Situations requiring cesarean birth

• baby head down
• child is overweight
•  The mother has had a hysterectomy before,
• If the mother has a blood-borne disease or heart disease,
• As a result of situations such as premature separation of the placenta from the baby, the person undergoes a cesarean section.

After birth, the mother and baby need to stay in the hospital for a few days. After the surgery, when the effect of anesthesia begins to wear off, the woman begins to feel pain and sensitivity. A very strong analgesic is given intravenously to relieve pain. The expectant mother should drink plenty of fluids and walk to prevent blood clots or surgery-related constipation.
Operation. There are some things that people who have had a cesarean section should pay attention to after being discharged from the hospital.

• • Letting the expectant mother rest until she fully recovers,
  • excessive fluid consumption,
  • Taking painkillers when necessary,
  • taking a break from sexual intercourse for a month,
  • It is important to be careful to stay in a position that does not put pressure on the abdominal area.

What are the Types of Birth?

From the first moment, mothers who learn that they are pregnant start thinking about how their baby will be born and how well their baby will develop. in the first weeks birth Although its shape is not fully clear depending on the anatomy of the baby and the mother, it will be possible for families and mothers to choose between different birth methods in the coming weeks. In addition to normal birth, different techniques have been developed over time to minimize the pain experienced by the mother.

Normal Birth

The birth of the baby from the womb to the outside world without any surgical intervention is called normal or vaginal birth. It manifests itself with conditions such as contractions, water breaking or spotting. Normal birth, which has been used for centuries, is also known as natural birth. In this birth, which takes place without medication, painkillers or any medical intervention, contractions first begin in the uterus. The baby is born vaginally, with contractions starting between the 37th and 42nd weeks of pregnancy. Normal birth takes place in three steps.

In the first stage, uterine contractions occur. These contractions occur every 10 to 15 minutes and can last approximately 14-16 hours. With contractions, the cervix is expected to open 8-10 cm so that the baby can come out. The intensity of contractions will increase over time and the time between minutes when contractions are felt will decrease to 2-3 minutes. In the second stage, the birth of the baby occurs. It is possible to ensure that the baby is born in a shorter period of time with the mother's pushing and pushing movements. This stage may be short or last a few hours. Finally, in the third stage, the placenta separates from the uterus.

There are many advantages to having a vaginal birth, and most women who are confident and believe they can handle the pain will have it, except for a few exceptional cases that require a caesarean section. normal birth they prefer to do. Women who begin to experience the feeling of motherhood after learning that they are pregnant want to experience the birth from start to finish. Since no medication is used during birth, the expectant mother does not feel drowsiness and is alert. The moment the baby is born, they have the opportunity to reunite earlier and form a stronger bond.

Women who give birth normally release more endorphins in their bodies compared to women who are given painkillers. This allows mothers to return to their normal lives more quickly. It has also been found that women who give birth vaginally have less pain than women who have a cesarean section.

cesarean section

Cesarean section is a surgical operation that allows the baby to be brought into the world through an incision made in the pregnant woman's abdomen. In caesarean section surgeries, which last an average of 1 hour, the expectant mother is exposed to two to three times more anesthesia compared to normal birth. Cesarean section is one of the preferred methods in cases of risk that develops during normal birth or in children who are still unborn even though the time has come. During a cesarean section, this method is considered a surgical procedure because the expectant mother is given spinal, epidural or general anesthesia and a large incision is made in the mother's abdomen and uterus.

In cases where it is not possible to complete vaginal birth safely, cesarean section is more preferred. When a situation that threatens the mother or child is detected, cesarean section should be preferred, taking into account the risks posed by medical intervention. These risky situations include situations such as the baby not being in the appropriate position, the baby being larger than the ideal size, premature separation of the placenta, the baby's pulse being weak, and the first pregnancy occurring after the age of 35. The fact that the expectant mother's psychology is not strong enough to withstand the pain can be considered as one of the reasons for choosing a cesarean section. Caesarean section has become the most preferred method after vaginal birth, especially in Turkey. According to 2017 data, 53 out of every 100 babies were born by cesarean section.

However, the Ministry of Health and many experts state that cesarean section should be given priority only in exceptional cases where normal birth is not possible. Pregnant women feel almost no pain or pain during a cesarean section. However, the disadvantages and risks of cesarean birth are much higher than other methods. First of all, since anesthesia is required during cesarean section, the mother feels her body numb and therefore cannot feel the sensations experienced during vaginal birth. Since the abdominal layers are opened layer by layer with an incision, the mother's recovery period takes longer than normal birth. This situation may prevent the mother from having close contact with her baby and the hospital stay may last longer.

In addition, since cesarean section is a surgical procedure, it has risks, as in every surgery. Another advantage of normal birth is that the baby can more easily remove the fluid from his lungs during normal birth. Since this process may take longer during a cesarean section, your baby may have temporary breathing problems. In cases where there is a life-threatening situation for the mother and baby, caesarean section turns into a life-saving operation. However, if it does not require urgent intervention, the opinion of not only the mother but also your doctor should be sought, the conditions are normal. birth If it is not suitable for the patient, cesarean section may be preferred and information about this process should be obtained.

Birth in water

In order for the expectant mother to have a more comfortable and stress-free process, the baby is born in a bathtub filled with water. The bathtub is sterilized in advance and filled with water close to body temperature. After the desired uterine dilatation is achieved, the expectant mother is taken into the bathtub and the process begins. It is one of the methods that has become quite preferred in recent years. In this method, which is considered an alternative to vaginal birth, the expectant mother gives birth in warm water of 35-37 degrees. Since warm water gives the mother a feeling of relaxation, there is no need to give painkillers or artificial pain to women giving birth with this method.

In addition, there is evidence that the endorphin hormone secreted by the mother's body during birth is released more in water. This hormone, which allows the mother to relax, also reduces the level of stress and anxiety. Birth in water Thanks to this, leaving the water in which the baby has been in the womb for 9 months and moving to another water prevents the baby from going into shock. However, there are some situations where giving birth in water is not possible. This reasons; It is not possible to do this in cases such as premature birth of the baby, breech delivery, twin pregnancy, excessive bleeding, genital herpes. However, expectant mothers who want to give birth in water are generally recommended to do so in their second or third pregnancy.

The doctor and team who will perform a water birth should be experienced before, it should be done in a sterile environment, and it should be ensured that the water can be exited quickly and efficiently in an emergency.

Epidural (Painless)

Epidural, which is popularly called painless, is applied by the anesthesiologist. While the expectant mother is in a sitting position, the waist area is cleaned with a sterile solution and covered. Then, local anesthesia is applied and a catheter is placed in the waist area with the help of a thin needle. The outer part of the catheter is attached to the patient's back and the patient is prepared to give the drug dose. The low dose given in the first stage allows it to be determined whether any allergic reaction develops in the patient.

Things to Consider During Pregnancy

• Consuming healthy foods,
• Not using tobacco and alcohol,
• Do not consume coffee, tea or carbonated drinks,
• Avoid consuming processed food and saturated fat,
• Avoiding fatty and spicy foods,
• Avoid entering very hot places such as steam bath, sauna, jacuzzi,
• Heavy lifting and strenuous activities should be avoided.
• staying away from stress,
• Choosing comfortable shoes,
• Staying away from imaging devices that emit radiation,
• Avoiding close contact with sick people
• Exercising under the supervision of an instructor to strengthen muscles
• For the health of mother and baby, be careful not to gain too much weight,
• Using only medications and vitamins recommended by the doctor,
• Sleeping 7 to 9 hours a day so that the body can get enough rest,
• Wearing high-waisted underwear and bras that make the breasts comfortable,
• Choosing cotton and loose-fitting clothes instead of synthetic ones,
• Avoiding tight belts and trousers
• Keeping car, bus and train journeys less than 6 hours
• For air travel, you must get approval from your doctor.
• In multiple pregnancies, sexual intercourse should not be attempted after the 6th month.

What should be taken into consideration after the baby is born?

The period after the baby is born, pregnancy and birth It is a period that requires as much attention as what needs to be done during it. During this period, which begins after birth and lasts an average of 6 weeks, some changes can be noticed in the psychology and physiology of the mother. Here are some issues that expectant mothers should keep in mind so that they can get through this process more easily:

• Tobacco and cigarettes should be consumed.
• Tea and coffee consumption should be reduced.
• Women who give birth naturally must stay under hospital observation for 24 hours, and women who have a cesarean section must remain under hospital observation for 48 hours.
• After leaving the hospital, mothers need to rest for a while at home.
• Resting is not the same as lying down all the time. Walking around the house and doing simple household chores is an important factor in increasing blood circulation for the mother.
• People who have given birth normally can start simple exercises after approximately 1 week. However, mothers who perform a caesarean section should avoid movements that will strain the stitches for 6 months.
• For breastfeeding, eat protein-rich foods and avoid foods that cause gas.
• Eating spicy, bitter, fatty foods should be avoided.
• To avoid constipation, you should drink plenty of water and consume fiber-rich foods.
• To take a shower, wait until the day recommended by your doctor and take a shower while standing.
• Women who give birth vaginally should take care and protect their vaginal hygiene. People who use pads daily should change pads frequently and keep the genital area dry. Women who have had a cesarean section also need to keep the stitch area clean.
• During this process, women can receive support from their husbands. Sleeping with the baby after breastfeeding is very important to ensure body resistance.
• To prevent infection in the breasts and blockage of the milk ducts, the baby should be breastfed frequently and excess milk should be expressed by expressing. Massaging the chest with a warm towel will help relieve stiffness.
• Intercourse should be avoided until the postpartum period is completely over.
• The baby's vaccinations and check-ups should be done on time.
• It is important to have a vaginal check after the baby is delivered.
• In cases such as heavy bleeding and clotting, change in the color of the discharge, swelling, redness at the incision site, severe pain, vomiting and nausea, a doctor should be consulted immediately.
• Breastfeeding mothers should not use any medications other than those prescribed by the doctor.

For what purposes is that Shot Application Made?

In the orgasm shot application, the patient's own blood is taken from the clitoris and G-spot with the treatment injected into the patient. Orgasm vaccine facilitates sexual arousal by increasing blood circulation and sensitivity with the effect of the growth factors it contains. Generally, that shot application is applied mostly to increase pleasure in the vaginal area during sexual intercourse and to provide orgasm function during intercourse. With that shot application, the pleasure in sexual intercourse increases and the problem of not having an orgasm is eliminated.

O Shot Application in Urinary Incontinence Problems

Orgasmic shot application is used for urinary incontinence problems in women. In women, the collagen connective tissue around the bladder neck and urinary tract weakens over time due to various factors. For this reason, especially in women who have given birth and in older age, urinary incontinence problems occur frequently with physical activities such as coughing, laughing and heavy lifting. Tissue support and cell renewal are provided in this area with the orgasm vaccine.

LEGAL DIMENSION OF ABORTION

Abortions performed for the purpose of pregnancy evacuation are limited to 10 weeks from the last menstrual period. The last menstrual period is the start day of menstruation. If the pregnancy is beyond this week, abortion is not performed.

However, if the pregnancy is in danger for the mother's life, the pregnancy can be terminated regardless of the gestational age, considering the mother's life.

If a condition that is not compatible with the life of the baby in the womb or that will greatly affect the life of the baby after birth is detected by ultrasound and tests, the pregnancy can be terminated considering the life of the baby.

Things to Consider for Abortion

• Abortion It is a surgical intervention. Therefore, it should be done by experienced people.
• Before an abortion is performed, the size of the pregnancy and its position in the uterus must be determined.
• Abortion should be performed in sterile environments. General or local anesthesia can be applied.
• If the patient will be subjected to general anesthesia, he/she should be asked to be hungry and thirsty 4-5 hours beforehand.
• Checks should be made after the procedure.

Abortion Risks

• Uterine and intestinal perforations may occur.
• Heavy bleeding may occur during abortion.
• Pregnancy remaining without evacuation.
• in the womb abortion Remaining pieces after the process.
• Anesthesia-related problems may occur.
• Absence or decrease in menstruation as a result of the destruction of the intrauterine tissue or the formation of adhesions in the uterus.

• Decreased Sexual Desire: Decreased sexual desire can be defined as the decrease in the frequency of sexual thoughts, sexual intercourse and reaching orgasm. The reason is generally psychological. Incompatibility and conflicts with the spouse also cause this. Some medications used, menopause, pregnancy and lactation, sexual violence and trauma also trigger this condition.
• Sexual Aversion Disorder: This condition is more rare than other causes. In this case, the woman avoids sexuality and does not want to think about it. This situation may be caused by psychological reasons such as anxiety and depression.
• Sexual Arousal Disorder: It is the inability of the woman to develop secretions and swelling despite sufficient sexual stimulation or to continue sexual intercourse until the end. It is generally seen together with orgasmic disorder. It may also be due to reasons such as lactation and menopause, aging, medications and alcohol use.
• Orgasmic Disorder: Orgasm is often delayed despite sufficient stimulation. It is due to psychological reasons. It is a condition that may occur later. Discord between partners, conflict, sexual trauma, physical and metabolic disorders, alcohol and drugs cause orgasmic dysfunction.
• Vaginismus: It is the condition in which sexual intercourse does not occur or is painful due to constant contractions in the vaginal muscles when sexual intercourse is attempted. This problem may be caused by the hymen.
• Dyspareunia: It is the condition of sexual intercourse being painful. Many reasons such as genital area infections and wounds healing after birth can cause dyspareunia.

Causes of Sexual Incompatibility Between Spouses

• If the spouses are constantly restless or tense, it will negatively affect sexual harmony.
• When expectations are not met during intercourse, this will cause sexual incompatibility.
• Frequent conflicts in marriage will also affect harmony as they will reduce sexual desire.
• It is possible to encounter incompatibility because both parties do not have sufficient information about sexuality.
• If there is a problem with one of the spouses, they should express it clearly.
• Some physiological and metabolic disorders.

How to Achieve Sexual Harmony?

Spouses should first of all be understanding and patient with each other. If there is a problem, it should be stated clearly to the other party. Negative factors such as stress should be avoided as much as possible. If you do not have enough information about sexuality, you can go to a sexual therapist together. It is possible to eliminate sexual disharmony by applying such solutions. If there are health problems, these should also be treated.

• Primary Sexual Reluctance: This condition begins in adolescence. In this case, the person is not interested in any sexual activity.
• Secondary Sexual Reluctance: Although the person was sexually active before, this situation decreases later.
• Situational Sexual Reluctance: It is the loss of sexual desire in a person at some times. Generally, tiring and stressful days, financial concerns, and suddenly changing emotional states can cause this.

What Causes Sexual Reluctance?

This is a problem that can be seen in both women and men. It may occur due to advancing age. But it can sometimes be seen at any age. It also occurs psychologically. It may be caused by conditions such as pain during sexual intercourse, lack of stimulation, incompatibility, inability to get an erection in men, and premature or late ejaculation.

How to Treat Lack of Sexual Desire?

There are many metabolic and psychological disorders that can cause sexual reluctance. Metabolic reasons are as follows: heart, prostate, neurological diseases, diabetes. By treating these disorders, the problem will disappear. If the situation is psychological, meeting with a psychiatrist would be a healthy choice. The most important element in the treatment process is to be patient and not get stressed.

Causes of Painful Sexual Intercourse

• Infection in the vagina or vulvar area may occur from conditions such as genital herpes or warts.
• Congenital stenosis at the entrance to the hymen or vagina.
• Presence of thick and hard hymen.
• Poor healing of tissues after birth or after surgery on the vagina.
• Infection of the vagina against the condom used during sexual intercourse.
• Entering into sexual intercourse before you are ready.
• Uterine prolapse, bladder prolapse (cystocele) or prolapse of the back wall of the vagina (rectocele) cause painful sexual intercourse.
• Being previously psychologically affected.

Treatment Methods for Painful Sexual Intercourse

• Sexual therapies are applied for disorders caused by vaginismus.
• Medical treatments are applied in cases related to vaginal discharge and vaginal infection.
• Due to vaginal dryness, medications are given into the vagina in the form of creams, gels and sprays.
• Since it is a condition that may arise from the hymen, this membrane can be removed with surgery.
• Wounds after birth or after a surgical operation may heal poorly. In this case, since painful sexual intercourse occurs, vaginal aesthetic operations can be performed.

1. Primary Vaginismus: It is the inability to have sexual intercourse due to the contraction of the muscles inside the vagina during the first sexual intercourse. The main reason for this may be fear of first sexual intercourse. In this case, vaginal penetration is not successful.
2. Secondary vaginismus: It occurs in women with a normal sexual life after miscarriage, abortion or difficult birth. In this case, vaginal penetration has been performed before, but it is not possible to repeat it after the reasons we have mentioned.

What are the causes of vaginismus?

• One of the common reasons is that it affects the woman psychologically. Unfortunately, social judgments such as fear of the first night, honor, and hymen cause this situation.
• The woman may have previously been subjected to situations such as harassment, rape or coercion into intercourse. This reason is psychologically vaginismus causes.
• Structurally, the vagina is short or has a curtain inside.
• Hymen being harder and thicker than normal.

How to Treat Vaginismus?

First, the structure of the vagina is examined. If the hymen is hard and thick, it can be intervened. Then, the causes of sexual reluctance and depression are examined with the help of an expert psychologist. vaginismus Physical methods are also used in the treatment. Vaginal dilators and physical therapy exercises may be applied.

Laser Genital Aesthetics

We can list the genital aesthetics that you can have with laser as follows.

• Laser vaginal tightening: Laser vaginal tightening is an easier and more advantageous procedure since it does not require any surgical intervention. With the advancement of today's technology, no pain or suffering is felt. genital aesthetics with laser It is a highly developed procedure that does not require anesthesia.
• Genital area whitening: This procedure is an extremely effective solution in case of darkening of the vagina. Darkening in the genital area may occur due to several reasons such as wearing tight clothing, creams that disrupt the PH balance of the skin, and wearing synthetic underwear. The whitening process of the vaginal area is also known as vulva whitening. Genital aesthetics with laser There are several different methods of vulva whitening.
• Genital area tightening with laser: Genital area tightening aesthetics is generally preferred by people who experience urinary incontinence, inability to enjoy sexual intercourse, uterine prolapse, vaginal dryness and intestinal prolapse. It is a process that takes approximately half an hour. No pain or soreness is felt.