1. Natural delivery: the fetus develops normally, the pregnant woman's pelvis develops normally, the pregnant woman is healthy, and the fetus is pushed out of the body by the strong rhythmic contraction of the uterus. This is a natural vaginal delivery. Natural vaginal delivery is the most ideal way of delivery, because it is a normal physiological phenomenon, which does little harm to the mother and fetus, and the parturient can recover soon after delivery.
2. Caesarean section: If the pelvis is narrow, the placenta is abnormal, the birth canal is abnormal or the water is broken too early, and the fetus is abnormal, pregnant women who need to end the delivery as soon as possible should take caesarean section to ensure the safety of mother and baby. Caesarean section does great harm to mother. Surgery itself is a kind of trauma. Postpartum recovery is much slower than vaginal delivery, and there will be surgical sequelae.
3. Painless delivery: The so-called painless delivery is actually called labor analgesia in medicine. Is to use various methods to alleviate or even eliminate the pain during childbirth. It refers to the method to relieve the pain of childbirth. For you who are about to become a mother, it means that you can have a happy and meaningful childbirth process.
4. Delivery in water: The newborn is completely immersed in water during delivery. In this process, the newborn's head must be completely immersed in the water until the whole body is put into the water, and then the newborn should be lifted out of the water immediately. The parturient gives birth naturally in the delivery pool filled with warm water. Because the water temperature and biological indicators in the delivery pool are similar to the amniotic fluid environment in the mother's uterus, the fetus adapts well after leaving the mother, and the parturient also relieves the pain of delivery under the buoyancy of water. In maternal amniotic fluid, newborns provide respiratory nutrition through placenta and umbilical cord. At the moment of delivery in water, the environment of the delivery pool is similar to that of amniotic fluid, and the newborn's lungs have not been opened yet, so it will not suffocate at all.
What's the best delivery method?
1. Doctors help pregnant women choose delivery methods.
Before choosing the mode of delivery, the hospital will conduct a detailed general examination and maternal examination to check whether the fetal position is normal, estimate the size of the fetus at delivery and measure whether the pelvic size is normal. If everything is normal, pregnant women can give birth naturally. If there is a problem, a caesarean section will be recommended. Mothers who give birth naturally can decide whether to choose painless delivery according to their own needs.
2. Choose a more humane delivery method.
At present, the international trend of perinatal technology is to return to the essence of "humanized delivery", such as enhancing the initiative of maternal and family services during delivery, making the operation of delivery more scientific, the labor process smoother, the maternal more relaxed and the mother and baby healthier.
3. Pregnant women have the right to choose the mode of delivery
If an ordinary pregnant woman asks for caesarean section, as a doctor, she should communicate with the pregnant woman first, because caesarean section is an operation after all, which has certain harm to the mother. If there is no indication of caesarean section, such injury is not worth it. If doctors really can't dissuade them, they will meet the requirements of pregnant women. Because there is a provision in the maternal and child health care law that pregnant women have the right to choose the mode of delivery.
4. Reduce intervention and return to nature.
Obstetricians and gynecologists in China made suggestions on the increasing caesarean section rate in China. As a kind of operation, caesarean section not only has the risk of surgical complications, but also has a certain impact on newborns. Never ask for surgery because you are afraid of pain or choose an auspicious day. The slogan of "loving mother" advocated by the World Health Organization is "less intervention, return to nature", which clearly stipulates that unless there are medical indications, no drugs should be used to relieve pain and operate on pregnant women. The so-called painless delivery by caesarean section and injection of drugs is only a selective remedial operation for pregnant women with pregnancy-induced hypertension, heart disease, hyperthyroidism, pelvic stenosis, abnormal fetal position and severe labor pain.
Comparison of advantages and disadvantages of four delivery methods
First, natural childbirth
Natural delivery refers to the delivery mode of the fetus through the vagina under the premise of safety and security, usually without manual intervention. When pregnant women decide to give birth naturally, they should first know when to give birth and the whole process of delivery.
superiority
1. Rapid recovery after delivery. You can get out of bed and walk around on the day of production. Generally, you can leave the hospital in 3-5 days, which costs less.
2. You can eat it immediately after delivery and lactation.
3. There will only be pudendal wounds with few complications.
4. For babies, the lung function from birth canal is exercised, the skin nerve endings are stimulated and massaged, their nervous and sensory systems are well developed, and so is the function of municipal management.
Disadvantages: prenatal pain; Sudden circumstances during vaginal delivery; Vaginal relaxation; Sequelae of pelvic uterine and bladder prolapse
Two. Caesarean birth
Caesarean section is to cut the abdominal wall and uterus and take out the fetus. If the case is properly selected and the operation is timely, it can not only save the mother's life, but also maintain the normal production performance and the ability to continue reproduction of mother and daughter. Otherwise, it will not only fail to achieve the expected results, but also cause long-term adverse effects, so it must be carefully considered before surgery. Caesarean section is an important surgical midwifery method.
superiority
1. For some reason, it is absolutely impossible to give birth from the vagina. Caesarean section can save the lives of mother and baby. Caesarean section is needed in the following cases: when vaginal delivery is impossible, or when vaginal delivery may be dangerous to the mother or fetus, caesarean section is needed.
The indications of cesarean section were clear, and anesthesia and operation were generally smooth.
2. If elective caesarean section is performed, the operation will be performed before the onset of uterine contraction, which can avoid maternal pain.
If there are other diseases in abdominal cavity, they can also be treated together, such as ovarian tumor or subserous myoma, which can be removed at the same time. For the existing conditions that are not suitable for preserving uterus, such as severe infection, incomplete uterine rupture, multiple uterine fibroids, etc. The uterus can also be removed at the same time.
Disadvantages: more bleeding; More complications; Postpartum recovery is slow; Long hospitalization time; Then postpartum pregnancy is easy to cause uterine rupture.
Third, painless delivery.
Painless delivery, medically known as labor analgesia, is to use various methods to alleviate or even eliminate the pain during childbirth.
One method is to give priority to drugs and use anesthetics or analgesics to achieve analgesic effect. There are many methods of drug analgesia in labor, including systemic administration, local anesthesia, inhalation anesthesia and so on.
Another method is non-drug, that is, through prenatal training, breathing is guided during uterine contraction to relieve labor pain. Massage the painful part or use acupuncture in traditional Chinese medicine during childbirth can also relieve the pain during childbirth to varying degrees, which is also a non-drug labor analgesia.
superiority
1. Relieve the fear of maternal pain;
2, quick effect and reliable action;
3. Relieve the adverse physiological reaction caused by labor pain.
Disadvantages: high technical content, requiring professional anesthesiologists to operate;
Four. Delivery in water
Delivery in water, as the name implies, is delivery in water. It is defined as: when a newborn is born, it is completely immersed in water. In this process, the newborn's head must be completely immersed in the water until the whole body is put into the water, and then the newborn should be lifted out of the water immediately.
superiority
1. Minimize the suffering of expectant mothers.
2. Sending water can shorten the labor process.
3. Sending water can lower maternal blood pressure.
4. The mobility of water body enables the parturient to choose the most comfortable position for delivery.
Giving birth in water makes nervous women more relaxed.
6. Give active support and protection space to the parturient, so as to preserve the physical strength of the parturient.
7. It can reduce the use of drugs and other interventional treatments.
8. Sending water can reduce vulvar trauma and avoid vulvar incision.
Disadvantaged
1. Easily infected.
2. It is expensive.
It is difficult to monitor the fetal heartbeat.
4. There are technical risks; Improper selection of drug dosage and concentration will have adverse effects on labor and mother and baby.