Scheduled caesarean delivery: the risks and benefits

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Catherine Le Nevez
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Scheduled caesarean delivery

In 2022, 32,8% of births in the country took place by caesarean section. A significant decrease compared to previous years but which still remains high compared to the maximum percentage set by the World Health Organization and which exceeds the European Union average by several percentage points. Yet, in some cases, it is necessary to perform a caesarean section to avoid complications for the mother and the newborn. Enrico Ferrazzi, director of the Obstetric Clinic in our city, former Director of the Woman, Mother and Newborn Department at the Buzzi Hospital in our city, answered all our questions about scheduled cesarean delivery.





In this article

  • When is it advisable to have a caesarean section?
  • What are the advantages of this choice?
  • What are, however, the disadvantages of the caesarean section for the baby?
  • What are the complications that can arise?
  • VIDEO: Caesarean birth explained by the gynecologist

1) When is it advisable to have a caesarean section?

The cases are very few:



  • if the baby is breech, and therefore has not turned over;
  • if it is a twin pregnancy with breech babies;
  • if there have been any previous caesarean deliveries.

All other conditions must be discussed with your gynecologist to make common decisions based on two main variables: the woman's desire for how she wants to give birth and the safety that the delivery room can provide.

Read also: Caesarean section: how it happens and what risks it entails

2) What are the advantages of this choice?

In reality, there are no particular advantages. Or rather, if it is a caesarean section performed during labor, when there are risks for the baby, obviously it is necessary to do so. Otherwise, the caesarean only creates problems: the best way to give birth for the mother and to be born for the baby, in fact, is by natural means.



And then, the problem is not so much the caesarean section itself, but rather the cuts following the first one, which can then create even important problems.

3) What are, however, the disadvantages of the caesarean section for the baby?

More than disadvantages, the baby does not enjoy the same advantages as a naturally born baby. Those who come into the world with a traditional birth have a longer adaptation time from life inside the womb to life outside. A few more hours has a positive effect on the functioning of the respiratory, cardiac and neurological systems.

Furthermore, during labor the mother develops particular hormones, which are the same ones that the baby develops and this brings them closer together.

Once we come into the world, we put the little ones without clothes in contact with the mother's belly for a few minutes, in order to create a bond that is not only psychological, but also physical between them. Thus, the baby acquires the first healthy bacteria from the mother and this will protect him from allergies, dermatitis and childhood diseases.

52 PHOTOS

Caesarean delivery: 52 photos from the operating room to understand how it happens

go to the gallery

It may seem mechanical, not natural. The solution that is used when the baby and the mother are in difficulty. But it is life. It is the coming into the world of a new ...

4) What are the complications that can arise?

The risk is not so much related to the single caesarean section, which is a fairly simple procedure today, but to subsequent pregnancies.

There may be cases, even if rare, in which the placenta is inserted badly or causes damage to the walls of the uterus. There are situations in which the placenta develops less or in which going to have another caesarean section can lead to major surgical difficulties.

The recommendation is to avoid giving birth in small delivery rooms where, if a caesarean section is required, it takes a long time to intervene. This is because, sometimes, a caesarean section has to be done quickly. And if it is possible to do it quickly, then it means that it is also possible to follow a labor even when there is a small risk and wait before surgery, because you are sure that if something happens in a few minutes the patient can be assisted.

Also watch the video on the risks and benefits of scheduled cesarean delivery

VIDEO: Caesarean birth explained by the gynecologist

In this video, Dr., Surgeon, specialist in gynecology and obstetrics, talks about the planned and urgent caesarean section. What are the risks for the mother and the baby, how it develops and what the newborn feels when born with a caesarean section.

TAG:
  • Caesarean section
  • Caesarean section
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