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Natural/C-Section Surgery in
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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 obstructions, such as a uterine fibroid or a pelvic fracture, or if there is a chance of your child having a congenital anomaly; - There is cephalopelvic disproportion, meaning your baby’s body or head is relatively large, obstructing safe delivery or if the baby’s average size is too small for the delivery; - Your baby is in a transverse position, meaning it is 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 have a history of C-section delivery. It might also cause Placenta Previa that can block your baby’s birth out of the cervix; - You're expecting multiple births; - You have some health issues, such as genetic herpes, at the time of delivery. Your gynaecologist may perform an unexpected C-section if your labour does not progress, the umbilical cord tangles around your baby's neck or abdomen, the placenta dissociates from the uterine wall before birth, foetal distress occurs, or your baby's heart rate is abnormal throughout labour.

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

    Prior to having a C-section delivery, your doctor could suggest that you undergo certain blood tests to examine your red blood cell count and determine your risk of anesthesia-related issues. Speak with your doctor well before your due date about the possibility of a C-section, even if your doctor has suggested a vaginal birth.

Steps Involved in Caesarean Delivery

    A cesarean section surgery can be done in various ways, but most involve these steps: - 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 or gynecologist may first prepare you for anesthesia, wipe your abdomen 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. The doctor will then make an abdominal incision by cutting through your skin. Although the procedure is the same, a planned cesarean takes longer than an emergency one. Soon after delivery, you may hold your newborn.

Recovery Care

    Compared to a vaginal delivery, a C-section needs more time for recovery. When the anesthetic wears off, you will begin to feel discomfort around the incision and gas pains. It could be challenging for you to take deep breaths or to move your body and press the pedals with ease. After giving birth, the majority of women stay in the hospital for two to three days. You might want help getting out of bed for a few days after giving delivery. Full healing may take up to six weeks.

Success Rate of Cesarean Delivery

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

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Frequently Asked Questions

The delivery takes 15 to 20 mins. Another 45 minutes may be needed to stitch the incisions on the uterus and abdomen.

C-section is no different from vaginal birth in terms of breastfeeding your baby. You can very much breastfeed your child after birth.

If you wish to have a C-section for non-medical reasons or due to fear of birth and labor, you can discuss your concerns about this with your doctor before your delivery.