Delivery of IVF: Natural and Cesarean

Unfortunately, the realities of life are such that not every couple wishing to become parents, can conceive a child naturally. However, you should not despair in this situation. IVF procedure at the moment is a good alternative to natural conception.

Women who have in vitro fertilization procedure is often asked about the mode of delivery, the mistaken belief that birth after IVF is possible only by Caesarean section. According to experts, the birth of a child conceived through in vitro fertilization, are no different from the usual. In both cases, the choice of delivery will depend on the evidence.

IVF and delivery

A time when IVF was a risky and ineffective exercise is long gone. To date, transferred into the uterus embryos take root in 95% of cases. No more need to transfer 5-6 embryos in the hope that at least one will develop. For a successful outcome, it is enough 1-2 fertilized eggs.

The myth of mandatory delivery by caesarean section has its origin from the origins of in vitro fertilization. Then, in order to reduce risks to a minimum, physicians, indeed, preferred to allow a woman from the burden of a surgical procedure. Today there is no such necessity. In the absence of contraindications, the expectant mother may well start in natural childbirth.

However, it should be noted that among become pregnant with IVF, the percentage of cesarean delivery higher than in naturally conceived method. This is due to a large number of genital and extragenital pathology of reproductive system of patients.

Indications and conduct caesarean sections

Performing cesarean Women becoming pregnant by IVF depends on the indications that have led to the method of conception. If there were cases of female infertility, it is likely that it will be necessary to use an operational method for a successful delivery.

For caesarean section after IVF there are a number of indications.

1. Availability extragenital decompensated (severe cardiac, renal, hepatic insufficiency, etc.).
2. Age older than 35 years (from the age increases the risk of complications in childbirth).
3. Infertility, diagnosed more than 5 years ago.
4. The threat of termination of pregnancy during the entire period of gestation.
5. Late severe preeclampsia.
6. Malposition of the uterus.
7. Placental insufficiency.
8. Pregnancy two or more fruits.

View of woman last IVF procedure in the selection of the mode of delivery is taken into account without fail. If the expectant mother is experiencing overwhelming fear of natural childbirth and fears for the long-awaited child, her caesarean section is performed.

In preparation for surgery, the expectant mother the following studies will be performed:

• general analysis of blood and urine;
• analysis of blood for transfusion diseases (HIV, hepatitis and syphilis);
• coagulation, blood clotting factors;
• blood group.

Predominant type of anesthesia used for caesarean section, by far the epidural. This method of pain relief medication to minimize the possible negative effects on the fetus.

Once the patient is prepared, the operative field is processed and soft tissue layers are cut. The uterus is a hole through which the extraction takes place the fetus.

After a child is removed, depending on its condition, there is first attachment to the mother's breast.

The uterus is sutured special bioresorbable material. It promotes the formation of scar quality.

natural childbirth

If desired, the expectant mother to give birth alone and in the absence of contraindications to it, the natural childbirth is quite likely. Their course is no different from birth that occurred as a result of natural conception.

Preparatory stage

In most cases, a woman who became pregnant through IVF, hospitalized in the hospital for 1-2 weeks before delivery. It is necessary to conduct a full examination and minimize possible complications. Daily pregnant performed cardiotocography - research, allowing to evaluate the work of the fetal heart. Carried ultrasound and Doppler. These methods allow the clinician to assess the condition of the placenta, uteroplacental blood flow, calculate the amount of water to determine the location of the fetus and the approximate weight.

On the basis of these studies, a decision on the method of delivery: the presence of high the risk of complications that can occur during natural childbirth, the choice is made in favor of caesarean section.

Doctors strongly advise expectant mothers to give birth in the same hospital where she passed in vitro fertilization procedure. These hospitals are well equipped, have a staff of highly qualified specialists. An important feature is that in such conditions it is possible to compliance with the rules of succession: from the reproductive system, performed the IVF protocol, the patient comes under observation obstetrician-gynecologist who is already well aware of the individual characteristics of her health. This approach allows the physician to adjust to the future mother intimate psychological contact, adjust it to a successful outcome of pregnancy, make the most accurate prediction of delivery.

recovery

Recovery after delivery in women who conceived through IVF, is the same as the rest. Regardless of the mode of delivery, postpartum discharge - lochia present in all who have given birth. 3-5 days after birth begins the formation of lactation. At this stage it is important to remember the benefits of frequent nursing baby to the breast. Puerpera should carefully monitor the condition of their breasts, and the appearance of symptoms lactostasis, proceed immediately to treatment.

If a woman is planning to become pregnant again, doctors recommend to do it no earlier than 2 years after the birth of their first baby. The period of pregnancy and breast-feeding is stressful for the body. This time is needed to recover.