NORMAL BIRTH OR CESAREAN?

Although it is one of the most common operations in the world, cesarean is still considered one of the risky surgeries. However, in any situation that would endanger the life of the mother or baby, delivery should be carried out by caesarean section. The rates of cesarean surgeries increase rapidly and the indications are expanding day by day. In some cases, a really normal vaginal delivery cannot be possible, and in these cases cesarean should be performed. However, it is now widely accepted in the world that the healthiest and natural for mother and baby health is normal birth. For this reason, it is recommended not to make cesarean unless it is mandatory and to increase the normal birth rates more in the countries. 
So, in what situations do we often perform cesarean?
- We may have had a cesarean section before,
- disto of
- breech deliveries,
- When the placenta completely closes the birth canal,
- very large (> 4500 gr.) or very small babies,
- previous uterine surgeries (such as myomectomy),
- Baby heartbeat deterioration,
- non-progressive action,
- sagging,
- premature separation of the placenta,
- active HSV, HPV, HIV infections,
- Conditions with pronounced impairment in the bone structure of the birth canal
- the masses covering the birth canal
So can optional cesarean delivery be done?
In fact, this question has many ethical, social and legal contradictions. Is the patient sufficiently equipped to make a cesarean self-decision? If a patient has a caesarean section after he / she has voluntarily cesarean, is not the doctor responsible for this? Of course, there is also a financial burden on the operation. However, both forms of birth have their own risks.
In fact, for the baby and mother who are about to open their eyes to the world, the doctor and the family must decide together, while considering the advantages and disadvantages of cesarean or normal birth while determining the type of delivery.


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