The process of giving birth always a moment thrilling for every mother. If there are no pregnancy complications, pcopy generally carried out normally through the vagina. However, not a few pregnant women who avoiding childbirth normal and prefer giving birth by caesarean sectionsar.
Basically, the patient has the right to choose the type of delivery that will be carried out as desired. Medically and ethically, obstetricians may perform caesarean sections at the patient's request, even without indications, as long as the patient has been given an explanation of the benefits and risks of this procedure.
The type of delivery must be according to the patient's condition
Although the patient has the right to be actively involved in choosing the method of delivery, the doctor will still examine the patient's overall condition before determining the type of delivery. The doctor will also consider the magnitude of the benefits and risks that may occur from the type of delivery chosen.
If the doctor does not find any special indications that require the patient to undergo a cesarean section and a normal delivery is deemed safe to do, the doctor should recommend a normal delivery. Caesarean section can still be done if the patient requests and the patient's condition allows.
There are several things that doctors consider in determining the delivery method for patients, including:
- Patient's health condition
- Patient's body mass index
- Patient's next pregnancy plan
- Previous childbirth experience
- Previous surgery history
- The patient's views and feelings about childbirth
In addition to the things above, doctors must also know the patient's motivation behind his decision to choose a caesarean section. Doctors must ensure that the delivery method chosen really comes from the patient's wishes, not because of pressure or pressure from family members.
Benefits and Risks of Caesarean at Patient's Request
In many cases, patients choose caesarean section because they are afraid of the pain, process and complications of normal delivery, and have trauma due to bad experiences in previous vaginal deliveries.
As previously explained, caesarean section at the request of the patient can be performed if the doctor judges the benefits outweigh the risks. There are several advantages that can be felt from a cesarean section at the request of the patient, including:
- The time of delivery is more certain
- Avoid late birth (postmature)
- Lower risk of requiring emergency (unplanned) surgery
- Lower risk of stillbirth
- Lower risk of pelvic floor injury
- Lower risk of postpartum bleeding
Although it has a number of advantages, caesarean section also has some risks, including:
- Placental attachment
- Torn uterus (ruptured uterus)
- Complications due to anesthesia
- Longer recovery period after delivery
- Long-term complications from surgery
- Respiratory problems in babies
However, these various risks can be minimized with a good examination and preparation before a cesarean section is performed.
Regardless of whether or not a cesarean section at the patient's request, make sure you regularly check your pregnancy to the doctor at least once a month. Ask your doctor about the benefits and risks that may occur if you give birth by caesarean section.
If your pregnancy is considered healthy and there is no risk of complications, your obstetrician can schedule a caesarean section at 39 to 40 weeks of gestation. At that time, the risk of complications to the fetus is relatively smaller, the condition of the fetus is also considered mature and ready to be born.
dr. Akbar Novan Dwi Saputra, SpOG(Gynecologist)