Wednesday, November 18, 2020

Cesarean or Normal Birth?

Cesarean section or normal birth is one of the indecisions experienced by expectant mothers, especially when there is a short time before birth. Getting more detailed information about both types of delivery can also facilitate decision making. Sometimes, it may not be possible to give birth with the pre-planned delivery method, and a caesarean decision can be made urgently. First of all, it is necessary to know which factors are effective in determining the mode of delivery. We can list these factors as follows:

  • Duration of labor
  • Whether there is an opening in the cervix with contractions
  • The position of the baby in the womb
  • Stenosis level of the pelvis of the expectant mother
  • Whether the baby is big
  • Whether there is active bleeding
  • Whether there is a disease that may affect the birth of the expectant mother

Considering all these factors, a recommendation to the expectant mother can be made by the gynecology and obstetrician about cesarean or normal birth. In terms of the health of the baby and the expectant mother, it is beneficial to accept the delivery method recommended by the doctor and not to insist on a different delivery method.

Cesarean or Normal Birth

Cesarean or Difficult Normal Birth?

First of all, there is an important element that expectant mothers and fathers who experience cesarean delivery or normal birth should know. Both forms of birth do not have an advantage over each other. Their advantages and disadvantages may differ from each other. However, this does not mean that one type of delivery is a better option than another. The important thing is to determine the delivery method by taking the health of the baby into consideration, and making this decision in consultation with the obstetrician and gynecologist who follows the pregnancy is the best option in terms of the health of both the expectant mother and the baby.

It may also be necessary to abandon the pre-planned delivery method during birth. When you discuss the issue of cesarean section or normal birth, your doctor may tell you that there is no harm in having a normal birth. However, when the birth begins, even the position of the baby may make cesarean delivery mandatory. Therefore, it is useful to know that expectant mothers who prefer normal birth may have to give birth by cesarean section.

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Situations Requiring Cesarean Section?

The decision of cesarean can be made after the examinations before the birth or during the birth. In the case of placenta previa, that is, in cases where the placenta covers part or all of the cervix, the cesarean section or normal birth issue loses its importance. Because in this case, the birth should be done by cesarean section. At the same time, normal delivery becomes inconvenient if the baby stands upside down or sideways during birth. In order to prevent the health of the baby from being endangered, even if a normal birth decision has been taken, it is mandatory to perform the birth by cesarean section.

If the baby is found to be large on ultrasound imaging, the answer to the question of cesarean or normal birth is cesarean. In some expectant mothers, the pelvis structure may prevent the baby from being born with normal birth. In this case, we can say that the cesarean decision has become essential. In addition, herpes simplex virus (HSV) can be passed from mother to baby during birth. In order to prevent this, the baby is delivered by cesarean section.

Let us state that in the presence of some anomalies in the baby or the presence of masses obstructing the birth canal, the answer to the question of cesarean section or normal birth is cesarean. Sometimes, some brain and heart diseases that are present in the expectant mother can cause harm in case of straining. However, straining is important for the expectant mother to help normal birth. In such cases, cesarean, which is a method of delivery that does not require straining, is preferred in order not to risk the life of the expectant mother.

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Conditions Requiring Normal Birth?

Conditions Requiring Normal Birth

Normal delivery is not necessarily the preferred mode of delivery. If the condition of the expectant mother and the baby is suitable and there is no harm, cesarean or normal birth can be used in the direction of normal delivery. Women who have given birth by cesarean before may also prefer normal birth. However, the doctor must state that there is no harm in normal birth.

Advantages of Normal Birth

During pregnancy, the body prepares itself for a normal birth. Especially mothers who experience cesarean section or normal birth may wonder about the advantages of normal birth. In normal birth, the expectant mother can recover faster and start taking care of her baby immediately. In this type of birth, surgical intervention is applied only when necessary. It should also be noted that the risk of infection is less in normal delivery compared to cesarean. It is also observed that birth weight is lost more easily.

The Harms of Normal Birth

In terms of disadvantage, it is possible to state that there are some harms of normal birth when considering the issue of cesarean section or normal birth. After birth, pain may be experienced in the perineum and vagina due to tears. It should also be noted that unwanted complications such as shoulder wear in the baby can be experienced. Postpartum urinary incontinence problems may occur, provided that it is short-term and temporary.

Advantages of Cesarean Delivery

Cesarean delivery is considered as a savior option especially for expectant mothers who are afraid of normal birth. Cesarean section provides a planned delivery. The lower risk of complications that may arise during delivery can lead to the decision of cesarean section or normal birth to be used in the direction of cesarean section. The fact that there is no pain and pain experienced in normal birth is also on the list of advantages.

The harms of cesarean delivery

Expectant mothers should evaluate the issue of cesarean delivery or normal birth by considering the disadvantages of cesarean section. The recovery time is longer in cesarean section and the risk of infection is higher than normal birth. Depending on the surgical operation, there is a risk of injury to the baby or some organs of the expectant mother. It should be noted that it is stressful for the baby because the baby is born before the baby is ready, and the baby has a higher risk of developing jaundice, asthma and allergies after birth.

It is also useful to know that the risks arising from the anesthesia applied are also valid. When you look at the disadvantages only, you can notice that the disadvantage list of cesarean is longer in comparison to cesarean or normal birth. However, this does not mean that cesarean delivery is a worse choice than normal birth.

It should not be forgotten that cesarean delivery is a much more appropriate choice in terms of the health of the expectant mother and the baby, especially if it is medically necessary, and it is beneficial not to take a persistent attitude towards normal birth.

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How Long Does Normal Birth and Cesarean Section Last?

How Long Does Normal Birth and Cesarean Section Last

Expectant mothers may wonder about the duration of both delivery types, whether it is cesarean section or normal birth. However, the duration of the birth is not the same in every woman in both cesarean delivery and normal birth. We can state that the normal delivery period is slightly longer, especially in women who give birth for the first time. This period can be completed within a few hours or can be extended up to 10 hours. In subsequent births, the period can be extended up to 7 hours.

Cesarean delivery is usually completed between 40 minutes and 60 minutes. However, it should be known that this period may be extended if any problems are encountered during cesarean delivery. In addition, it would be much more correct to make the decision of cesarean section or normal delivery not by taking the birth period into account, but by taking the health of the baby and medical necessities into consideration.


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Private Office:
İncirli Cad. No:41, Kat:4 Bakırköy - ISTANBUL (Dilek Pastanesi Üstü)
Phone: +902125428785
Mobile: +905323253008
E-Mail: dr.ismetyildirim@hotmail.com

Friday, November 13, 2020

Nasal Valve Collapse - Definition, Causes, Symptoms, Treatment

Nostril Collapse

Nasal valve collapse - Nostril collapse - Alar collapse - Treatment of nasal valve collapse - Treatment of alar collapse - Nasal valve collapse surgery - Repair of nasal valve collapse - Nasal valve collapse operation

What is nasal valve collapse?


The angle of the nasal wing to the nasal septum and therefore the open or closed airway is closely related to the structure of the nasal valves. Nasal valves must be at the appropriate angle for healthy breathing through the nose. Otherwise, especially functional problems such as septum deviation, a nasal congestion problem will be experienced, which will reduce the quality of life.

The nasal valve consists of two parts, external and internal. Difficulty breathing through the nose (nasal valve insufficiency) occurs with the narrowing of the valve angle or the decrease of the valve area below normal, and it is one of the main causes of nasal obstruction. Nasal valve stenosis may occur congenitally or later. Factors that lead to nasal valve stenosis, which may also occur with the combination of one or more factors, can be listed as follows:

  • Rhinoplasty operations performed in the past,
  • Traumas taken to the face
  • Septum deviation,
  • Weakening of the nasal sidewall with aging

Nasal valve collapse diagnosis


Cottle maneuver


Nasal valve collapse, which has a high incidence in people with a narrow nose structure; It can be understood by a simple physical test called the "Cottle maneuver". Nasal valve insufficiency can be diagnosed if the person can breathe easily by placing two index fingers at the intersection of the nose and cheek and opening the area. Nasal valve collapse can usually be treated surgically.

Nasal valve collapse symptoms


Symptoms of nasal valve failure are as follows;

  • Sleeping with mouth open
  • Snore
  • Decrease in effort capacity
  • Drying in the throat
  • Tiredness
  • Aesthetic impairment in the nose (asymmetry in the nasal entrance in the external nasal valve insufficiency from the bottom and front view, if the internal nasal valve insufficiency is unilateral, collapse in the mid-lateral soft tissue of the nose, and bilateral collapse if bilateral)

Nasal valve collapse surgery


Patients who experience the above mentioned complaints due to nasal valve stenosis can get rid of their problems with surgical application. Cartilage supports are used to support the nasal side wall to expand the nasal valve angle during the surgery performed by giving the patient local or general anesthesia. Afterwards, stitches are made to open the air channels in the nose. The techniques to be used during nasal valve surgery differ between whether nasal valve obstruction is static or dynamic. Static obstruction, unchanged obstruction; dynamic obstruction can be defined as the closure of the internal and external nasal valves at low pressures. Spreader, butterfly and spreader grafts are used in patients with static obstruction during surgical intervention. In case of dynamic obstruction, nasal valve suspension sutures, blanket and overlay concha grafts are used. Nasal valve surgery is usually performed at the same time as septoplasty, turbinate surgery, which is performed to restore nasal function. For this reason, doctors should examine patients with nasal congestion in detail and examine their intranasal structures before the operation. Nasal valve surgery performed as a result of incomplete examinations will not be sufficient to solve the nasal obstruction of the patient alone.




Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
 
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 0533 6550199
Fax: +90 212 542 74 47
 

Thursday, November 12, 2020

What Does It Mean to Have a Miscarriage? How to Understand?

Miscarriage in the most general definition is the loss of the fetus due to various reasons before the 20th week of pregnancy. Nowadays, approximately 20% of pregnancies result in miscarriage and 80% of miscarriages occur in the first 3 months of pregnancy. Of course, miscarriages can be made after the 20th week of pregnancy and these miscarriages are called 'late miscarriages'. Late miscarriages can be more devastating and traumatic in women.

In women, age is closely related to miscarriage, because as age increases, the rate of miscarriage of pregnancies also increases. We can explain the relationship between the age of the woman and the risk of miscarriage as follows:

  • ·         Miscarriage risk increases by 20% in pregnancies between the ages of 35 and 40
  • ·         Miscarriage risk increases by 40% in pregnancies between the ages of 40 and 45
  • ·         Miscarriage risk increases 90% in pregnancies aged 45 and over

If women become pregnant at an advanced age, the likelihood of genetic abnormalities in babies increases significantly. Even based on this factor alone, a miscarriage may occur. Because when pregnancy occurs after a certain age, the body stops the development of the baby in the womb with a completely natural selection.

However, you should know that age is not the only factor that increases the risk of miscarriage, and this does not mean that pregnancies at later ages will necessarily result in miscarriage. It is very important for women planning pregnancy to have information about how to have a miscarriage. Especially the symptoms of miscarriage need to be known.

What is Miscarriage?

The loss of the baby in the womb, due to placental problems, lifestyle, cervical insufficiencies and many other factors, means miscarriage. At the same time, we can say that conditions such as diabetes, thyroid disease, infections, hormonal imbalances, some problems with the cervix, chromosome problems, some abnormalities in the body structure and polycystic ovary syndrome, although not always, cause miscarriage.

In recent years, it has been found that diseases such as gonorrhea and syphilis also cause miscarriage. Although miscarriage is an undesirable situation in planned pregnancies, the fact that it can be caused by many factors brings it to be experienced frequently. Although sometimes drugs are not used to cause miscarriage, drugs used in the treatment of various ailments can also cause pregnancy to result in miscarriage.

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What Are the Symptoms of Miscarriage?

What Are the Symptoms of Miscarriage

Expectant mothers may also wonder the answers to questions such as how miscarriage reveals itself, how miscarriage signals it. The most obvious symptom of miscarriage is vaginal bleeding. Common miscarriage symptoms can be listed as follows:

  • ·         Vaginal bleeding
  • ·         Cramping and pain in the abdomen
  • ·         Mild or severe back pain
  • ·         Experiencing weight loss
  • ·         Nausea and vomiting
  • ·         Fluid discharge from the vagina
  • ·         Textured or clotted discharge from the vagina
  • ·         Feeling like fainting at any moment
  • ·         Contractions in the womb
  • ·         High body fever

As a result, it should be underlined that each of the symptoms of miscarriage is extremely important. Regardless of the week of your pregnancy, immediately inform your doctor when the symptoms listed above occur. Because similar symptoms can be seen when different problems arise other than miscarriage, and it is of great importance to intervene in health problems that occur during pregnancy as soon as possible. It is not always possible to investigate the cause of the miscarriage.

It should be emphasized that sometimes a miscarriage shows no symptoms. In the examination, it is determined by the gynecologists and obstetricians that the development of the baby has stopped. However, until then, the mother-to-be has not experienced any symptoms of abortion. For this reason, it is of great importance that the examinations are not interrupted and neglected during the pregnancy period.

How Is Miscarriage Cure?

When your doctor detects that the baby's development has stopped, immediate miscarriage treatment is required. In such a situation, it does not matter whether there is a symptom of miscarriage or not. The inside of the uterus should be cleaned with the treatment of abortion in a short time. Because if this treatment is not applied, the body tries to evacuate the baby whose development has stopped as a natural reaction, which raises the risk of serious blood loss. Since the risk of excessive bleeding also brings a life-threatening risk, it is necessary to undergo abortion treatment.

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How Does a Piece Fall in Low?

First of all, in case of miscarriage, it should not be thought that tissue pieces come from the vagina. A miscarriage can also start with bleeding only, without a piece of tissue. Tissue pieces, on the other hand, may have an irregular shape and vary in size. You can put the incoming tissue piece in a container so that your doctor can see it. The important thing is to know that a piece of tissue from the vagina is among the symptoms of miscarriage.

How Much Is The Amount Of Bleeding In Miscarriage?

How Much Is The Amount Of Bleeding In Miscarriage

The bleeding may start as light spotting and may become severe or severe. Note that the color of the blood can also be bright red, pink or close to brown. In case of a miscarriage during pregnancy, the amount of bleeding may not always be the same. Therefore, specifying a certain amount can be misleading. It is important to know that vaginal bleeding during pregnancy is among the symptoms of miscarriage and to inform the doctor. Of course, we are not talking about the mild bleeding that occurs in the early stages of pregnancy, which is known as "implantation bleeding" among the public, and occurs when the embryo is implanted in the uterus. Implantation bleeding is considered medically normal and not considered to be abortion. However, bleeding that occurs afterwards should be taken seriously.

Will There Be Miscarriage Without Bleeding?

One of the issues that confuses expectant mothers about miscarriage is bleeding. However, a miscarriage can be made without bleeding. For example, miscarriages that start with water coming out of the vagina may be experienced, and these miscarriages may not have bleeding or pain or cramping. Therefore, although bleeding is among the most common and most important symptoms of miscarriage, it is useful to know that a miscarriage can occur without bleeding. Sometimes, only the water coming from the vagina can be one of the answers to the question of how the miscarriage happens.

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Will Pregnancy Happen After Miscarriage?

Of course, ending a pregnancy with a miscarriage does not mean that you cannot be a mother or have a healthy pregnancy period. After a miscarriage, women can get pregnant again and have a healthy pregnancy period. We also observe that the concern that pregnancy will result in a re-miscarriage after abortion is extremely common.

Miscarriage in the first pregnancy does not increase the risk of miscarriage in subsequent pregnancies. Today, many women have a healthy pregnancy period after abortion. Of course, there is a possibility of a second miscarriage after a miscarriage, but we should also mention that this probability is around 5%.

In the meantime, miscarriage can be devastating for women not only physically but also psychologically, and it will be useful to wait for a psychological recovery before getting pregnant again. Psychologically, the expectant mother should be expected to feel ready. Physical recovery after abortion can take a few hours, as well as up to a few days. Because after abortion, there may be a need for abortion.

However, it is not necessary to have an abortion after every abortion. Especially in the early pregnancy period, it can be determined that there is no need for an abortion with the examination performed when miscarriage occurs. The regularization of the menstrual cycle requires a period of 4 to 6 weeks, and usually the menstrual cycle does not begin before 4 weeks. Because you should wait for women who have had a miscarriage to recover physically and psychologically in order to have a healthy pregnancy.

Are There Medications That Cause Miscarriage?

Unfortunately, various attempts are still being made to achieve an abortion in order to terminate unwanted pregnancies. However, there is only one way to end unwanted pregnancies; abortion! Therefore, different searches should not be made with questions such as what to do to abort. It is not possible to miscarriage with the use of various medicines or various herbal cures.

On the contrary, you can cause serious and permanent damage to your health. Finally, the only answer to the question of what to do to abortion would be "an appointment for abortion". There is no sale of a drug that is the answer to the question of what to do to abort in our country. You should definitely not use medicines that are claimed to cause miscarriage and are advertised in this way and you should not respect these people.

Indiscriminate use of medication does not cause miscarriage symptoms. There may be a belief that a miscarriage will occur in the event of the death of the unborn baby, but this may cause you to lose your life. As a result, there is no drug that causes miscarriage, and it is never possible to obtain such a drug from pharmacies. In case of unwanted pregnancy, you should contact your gynecologist and obstetrician to have an abortion procedure before exceeding the legal abortion period. In particular, methods such as using pills for miscarriage can be life-threatening.

How to Understand Low Risk?

It is not possible for the expectant mother to understand that there is a risk of miscarriage. However, with the examinations and tests performed by your doctor, it can be determined that there is a risk of miscarriage. For this, conditions such as cervical opening or light bleeding should be detected.

In this case, you may be advised to rest by your doctor and you may be asked to inform if the complaints persist. However, when the symptoms of miscarriage appear clearly, it is not possible to prevent abortion by resting in cases such as water, blood and tissue fragments coming from the vagina.

In this case, unfortunately, the loss of the fetus may be inevitable and treatment is not required to prevent miscarriage. Especially if there is a risk of miscarriage after the first trimester of pregnancy, a successful result may not be obtained with medication. Unfortunately, this pregnancy picture often results in miscarriage and an abortion may be required afterwards.


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Private Office:
İncirli Cad. No:41, Kat:4 Bakırköy - ISTANBUL (Dilek Pastanesi Üstü)
Phone: +902125428785
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E-Mail: dr.ismetyildirim@hotmail.com