On social factors of cesarean section.

There are many factors of cesarean section: children's, adults' and social factors. The first two types are mostly children or adults who have indications to terminate pregnancy and must have cesarean section.

Let's talk about this social factor of cesarean section first. Social factors cesarean section refers to the artificial request for cesarean section to terminate pregnancy without surgical indications. .

The social factors I know are:

First of all, let's talk about the first reason that accounts for the majority: having a baby is afraid of pain.

As we all know, severe contractions are unbearable during childbirth, so some people compare it to the pain intensity of several broken ribs. But does cesarean section really stop hurting?

Cesarean section requires anesthesia. Generally, combined spinal anesthesia and epidural anesthesia are used according to the situation, and spinal anesthesia also hurts.

Although it is not necessarily 8 layers from the skin to the uterus, it is necessary to cut many layers of the abdominal wall to see the uterus and cut the uterus to take out the child. Stitching requires many layers. Although the perfect anesthesia makes the parturient feel no pain, there are other feelings, such as the feeling of pulling during the operation; Uterine contraction will still be very uncomfortable; Some people even throw up.

The uterus is getting bigger because of the need to give space to the child, but the child needs to return to its normal size after coming out. This requires the uterus to contract itself. If the uterine contraction is severe, it will also cause postpartum hemorrhage, so you need the help of a doctor (massage or oxytocin) to promote uterine contraction.

Anesthesia can't completely relieve this kind of effective uterine contraction pain, plus the pain and inconvenience of the wound after caesarean section, which is incomparable for a woman who gives birth naturally in a few hours! Some mothers talk about these problems after leaving the hospital, but they still have a lingering fear!

Secondly, forget it yourself, all relatives, such as three aunts, six grandmothers and eight aunts, will tell the fortune of the baby in the pregnant woman's belly, which day, which morning, which night, or even which time! It is said that this can change the fate of children and make their lives better.

0 1 the origin of fortune telling

Fortune-telling is a traditional method in China to predict the law of life movement. Arrange the year, month, day and hour of employees' birth into eight characters (called "eight characters") according to heavenly stems and earthly branches, and then calculate people's fate by using the five elements of cadres and branches to judge people's good or bad luck.

Let me start with a phenomenon. In ancient times, people gave birth naturally, and there were few caesarean sections. So the ancients summed up the date of birth of people under the laws of nature. Now the timing of cesarean section has violated the laws of nature, even if we follow the ancient algorithm, what's the point?

Every baby's growth and development in the mother's belly is different. Blind pursuit of regular cesarean section sometimes hinders the normal growth and development of children and lays hidden dangers for a series of problems after their birth.

Finally, discuss the hot issue-labor analgesia.

The most extreme example of labor pains is that mother finally jumped off the building. The so-called "painless delivery", medically known as "labor analgesia", is to use various methods to alleviate or even eliminate pain during childbirth. Labor analgesia can make expectant mothers no longer suffer, reduce their fear of childbirth and postpartum fatigue, and let them have a rest in the longest first stage of labor. When the cervix is opened, they have enough strength to complete the delivery because of the accumulation of physical strength.

In fact, the methods of labor analgesia can be divided into non-drug analgesia and drug analgesia.

0 1 non-drug analgesic methods

Comfortable environment

Simple and rhythmic breathing

Family friendship

Proper exercise and posture change.

Spiritual comfort method

water birth

Drug-induced analgesia

Drug-induced analgesia includes intramuscular injection of analgesic drugs and intraspinal labor analgesia.

meperidine

The mechanism of action of this drug is similar to that of morphine. Injection of Demerol will make the parturient feel "light" during delivery and unable to completely control her body. For pregnant women with uncoordinated contractions or long labor process, pain and fatigue, if the labor process is long, this medicine has the functions of coordinating contractions, sedation and analgesia. In addition, Demerol will enter the fetus through the placenta, making the fetus sleepy. Therefore, the timing of dolantin administration should be well grasped, and it is expected that the parturient should use it with caution in a short time.

Intraspinal labor analgesia

Intraspinal labor analgesia is the most effective method of all labor analgesia methods so far, which is implemented by experienced anesthesiologists. After successful lumbar puncture, the anesthesiologist injected a small amount of local anesthetics or opioids into the subarachnoid space, and placed a thin catheter in the epidural space. One end of the catheter is connected with an electronic analgesia pump, so the parturient can control the medication according to the degree of pain (the anesthesiologist has set an hour limit, so there is no need to worry about overdose). Analgesic pump can be used continuously until the end of labor. During the whole process, the anesthetic concentration is low, which is equivalent to1/5 ~110 during cesarean section anesthesia. Strong controllability and high safety, hardly affecting the activities of lying-in women. The parturient is conscious and can actively cooperate and participate in the whole delivery process.

This painless delivery method is the most widely used and the most ideal effect in major hospitals at present. When giving parturient labor analgesia anesthesia, we should consider the principle of not affecting the labor process and fetal safety, strictly give analgesic drugs, not affecting the regular contraction of uterus, blocking the transmission of pain nerves during labor, avoiding or alleviating labor pain, and minimizing labor pain.

At present, most hospitals advocate natural childbirth on the premise that adults and children are safe, and are also reducing the influence of various social factors on mothers and children. Let the process of giving birth to a child return to nature as much as possible, let pregnant women enjoy the benefits brought by the development of medical technology as much as possible, and make giving birth a beautiful thing, which is our common goal.