Rejecting cesarean section without indication-starting from me

At present, cesarean section has become one of the normal delivery methods in China. When you see a mother-to-be, someone always likes to ask, "Do you want to have a baby or a caesarean section?" Actually, this is a wrong concept. Cesarean section is not a normal delivery route, but a choice for pregnant women when they can't give birth smoothly. If a pregnant woman has the conditions for a natural delivery, but chooses cesarean section, it is medically called "cesarean section without indications".

Caesarean section is traumatic. For mothers, there are abdominal wall, uterine incision and scar after repair, pelvic organ injury and adhesion, bleeding, infection and so on. Especially, uterine rupture, pregnancy in uterine scar and dangerous placenta previa caused by second pregnancy after cesarean section have aggravated the harm to pregnant women and even threatened their lives. For the baby, choosing cesarean section in advance makes them miss the opportunity of further development and maturity. The functions of brain nerve, lung, gastrointestinal tract and hepatobiliary system are not as perfect as those of normal delivery babies, and the skin can not be touched and massaged by the birth canal, which leads to skin sensitivity. Moreover, when the baby is taken out without warning in his sleep and comes to another cold and strange world, his psychological insecurity will increase. Therefore, it is pointed out that land acquisition cesarean section is a means to promote maternal and infant health, and the abuse of cesarean section is harmful.

Cesarean section was a fashionable word 20 years ago. A short 40-minute operation can avoid the labor pains of the parturient 10 for more than hours, avoid the baby being "ruthlessly" squeezed in the uterus, avoid the doctor coming to the hospital to work overtime to accompany the baby, reduce the workload of the hospital and increase the economic income. You can also choose a good day, which can be described as "killing two birds with one stone". Some places even think that letting the daughter-in-law go to the crime of "natural delivery" will be considered by others as a shameful act of "saving money", and choosing cesarean section can only show that she loves her daughter-in-law and is generous. But now, the original "short" has made obstetricians and pregnant women who are pregnant again after cesarean section suffer a lot. The focus of obstetricians in maternal intensive care centers around the country has gradually shifted from the treatment of various intractable diseases during pregnancy to the complications of re-pregnancy after cesarean section. These complications are very difficult to deal with, which has become a hot and difficult point in perinatal research, and also increased maternal mortality. The seeds sown by wrong ideas 20 years ago, we have now begun to "harvest" the evil consequences.

China has the highest cesarean section rate in the world. This "world first" has attracted the attention of domestic perinatal experts. At the recent academic exchange meeting, perinatal experts repeatedly emphasized the great significance of reducing cesarean section rate and vigorously promoted the development of midwifery technology. In some developed cities, obstetricians have collectively resisted "cesarean section without indication". However, social cognition has not kept pace with the progress of obstetricians, and most people still think that cesarean section has more benefits than natural delivery. As the staunchest advocate of natural childbirth, I always earnestly advise expectant mothers to choose natural childbirth and refuse to operate on them. On the other hand, expectant mothers always use all kinds of ridiculous reasons to persuade me to operate on them. Here are some classic situations:

Doctor, I want to have a caesarean section instead of giving birth by myself. I don't want to bother, I'm too tired. "If you don't want to have a difficult birth, then your baby will refuse to go to college and say that you are too tired to study, so don't force it because you don't do well." "Well, let me think about it." (Later, this pregnant woman didn't come to see me again)

"Doctor, I want to have a caesarean section. In fact, I have always wanted to give birth naturally, but my husband is going on a business trip. I must let him see the baby before going on a business trip. " "This is unfair to the baby." "I know, but I still want to have a caesarean section." "Can't drugs induce labor?" "That's not safe. I want to make sure that she is born before my husband leaves. " "I'm sorry, I can't give you an operation. I can't accept your reason. " "Why are you so unsympathetic? I have been accompanying you for examination, and we get along well. It is not good for you to change doctors now. If you don't promise, what shall we do in the future? How can I come to see you in the future? " "(Helpless, pregnant women are so comprehensive for me, I didn't expect it myself) Nothing, you can find another doctor, I won't have any influence. We can go anywhere in the future, and you don't have to see me. " This pregnant woman is persistent. She called me several times, and these words were repeated every time. Later, I said, "If you are willing to talk to me, I will accompany you, but I won't operate on you. You stick to your ideas, I stick to my principles, and don't waste time with me. " Later, I never saw her again.

A couple came to see me for the first time. The wife is full-term pregnant and asks for cesarean section. I bala~bala~ talked about the disadvantages of cesarean section and the benefits of natural delivery after 10 minutes. The couple always listened to me with a smile and never interrupted me. After I finished, my wife said, doctor, I know everything you said, but I just want to have a caesarean section. So I said, I'm sorry, you can choose cesarean section, or I can choose not to give you cesarean section. We all have our own choices. I won't force you, and you can't force me.

A expectant mother asked for cesarean section on the grounds that "mom has high blood pressure and can't get angry in a hurry". I said don't let your mother accompany you. She said no, and her mother said you must stay with her, or your blood pressure will rise even more. So, I was persuaded by her and gave her an operation.

A pregnant woman who wants to have a caesarean section came to me for 35 weeks. I advised her to give birth naturally. She asked me how to give birth naturally. I said I want to control the weight of the fetus and do more exercise. Three weeks later, she came to me happily. She gained a lot of weight and had a huge baby, so she had to choose cesarean section.

A pregnant woman was extremely afraid of natural delivery and insisted on cesarean section. After I refused, I burst into tears immediately, and I didn't smile through tears until I promised her.

Another expectant mother wanted to have a caesarean section because the whole family advised her to do so. I said who you listen to, and she said she would listen to me, but the whole family put pressure on her to choose a natural birth alone. I refused after all.

There are still many pregnant women who choose cesarean section when they see that their sisters around them have failed or are not smooth. I can understand this truth, but I still can't accept it and will refuse to the end.