- Normal delivery
- Vaginal delivery ( Instrumental delivery including ventouse and forceps)
- Caesarean section
Why am I writing this post? I am agitated at the ignorance of our health care professionals including gynaecologists,paediatricians and neonatologist and nurses in Indian setting who think that caesarean is a safer and better option for the baby.I am not saying that 100% of the healthcare givers feel that way but majority of them do.
A ventouse or forceps delivery is looked with horror.I am ashamed to write as I know my blog is read by a much wider group than just Indians,that in India including the best of set ups gynaecologists,nurses as well as paediatricians consider something which is condemned in civilized work as a safer option of delivery rather than a safely conducted instrumental delivery.Pushing the ladies uterus hard to deliver the baby in order in avoid the assisted delivery is considered safe.They forget that this fundal pressure can lead to rupture of uterus,spleen,liver and ribs of the pregnant lady and in long run can lead to uterine prolapse
.Agreed it requires no technique ,just brute force,but how does that make it safe? NEXT TIME YOU FIND YOUR OBSTETRICIAN OR HER ASSISTANT PUSHING YOUR UTERUS DOWN STOP THEM!!!!!!!!!!!!It can lead to grave injury to you.(there are two conditions where uterine pressure is justified .One is at the time of delivering the baby out at the time of a caesarean delivery and another one when there is shoulder dystocia).
If any of you wish to correct me regarding this fundal pressure thing................please feel free to leave a feedback with evidence regarding the same.
And caesarean at the drop of the hat might be right thing to avoid a medicolegal process from a gynaecologists point of view but what about the various risks of future that the Lady is left with,like Placenta praveia,accreta,adhesions,infertility.