planned cesarean section

In case of schedule cesarean section, it can decide operation day in about pregnancy 38 week

The fact that, from while becoming pregnant that the sutra vagina childbirth is difficult, it is thought even with cesarean section, decides operation day beforehand and executes is schedule cesarean section (below, the schedule emperor does) ardently.It is operation day, but when it is close to childbirth due date, pain coming, when the frequency which becomes urgent cesarean section becoming high, in addition it is too quick because risk of breath obstacle of the baby increases, about usually, 2 weeks it is quick from due date, operation schedule is united to pregnancy 38 week.

In the reason of baby side the schedule emperor the adaptation which becomes ardently?

Calling fetus adaptation, it explains concerning a main state where the schedule emperor ardently it can become in the reason of baby side.

1. Abnormality of uterine rank
   Uterine rank calls the position of the baby inside the uterus, the child head calls the head rank which advancement has been done normal uterine rank, Pelvis rank (basket), transversal (head and the foot to be a side stomach, the back and the hand) calls uterine rank abnormality.
   As for Pelvis rank, with 3 – 4% of all childbirth, in the past if condition avoided, the sutra vagina childbirth was done, but after in 2000, “as for Pelvis rank, cesarean section from the sutra vagina childbirth the result of investigation of u safe” 26 countries being announced by the English medical journal Lancet, it is designed in such a way that cesarean section is selected worldwide.
   if the transverse position, you may also return to the head position by labor, pregnancy37will be a planned cesarean may come to hand such as in the transverse position advanced past the week.
2. huge child
   depending on the facility also, estimation of fetal weight by ultrasound4000gnothing herein should be construed as caesarean section exceeds the.
3. intrauterine growth retardation (dysfunction fetus)
   conversely a small baby, if you suspect that a decrease in placental function as a cause.

it is very likely that the baby’s condition worsened by labor, caesarean section is selected.

>> adaptation and become the reason for the planned cesarean mother?

adaptation and become the reason for the planned cesarean mother?

said adaptation and maternal, describes the state plan can be a cesarean section because of the mother. ( bold type he case of adaptation and the absolute, caesarean section and always will be)

1. previous cesarean section
   formerly, even the previous cesarean section, or breech, dysfunction fetus (that the state of the baby is not good) such as, caesarean section and the size of the pelvis of the mother became a problem, and narrow pelvis imbalance unless cephalopelvic, in the next birthVBAC (buibakku: vaginal delivery after cesarean section) was also common to attempt to.

   but, VBACin about uterine rupture1%from what happens (risk of uterine rupture of natural childbirth0.007~0.02%) , in recent years will not take this risk, in the previous cesarean section in most hospitalsVBACwithout attempting to, has to repeat cesarean section planned. but, after caesarean sectionVBAChave a vaginal delivery, maternal de-, you will often be selected vaginal delivery.

2. placenta previa · low-lying placenta
   and placenta previa is, placenta is attached to the bottom of the uterus, side outlet of the birth canal uterus (internal os of the cervix) or not blocking the, this is called a state in which the cervix is part of the placenta depends on. in placenta previa by labor, multiply the cervix opens, result in massive bleeding because the blood vessels between the uterus and placenta of the collapse, will be scheduled caesarean delivery.
   edge of the placenta because they are (marginal) in placenta previa is, by pressure on the placenta to the baby’s head during delivery, because bleeding can do extra vaginal delivery in, trial of labor is once said, had been bleeding and emergency cesarean section only if there are actually waiting for the labor. however, now regardless of whether the mouth of the uterus depends on the extent to which the placenta, will be scheduled cesarean section if all placenta previa.

   further, even if they are not suffering from the placenta to the mouth of the uterus, even that is not in placenta previa, distance of the edge of the placenta and miyaguchi uchiko2cmeven under low-lying placenta, because you can expect more bleeding at the time of delivery, in many facilities will be a scheduled cesarean section without taking the risk that.

   mid-pregnancy, even in the vicinity of the placenta miyaguchi uchiko, placental location and uterine fundus is progressing gestational age yuku (up) since moving to the slide into, to confirm the diagnosis of low-lying placenta, placenta previa is ultimately pregnancy34it is about time a week. prone, so bleeding due to uterine contraction in late pregnancy, of a little early than usual37many facilities will determine the day of surgery in the week. if you are bleeding before emergency cesarean section that will be still.

3. imbalance cephalopelvic (CPD) narrow pelvis
   recently, women is less narrow pelvis, imbalance cephalopelvic (CPD) caesarean section is the year of adaptation ishas been increasing. that the fetal head is large compared with the pelvic cavity, it is not simple to adapt this, fetal head is superimposed bone at the time of delivery (this is called intussusception bone) is coming from the shape of the pelvis is adapted to its shape.

   also come through the pelvis also thought this and i guess it’s difficult, it is also vice-versa. it is so with a pelvic examination and ultrasound in diagnosis and pelvic x-ray pre-, but does not go quite.

   although the original diagnosis of the case will be the fetal head does not come on the decline came even sufficient labor, recently it has been many cases with a diagnosis and cesarean section before labor.

4. multiple pregnancy
   also multiple pregnancy, if once in the head position when the twins developed, it was trying to vaginal delivery, many maternity hospital is currently, multiple pregnancy and cesarean section has become all.
5. infection (vulvar herpes infection,such as aids)
   just before parturition, come out and vulvar herpes, may be infected with the baby, left behind or neurological sequelae and if so, becomes a caesarean section because of the high possibility of death or.

   will be scheduled caesarean delivery because it is said to lower rates of aids infection from mothers to infants is also more cesarean section. recently, that maternalCtend to give birth by caesarean section of pregnant women with hepatitis carrier.

6. history of uterine surgery (myoma enucleation)
   surgery of uterine fibroids in the uterus (body) if there is a female has entered the history is, because of the high risk of uterine rupture, caesarean section will be. but, say in pedunculated fibroid, the growth of fibroids in the kelp as, without a female in the womb, in the fibroid was removed by simply binding the stems, caesarean section only needs to be but it is not.
7. complications (diabetes, heart disease, etc.)
   if you can not control diabetes, if you believe there is a large burden of disease of the heart when labor will be the cesarean section.
8. elderly primipara
   40there is also a caesarean section if you are over the age of pregnant women after the beginning of the year, there is also individual differences, the idea is also different facilities and by physicians.

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