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Natural/C-Section Surgery in
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Caesarean Delivery

An incision is created in the abdominal and uterus during a C-section in order to deliver the baby. Your doctor could suggest a C-section delivery if giving birth vaginally is unsafe, impractical, or jeopardizes your health.

Reasons for Caesarean Delivery

There are a few considerations taken into account for Cesarean delivery. These usually include: - Obstructions such as a uterine fibroid or a pelvic fracture or if your child is expected to have a congenital anomaly; - Cephalopelvic disproportion, i.e. your baby’s body or head is too large to pass through your pelvis safely, or if the baby’s average size is too small for the delivery; - The transverse position of your baby, i.e. horizontal or sideways position in the uterus; - The breech position of your baby, i.e. your baby’s feet or buttocks, enter the pelvis first at the time of delivery; - You've had a previous C-section; - Giving birth to twins or more; - Placenta previa, where the placenta’s position can block your baby’s birth; - Health conditions like genetic herpes. In case you are not normally coming into labour, your gynecologist may perform an unexpected C-section. Other situations may include an entangled umbilical cord around your baby's neck or abdomen, a separated placenta from the uterine wall, fetal distress, or irregular heart rate throughout labour.

Who is at Risk?

    In most situations, a C-section operation is safer than a vaginal birth for both the mother and the child. An unanticipated C-section may occasionally be considered in the event of an 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 called a bikini incision because a low horizontal cut is made across the bikini line. Low vertical: This is similar to the transverse section, but a vertical cut is made across the lower abdomen instead of making a horizontal cut. High vertical: The shape of this incision is similar to that of a low vertical incision. However, the cut is made high up on the abdomen and across the stomach.

Preparation for Caesarean Delivery

    To monitor the number of red blood cells and assess the possibility of anesthesia complications, your doctor may advise that you have certain blood tests before having a C-section. Discuss the prospect of a C-section with your gynecologist well before your due date, even if your doctor has recommended a vaginal delivery.

Steps Involved in Caesarean Delivery

    A C-section can be done in various ways. 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 caesarean section surgery to avoid infection. - Having your abdomen cleansed at the hospital. Before conducting a cesarean section, your gynecologist may get you ready for anesthesia, wash your belly with an antiseptic, cover the incision site with a sterile drape, and raise a sterile curtain between your head and lower body. The surgeon will next make an incision in your skin that goes into your abdomen. Although both cesarean sections use the same method, scheduled ones take longer. You could hold your newborn soon after birth.

Recovery Care

    More recovery time is needed following a C-section than a vaginal delivery. When the anesthetic wears off, gas pains and incisional discomfort will begin. You could find it challenging to breathe deeply or to move your body and press the pedals with ease. Most mothers stay in the hospital after birth for two to three days after birth. You might want help getting out of bed for a few days after giving delivery. Full recovery may take up to six weeks.

Success Rate of Cesarean Delivery

    C-section deliveries are usually successful. Today, every third child born in India is through a C-section delivery.

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Frequently Asked Questions

Delivery typically takes 15 to 20 minutes. A further 45 minutes may be needed to stitch the abdominal and uterine incisions.

A C-section has the same nursing benefits as a vaginal delivery.

If you wish to have a C-section for non-medical reasons or because you are nervous about labor and delivery, talk to your doctor before your due date.