Average Height And Weight Of 4 Month Old Baby Boy Elective C-Section – Would You Do It?

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Elective C-Section – Would You Do It?

Nws yog qhov tseeb. Raws li fashionable li Kabbalah, tsis muaj tag nrho cov kev kawm. Madonna ua nws. Elizabeth Hurley ua li ntawd. Cesarean seem los ntawm kev xaiv tau dhau los ua ib qho kev nyiam ntawm hom. Ua Yoga thaum 8 teev sawv ntxov Kom koj tus menyuam thaum 10 teev sawv ntxov Nws tsis yog haum rau koj lub sijhawm, tab sis koj cov kws kho mob thiab koj tau txais txiaj ntsig ntxiv ntawm kev zam txhua yam nyob deb xws li mob hnyav.

Sandy, 34, muaj ib qho kev xaiv ntawm Cesarean thiab nquag txhawb lwm tus poj niam ua ib yam.

“Nws zoo siab heev uas thaum kawg hnov ​​lwm tus poj niam thiab cov tswv cuab ntawm lub zej zog obstetric hais qhov kuv tau hais rau rau xyoo tas los,” nws hais. “Kuv muaj ib qho kev xaiv Caesarean nrog kuv thawj cev xeeb tub vim kuv muaj ib tug poj niam zoo OB uas hwm kuv lub siab xav kom tsis txhob muaj qhov chaw mos thiab lub plab hauv plab. .”

Ntau tus cwj pwm ntawm cov kws kho mob thiab cov niam txiv txog txoj kev “txoj cai” kom yug menyuam tsis yog tsuas yog ua rau muaj kev ntxhov siab rau cov niam tshiab uas ntshai tsam lawv thawj zaug kev ua haujlwm thiab kev yug me nyuam, tab sis kev sib cais ntawm feminists. Tau ntau xyoo feminists tau tawm tsam rau txoj cai tswj hwm lawv lub cev ib zaug ntxiv thiab xa cov menyuam yaus ib txwm muaj yam tsis muaj kev cuam tshuam txog kev kho mob uas cov poj niam thoob plaws ntau lub xyoo pua nees nkaum tau raug rau. Tam sim no, ib tiam neeg tshiab ntawm feminists hais tias nws kuj yog lawv txoj cai xaiv xa lawv tus menyuam yam tsis muaj mob. Tab sis yuav ua li cas muaj kev nyab xeeb yog ib qho kev xaiv Caesarean?

Qee cov kev tshawb fawb thiab kws kho mob tau hais tias kev xaiv Caesarean tsuas yog muaj kev nyab xeeb yog tias tsis ntau tshaj li qhov chaw mos thiab qhov tshwm sim ntawm qhov chaw mos ua rau c-section tseem ntxim nyiam.

Dr. Jennifer Berman, tus kws kho mob urologist, tus kws sau ntawv thiab tus cwj pwm hauv TV, tau hais tias nws tau xaiv los ua ntu Caesarean nrog nws tus menyuam thib ob thiab xav kom nws ua li ntawd nrog nws thawj zaug.

“Kuv muaj lub sijhawm nyuaj heev nrog kev yug me nyuam ntawm kuv tus tub, Max thaum Lub Kaum Ob Hlis, 1999. Kuv tau ua haujlwm rau 18 teev, uas tau ua rau nyuaj dua los ntawm qhov tseeb tias kuv muaj epidural ntxov dhau, uas ua rau muaj kev yug menyuam. txheej txheem kom qeeb.

“Max yuav tsum yog menyuam yaus xya-phaus, tab sis qhov tseeb yog cuaj phaus, yim ooj. Nws lub taub hau thiab lub xub pwg nyom tau daig hauv qhov dej yug me nyuam thiab nws raug kev txom nyem fetal. ntu, tab sis kuv ua siab ntev thiab xa qhov chaw mos.

“Kuv qhov laj thawj thib ob ntawm kev xaiv c-section yog los ntawm kev ua haujlwm uas kuv tau ua los ua tus kws kho mob urologist. Thaum lub sijhawm rov tsim kho phais kev sib raug zoo xyoo tas los, kuv pom cov poj niam uas raug kev txom nyem los ntawm incontinence thiab prolapse. Cov teebmeem no cuam tshuam ncaj qha rau qhov chaw mos.

“Yog hais tias cov poj niam yog predisposed rau incontinence thiab prolapse, cov kws kho mob txaus siab ua c-section. Kuv ntsib incontinence rau xya lub hlis tom qab Max yug thiab nws pib rov tshwm sim thaum lub sij hawm cev xeeb tub.

“Kuv puas tau pom cov neeg mob uas muaj teeb meem ua ntej Max yug los, kuv yuav tau xaiv kom muaj c-section nrog nws, thiab. Kuv txiav txim siab tias kuv tsis xav kom muaj kev pheej hmoo ntau ntxiv los yog prolapse yav tom ntej.”

Ib txoj kev tshawb fawb ua los ntawm HP Dietz, MD (Heidelberg) thiab MJ Bennett, MD (UCT) thiab luam tawm nyob rau lub Yim Hli 2003 qhov teeb meem ntawm Obstetrics thiab Gynecology, phau ntawv xov xwm ntawm American College of Obstetricians thiab Gynecologists, xaus lus tias: Kev yug me nyuam hauv plab, tshwj xeeb operative tus me nyuam, tsis zoo cuam tshuam rau pelvic organ txhawb. Qhov no zoo nkaus li muaj tseeb rau tag nrho peb qhov chaw mos qhov chaw mos. Txhua hom kev yug me nyuam tau raug cuam tshuam nrog qhov qis qis ntawm lub plab pelvic. Cov kev tshawb pom no tuaj yeem piav qhia qee qhov kev tiv thaiv ntawm kev xaiv tus menyuam yug menyuam rau yav tom ntej cov tsos mob ntawm lub plab hauv plab. “

Dietz thiab Bennett tau kawm tag nrho ntawm 200 tus poj niam, nrhiav neeg thaum ntxov hauv lawv lub cev xeeb tub thawj zaug, thiab tshuaj xyuas lawv thaum lub sijhawm thib peb thiab thib ob thaum ntxov, lub sijhawm peb lub hlis thib peb thiab nruab nrab ntawm ob thiab tsib lub hlis tom qab yug menyuam. Tag nrho ntawm 169 tus poj niam lossis 84.5 feem pua ​​​​tau pom tias muaj kev nce ntxiv hauv lub cev. Tsis tas li ntawd, qhov ntev ntawm theem thib ob ntawm kev ua haujlwm sib raug zoo nrog kev nce hauv lub plab hauv plab, tawm tswv yim tias qhov chaw mos yog qhov tseem ceeb rau lub plab hnyuv prolapse.

Txawm li cas los xij, ntau tus neeg tawm tswv yim ntawm elective Cesarean seem tsis tau hais txog yog qhov tseeb tias tib txoj kev tshawb fawb kuj tau hais tias qhov kev puas tsuaj loj tshaj plaws hauv lub plab tau tshwm sim rau cov poj niam uas tau ntsib kev ua haujlwm ntawm qhov paum. forceps los yog lub tshuab nqus tsev extraction tau ntsib qhov siab tshaj ntawm kev puas tsuaj. Tsis tas li ntawd, Dr. W. Benson Harer, Jr., tus thawj tswj hwm ntawm American College of Obstetricians thiab Gynecologists, thaum tswj hwm tias txhua tus poj niam yuav tsum muaj txoj cai xaiv ntawm ntu Caesarean thiab qhov chaw mos, kuj lees paub tias muaj ntau yam teeb meem hauv plab hauv plab. (urinary incontinence, uterine thiab zais zis prolapse) tuaj yeem tiv thaiv tau los ntawm kev txhim kho kev ua haujlwm thiab kev yug menyuam.

Episiotomies kuj tseem cuam tshuam nrog kev puas tsuaj hauv pem teb ntawm lub plab thiab cov teeb meem mus sij hawm ntev. Lawv tau raug pov thawj tias tsis tsim nyog thiab tsim kev puas tsuaj rau feem ntau ntawm kev yug me nyuam, tab sis feem ntau ntawm cov poj niam Asmeskas tseem raug rau txoj kev phais no thaum yug qhov chaw mos.

Kev ntseeg tias kev phais mob phais yog qhov muaj kev nyab xeeb dua rau tus menyuam yaus kuj tseem muaj kev sib cav. Qhov tseeb, qhov txaus ntshai rau tus menyuam tuaj yeem muaj ntau heev. Cesarean seem yog kev phais loj thiab coj nrog nws ntau yam txaus ntshai rau leej niam thiab tus menyuam. Cov me nyuam yug los ntawm Caesarean seem tsis tau txais lub ntuj stimulation uas yog los ntawm kev txav mus rau hauv qhov chaw yug me nyuam, thiab yog li ntawd yuav tsum tau muab cov pa oxygen los yog rub tawm los pab lawv ua pa. Lawv kuj tsis nco qab txog cov tshuaj hormones uas tau tso tawm thaum lub sijhawm yug menyuam los pab tus menyuam thaum nws thawj lub sijhawm ntawm lub neej.

Raws li Mayo Clinic’s Complete Book of Pregnancy & Baby’s First Year, qhov kev pheej hmoo ntawm Caesarean seem muaj ntau heev rau niam thiab menyuam:

1. Kev yug ntxov ntxov. Yog tias hnub kawg tsis raug xam kom raug, tus menyuam tuaj yeem xa tuaj ntxov.

2. Teeb meem ua pa. Cov menyuam mos yug los ntawm Cesarean feem ntau yuav tsim teeb meem ua pa xws li ib ntus tachypnea [abnormally fast breathing during the first few days after birth].

3. Cov qhab nia Apgar qis. Cov menyuam mos yug los ntawm Cesarean qee zaum muaj cov qhab nia Apgar qis. Qhov qhab nia qis tuaj yeem yog qhov cuam tshuam ntawm kev siv tshuaj loog thiab kev yug me nyuam, lossis tus menyuam yuav muaj kev ntxhov siab los pib. Los yog tej zaum tus me nyuam tsis tau txhawb nqa raws li nws yuav tau yug los ntawm qhov chaw mos.

4. Kev raug mob ntawm fetal. Txawm hais tias tsis tshua muaj, tus kws phais tuaj yeem yuam tus me nyuam thaum ua qhov kev txiav ntawm lub tsev menyuam.

Kev pheej hmoo rau leej niam muaj ntau dua thiab suav nrog:

* 1. Kab mob. Lub tsev menyuam lossis cov kab mob pelvic nyob ze xws li lub zais zis lossis lub raum tuaj yeem kis tau.

* 2. Cov ntshav poob ntau ntxiv. Cov ntshav poob ntawm qhov nruab nrab yog kwv yees li ob zaug ntau npaum li qhov kev yug me nyuam hauv qhov chaw mos. Txawm li cas los xij, kev hloov ntshav tsis tshua xav tau thaum lub sij hawm Caesarean.

* 3. Kev ua haujlwm ntawm lub plab tsis zoo. Lub plab zom mov qee zaum qeeb rau ob peb hnub tom qab kev phais, ua rau muaj kev nyuaj siab, tsam plab thiab tsis xis nyob.

* 4.Kev ua pa nyuaj. Kev siv tshuaj loog qee zaum tuaj yeem ua rau mob ntsws.

* 5. Kev nyob hauv tsev kho mob ntev dua thiab lub sijhawm rov zoo. Peb mus rau tsib hnub hauv tsev kho mob yog qhov ntev ntawm kev nyob, qhov tsawg tshaj li ib mus rau peb hnub rau qhov chaw mos yug.

* 6. Cov tshuaj loog. Niam txoj kev noj qab haus huv tuaj yeem ua rau muaj kev phom sij los ntawm cov lus teb tsis tau xav txog (xws li ntshav siab uas poob sai sai) rau tshuaj loog lossis lwm yam tshuaj thaum lub sijhawm phais.

* 7. Kev pheej hmoo ntawm kev phais ntxiv. Piv txwv li, hysterectomy thiab kho lub zais zis. Cov kws tshawb fawb ntawm Wake Forest University School of Medicine kuj tau kawm txog qhov tshwm sim ntawm Cesarean seem thiab cov txiaj ntsig tau ceeb heev. Tom qab xya xyoo, pej xeem-raws li kev tshawb fawb, kev tswj cov ntaub ntawv nyob rau hauv North Carolina, cov kws tshawb fawb tau xaus lus tias cov kab mob Caesarean ua rau ob mus rau plaub npaug ntau tus poj niam tuag vim kev yug menyuam dua li qhov chaw mos. , kev pheej hmoo ntawm kev kho mob, kev yug menyuam ua ntej, kev siv kev saib xyuas ua ntej yug menyuam thiab kev pabcuam kev noj qab haus huv, suav nrog hom kev yug menyuam, txhawm rau txiav txim siab seb yam twg cuam tshuam nrog kev tuag ntawm leej niam. Kev yug me nyuam (Cesarean lossis qhov chaw mos) yog qhov tseem ceeb tshaj plaws uas cuam tshuam txog kev tuag ntawm leej niam, txawm hais tias leej niam los yog tsis nrhiav kev saib xyuas ua ntej yug me nyuam kuj muaj txiaj ntsig. Txoj kev tshawb nrhiav pom tias qhov kev tuag ntawm cev xeeb tub ntawm cov poj niam uas cev xeeb tub yog 35.9 tus neeg tuag ntawm 100,000 Cesarean tus me nyuam nrog rau qhov tshwm sim ntawm yug me nyuam piv rau 9.8 tuag rau 100,000 qhov chaw mos yug yam tsis muaj teeb meem. Qhov kev tuag ntawm cov pej xeem xav tias yuav tsum tau xaiv cov Cesareans yog 18.4 rau 100,000 Cesarean xa khoom.Lawv xaus lus, “Tshem tawm cov kev cuam tshuam rau thiab nquag txhawb kev siv cov kev pab cuam saib xyuas ua ntej yug me nyuam thiab txo tus nqi ntawm Caesarean tus me nyuam yuav txo tus naj npawb ntawm cev xeeb tub tuag. .”

Qhov nce hauv kev yug me nyuam hauv Cesarean, txawm tias xaiv los yog los ntawm kws kho mob txiav txim, hauv Tebchaws Meskas yog qhov tsis txaus ntseeg. Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb (WHO) tau hais tias, Tsis muaj cheeb tsam hauv ntiaj teb muaj kev ncaj ncees nyob rau hauv qhov muaj tus nqi Cesarean ntau dua 10 txog 15 feem pua. Txawm li cas los xij, ntau tshaj li ib feem plaub ntawm tag nrho cov menyuam yug hauv Tebchaws Meskas xyoo 2002 raug xa los ntawm Cesarean; tag nrho Cesarean tus nqi ntawm 26.1 feem pua ​​yog qhov siab tshaj plaws uas tau tshaj tawm hauv Tebchaws Meskas. Thaum lub sij hawm Cesarean tus me nyuam tau poob qis thaum lub sij hawm 1980s mus txog nruab nrab-1990s, nws tau nce txij li xyoo 1996. Tsis tas li ntawd, tus naj npawb ntawm Cesarean yug rau cov poj niam uas tsis muaj yav tas los Cesarean yug tau dhia 7 feem pua ​​thiab tus nqi ntawm qhov chaw mos yug tom qab. Yav dhau los Cesarean xa (VBACs) poob 23 feem pua.

Txawm hais tias tag nrho cov kev siv zog los txhawb cov niam txiv tias qhov kev txiav txim siab zoo li no tsuas yog muaj kev nyab xeeb yog tias tsis muaj kev nyab xeeb rau leej niam thiab menyuam yaus dua li qhov chaw mos, Tebchaws Meskas tseem nyob qib 8 hauv cov menyuam mos tuag ntawm cov tebchaws uas muaj kev lag luam (tom qab Czech koom pheej thiab Cuba) txij li xyoo 1998. .nyob ntiaj teb no rau niam tuag. Txawm li cas los xij, Lub Chaw Tiv Thaiv Kab Mob (CDC) kwv yees tias cov niam txiv tuag tau raug tshaj tawm los ntawm ib nrab mus rau ob feem peb, thiab ib nrab ntawm cov niam txiv tuag hauv Teb Chaws Asmeskas tiv thaiv tau. Tus nqi ntawm kev tuag vim kev yug menyuam tsis tau txo txij li xyoo 1982, thiab tau nce xyoo 1999.

Nyob rau hauv ib tsab ntawv kho rau Obstetrics thiab Gynecology, Dr. Ingrid Nygaard thiab Dr. Dwight Cruickshank sib cav hais tias thaum lawv ntseeg hais tias muab cov poj niam noj qab haus huv uas npaj cov tsev neeg me rau ib qho kev xaiv ntawm Cesarean yog qhov tsim nyog, lawv tsis ua raws li cov lus pom zoo li niaj hnub no.

“Muaj ntau cov lus nug uas tsis muaj lus teb txog kev xaiv tsa kev xaiv tsa hauv lub sijhawm, thiab nws yog ib qho tseem ceeb uas peb yuav tsum sim teb lawv ua ntej ua ib feem ntawm cov txheej txheem kev pom zoo. Qhov taw tes hauv kev ua haujlwm (dilatation thiab qhovntsej thiaj tsis mob) thaum lub sijhawm twg nws lig dhau rau kev xa khoom hauv tsev kom muaj txiaj ntsig rau lub plab hauv plab? 8 cm. Puas muaj tus me nyuam hauv plab loj lossis lub hnub nyoog gestational hauv qab uas qhov chaw mos yug me nyuam tsis raug tshem tawm hauv lub plab mog? Raws li Asmeskas cov poj niam ntau rog dhau lawm, puas yuav muaj kev pheej hmoo ntawm kev xaiv Caesarean yuav ntau dua li qhov kev xav tau? Incontinence, uas tej zaum yuav txo tus nqi ntawm kev tiv thaiv tus me nyuam nyob rau hauv cov neeg no. nence dua li lwm tus, peb puas tswj hwm txhua tus neeg mob zoo ib yam, lossis peb puas muab cov kev xav zoo li no rau hauv tus account? Yuav ua li cas peb yuav soj ntsuam kev lag luam ntawm Cesarean tus me nyuam ntawm kev thov? Projecting yav tom ntej tus nqi yuav tsum tsis txhob cia siab rau tus arbitrary nqi qauv nyob rau hauv qhov chaw niaj hnub no. Yuav ua li cas peb sib npaug tus nqi ntawm kev xaiv Caesarean nrog cov kev kho mob rau cov kab mob hauv plab?

“Vim qhov tsis muaj pov thawj kev tshawb fawb nruj, peb ntseeg tias tam sim no nws muaj mob tau qhia kom niaj hnub muab txhua tus neeg mob ua ntej yug menyuam xaiv lawv txoj kev xav tau ntawm kev yug menyuam. Dab tsi zoo nkaus li muaj kev pheej hmoo tsawg tsawg hauv cov poj niam noj qab haus huv tsis muaj rog. ib los yog ob tug me nyuam yuav tsis muaj qhov cuam tshuam rau cov poj niam rog, cov poj niam uas muaj zaub mov tsis zoo lossis mob kev kho mob, lossis cov poj niam uas yuav muaj ntau qhov kev yug me nyuam.”

Dab tsi feem ntau cov kws kho menyuam yaus thiab tus kws yug menyuam pom zoo, txawm hais tias yog rau lossis tawm tsam kev xaiv tsa Caesarean, yog cov niam yuav tsum tau ceeb toom txog txhua yam ntawm lawv cov kev xaiv thiab cov txiaj ntsig thiab kev pheej hmoo ntawm ob qho tib si. Kev yug menyuam, txawm tias nyob rau xyoo pua 21st, tseem muaj kev pheej hmoo ua lag luam thiab muaj tag nrho cov ntaub ntawv muaj yog tib txoj kev uas niam tuaj yeem paub tseeb tias lawv tau txais kev saib xyuas zoo tshaj plaws.

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