Kesaryata are great guys! Indications for caesarean section and features of caesarean section. What is the difference between children born by caesarean section from other babies How are children born by caesarean different

The birth of a living being is a very solemn process and in ancient times was shrouded in a veil of secrets. But despite the naturalness of the process, it is associated with great risk. Previously, due to the low level of development of medicine, there was a high mortality rate, both for women in labor and for newborns.

C-section

In our time, medicine has advanced far ahead and almost everything is known about the process of obstetrics. Monitoring the development of the unborn baby begins in the early stages of pregnancy.

The expectant mother takes tests to detect various diseases, is observed by narrow specialists in the presence of chronic diseases, undergoes planned ultrasound scans to detect fetal pathologies.

In the normal course of pregnancy, in the absence of contraindications, childbirth takes place naturally. But in case of detection of deviations, the gynecologist prescribes a caesarean section.

Therefore, such births are always planned. But it also happens that an emergency cesarean is used due to complications during childbirth, which takes place naturally.

Babies born by caesarean section are practically no different from children born in the usual way. But still, there are not great recommendations for caring for "Caesarites".

anesthesia

C-section - This is a strip operation that takes place under the influence of anesthesia. Although the operation is carried out as quickly as possible, however, the narcotic substances that are part of the anesthesia manage to get into the baby's blood.

In the first days of life, this makes the newborn inhibited, reduces motor activity. The baby sleeps all the time, sluggishly sucks the breast. But do not be afraid, in a few days, this condition passes, and the child is no different from other children.

Respiratory system

During passage through the birth canal, the amniotic fluid in the lungs of the baby is pushed out naturally, which is a powerful stimulant for the proper opening of the lungs. In "cesareans" there is a risk that the remnants of the amniotic fluid will remain in the lungs.

This is a breeding ground for the development of various pathogenic bacteria. Which can reduce immunity and the baby will often get colds. Therefore, parents must strictly follow the doctor's recommendations when caring for a child.

Psychological development

Many psychologists agree that children born by cesarean section have features of psychological development. After all, the “memory of birth”, hidden in the depths of the subconscious, leaves a certain imprint on the formation of character.

When passing through the birth canal, the baby faces certain difficulties that must be overcome. It is to endure pain, to overcome obstacles. Due to this, such character traits as patience, determination, perseverance, determination, optimism are laid.

These qualities are developed to a lesser extent among the “Caesarites”, because they did not have to make their own way to the light.

But all these are common features, so parents need to pay attention to the problems of their children and help them as quickly as possible and fully adapt to the environment.

There is also an opinion that the emotional connection of the child with the mother in this case is weaker. Indeed, during childbirth, a woman releases the hormone oxytocin, thanks to which she immediately feels tenderness for her baby, and she begins to produce milk. With a caesarean section, it will take some time to start the process.

In 2008, there was one small study that compared MRI results in women three to four weeks after giving birth. At the time of tomography, they were allowed to listen to the voice of a crying child (their own, someone else's, and imitated crying). The result showed that in women after caesarean section, activity in the brain regions responsible for empathy and motivation is lower than in women after vaginal delivery.

Researchers see the reason in the lower level of oxytocin. To remedy the situation, a woman needs to take the baby in her arms more often, apply it to her chest, the “body to body” contact gives a good effect. Not without reason, in natural childbirth, the child is immediately laid out on the mother's stomach immediately after birth.

"Kesaryata" are lagging behind in development

This is not true. Children born by caesarean section do not lag behind their peers in development at all. Exceptions can only be in the case when the operation was performed urgently in order to save the baby during a complicated birth, for example, there was acute fetal hypoxia.

Scientists studied the dependence of school performance in four groups of children born as a result: natural childbirth without intervention from doctors, natural childbirth with intervention from doctors (meaning a vacuum extractor and obstetric forceps), planned caesarean section (before the onset of childbirth). activities) and emergency caesarean section.

And the results of the study showed that there are practically no differences in school performance among children. That is, the indicator is so small that it must be interpreted with caution.

Increased risk of having a hyperactive child

Hyperactivity is a complex of neurological and behavioral disorders in a child. Caesarean section, as well as birth trauma in natural childbirth, can be one of the risk factors, but far from the only one. Therefore, the relationship between caesarean and hyperactivity is not worth it.

"Kesaryata" are born less protected from bacteria

This opinion has developed due to the fact that babies do not pass through their mother's birth canal, they are not laid out on their mother's stomach, and they are not immediately applied to the breast. Some difference in the intestinal microflora, which contributes to the development of immunity, does exist in babies up to three months old, but after the differences disappear. Therefore, breastfeeding is of particular importance for “keseryats”. With mother's milk, the baby receives her immunity, "vaccinated" against bacteria and viruses.

A baby can get barotrauma during a caesarean

This opinion can be found on some forums for moms. We are talking about the fact that when a child is abruptly removed from his mother's tummy, he, they say, due to a pressure drop, can get a barotrauma, similar to the "divers' disease." Pediatricians, neonatologists and neurologists agree that this is complete nonsense.

What kind of injuries actually threaten the "cesarean"?

It should be noted right away that with a planned caesarean section, the likelihood of injury is minimal. Very rarely there are cuts on the skin of the baby that occur at the time of the incision of the uterine wall, injuries of the cervical spine with breech presentation of the fetus, CNS lesions are possible, they are more common with transverse presentation and weakness of labor activity, with head presentation the baby may develop paresis.

It is worth noting that with the onset of labor, hormones begin to be produced in the body of the fetus, allowing you to quickly adapt to the world around you after birth. With a planned caesarean section, these hormones do not have time to appear in the child's body.

There is evidence that a caesarean section significantly increases the risk of developing asthma. Scientists from Norway have calculated that asthma develops 52 percent more often in children after caesarean section than in children after vaginal delivery.

And yet, caesarean sections save the lives of mothers and babies around the world every day. Of course, it is better not to interfere with the natural process, but there are situations when the operation is vital. For a baby, both ways are not very simple - both natural childbirth and caesarean section.

It is established by nature that, when born, a baby must go through the difficulties of birth, and having overcome the birth canal, fall into his mother's tender embrace. This is a natural way of delivery, and it is optimal for the baby, both physically and mentally. When this natural order is violated, undesirable adverse consequences appear, so children after a caesarean section need special care.

What is the difference between caesarean children and babies born naturally, what does special care for a child mean, and how to care for caesareans? We'll talk about this.

· Consequences of caesarean section for a newborn

When a child is in the amniotic fluid in the mother's womb, he experiences a certain pressure, similar to that of a scuba diver at depth. In the case of natural delivery, the process of “rise from the depths” is carried out slowly, without harming the baby. Completely different situation at (ks), newborn cesareans rudely and abruptly removed from the maternal womb dissected by the surgeon have a hard time. Most of them are left with some sort of barotrauma. Children after caesarean are physically weaker and need more help.

In addition, childbirth for a child is, in principle, a serious stress. During natural delivery, the mother has the opportunity to take the baby in her arms, put it on her chest and soothe the sound of the heartbeat that is familiar to him, and of course attach the baby to the chest. The gentle hands and gentle voice of the mother give the child a sense of security and safety, and the children of Caesarea are deprived of all this. Torn from their usual conditions, kids experience shock and fear from the unknown and loneliness. That is why it is so important to correct the consequences of this fear in the future. Psychologists have revealed the relationship between the attitude towards the child in infancy and his character in the future: if no one approaches a crying baby for a long time, leaving him to scream all alone, then traits such as cruelty and coldness subsequently appear in his character. Also with cesareans, the stress experienced can affect their psyche in different ways, among the worst consequences are mental deviations, the development of neuralgia. Therefore, the attitude and care of the newborn after the CS should be special and require more care, attention and warmth.

· C-section care begins before delivery

If a caesarean section is planned, take better care of your child while he is in the womb.

Discuss with the doctor what kind of anesthesia will be used, if possible, this should be epidural anesthesia . This type of anesthesia has fewer undesirable consequences, both for the baby and for the mother. First of all, because its action is shorter and the woman is conscious all the time of the operation, so she can take the baby immediately after birth for feeding. Secondly, with epidural anesthesia, the child receives fewer drugs, and, consequently, the negative impact on his body is minimal. The ability to attach the baby to the mother’s breast immediately after birth helps to smooth out the psychological consequences of traumatic unnatural childbirth.

The expectant mother should prepare for breastfeeding immediately, because thanks to this, the child's body will be able to start adaptive processes and form the necessary protection, usually formed during natural childbirth. About the benefits of breastfeeding it is generally unnecessary to speak, but for cesareans it is simply necessary.

· Features of caring for a child after cesarean

About, how to care for cesareans medically how often to conduct examinations, what tests to take, etc. we will talk in another article. Here we will touch on the topic of what home care for a newborn after a cop should be like, and how a mother should behave:

1. Caesarean children need adaptive bathing and swaddling longer and more,
2. Children after caesarean require more attention, they are often restless, especially at night,
3. Such babies are more sensitive to the transition to their own bed and need to sleep with their mother for a longer time,
4. Often, cesareans gain weight more slowly than other babies, so breastfeeding is an important part of caring for a newborn after CS,
5. Be sure to do gymnastics with a cesarean, they especially need support for physical development and the formation of the immune system,
6. Studies have shown that babies born by caesarean section often have psychological problems, such as anxiety, fear of change, short temper, absent-mindedness, difficulty with self-control and planning. Knowing this, pay attention to manifestations of problems of this kind and help the child overcome them.

HOW TO FEED A CESAR. Children after caesarean especially need direct contact and breastfeeding. You should start breastfeeding your caesarean as early as possible and keep breastfeeding as long as possible. At first, the baby may be weak and eat poorly, so you will need to apply it to the chest more often until he gains strength and weight. It is more convenient to do this lying down, so as not to disturb the postoperative sutures with additional loads. The closest contact that occurs between mother and baby during feeding is very important, it will help him survive the experienced stress without negative consequences. Psychologists have come to the conclusion that the majority of cesareans subconsciously live with the feeling that the world did not want them to be born, no one loves them, no one needs them. Close contact with your mother helps to prevent such thoughts. During feeding, it is recommended to gently stroke the baby, to say kind words to him. In general, try to tell your child more often that his birth has been expected for a long time, that he is loved, that he is your joy.

HOW TO COMMUNICATE WITH CAESAREN. As a rule, upon returning from the maternity hospital, they begin to take baths and go for walks with a cesarean later, unless, of course, mommy has a good assistant. Nevertheless, new sensations and a change of scenery are not always good for a cesarean, they can remind the child of the fear experienced at birth, so everything that concerns the new and unusual should appear in his life gradually and accompanied by a gentle mother's voice or touch. During walks, experts recommend changing playgrounds and routes more often, giving you the opportunity to get used to changing circumstances and places. This will help the child overcome the fear of change. You should not insist on your own, if the baby is clearly protesting, it makes sense to first calm him down, console him, give him time to get used to. Forced transfer to a crib is also not recommended, such a step can cause children's nightmares. Children after caesarean sometimes really need a feeling of mother's warmth, the smell of milk, the sounds of her heartbeat. Often, silence, peace, mother's hugs for such babies in the future are much more valuable than fun and toys.

MASSAGE AND GYMNASTICS FOR CAESARAT. An important role in the care of the child after cesarean plays gymnastics and therapeutic massage . Try to start taking your baby to a massage therapist as early as possible, and at home often stroke and knead on your own. At any opportunity, for example, changing clothes, stroke, massage, play "magpie-crow". It is desirable to do this in conditions that are comfortable for the crumbs.

HOW TO BATH A NEWBORN AFTER A COP. Water, as you know, has a beneficial effect not only on the body, but also on the nerves, so the “water” care after a cesarean section should be frequent and long, allowing the baby to swim, relax and feel protected and calm, similar to those that were in the times of his stay in his mother's tummy. It is desirable to bathe a newborn cesarean in a thin diaper so that splashes from involuntary movements of the handles do not frighten him.

In fact, there is nothing special about caring for a child after a cesarean - only love, care and patience, which a loving mother always has in abundance for her child. With proper care, the possible adverse effects of the operation will disappear without a trace. The baby will grow up healthy and happy. The main thing is to let him feel security and love.

The birth of a new life is always a miracle. It would be desirable that the appearance of the baby was not complicated by either difficult childbirth or deviations in the development of the fetus. But it doesn’t always work out as planned, a woman is forbidden to give birth naturally due to eye diseases, breech presentation of the child, problems with the spine. A woman in labor agrees to a cesarean section, although she knows that this is not very good for a newborn, because the operation is carried out under anesthesia, the child does not pass through all the birth canals, which means that she cannot quickly adapt to the new environmental pressure and get used to it in such a short period of time. foreign microflora.

Childbirth or caesarean section?

Every year there are more and more caesarean children. This happens for various reasons, one of which is a woman's natural fear of childbirth. After all, the health of the unborn baby depends on how successful or unsuccessful they are.

Doctors have found that children after caesarean section are different from ordinary ones passing through the birth canal. Since the birth occurs instantly, the child's nervous, immune, respiratory systems start up a little late, but the gastrointestinal flora is simultaneously enriched with lactobacilli, which is why the risk of allergic reactions to many types of food is high. Digestion processes are late, so often babies after cesarean suffer from stomach cramps. In the first month of life in cesarean children, constipation can be replaced by diarrhea, there will be diathesis for breast milk. Anesthesia during surgery slows down the nervous system.

All these facts do not speak in favor of the operation. It is believed that the doctor must convince the woman to give birth herself, a caesarean section is indicated only if there is a serious pathology: hypoxia, umbilical cord entanglement, short contractions and dehydration of the fetus.

Fetal memory

Information about how childbirth takes place is stored in the subconscious of a person. The memory of one's own birth can give a person aspiration, will, endurance, the ability to find a way out in difficult situations. Children born in the usual way must “make their own way”, they move along the birth canal, strive to see life and fight for it. What is the difference between the children of Caesarea and ordinary children in psychological terms? As a rule, they are inert, less mobile and more pessimistic, touchy, somewhat detached from problems, believe that life is a gift presented to them on a silver platter, use this gift free of charge, without giving anything in return, allow themselves to be loved, but often do not respond reciprocity.

Natural childbirth is a huge stress for the baby, which is why there is such a thing as the memory of the fetus, which remembers the most difficult minutes of birth. Caesars do not have such a memory, so they have low stress resistance and almost no self-preservation instinct. Caesars often have nightmares in which there is no way out, which is why complexes develop and character traits such as restraint, gloom, stubbornness, and secrecy are formed.

The only plus of a caesarean is that the baby is born absolutely healthy, without injuries and has a perfectly round head.

Parental love works wonders

If a child is surrounded by the care and attention of parents, then he receives his first impressions from early childhood, which smooths out his problematic birth. It is advisable to sleep together with the baby so that he constantly feels your presence, thereby satisfying the basic need for attention and love from people. In any child from birth, you need to evoke positive emotions so that every day gives the baby new impressions and discoveries. Passing through the birth canal, it comes into contact with the walls of the uterus, and these are the first tactile sensations. Caesarean babies do not have this, so in the first days, massage, stroke the baby, simulating the birth process.

If the doctor recommends that you have a caesarean section, do not think that your baby will appear with special features of psychophysical development, because the fate and health of the newborn will completely depend on your behavior in the early days.

A caesarean section is an operation in which the baby is removed from the mother's abdomen through a surgical incision in the uterus.

Artificial childbirth is the second name for caesarean section. Such births can be planned, or they can be emergency. Most often, a caesarean section is prescribed under special circumstances that can threaten both the life of the mother and the life of the child.

In some cases, a caesarean section is the only option. childbirth with a successful outcome. It happens that women themselves ask for such an operation so as not to endure long, painful contractions, and then attempts.

Advantages of a caesarean section

Caesarean section, due to its specificity, is shrouded in myths and conjectures. Today the editors of "So Simple!" will scatter five of them so that you can look forward to the birth of your beautiful babies and tell your friends about them.

1. Hyperactivity
   It is believed that a cesarean can cause unbridled activity in a growing baby. Hyperactivity is the scourge of our age. True, the reason for it is far from always caesarean, and with a good, wise upbringing, these problems can be avoided.

   

2. Problems with mental development
   Caesarean children immediately after birth are registered with a pediatrician and a neurologist. But don't worry! This is a standard procedure that is carried out solely as a precaution. If the baby is still found to have a developmental delay, the cause is usually called several factors at once, and not just a caesarean section.

   

3. Physical underdevelopment
   A caesarean section does not necessarily necessitate special developmental programs. In this case, certain kinds of problems can lead to: the ingress of amniotic fluid into the respiratory system, a late first breath, complications during anesthesia.

   

   The risk of complications increases during an emergency cesarean, when the mother's body was not prepared for the procedure. But even in this case, the risk only increases and certainly does not become one hundred percent!

   

4. Frequent crying
   The enormous stress provoked by childbirth activates various hormones and strengthens the nervous system of the baby. Caesareans, who have not gone through this vital process, experience a certain depression of neuro-physiological processes. Various problems with the nervous system is a possible risk factor. But not mandatory!

   

5. Milk shortage
   The state of the brain in cesareans normalizes on the ninth day after birth. Babies born naturally return to normal on the first day of life. Sometimes the process of lactation is really disrupted under the influence of antibiotics, and it is mother's milk that guarantees the correct, harmonious development of the baby.

   

To prevent this problem, it is necessary to pay special attention to the qualifications of the doctor who will perform the operation, and not to succumb to an alarming state. Most often, milk begins to stand out later precisely because of stress!



Risks are possible with any operation. It is always worth thinking through them in advance, preparing well for them and knowing that two things guarantee a successful outcome: proper care for the baby and a good, qualified doctor. May your children be healthy!

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