C-SECTIONS: OB-GYN on why C-sections are are done, reducing C-section rates, & gentle vs emergency

  Рет қаралды 37,387

Dr. Marta Perez

Dr. Marta Perez

Күн бұрын

WATCH to find out why C-sections are both life-saving medical procedures AND have unnecessary risks. I discuss when C-sections are recommended, how to lower the C-section rate, & go over the kinds of C-sections including emergency C-sections & gentle C-sections.
Welcome! Learn about pregnancy from OB-GYN Marta Perez M.D. - education on EVERYTHING you need to know from an evidence-based source you can trust!
Resources in this episode:
--VBAC! Tons of info on VBAC highlight on my Instagram: / dr.martaperez
--The Consortium on Safe Labor's document "PREVENTING THE FIRST CESAREAN": www.acog.org/clinical/clinica...
SUBSCRIBE to learn more about birth every Friday!!
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Follow along with MY PREGNANCY as an OB-GYN doctor! • OB-GYN Gets Pregnant! ...
**Video is for educational purposes only and should not be used as personal medical advice. Please discuss anything related to your own health, diagnosis, and treatment with your own medical provider as information in this video may not pertain to your individual and specific situation. **

Пікірлер: 57
@mooslimah
@mooslimah Жыл бұрын
I love doctors like you who make educational videos like this. You explain everything great!
@DrJenniferLincoln
@DrJenniferLincoln 3 жыл бұрын
Fabulous balanced review Marta!
@mykidsaresupercute
@mykidsaresupercute 2 жыл бұрын
I wish you were my OB. I can't stand mine! He scheduled me for a C-section without even asking me. He likes them because it's less time consuming for him. I also see an MFM specialist and they said there is zero reason for me to have a C-section. At 36 weeks it's too late for me to switch OBs so now I have to fight him on it.
@v438
@v438 3 жыл бұрын
Thank you for sharing your expertise in such an organized and easy to understand manner!!
@dr.martaperez
@dr.martaperez 3 жыл бұрын
I'm so glad it's helpful!
@jackieh4632
@jackieh4632 3 жыл бұрын
You answered so many great questions here- thank you!
@dr.martaperez
@dr.martaperez 3 жыл бұрын
@mariamagana3396
@mariamagana3396 2 жыл бұрын
Yes please do a TOLAC/VBAC video it will help a lot of moms
@ahafri
@ahafri 3 жыл бұрын
Thanks for this! Any more info on the actual procedure? Typically length of time, pain control, recovery, limitations following c-section?
@neysabuffy
@neysabuffy Жыл бұрын
I learned on the Evidence Based Birth podcast that fetal Doppler is actually a more accurate way to monitoring fetal status during labor since the fetus can show ups & downs depending on what part of labor you are in. And with continuous monitoring, this often leads to increased intervention that is likely unnecessary. What are your thoughts on using the Doppler vs continuous monitoring?
@FF-rv2ud
@FF-rv2ud 2 жыл бұрын
Hi! According to your experience is there a risk to give vaginal birth if the tale bone is bended inside with 70-80% angle? (got into an accident 2 years ago)
@ErstwhileEducation
@ErstwhileEducation Жыл бұрын
I’ve had two c sections; an emergency and a planned (a year and a half later. It has been 7 years and we are planning our third. I am 32. Is a C-section the safest according to the latest research or is a VBAC recommended, typically? I had no complications with my second.
@JKShineOfficial
@JKShineOfficial 11 ай бұрын
I had a C-section that I didn't ask for, though I was given reason that the cord is in Baby's next twice so it's risky to push.What can you say about this?
@rachelwilley173
@rachelwilley173 3 жыл бұрын
If you’re in a situation where it’s an “urgent” c section- not an outright emergency can you ask the doctors to rush and make it an emergency? I feel like I will panic if the baby is not tolerating labor well. Also do you have a vid on birth plans? What to include, etc.?
@christyanderson9630
@christyanderson9630 Жыл бұрын
In your experience what’s the possibility of a C-section in my situation. I have a fibroid attached to the placenta. I’m 17weeks pregnant & fibroid was last measured at 2inches. Thank you
@WangLucy123
@WangLucy123 Жыл бұрын
Hi Dr. Marta, my ultrasound shows my baby’s estimated weight is 3.67kg when I’m 36weeks and 6 days pregnant. I’m not sure if I should choose a vaginal birth or c-section. Would you please give me some advice? (I’m really against using forceps and vacuum. I’d rather go for a c-section if those has to be used during a vaginal birth. In addition. I want to avoid tearing as much as possible if it’s a vaginal birth.) thank you so much!
@walaekourani6357
@walaekourani6357 3 жыл бұрын
For multiple c sections do Doctors cut the same incison on the uterus? Is the same incison opened?
@alexissabbagh4049
@alexissabbagh4049 9 ай бұрын
I was offered to do an external rotation but i declined thinking i didnt want to distress or hurt my baby so i opted to do the csection. Having a rough recovery and wondering if i made the right decision. Also having a hard time dealing with having to have a c-section after 4 vaginal births.
@JKShineOfficial
@JKShineOfficial 11 ай бұрын
Is the cord around the baby's neck twice a reason for C-section?
@tinavieth6921
@tinavieth6921 3 жыл бұрын
I would love for you to do a video on vback. I am currently 26 weeks pregnant with hopes to achieve a successful vback 🙂 there really isn't many videos or easily accessible information on vback as I feel should be. This is also a great video. Thanks!
@dr.martaperez
@dr.martaperez 3 жыл бұрын
Will do! Until I get to that topic, I do have a highlight on it on my IG, lots of info there!
@muskangupta9897
@muskangupta9897 7 ай бұрын
My baby was in oblique position at 40 weeks and uterus mouth had opened upto 5 cm...doctor suggested caesarean as there can be a chance of cord prolapse
@taradale811
@taradale811 2 жыл бұрын
So im19 weeks pregnant and likely to be having an elected c section under general anaesthetic due to have EDS and having incredibly fragile tissues. I would need a gental c section which means all the incisions have to done without to much pressure as it would cause my body to, not heal properly it has to be done with a lot of care in mind to minimise the damage done. I also need to have stitches without tenchen, thay have to be done in multiple layers and left in longer than normal or there is a high chance of the scar re opening. I'm not alowed clips/staples as thay cause to much truma to surroundings tissues and are extremely likely to reject. The reason for the general anaesthetic is because I am immune to local anaesthetic and it's well documented that epidurals can numb the skin bit when the incision is made those with EDS scream out because they felt everything. Sadly I have experienced this myself and I'm not at all willing to go through it again. But I badly what my baby to have all there cord blood before we are separated that is the only thing in my birth plan that I badly what becuse if he had EDS the iron stores and other benifits. I feel are ceusal to his health and well being. But I know as soon as they get him out thay will cut him straght from me because of the general anaesthetic. Also making sure that I dont have a c section with forceps as forceps if the baby have EDS can cause serious harm and in the worse cases even decapitation of the baby. I never understood why forceps would be needed during a c section, when a surgeon can gently reach in and get baby out? Please can you do a vidio that addresses those who are pregnant with EDS and the health risks to mum and baby and the birthing options available to women with such rare complex need becuse we dont get talked about enough. There isent enough medical staff aware of us and our potentially life threatening condition. As the more obgyns, obs, gyna and Anastasologys thay talk about us the more likely we are to receive the potentially life saving care we may need. I hate the fact its classed as rare but it's not really all that rare as you may think. There are 14 types I have HEDS and it's not just labour thats painful and hard to experience the whole pregnancy is because mucals struggle to hold the weight of the developing baby, still birth and miscarriage is very high so is early membrane rupture, and hemorrhage rates and everytime I see a doctor I have to educate them on my condition because they have only seen it In a medical text book. Please help get this more recognition. so we can get the help and care we need to have a health mum and baby at the end of it x
@pineapplewine
@pineapplewine 3 жыл бұрын
For emergent c sections, is it always with general anesthesia? Or is epidural fine.
@dr.martaperez
@dr.martaperez 3 жыл бұрын
If you already have an epidural and it works well numbing you enough than that’s all that’s needed in most cases!
@Momjjeanss
@Momjjeanss 3 жыл бұрын
Any tips on finding a VBAC friendly provider? No OBs in my area will even consider allowing TOLAC.
@dr.martaperez
@dr.martaperez 3 жыл бұрын
Oh no! That is a very horrible situation and I'm so sorry you're having that experience. To be honest, I am truly shocked that this situation exists in the U.S. but have heard this before (but only one time!). It shows how privileged some of us are geographically, I've never even met an OB who doesn't support TOLAC/VBAC or was unwilling to do them. Larger hospitals or academic hospitals are more likely to follow evidence based practices and support TOLAC. Try calling their L&D's and asking about providers who deliver there. Geographically, you may be in a situation where you have a to travel a bit.
@Momjjeanss
@Momjjeanss 3 жыл бұрын
@@dr.martaperez thank you! This is very helpful information. It is definitely encouraging to know that not all providers are as close minded as the ones in my area! Thank you again.
@user-wl8po6jt5y
@user-wl8po6jt5y Жыл бұрын
Can I give birth naturally after two cesarean sections?
@bagarbilli007
@bagarbilli007 Жыл бұрын
10:36 some visual aid would hv definitely helped further to understand the topic😓
@madisonbevell4328
@madisonbevell4328 3 жыл бұрын
I’ve had two c sections.. my first was emergency because I had preeclampsia at 29 weeks.. I went back to the same ob with my second and had a planned csection because she refuses to do vbac. Now I’m on my 3rd baby and I’m so scared to have another csection.. My blood pressure kept going up and down and I’m just nervous about everything
@informedbeauty
@informedbeauty 3 жыл бұрын
I was always curious as to the potential reasons my mother had a vertical incision when she had her C section with me (I wasn't premature). From the stories I've been told (they may not be 100 percent accurate), she became unconscious around the time of what sounded like a potential pre-eclampsia diagnosis (protein in her urine, and high blood pressure). And she was supposedly rushed to an emergency C section right after she "fainted". I should add this was in the 80's in Ukraine. Were vertical C section incisions done on a more frequent basis in the past? I also wonder about the potential of differing guidelines from country to country, as well as whether or not a C section is an emergency or not as contributing factors. Not expecting a definite answer, but just a curious viewer here!
@dr.martaperez
@dr.martaperez 3 жыл бұрын
There are two aspects to consider - was it vertical on SKIN or on UTERUS. Those things don't always correspond - someone can have a vertical skin incision but lot transverse uterine incision or a horizontal skin incision and vertical uterine incision. I was in the video referring to the uterine incision. I'm not sure the timing of past vs present made much of a difference in the uterine incision! But emergencies may be more likely to use a vertical skin incision. Hope that helps!
@lifeinamericaasmom
@lifeinamericaasmom 3 жыл бұрын
What if patient who want a planned c section goes in labor early .
@marishajensen2282
@marishajensen2282 2 жыл бұрын
That’s what I’m wonderfung
@trinhdang9438
@trinhdang9438 9 ай бұрын
what is a “pregnant person”?????
@runningformylifeful
@runningformylifeful 3 жыл бұрын
I am currently 21 weeks. Last week they found a complete placenta previa. At my 13 weeks appointment my placenta was firmly lateral left. I don’t understand why it would change so much. A cesarean delivery for me feels like life or death. After two natural deliveries, I feel like I would rather terminate than have a cesarean. I worry about acreeta in future pregnancies and the idea of needing a hysterectomy worries me. I don’t think I could live with that. What are the chances that my complete anterior previa will move? It’s covering the cervical os by 5 cm.
@dr.martaperez
@dr.martaperez 3 жыл бұрын
This sounds like a tough situation, I hope my video at least helped educate you on C-sections. I hope you have some clarity with your doctor.
@BrittKatSlat
@BrittKatSlat 2 жыл бұрын
Its really backwards that you’re worried about your “future pregnancies” just from a c section but you’re willing to TERMINATE (your own words) your 21 WEEK BABY. That’s effed up. That’s extremely sad and selfish
@danny55430
@danny55430 2 жыл бұрын
Did it move?
@runningformylifeful
@runningformylifeful 2 жыл бұрын
@@danny55430 it actually was never there in the first place. I got a second opinion within one week of the first opinion and my placenta was 5 inches away from where the first doctor alleged it was. Doctors are not sonographers and can really make big mistakes. Her fatal mistake was not confirming with a vaginal ultrasound, which is the gold standard of diagnosis of PP. I went on to have a healthy baby boy with a completely unmedicated, blissful and painless vaginal delivery with the help of hypnobirthing.
@cindydow7369
@cindydow7369 3 жыл бұрын
Test positive for covid-19? Female patient going have c-section.
@GK_Imagimotion
@GK_Imagimotion 11 ай бұрын
Pregnant person = mother If anyone is wondering
@ADHDHOMO
@ADHDHOMO 2 жыл бұрын
Man I wish I lived where c section wasn't available
@lauren4279
@lauren4279 10 ай бұрын
Ugh I’m sick of these types of videos that say pregnant person - it’s in incredibly insulting 🙄 woman or mother are the words you’re looking for.
@Truth_is_Here1
@Truth_is_Here1 2 жыл бұрын
You lost me at “pregnant person” and “fetus” ….like seriously… The fetus one I could let slide and have with other video but “pregnant person”? Get out of here. It’s pregnant WOMAN or use “Mom” stop removing women from this process.
@jasmineserna6859
@jasmineserna6859 2 жыл бұрын
I agree! Hello only women can get pregnant females!!!! don’t call us persons please I think we earned the title women! Don’t take that away from us 🤦🏻‍♀️
@Truth_is_Here1
@Truth_is_Here1 Жыл бұрын
@Hijjackk Tracy Watch out your misogyny is showing…
@Truth_is_Here1
@Truth_is_Here1 Жыл бұрын
@@hijjackktracy4802 Denial is typical.
@Truth_is_Here1
@Truth_is_Here1 Жыл бұрын
@@hijjackktracy4802 Women are being killed? Or birthing persons? 🤔
@fighttheevilrobots3417
@fighttheevilrobots3417 Жыл бұрын
The original poster of this comment is clearly a transphobic bigot. I'm a cis woman but have many trans friends in my community and decided to subscribe to Dr. Marta after hearing her gender inclusive language. There is no erasure of women because people who are not women get pregnant and give birth all the time. I've met some of them, they are my friends and I want them to be respected.
@user-wl8po6jt5y
@user-wl8po6jt5y Жыл бұрын
Can I give birth naturally after two cesarean sections?
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