{"id":21159,"date":"2021-05-15T16:13:47","date_gmt":"2021-05-15T16:13:47","guid":{"rendered":"https:\/\/corswiss.ch\/?p=21159"},"modified":"2021-05-15T16:18:08","modified_gmt":"2021-05-15T16:18:08","slug":"%d0%ba%d0%b5%d1%81%d0%b0%d1%80%d0%b5%d0%b2%d0%be-%d1%81%d0%b5%d1%87%d0%b5%d0%bd%d0%b8%d0%b5-%d0%bf%d0%be%d0%ba%d0%b0%d0%b7%d0%b0%d0%bd%d0%b8%d1%8f","status":"publish","type":"post","link":"https:\/\/corswiss.ch\/en\/%d0%ba%d0%b5%d1%81%d0%b0%d1%80%d0%b5%d0%b2%d0%be-%d1%81%d0%b5%d1%87%d0%b5%d0%bd%d0%b8%d0%b5-%d0%bf%d0%be%d0%ba%d0%b0%d0%b7%d0%b0%d0%bd%d0%b8%d1%8f\/","title":{"rendered":"Cesarean section: History, indications, and risks of the operation"},"content":{"rendered":"

Caesarean section<\/strong> - or C-section, is a surgical method increasingly employed in modern obstetric practice.<\/span><\/p>\n

Many women opt for a C-section, considering it an \"easy way\" to give birth, regardless of medical indications. <\/span><\/p>\n

In this article, we will discuss how a cesarean section is performed, when it is necessary, and whether it can be performed for every pregnant woman regardless of indications. We will also find out the cost of the operation and where it can be done.  <\/span><\/p>\n

 <\/h3>\n

History of Cesarean Section: <\/b><\/span><\/h3>\n

The term \"Cesarean section\"<\/strong> is associated with the legend of the birth of Caesar. It is said that he was taken out of the womb of his mother, already after her death. In fact, historical sources say that Caesar's mother died 10 years before the death of the emperor himself. However, the term has stuck and the operation is still called \"cesarean section\" today. <\/span><\/p>\n

the Italian obstetrician Eduardo Porro at the end of the 19th century. Progress in obstetrics was facilitated by the achievements of modern medicine: asepsis, anesthesiology and bacteriostatic drugs. All this allowed doctors to begin using cesarean section in cases that often ended in the death of the fetus and mother, and to save lives. <\/span><\/p>\n

 <\/span><\/p>\n

The method developed by Porro consisted in the simultaneous removal of the uterus with the suturing of the stump of the cervix into the membrane of the abdominal cavity. This limited the possibility of developing various infections during surgery. Cesarean sectionThe author of the first technique similar to the modern technique of performing a cesarean section was before the Porro method almost in 100% of cases ended in the death of the mother. Mortality with the Porro method was about 60%. <\/span><\/p>\n

In those days, this was a turning point in obstetrics. Side effects in the form of infertility and early menopause of the woman in labor then seemed a small price to pay for the saved life. <\/span><\/p>\n

 <\/span><\/p>\n

The first step towards cesarean section in the form in which it is performed today was taken by the German obstetrician Max Zenger. He proposed a much less radical procedure aimed at preserving the mother's fertility. His operation did not include hysterectomy and salpingo-oophorectomy, that is, it did not involve the removal of the uterus. Instead, the method consisted of removing the peritoneum from part of the anterior wall of the uterus and performing a wedge resection of the anterior wall of the uterus 2 cm wide. <\/span><\/p>\n

The wedge was cut so that the thick edge of the myometrium adjoined the peritoneum, and the thin edge adjoined the cavity of the endometrium. These modifications allowed the serous edges to be joined to close with silk stitches.<\/span><\/p>\n

 <\/span><\/p>\n

Thus, the Zenger method helped to preserve the uterus during cesarean section and prevent the spread of infection.  <\/span><\/p>\n

 <\/span><\/p>\n

Modern Cesarean Section:<\/b><\/span><\/h2>\n

 <\/span>Caesarean section <\/b>- is a complex surgical manipulation that is used as an alternative to natural childbirth. <\/span><\/p>\n

Cesarean section is used only if there are direct indications for the operation. The main indication is to minimize the possible risks during natural childbirth and preserve the health and life of the fetus and mother. <\/span><\/p>\n

 <\/span>Cesarean section is most often a planned operation. This means that it is fully controlled and safe for the mother and child. There are cases of urgent cesarean section, when the obstetrician-gynecologist decides on the operation during natural childbirth or complications that have arisen in the last stages of pregnancy, in order to save the life of the mother and child.  <\/span><\/p>\n

 <\/span>The progress of surgical and anesthetic technologies has made childbirth through cesarean section a routine practice in obstetrics. Complications associated with the operation are very rare, and the mother and child go through the rehabilitation process quite quickly, and return home within 5 to 10 days.<\/span><\/p>\n

 <\/span><\/p>\n

Indications for cesarean section <\/b><\/span><\/h2>\n

 <\/span>Sometimes cesarean section is safer for the mother and child than natural childbirth. <\/span><\/p>\n

The attending physician may recommend a cesarean section if:<\/span><\/p>\n

 <\/span><\/p>\n