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The birth process in general may go through several options at times, during which the woman can choose between a natural birth through the vagina and a cesarean section, which takes place through an incision made by the doctor in the abdomen to remove the child, but in some cases the pelvis is narrow or the pregnant woman’s health condition necessitates her submission. For emergency caesarean section, except that seeing an anesthesiologist requires that the woman receive a half anesthesia during the C-section operation, and not a full one. We will present in our next article about the cases that require the use of half anesthesia in a caesarean section.
Spinal anesthesia in cesarean section
Spinal anesthesia in cesarean section
During the last days of follow-up with your gynecologist, he finds, after conducting the examination, that your condition requires the birth of your child through a cesarean section, due to the presence of health risks to the health of both the mother and the child if the birth is carried out by natural methods, in a way that preserves the health of the woman and her child and so that the child is not exposed to damage that hinders its exit. From the vagina to ensure a very safe birth, the doctor resorts to the method of spinal anesthesia injections, which are associated with alleviating the severity of the pain, which works to speed up the recovery process and lead to a speedy recovery.
By talking about the most prominent cases that require a pregnant woman to undergo this operation, the long period it takes to give birth to a child, in addition to the presence of the fetus in an upside down and unnatural position, in addition to a number of health conditions.
From the first moment you learn the news of your pregnancy, the main question that occupies the minds of many mothers, and therefore will also be at the top of your concerns, is the method of giving birth to your child. Despite the classification of natural birth, which depends on removing the fetus from the vagina, the doctor can then perform dilatation as a procedure. It is helpful, but it may sometimes represent potential risks, which forces the doctor to perform a cesarean section, during which he relies on giving the woman a hemi-anesthetic to achieve safety and security for both the mother and the child.
In our present time, cesarean section, during which the doctor uses spinal anesthesia, has occupied a distinguished position as the most famous birth procedure, and the one that mothers may choose because, from their point of view, it has the lowest rates of feeling pain, especially in light of the spread of painless types of births, and this is what makes us dedicate our next article to learning about it. In most cases, spinal anesthesia is a necessary procedure, in addition to the risks associated with complete anesthesia during childbirth
Perhaps the most important thing that makes mothers favor a cesarean section based on spinal anesthesia is its importance in reducing the feeling of more pain or reducing the possibility of bleeding after the birth of your child.
Advantages of caesarean section
Advantages of caesarean section
There are many advantages achieved by a caesarean section for a woman, in which the anesthesia used is seminal, and these benefits include both the mother and the child as follows:
- The degree of pain sensation during the birth of the baby is reduced, as there are no severe prior contractions that indicate that you are entering the stage of labor, so you will not have to deal with these uterine contractions.
- Preventing the risk of vaginal injuries when removing the fetus through the natural birth technique
- Avoiding the possibility of the problem of losing the functional capacity of the bladder muscles, which stimulates the act of urination, the levels of which are higher in cases of natural birth.
- Providing the necessary protection from complications of reproductive organ prolapse, which is known as pelvic organ prolapse, which also includes the uterus and bladder through the vaginal opening, a problem that usually results from natural childbirth.
In addition to the previous benefits we mentioned, the ability to discuss and determine the date of birth as the woman wishes is also added as one of the additional advantages.
Reasons why doctors resort to caesarean section with hemianesthesia
Reasons why doctors resort to caesarean section with hemianesthesia
Many people may have common beliefs about the use of spinal anesthesia in caesarean section being associated with certain luxuries that mothers seek in order to benefit from the benefits of caesarean section to the fullest, or to seek a pain-free birth. However, there are many medical factors that make births Caesarean section is mandatory in order to preserve the lives of the mother and child. Among the most common cases that require it are:
1- Obstructed childbirth
Obstructed labor
This applies to women who face a difficult and difficult birth that extends for hours exceeding the equivalent of 20 hours, and this is for the categories of mothers who give birth for the first time, while the period it takes for mothers who have a previous history of childbirth to give birth can be long to 14 hours, and this is the reason that stops The reason behind the necessity of doctors resorting to spinal anesthesia in up to a third of caesarean section operations, and the most prominent reasons responsible for the long duration of natural birth are due to the large size of the child, cases in which the woman’s pelvis is narrow, or in which the uterine and pelvic muscles become weak, which results in more consequences. Serious health risks for both mother and child.
2- The wrong inverted fetal position
Inverted fetal position
Sometimes the fetus adopts a natural position before its birth, with the head and face down, and this position is described as the common position, while adopting an unnatural position raises the possibility of using hemianesthesia in cesarean sections to high levels, which results in causing the child to descend accidentally, from the rear end, or to cause obstruction. One of the fetus’s shoulders initially descends before the other.
3-Fetal distress
The process of fetal distress may hinder and hinder the process of its smooth exit, during which the pressure on the fetus becomes intense. This is linked to a group of causes that vary between the mother’s suffering from high blood pressure, cases of malnutrition, severe contractions of the uterine wall, and the violent contractions that the woman faces during them, and all of these conditions occur. Under the heading of emergency types of cases that require the patient to undergo a cesarean section with a hemi-anesthesia.
Read also important information about epidural anesthesia at the time of childbirth
4-Congenital malformations in fetuses
Congenital malformations in fetuses
The tests and imaging examinations conducted by the doctor may prove that the fetuses are exposed to some injuries that involve birth defects and take several forms, ranging from high levels of water formed in the brain, to congenital heart disorders. Here, the doctor turns, as a medical recommendation, to resort to the option of cesarean section to prevent the increased pressure exerted on the fetus during Take it out through the vagina
5- Having a medical history of previous cesarean deliveries
The doctor will also advise women who have previously undergone a cesarean section about the necessity of having a cesarean section in the next pregnancy.
6- The health condition of pregnant women
Health status of pregnant women
It is also possible for a pregnant mother who suffers from certain heart problems to be anesthetized with hemianesthesia, and this includes some chronic health problems. This also includes those who have experienced the problem of preeclampsia and severe high blood pressure, where spinal anesthesia is an emergency.
7- Umbilical cord prolapse
Umbilical cord prolapse
The umbilical cord – which represents the device connecting the fetus in the womb to the mother – may precede the fetus in descending from the cervix, and in the meantime the cord falls under chronic pressure, which leads to a decrease in the proportion of blood flowing to the fetus, and this problem requires emergency medical intervention and the necessity of performing an urgent cesarean section.
8- Placenta problems
Placenta accreta
These types of problems target this developing organ during pregnancy, which is the placenta, whose mission is to provide the fetus with oxygen and the necessary nutrients. It is exposed to injuries represented by the settling of the placenta on the opening of the cervix, the placenta that has separated, whether partially or completely, and cases of placental accretion, which constitute a group of factors that the doctor finds himself She was forced to perform a cesarean section with a hemi-angioplasty
9- Multiple pregnancy
Multiple pregnancy
Reasons also include twin pregnancies, during which the doctor faces difficulties in extracting the fetuses naturally, and then it becomes necessary to resort to a caesarean section.
10- Endometriosis process
Where foreign tissue similar to the lining of the uterus is found in other parts of the body somewhere outside the uterus
Undergoing surgery to remove one of the detected fibroids in the uterus
Steps for performing a caesarean section using a hemianeury
Steps for performing a caesarean section using a hemianeury
As a necessary prior step, the doctor conducts health checks for both the mother and the fetus, which include measuring the appearance of some vital signs in them to begin preparing for the operation.
- The doctor injects the mother, who is preparing to give birth, with the anesthetic drug halfway
- The doctor uses an antiseptic solution to wipe the pregnant woman’s abdomen and uses a scalpel to make a surgical incision horizontally or vertically when reaching the uterus.
- It is time to remove the fetus. The doctor then proceeds to lick the umbilical cord and remove the connection between the mother and the fetus, then remove the placenta.
- The doctor will not leave the incision open, but must sew it up and close the abdomen
