly that will cut open the palace to produce and list in the free way in which the lying-in woman gives a birth. It should mean the lying-in woman is lying supine in the location to give birth to the choice of the way, the seat, seat, kneeling type, underwater or eases pain and gives a birth etc. and gives birth to the way and chooses oneself to think the most comfortable, safe way naturally squat.

The obstetrician wants to offer more professional service

A dozen even critical disease that may appear in production process of dozens of hours, refuse, implement, cut open the intersection of palace and potential medical risk operation bring for lying-in woman, to produce progress Cheng estimate, lack experience and to bring mother and baby healthy damage to consider insufficiently behind the operation, make many doctor in the face of hope, cut open lying-in woman that palace produce and their at the relative, readily take the opportunity to do without extra effort. Compared with long suffering giving a birth naturally, the operation costing more than ten minutes obviously saves energy and time even more, also dispense with a lot of trouble.

HaiQi Wang think want, reduce, cut open the intersection of palace and yield, medical worker need, communicate for upper and lower time in doctors and patients more, let lying-in woman and his relative dissect the pros and cons produced in palace abundantly, instead of taking a part for the whole, only pursue " Cut for " Swift,it is tell correctly not to but lack by that the risks for operation. "Doctors and patients should communicate since physical examination in pregnancy period, the normal lying-in woman's physical examination in pregnancy period has only taken between 3 times and 4 times, the doctor should exchange between 20 minutes and 30 minutes with him at least each time. Simple physical examination for several minute, say one ' very healthy OK ' give up worry and worry of lying-in woman in the heart while being impossible just. Cut open the palace to produce to healthy pros and cons of mother and baby, course of giving a birth normally through introducing all-sidely, teach them self- sanitary skills, contribute to strengthening the confidence that the lying-in woman gives a birth naturally. "

The medical personnel's comfort, encouragement can solve a lot of problems too. It is regulated how about when contract for example tell the lying-in woman in the palace each time, releive pain for lying-in woman's massage, massage, explain that produces aching in the mechanism and non- medicine way of easing pain, make the lying-in woman to believe in, let them know that there is credible professional medical personnel that defend at the side, oneself is safe, they are just more willing to choose to give a birth naturally.

"Certainly, make the trust of lying-in woman and his relative, the medical worker must can discern accurately that give birth to endangering the factor high of one, adopt effective countermeasure in time, can't reduce cut open the intersection of palace and yield, but neonate suffocate and mortality rise. " Hai Qi Wang emphasizes.



Cut open the palace to produce: Not the sufficient and cognitive danger