A lying-in woman in Yulin, Shaanxi Province cried out for pain and wanted a caesarean section, which was rejected many times by her family. She committed suicide by jumping off a building.
Judging from the news briefing, the reason why the pregnant woman jumped off a building was obvious. The pregnant woman could not bear the pain of childbirth.
In this case, the family’s insistence on [natural childbirth] is actually inconsistent with the wishes of the parturient himself. Who should the doctor listen to at this time? Why do family members insist on giving birth smoothly? How painful is childbirth that the lying-in woman jumped to her death?
We interviewed some doctors on these issues.
When the lying-in woman and her family disagree, who should the doctor listen to?
Dr. Lu: Respect the patient’s own wishes unless she loses her personal will and authorizes others to make decisions.
As in the news, if such a pregnant woman comes to see a doctor, we will not directly recommend cesarean section. In combination with the wishes of her and her family, we choose to have a trial delivery first. If the stagnation of labor process is like this case, then we strongly recommend cesarean section and follow the wishes of the pregnant woman herself.
Personally, I think doctors should still give priority to the opinions of patients. If the family members have objections, then unless he persuades the patient to change his decision, we still respect the wishes of the patient himself.
After all, the patient is the patient himself. Unless the patient loses his personal will after anesthesia, her authorized person will make the decision for her.
Do family members insist on giving birth smoothly and do not accept caesarean section?
Doctor Ying: Now with the release of the second child, many family members are worried that they will not have a second child immediately after cesarean section and will persist in giving birth smoothly.
I still feel very sad and sorry to hear such news.
Although I don’t know the reason why the family members in the news insist on giving birth smoothly, now with the release of the second child, our obstetricians and gynecologists are surprised to find a phenomenon, and a small number of Chinese people are beginning to go to the other extreme.
In the past, cesarean section was necessary without listening to dissuasion, but now it is necessary to give birth smoothly when refusing cesarean section at regular intervals.
It is mainly worried about a series of problems such as not having a second child immediately after cesarean section and having a second child to undergo cesarean section.
Natural childbirth does not affect how long it takes to have a second child after delivery, as long as ovulation can be resumed after delivery, but who does this in reality? What do you want to do, you have to slowly raise this one in your arms first.
In fact, it is almost the same to rest for a year or two after cesarean section. The two are almost the same. After cesarean section, the problem of scar repair and scar intensity is mainly taken into account. It is generally recommended to be pregnant about 2 years after operation.
Another problem is that a second child needs to be dissected after cesarean section. In fact, this is not absolute. Now in China, vaginal delivery after cesarean section (VBAC) has been carried out in many hospitals. This is in line with international standards and also in foreign countries. The second child who gives birth to the first child naturally does not necessarily give birth smoothly, but may also need cesarean section. The second child who gives birth to the first child by cesarean section does not need cesarean section, but can also give birth smoothly.
Therefore, whether cesarean section is needed depends entirely on the current delivery conditions, the progress of labor process, whether there are contraindications to vaginal delivery, etc., and should not hold too many other ideas.
This is true for parturients, especially for family members. Don’t use your own prejudices to influence doctors’ professional judgment.
It is still necessary to believe that every doctor hopes his patients will develop in a good way.
How painful is childbirth that the parturient jumps off a building?
Dr. Weng: The pain of childbirth is really enough to make people lose their minds. Pregnant women may require cesarean section because of the unbearable labor pains. This situation is actually common.
The pain of childbirth is indeed enough to make people lose their minds. However, if the labor process is not progressing smoothly and obstruction occurs, the pain may become more severe. Severe obstruction may even lead to serious complications such as uterine rupture.
Doctors will judge whether pregnant women can continue the trial delivery according to the principles of diagnosis and treatment and clinical experience. If the conditions are not good and are not suitable for continuing the trial delivery, they will definitely give suggestions and reasons for transferring to cesarean section.
However, pregnant women may require cesarean section due to unbearable labor pains, which is actually common, but in most cases we will evaluate her conditions.
If the conditions are good, she will be persuaded to continue the trial labor, give comfort, and help with labor analgesia, drugs to speed up the progress of labor, Doula company and other methods.
Natural delivery or caesarean section? How doe that doctor weigh
Dr. Su: Comprehensive evaluation, try to give a feasible plan to reduce the damage of mother and child and maximize the benefits of mother and child.
Flat delivery and cesarean section are considered purely from a medical point of view. If the flat delivery is successful, the total benefit to the mother and child outcome is greater than that of cesarean section. Whether the flat delivery is successful or not depends on many prerequisites: the size of the fetus, the orientation of the fetus in the uterus, the condition of the pelvis of the pregnant woman, the productivity after the delivery is started, and some mental and psychological factors.
These situations need doctors to make a good evaluation and try to give a feasible plan to reduce the damage of mother and child and maximize the benefits of mother and child.
Childbirth is very painful and painful.
However, this pain can be alleviated by adjusting breathing and anesthesia in spinal canal during delivery.
Pregnant women themselves can decide their own delivery method, but they must make a choice with full informed consent to control the risks.
Pregnant women cannot give up vaginal delivery because of pain. If all kinds of conditions are suitable for vaginal delivery and no indication of cesarean section can be found, doctors cannot perform emergency cesarean section on the grounds of pain.
Do you have what’s views on this [Yulin Pregnant Women Jumping off a Building] incident? Talk to us in the comment section.