Monthly Archives: Tháng Mười 2018

When Birth Is Usually Converted To Caesarean Section

In some cases, obstetricians must help pregnant women often switch to caesarean section to minimize the risk rate and ensure the health of mother and baby during the process of labor.

1. Normal birth

1.1. Only to give birth when:

  • The mother's health is good, capable of being able to successfully survive.
  • The mother does not suffer from obstructive factors such as uterine fibroids, tumors ...
  • Mother does not suffer from urinary tract infections such as gonorrhea, syphilis, warts, etc.
  • The health of the fetus is good, not suffering from umbilical cord, not with the neck bandage, and no fetal distress.

Note the cases of previous caesarean birth, which is usually allowed only when examined by a specialist and is healthy enough to be able to give birth normally.

1.2. Advantages and disadvantages of normal birth

Advantages of normal birth:

  • Normal birth, the mother's body recovers faster than caesarean delivery.
  • After giving birth, the mother can walk normally, take care of her baby and breastfeed her baby right after the first 2 hours.
  • Minimize the side effects of anesthesia and assistive devices in caesarean section.
  • Research has shown that in the birth canal of the mother there are bacteria that are beneficial for the young body and when the child is out by the vaginal process, the child will receive these beneficial bacteria, and do the same Enhance your child's immune system.
  • The structure of the woman's vagina is narrow, so during the process of childbirth, the contractions of the vaginal uterus will also affect the chest of the child as a move to promote the expansion of the lung follicles. Outbreak your lungs and facilitate your child's automatic respiration immediately after birth.

Besides the above advantages, birth often has some noticeable disadvantages:

  • Maternal births will lose a lot more energy, even if they are exhausted after birth.
  • Risk of episiotomy incision.
  • The labor process can occur suddenly at any time without prior preparation.
  • Birth is often the risk of children being choked higher than caesarean section. And during the normal delivery process, if an event occurs, the treatment will be more difficult than the caesarean section.

2. Caesarean section

2.1. Specify caesarean section:

  • Weak mother's health
  • Pregnant women have abnormal pelvic frames.
  • The position of the fetus is not conducive to normal birth such as reverse thrombosis, horizontal pregnancy, buttocks ...
  • The mother suffers from diseases of the genital urinary tract such as gonorrhea, syphilis, warts, or uterine fibroids, tumors that interfere with the way of the child.
  • Labor was performed, but the uterus did not contract or force and the frequency of contractions was too weak, making sure that the birth was usually favorable.
  • There has been a history of previous caesarean section and currently the old incision has not fully recovered or is at risk of pre-eclampsia.
  • Pregnancy is too big (Usually indicated when surgery is heavier than 4kg).
  • Cases of pregnancy failure, premature birth or multiple pregnancies.

2.2. Common complications after caesarean section

Accident in caesarean section:

  • Bleeding due to touching the uterine artery or uterine atony.
  • May cause damage to the uterus and nearby organs such as the bladder, urethra ...
  • Uterine atony.

Complications after caesarean section:

  • Fever may appear within 24-48 hours after caesarean section. If fever is more than 48 hours, tell your doctor and health professional to find out the cause and handle it promptly.
  • The phenomenon of milk erection is a common phenomenon after caesarean section occurs on the 4th day after birth causing chest pain or even fever and lymphadenopathy if prolonged.
  • There may be an infection or hematoma in the incision.
  • Scars can form at an aesthetic wound, and will make it difficult for later births.
  • The closing of the uterus, also known as intrauterine fluid in the uterus due to caesarean birth, reduces the ability of the uterus to contract, thereby reducing the process of draining the fluid inside the uterus, leaving it stagnant for a long time, causing inflammation. infection.
  • May cause infection to surrounding parts
  • Note and closely monitor the complications of anesthesia left after surgery.

3. What are the cases of caesarean delivery?

Birth is often a form of encouragement given by doctors because there are many health benefits for both mother and baby. However, not all pregnancies can be born normally. If there is a problem of vaginal delivery during the vaginal delivery period, the doctors are forced to appoint birth delivery to ensure the safety of life and health for mother and baby. The cases of birth usually turn to caesarean birth including:

From the mother's side:

  • Where the mother is healthy enough to have a normal birth, she is depleted. This will reduce the activity of the fetus in the process of going out, and will reduce the ability of the uterus to contract. Immediate caesarean delivery is needed to ensure baby safety.
  • Women are exhausted because of the long process of labor.
  • During labor, suddenly stop the uterine contractions, the pain of labor terminates. If this condition is prolonged, it will cause choking for the child, so it is necessary to deliver the caesarean section right away.
  • There are signs of obstetrical complications such as pre-eclampsia, hypertensive pregnancy, uterine rupture ...

From the fetus side:

  • He suffocated due to the umbilical cord wrapped around his neck. There are cases where the fetus has an umbilical cord wrapped around the neck for 1-2 cycles, but during labor, due to the movement of the baby, the umbilical cord may tighten in the neck, increasing the risk of suffocation. due to lack of oxygen. Need to appoint surgery promptly to keep the child safe.
  • Pregnancy during labor is a condition in which the fetus does not receive enough oxygen during labor, which can lead to pregnancy loss or postpartum neurological complications such as developmental delay, epilepsy ... If signs are found The effect of fetal distress during labor should indicate immediate caesarean section to ensure both mother and child life and minimize future complications.
  • Head or pregnancy is too big: during vaginal delivery, episiotomy is an important factor in getting children out. However, this expansion is only limited, for fetuses weighing more than 4kg or fetal head is too big, the birth will often be extremely difficult, causing perineal tear, affecting health of the mother and if prolonged labor can cause choking. So caesarean delivery is the best option.


Ovarian Cyst-Symptoms, Complications, And Treatment

Ovarian cysts are the majority of benign tumors, only a small percentage of cancer complications and other complications endanger life and affect the ability to perform maternity. Therefore, when detected ovarian cysts should be diagnosed and treated promptly.

1. What is ovarian cyst?

Ovarian cysts are ovary -forming cysts, with outer shells, containing fluid, formed during ovulation.

Ovarian cysts can occur in women of all ages, but highest in the reproductive age. About 8% of premenopausal women develop large cysts that need treatment.

Ovarian cysts are less common in women during and after menopause with a higher rate of progression to ovarian cancer than in other periods.

Most ovarian cysts are harmless, without specific symptoms. Therefore, most people do not know they have cysts - unless the cyst grows large or has many cysts. However, ovarian cysts are often prone to complications, in some special cases (such as rupture), which can cause severe symptoms. Therefore, women need to have regular health checks to promptly detect and treat the disease.

2. Complications occur when ovarian cysts are not treated promptly

Helix: Usually occurs with tumors of small size, long stalks, non-stick. This complication can also occur during pregnancy (especially during the first months of pregnancy), or after delivery. The patient manifested by sudden, intense abdominal pain, sweating, shock, vomiting. In this case, the patient should be taken to the emergency surgery hospital promptly. The doctor will perform a twist, if the pink ovary is removed, the ovary will be preserved.

Breakage of the follicles: Deficit of the follicles is a rare complication, usually in the case of water cysts due to thin skin, which will cause severe pain and bleeding. In the case of cysts not detected early, it may develop large and ruptured or ruptured after a severe abdominal injury. A broken cyst not only causes severe pain, it can also cause life-threatening complications such as rupture of hemorrhagic ovarian cysts and infection.

Patients often show severe pain around the abdomen, nausea, or vomiting, more pain when touching the breast.

Cystic infections : Bacterial infections occur when cysts are present. Expressed by enlarging, sticking to the surrounding organs. Patients with clinical manifestations like endometritis .

Inserting small frame: Complications often appear late, when the tumor is large, capable of pressing on the rectum, bladder. U bladder compression, causing urination, rectal compression, causing constipation. The cyst is enlarged, progresses over many years to fill the abdomen, sometimes compresses the ureter, causing stagnation of the renal pelvis, compression of the lower vena cava causing edema, collateral circulation, ascites.

Bleeding in the capsule: This is the most common complication. Bleeding occurs when a blood vessel in the follicle breaks or is twisted. Blood from the blood vessels overflows into the follicles and causes follicles to start to grow. Ovarian cyst is a thin, inner-walled bag filled with fluid that easily causes bleeding.

Not all cases of bleeding occur with surgery. In some cases, cysts will develop over a period of time, then begin to shrink and eventually disappear on their own. However, monitoring of ovarian cysts is essential to ensure that it is self-limiting and does not endanger the ovaries.

Other complications: Infertility, premature birth, miscarriage, difficult birth and risk of becoming cancer.

3. Complications during pregnancy

Ovarian cysts also often occur during pregnancy, most cases are benign. Ovarian cysts continue to grow that can break, or twist and cause problems during birth.

Common cystic form is the corpus luteum or cystic cyst, rarely seen malignant cyst. During the time when the fetus is more than 13 weeks old, the placenta produces enough hormones to nourish the fetus, if it is the corpus luteum, it is usually reduced in size or no longer develops, may not need surgery and pathological examination. physical. In the case of tumors growing in the middle of pregnancy, surgery should be performed immediately, unless only detected in late pregnancy.

An appropriate action, follow-up and treatment plan should be taken to protect your health and your baby.

4. How to detect ovarian cysts?

The diagnosis and testing of ovarian cysts helps diagnose diseases including:

  • Ultrasound to detect ovarian cysts: Using transducers placed inside the vagina, ultrasound shows images and characteristics of ovarian cysts in shape, size, position, volume (containing liquid , solid or mixed).
  • Pregnancy test to see if the patient is pregnant
  • Testing of hormone levels
  • Blood test: For menopausal women, the doctor will do additional tests to measure 125 anticancer antigen (CA-125). If ovarian cancer is present, CA-125 levels are higher than normal. However, in many cases of premenopausal women with some other cancers (endometriosis, cystic fibrosis, pelvic infection, etc.) may also increase CA levels. -125.

5. Preventing progression of ovarian cysts

  • Eat lots of green vegetables and fruits and cereals. Supplement food sources rich in Vitamin A and Vitamin C.
  • Drink enough from 1.5 liters - 2 liters of water / day.
  • Arrange reasonable rest periods in combination with gentle exercise, abdominal and uterine massage sessions.
  • Practice regular gynecological examinations to determine the extent of disease progression and take timely treatment measures.
  • Limit eating fast food and especially fried snacks over grease as many times as fried spring rolls, sausages, ...
  • Limit the use of alcoholic beverages such as beer, wine, coffee and especially need to avoid smoking completely.
  • Minimize stress in daily work.

When there are signs of ovarian cysts, you should go to reputable medical facilities to be examined and treated by obstetrician and gynecologist, avoiding complications of ovarian cyst affecting birth health. product.