One of the most common doubts among pregnant women, especially among first-time pregnant women, is the length of hospital stay at each delivery. Many are afraid of staying too long in the maternity ward, while others simply have no idea how the recovery period works. The great truth is that this time of hospitalization will vary according to the type of delivery and the condition that the woman and the baby present. It is quite common for the woman to be discharged about 24 hours after delivery, both in the normal and in the cases of cesarean surgery. But each one of them can generate complications that can make the woman need to stay a little more time in the maternity. But to know this, we need to know the differences between the two types of delivery.
Main Differences Between Normal and Cesarean Delivery
The greatest differences are in the time of labor, pain, and recovery. Often the type of delivery is chosen by the expectant mother along with her obstetrician physician months before the baby’s birth, but circumstances can change that decision. It is important to emphasize that all this can vary a lot, from woman to woman and gestation to gestation, that is, the same woman can have very different births. Among the main differences between normal delivery and cesarean section we will talk about:
Recovery of women
Time of Labor
The recovery of the woman after the birth of the baby will vary greatly from the type of childbirth that was done. Normally, in normal labor, women recover more easily and can return to normal activities in a short time, however this may vary depending on whether or not the perineal cut, that done between the vagina and the anus, has occurred. In this case the recovery time is a little longer and the woman needs to take some extra care. During cesarean delivery, women take longer to recover and usually need hospitalization. This happens mainly because of the cut in the belly that has a longer healing time, and may still cause women to feel more pain in the postpartum. The cesarean section points are usually withdrawn after 10 days, so you have to wait for this time to be able to pick up weight and make movements that force the abdominal area.
Postpartum pain is most felt by women who delivered cesarean delivery, as they have to deal with a relatively large scar. But women who have had a natural childbirth with a cut in the perineum may also experience pain since this is a very sensitive region. In these cases doctors may recommend pain relievers to relieve pain during the first few days.
The time of labor also changes according to the type of labor that will be done. In natural births this time is longer and may last a whole day . This is because it is necessary to wait for the contractions and the increase of the dilation. Women who are in the first gestation and will have a normal delivery usually have a longer labor, but as we said earlier this is not a rule and can vary from pregnant to pregnant. Although the delivery is normal, it is common for anesthetics to be applied, which may facilitate the contraction and dilation process . If there is no interference during delivery as anesthesia, induction and cutoff, the delivery is called natural and not normal. Cesarean delivery, on the other hand , has a very short labor of about one hour . What can make cesarean delivery last longer are complications that can happen on time. Because it is a surgery, the woman receives anesthesia. Most often the spinal or epidural, which in a short time makes the pregnant woman feel nothing from the waist down. The woman stays awake and feels no pain during the procedure.
According to WHO, World Health Organization, the baby should be breastfed as early as the first hour of life. But what happens is that in many cases this is only possible in natural childbirth, where the first feeding normally occurs within the first 5 hours of the baby’s life. In the case of women who undergo cesarean delivery, in addition to being more debilitated and still under the effect of anesthesia the milk may take longer to come. In these cases the babies will only nurse later.
Reasons for a Long Stay
In cases of normal birth it is common to see mothers going out with their babies between 24 and 48 hours after birth. This happens when there has been no complication during and after delivery and when the baby is of sufficient weight and both are in good health. In the case of mothers who have had a cesarean birth, it is necessary to stay at least 72 hours hospitalized, since they underwent a surgical procedure and they need to spend time in observation, not to mention that the pain prevents the woman from leaving normally soon after giving birth. Therefore, what will define the length of hospital stay in each delivery is precisely the type of delivery that was done.
Follow-up at Maternity
After delivery, the condition and health of the mother and baby must be evaluated. It is necessary to follow up in the maternity during the next hours to evaluate the recovery of the woman after the birth, mainly in the case of the cesarean delivery in which the mother went through a more aggressive procedure.
Which Type of Delivery to Choose?
In Brazil, more than 50% of deliveries are cesarean sections, whereas WHO recommended a maximum of 15%. But often the type of delivery is not just a matter of choice, but the type that will bring less risk to the baby’s birth. When you have a healthy gestation is recommended natural delivery , but when there is a pregnancy that presented a problem the cesarean section should be the best option. In most cases women are able to have a natural birth, but many end up preferring to go through a shorter and less painful birth and others are induced by the medical staff themselves to choose a cesarean delivery. The truth is that cesarean section should only be recommended in some specific cases such as when the baby has already passed the 4kg, when the cord is wrapped around the neck, when the placenta or low placenta moves , when the baby is in a position that makes it difficult or when the woman has some diseases such as diabetes and hypertension or has had some problems during pregnancy.
Often the kind of labor that must be done ends up being imposed on the woman, so that she does not have the power to decide. Unfortunately this happens in some cases because of complications or diseases that cause the baby or even the woman to run some kind of risk. However, in general, the main doubts about the time of delivery are quite common and the length of hospital stay at each delivery is one of the most frequent. During pregnancy, this feeling of anxiety about wanting to know how everything is going to happen is fairly common as well. But researching and knowing the possible complications in each type of delivery is interesting so that the woman is better prepared for any eventuality.
Uterine Sinecology: Main Causes and Treatments
Several problems can arise when a couple are planning to have a child. In addition to all the external problems that need to be overcome, many couples may also face infertility. It is estimated that about 15% of couples in Brazil suffer from this type of problem, and it is necessary to use a human reproduction specialist to perform the appropriate treatment, when possible. And one of the major causes of infertility in women is the uterine sinus . But what exactly does that mean? What are its causes? Is there treatment? Let’s talk about all of these aspects in today’s text.
What is the Uterine Sinus?
We can define a uterine synechia as an adhesion that is formed in the womb of a woman, similar to a scar. There are three stages in which this kind of grip can meet. Are they:
In the stage of light adhesions, they have endometrial tissue , either totally or partially. At the moderate stage, the adhesions also have fibromuscular tissue coated by the endometrium, which may already cause damage to the uterine cavity, either total or partial. In its severe stage, the disease presents a dense tissue that causes more damage to the uterine cavity. Although there is a certain myth about the uterine sinus, it is important to remember that the fact that a woman presents with a uterine sinectus does not necessarily mean that she is infertile , but of course one must be careful because the risk exists.
Main Symptoms of Uterine Senerchia
One of the biggest problems for a woman to discover that she has this type of problem is that the uterine synechiae are asymptomatic, that is, they do not present any changes that make the woman feel that she has a problem. However, there are some small signs that may indicate that something is wrong with the uterus. Some of them are: Problems with menstrual fluid such as amenorrhea, dysmenorrhea and hypomenorrhea;
Problems in pregnancy.
Often it is some of these signs that makes the woman discover that she has this condition. If a pregnant woman discovers that she has a uterine sinus, she has a risky pregnancy and needs special care so that she does not develop any more problems during pregnancy.
What are the Causes?
The cause of a uterine synechia appearing in a woman is due to some aggression that her uterus suffered internally. From this point, we can speculate several reasons for the uterus to have been assaulted, such as:
Withdrawal of myoma
As you may have noticed, there are several factors that can cause a woman’s uterine sinus. For this reason, it is always important to be aware of the complications that some types of surgeries or treatments can bring and always keep the tests up-to-date so problems like uterine synechiae do not bring bad consequences.
How is Uterine Sinechia Diagnosis done?
The diagnosis is made through a thorough investigation of a woman’s uterine cavity. These tests are usually done after the woman has shown some sign of alteration in the body, such as menstrual changes or the development of some type of disease. The best way to prevent a woman from developing uterine synechiae is to take the right care, especially in the postoperative period of the uterus, because it is at that moment that these adhesions can form. In addition, it is also always important to be attentive to the possible signs that the body gives that something is not right.
Treatment of the Uterine Senerchia
Depending on the severity of the disease, that is, at which stage it presents itself at the time, treatment of the uterine sinus can be performed from a simpler or a more complex one.
It is done when the adhesions in the uterus do not present a very thick tissue and can be treated with non-surgical hysteroscopies. This procedure does not require much of the woman and can yield good results over time, causing the adhesions to decrease or even add up. If this type of treatment does not take effect, it is necessary that the complex treatment is done.
When the adhesions show more resilient or with thicker tissues, often an intervention surgery is required. The surgery is considered fast and simple, with the woman being able to be discharged on the same day. Depending on the severity of the disease, it is not always possible to make a woman have a quiet pregnancy, although this is the main goal of treatment.
When uterine synechiae are not treated or are not treated properly, some complications may arise in a woman’s life. The main ones have to do with the infertility and spontaneous abortions that can occur in the case of a gestation. Although this is scary for many women, it is necessary to remember that it happens only in more extreme cases, when the treatment does not work. Problems like the uterine sinus may worry and cause many women to be afraid. However, it is necessary to remember that this is a problem that happens with many and that there are forms of treatment for it to be overcome. As frightening as some problems with our bodies may seem, it is necessary to remain calm and think of the best way to look at them so that we have as few consequences and complications as possible. Of course it is not an easy process and it will require some effort from you, but with the help of people around you, you will realize that, just like any other disease, the uterine sinus can be overcome.