ing pregnancy, one of the concerns of women is the way the child will come to the world. Experts are unanimous in stating that there is no ideal type of childbirth, although the normal one is the right one, because it offers a safer environment for both mother and baby.
In order for the decision to be adequate, the pregnant woman must follow the baby’s development through prenatal care, giving the obstetrician the necessary conditions to evaluate the health of the fetus and indicate the best option. Know below the advantages and disadvantages of each type of delivery.
Disadvantages : even if gestation has been healthy, one does not have complete control of the delivery, because one has to wait for the body to react. If the surgical cut is necessary to facilitate the passage, care must be taken during healing.
How it is done : a surgical procedure performed by means of an incision in the abdomen and the lower part of the uterus to remove the baby with the aid of anesthesia. Soon after birth, the baby is evaluated by a pediatrician and the mother is taken to a recovery room after the stitches.
Indication : only when there is an impediment to normal delivery or the woman presents with risk of hemorrhage, placental abruption, spinal or hip problems, heart disease, gestational diabetes or hypertension. “Sometimes even inducing normal delivery, if there is no dilatation, there may be risks to the mother and the baby, and a cesarean is necessary,” says the gynecologist.
Benefits : Alternative method in cases where the risks of normal birth are greater than the benefits, and also an option for those facing a complicated pregnancy.
Disadvantages : risks of infection, hemorrhage, anesthetic complications or even surgery accidents. “Healing can be problematic, because it creates a signal in the uterus, which is a fragile region and recovery requires care,” says Jurandir.
Natural Variations : In this birth, the pain is diminished by means of hot baths, massages, walks and ball exercises. In addition, there are no interventions to artificially break the pouch and no incision is made. However, follow-up is necessary so that the doctor has an overview of the child’s progress, whether it is appropriate or not, enabling any emergency procedure.
Leboyer : procedure in which the lights go out and, as soon as the baby is born, is placed on the mother’s belly, without the immediate cut of the umbilical cord. “This birth is nothing more than taking the baby out of the belly and placing it in an environment similar to the uterus, with low light and warm water,” he adds.
In the water : in a sterilized bathtub and with warm water, the mother gives birth. In the first moments, the child still breathes through the umbilical cord, so there is no risk of drowning. In it, women feel less fatigue from labor, but it is contraindicated for pregnant women with pre-eclampsia.
Squatting : with the help of gravity, the tendency is for it to be performed more quickly, but it is only suitable for women who do not have blood pressure problems and if the baby is in the right position to go down.
Household : need medical support and structure, as there are complications that can occur even with a pregnancy considered normal and healthy, such as hypertensive crisis at the time of delivery and bleeding.
With forceps : iron equipment that helps in the descent of the baby. It only serves to aid the passage through the muscular part. “Today it is called a delivery of relief and assists the baby only in the final part, the last obstacle to his passage,” he clarifies.