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Natural/C-Section Surgery in
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Amitabh Bachchan

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Caesarean Delivery

When you are pregnant, it is important to prepare yourself mentally. Make yourself aware of both natural and surgical delivery processes. Your baby is delivered via an incision made in the abdomen and uterus during a C-section. If normal birth through the vagina is unsafe or when it involves health risks for both mother and the baby, doctors recommend a C-section delivery.

Reasons for Caesarean Delivery

- There are specific situations where your gynecologist may recommend a Cesarean section, like the following: - There are any obstructions such as a uterine fibroid or a pelvic fracture, or if your child is expected to have a congenital anomaly; - There is cephalopelvic disproportion, i.e. your baby’s body or head is too large to pass through your pelvis safely or if the baby is not fully developed by -the time of your delivery; - Your baby is in a transverse lie, i.e. in the horizontal or sideways position in the uterus; - Your baby is in a breech position, i.e. your baby’s feet or buttocks enter the pelvis first at the time of delivery; - You've had a previous C-section; - You're expecting twins, triplets, quadruplets, or more; - You have placenta previa, i.e. the placenta is very low in your uterus, blocking your baby’s exit out of the cervix - You have a ...
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Who is at Risk?

    Compared to a vaginal delivery, a C-section operation tends to be safer for the mother and the infant. An unexpected C-section may occasionally be advised in the event of a medical emergency, such as when your baby's heart rate falls dangerously low. Like any other surgery, even C-section delivery involves certain risks. These include the following: - Infection - Blood loss - Bladder injury - Placental abnormalities in future pregnancies - Embolism i.e. breakage of a blood clot and its entry into the bloodstream - Bowel injury - Fetal injury - Weakness of the uterine wall due to a cut - Risks associated with general anesthesia

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Types of C-section Incisions

    There are 3 types of Cesarean section incisions: Low transverse: This is also known as a bikini incision since it involves making a low, horizontal cut along the bikini line. Low vertical: This procedure resembles a transverse section but involves cutting across the lower abdomen vertically rather than horizontally. High vertical: This incision has a form that resembles a low vertical incision. However, the stomach is sliced crosswise and high up on the abdomen.

Preparation for Caesarean Delivery

    Your doctor can suggest that you undergo certain blood tests before a C-section to monitor your red blood cell count and determine the likelihood of anesthetic issues. Discuss the possibility of a C-section with your doctor long before your due date, even if your doctor has advised a vaginal birth.

Steps Involved in Caesarean Delivery

    Every doctor follows a different way of C-section. However, the general steps include: - Showering at home with an antiseptic soap the night before and the morning of your C-section; - Not shaving your pubic hair within 24 hours of your C-section to avoid infection; - Having your abdomen cleansed at the hospital. Your doctor may prepare you for anesthesia, clean your belly with an antiseptic, cover the incision site with a sterile drape, and raise a sterile curtain between your head and lower body before performing a cesarean section surgery. Your doctor will next make an incision through your skin and into your abdomen. It takes less time to do an emergency cesarean than a scheduled one, but the method is the same. Until and unless there are no complications, you can hold your baby right after returning to consciousness.

Recovery Care

    A C-section takes longer to heal than a vaginal delivery. You may start to experience incisional and gastric discomfort after the effect of anesthesia is gone. You could find it difficult to inhale deeply or to turn your body easily and hit the pedals. Most women spend two to three days in the hospital following the delivery. After giving birth, you might want assistance getting out of bed for a few days. It might take 4 to 6 weeks to heal completely.

Success Rate of Cesarean Delivery

    Usually, c-section deliveries are successful and safe. This is why, in India, every third child is now born following this procedure.

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Frequently Asked Questions

The delivery usually takes 15 to 20 minutes. The wounds in the abdomen and uterus may need to be stitched for a further 45 minutes.

In terms of nursing, your infant, vaginal delivery and a c-section are identical. You can surely breastfeed your child after birth unless there are any other complications.

Consult your doctor before your due date if you want to undergo a C-section for non-medical reasons or because you are afraid of labor and delivery.