{"id":40569,"date":"2023-06-28T12:24:08","date_gmt":"2023-06-28T10:24:08","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=40569"},"modified":"2023-06-28T12:24:11","modified_gmt":"2023-06-28T10:24:11","slug":"cisarsky-rez-je-ctyrnasobne-rizikovejsi-nez-normalni-porod","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=40569","title":{"rendered":"C\u00edsa\u0159sk\u00fd \u0159ez je \u010dty\u0159n\u00e1sobn\u011b rizikov\u011bj\u0161\u00ed ne\u017e norm\u00e1ln\u00ed porod"},"content":{"rendered":"\n

Na jedn\u00e9 stran\u011b um\u00ed zachr\u00e1nit \u017eivot, na stran\u011b druh\u00e9 zp\u016fsobit nep\u0159\u00edjemn\u00e9 komplikace. \u0158e\u010d je o c\u00edsa\u0159sk\u00e9m \u0159ezu, kter\u00fd by se m\u011bl podle odborn\u00edk\u016f prov\u00e1d\u011bt jenom v\u00a0opodstatn\u011bn\u00fdch p\u0159\u00edpadech. \u010cesk\u00e1 republika se v\u00a0po\u010dtu c\u00edsa\u0159sk\u00fdch \u0159ez\u016f dr\u017e\u00ed pod evropsk\u00fdm pr\u016fm\u011brem \u2013 v sou\u010dasn\u00e9 dob\u011b se v\u00a0tuzemsku rod\u00ed tzv. sekc\u00ed ka\u017ed\u00e9 \u010dtvrt\u00e9 d\u00edt\u011b. Specialist\u00e9 se shoduj\u00ed na tom, \u017ee je tento trend pot\u0159eba dr\u017eet i do budoucna. Stoupaj\u00edc\u00ed v\u011bk rodi\u010dek, a naopak jejich klesaj\u00edc\u00ed fyzick\u00e1 kondice v\u0161ak mohou \u010d\u00edsla do budoucna zvy\u0161ovat. Problematikou c\u00edsa\u0159sk\u00e9ho \u0159ezu se zab\u00fdvaly stovky zdravotn\u00edk\u016f na unik\u00e1tn\u00ed mezin\u00e1rodn\u00ed multioborov\u00e9 konferenci POROD 2023 v\u00a0Ostrav\u011b. Do spole\u010dn\u00e9 diskuse se zapojily i duly, lakta\u010dn\u00ed poradkyn\u011b a pacientky.<\/strong><\/p>\n\n\n\n

\u201eC\u00edsa\u0159sk\u00fd \u0159ez je velk\u00e1 b\u0159i\u0161n\u00ed operace, u kter\u00e9 je pot\u0159eba v\u017edy pe\u010dliv\u011b zv\u00e1\u017eit, zda je opravdu t\u0159eba. Slou\u017e\u00ed k\u00a0z\u00e1chran\u011b \u017eivota rodi\u010dek a d\u011bt\u00ed a k sn\u00ed\u017een\u00ed jejich nemocnosti, doprov\u00e1zet ho ale m\u016f\u017ee i \u0159ada komplikac\u00ed. Proto se mus\u00ed pou\u017e\u00edvat s\u00a0rozvahou a mus\u00ed k\u00a0n\u011bmu v\u00e9st opodstatn\u011bn\u00e9 d\u016fvody,\u201c<\/em> popisuje doc. MUDr. Ond\u0159ej \u0160imetka, p\u0159ednosta Gynekologicko-porodnick\u00e9 kliniky L\u00e9ka\u0159sk\u00e9 fakulty Ostravsk\u00e9 univerzity a FN Ostrava a hlavn\u00ed organiz\u00e1tor konference. <\/p>\n\n\n\n

Komplikace se mohou objevit nejenom b\u011bhem prov\u00e1d\u011bn\u00e9 operace. D\u011btem, kter\u00e9 se rod\u00ed c\u00edsa\u0159sk\u00fdm \u0159ezem, hroz\u00ed vy\u0161\u0161\u00ed riziko rozvoje astmatu, intolerance slo\u017eek potravy, autoimunitn\u00edch onemocn\u011bn\u00ed, obezity nebo diabetu. Dlouhodob\u00e9 dopady m\u00e1 c\u00edsa\u0159sk\u00fd \u0159ez i na matky, a\u0165 u\u017e se jedn\u00e1 o sn\u00ed\u017eenou plodnost, nebo nap\u0159\u00edklad o \u0161patn\u00e9 zahn\u00edzd\u011bn\u00ed placenty v\u00a0dal\u0161\u00edm t\u011bhotenstv\u00ed. \u201eC\u00edsa\u0159sk\u00fd \u0159ez je ve srovn\u00e1n\u00ed s\u00a0norm\u00e1ln\u00edm porodem a\u017e \u010dty\u0159ikr\u00e1t rizikov\u011bj\u0161\u00ed,\u201c<\/em> zd\u016fraz\u0148uje doc. \u0160imetka. Jak ale dod\u00e1v\u00e1, v\u00a0p\u0159\u00edpadech, kdy je nutn\u00e9 ho prov\u00e9st, dramaticky sni\u017euje \u00famrtnost a nemocnost d\u011bt\u00ed i matek a m\u00e1 i\u00a0sv\u00e9 ochrann\u00e9 efekty \u2013 zejm\u00e9na na p\u00e1nevn\u00ed dno.<\/p>\n\n\n\n

V \u010cesk\u00e9 republice po\u010det c\u00edsa\u0159sk\u00fdch \u0159ez\u016f na za\u010d\u00e1tku 90. let rychle rostl a pozd\u011bji se zastavil na hranici kolem 25 %. Na t\u00e9 se dr\u017e\u00ed i v sou\u010dasn\u00e9 dob\u011b. \u201eZa \u0161pi\u010dku v oblasti porodnictv\u00ed je pova\u017eov\u00e1na Skandin\u00e1vie, kde se c\u00edsa\u0159sk\u00e9 \u0159ezy neprov\u00e1d\u00ed tak \u010dasto jako u n\u00e1s. \u0160patn\u011b na tom v\u0161ak nejsme, proto\u017ee se v jejich po\u010dtu dr\u017e\u00edme pod pr\u016fm\u011brem Evropy,\u201c<\/em> uv\u00e1d\u00ed doc. \u0160imetka. Velkou roli v \u010detnosti porod\u016f c\u00edsa\u0159sk\u00fdm \u0159ezem podle n\u011bj hraje zvy\u0161uj\u00edc\u00ed se v\u011bk \u017een v dob\u011b jejich prvn\u00edho t\u011bhotenstv\u00ed, kter\u00fd v tuzemsku p\u0159ekro\u010dil t\u0159ic\u00edtku. Probl\u00e9mem je tak\u00e9 stoupaj\u00edc\u00ed obezita rodi\u010dek. \u201eTyto faktory, kter\u00e9 maj\u00ed na prov\u00e1d\u011bn\u00ed c\u00edsa\u0159sk\u00e9ho \u0159ezu velk\u00fd vliv, je pot\u0159eba neust\u00e1le p\u0159ipom\u00ednat. U\u017e te\u010f se u n\u00e1s rod\u00ed c\u00edsa\u0159sk\u00fdm \u0159ezem ka\u017ed\u00e9 \u010dtvrt\u00e9 d\u00edt\u011b a my bychom byli velmi neradi, kdyby jich v budoucnu p\u0159ib\u00fdvalo,\u201c <\/em>dod\u00e1v\u00e1 doc. \u0160imetka.<\/p>\n\n\n\n

C\u00edlem konference POROD 2023 bylo pod\u00edvat se na c\u00edsa\u0159sk\u00fd \u0159ez ze v\u0161ech \u00fahl\u016f. Specialist\u00e9 z\u00a0mnoha obor\u016f v Ostrav\u011b diskutovali o tom, jak jej prov\u00e1d\u011bt co nejbezpe\u010dn\u011bji a nejp\u0159\u00edv\u011btiv\u011bji pro \u017eeny, jejich d\u011bti i rodiny. Na konferenci se se\u0161li zejm\u00e9na gynekologov\u00e9, porodn\u00edci, neonatologov\u00e9, porodn\u00ed asistentky, d\u011btsk\u00e9 sestry, fyzioterapeuti nebo psychiat\u0159i, sv\u00e9 zastoupen\u00ed na n\u00ed ale m\u011bli i nezdravotn\u00edci, nap\u0159\u00edklad lakta\u010dn\u00ed poradkyn\u011b a duly. <\/p>\n\n\n\n

O sv\u00e9 zku\u0161enosti s\u00a0c\u00edsa\u0159sk\u00fdm \u0159ezem se nav\u00edc na m\u00edst\u011b pod\u011blilo tak\u00e9 p\u011bt pacientek \u2013 zdravotn\u00edk\u016fm popisovaly, jak se v\u00a0dob\u011b porodu c\u00edtily, jak\u00e9 informace jim chyb\u011bly, nebo co naopak necht\u011bly sly\u0161et. \u201eZdravotn\u00edci \u010dasto trp\u00ed \u201aprovozn\u00ed slepotou\u2018 a maj\u00ed pocit, \u017ee ud\u011blali v\u0161e pot\u0159ebn\u00e9. \u017deny ale mnohdy vn\u00edmaj\u00ed situaci jinak a chyb\u00ed jim citliv\u011bj\u0161\u00ed a srozumiteln\u011bj\u0161\u00ed komunikace. Proto jsme pova\u017eovali za d\u016fle\u017eit\u00e9, aby na konferenci ve speci\u00e1ln\u00edm pacientsk\u00e9m f\u00f3ru promluvily pr\u00e1v\u011b ke zdravotn\u00edk\u016fm,\u201c <\/em>vysv\u011btluje doc. \u0160imetka.<\/p>\n\n\n\n



<\/p>\n","protected":false},"excerpt":{"rendered":"

Na jedn\u00e9 stran\u011b um\u00ed zachr\u00e1nit \u017eivot, na stran\u011b druh\u00e9 zp\u016fsobit nep\u0159\u00edjemn\u00e9 komplikace. \u0158e\u010d je o c\u00edsa\u0159sk\u00e9m \u0159ezu, kter\u00fd by se m\u011bl podle odborn\u00edk\u016f prov\u00e1d\u011bt jenom […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":24479,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-40569","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40569","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=40569"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40569\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/24479"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=40569"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=40569"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=40569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}