Read these 12 Why A Caesarean? Tips tips to make your life smarter, better, faster and wiser. Each tip is approved by our Editors and created by expert writers so great we call them Gurus. LifeTips is the place to go when you need to know about Caesarian tips and hundreds of other topics.
When labor continues over a long period of time, doctors tend to take extra precautions to ensure
that both mother and baby show no signs of extreme exhaustion or over exertion. If the baby's heart rate slows or accelerates too quickly or shows no signs of activity, most often he is considered to be showing signs of fetal distress. Because the risk of infection and oxygen deprivation is high after a prolonged labor, any sign of distress usually calls for an emergency C-section.
Research has clearly shown that the use of
external fetal monitors gives NO improvement
in any measurement of fetal outcome...in other
words, no fewer babies die, APGAR scores are
no higher, and there are no fewer admissions to neonatal intensive care.
There has been only only one thing correlated
with use of external fetal monitoring...an
increase in number of cesarean sections. (And,
again, these babies show no better outcomes.)
It is important to periodically monitor how
baby is coping with contractions. This can be
done using intermittent fetal monitoring, but
can also be done using a handheld Doppler or
even with a traditional fetoscope. These provide
the same information without the disadvantage
of restricting your mobility.
What are the drawbacks of external fetal
monitoring? Besides the increased likelihood
of cesarean section, they also decrease your
mobility by confining you to a flat-on-the-back
position. This not only increases pain, but
also can actually cause the problem it is
supposed to be catching...decreased oxygen
supply to the baby.
In order for a natural labor to occur, three factors must be achieved. There must be strong enough contractions to dilate the cervix to ten centimeters, the fetus must be able to transcend through the birth canal, and the pelvis must be large enough to allow the baby to make the trip down the birth canal. If these three factors do not occur, then it is called "failure to progress." In a case, where little dilation has occurred, a doctor will let a laboring mother continue to labor 24 hours or more to allow the opportunity for a natural delivery, as long as neither the baby nor the mother are showing any signs of distress. If, after twenty-four to forty-eight hours, dilation has not progressed, a C-section will most likely be performed.