Modes Of Delivery

Hello friends,

I am Dr. Pooja Choudhury consultant Obstetrics & Gynaecology. Today I will discuss all we need to know about the modes of delivery that is normal delivery and caesarean sections. If you are expecting a baby or you are going to plan a baby you must know what are these two. First of all I come to normal delivery. What is it? It is a delivery of baby through the natural orifice that is the vagina.

So what are the pros & cons of it? The pros is that it is a natural orifice so the complications are less. It takes less time for you to recover. There are less chances of fit problems. And the cons are that there are many unforeseen complications which may occur during the process of labour. Also the progress of labour is not predictable. In future life you may develop many of the gynecological issues like incontinence of urine ficker incontinence, prolapsed of uterus etc.

Next what is caesarean section? Cesarean section is the delivery of the baby through a cut on the uterus. So what are the pros of it. The pros are this that you can plan your delivery. But as it is a major ceasarian section is a major operation it involves more complications like anesthesia risk bleeding and later on infections. And today our patients are of the view that doctors are doing more and more of the caesarian section for their selfish interests. But dear friends let me tell you that ceasarian section is the mode of delivery of the baby.

We care for your safety and your baby’s safety. Whatever may be the route. Many a times the indications of caesarian section are absolute in which the complications are foreseen. For example in case of mal presentations like transverse lie or you may say breech delivery. And other conditions like placenta previa mainly the central placenta previa previa ceasarian section previa classical ceasarian section cervical fibroid these are few of the conditions in which they do not allow a vaginal delivery.

Apart from this there are many related indications of ceasarian section like non progress of labour, foetal distress during the progress of labour, capalo pelvic disproportion in which the maternal pelvis is too small to allow the baby to pass through it. Plus non reactive CTG this is the test which we do to assess the foetal heart rate. In case there is any abnormality in the foetal heart rate we have to take decision for ceasarian section. Plus many a times the patients profile have changed over the time. Patients pain threshold have decreased over these years.

Now patients themselves are not cooperative. They tell we cannot bear the labour pain. Plus now families plan only 2 or 1 children. In past there used to be 8 to 10 children with increased morbidity and mortality. So because each pregnancy is very precious now because they are planning only 1 or 2 deliveries we cannot take lightest of the risks. So in view of the safety of the patient or the baby we plan for cesarian section or take emergency decision. So my dear patients please believe in your care provider. They care for you, they take this decision for your safety and not for their benefit. Even ceasarian sections have become safer these days with advancement in medical technology so you need not be much worried if you have been adviced for cesarian section by your care provider.

Thank you.