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Natural/C-Section Surgery in
Kottayam

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Amitabh Bachchan

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Caesarean Delivery

Being pregnant does not just mean you need to prepare yourself for being a mother; you should also be aware of the delivery options - both vaginal or normal delivery and surgical or cesarean delivery.

Reasons for Caesarean Delivery

Some crucial situations absolutely need a cesarean section, such as the following: - If 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’s average size is too small for the delivery; - If you have placenta previa, i.e. the placenta can block your baby’s exit out of the cervix; - If your baby is in a transverse position, i.e. in the horizontal or sideways position in the uterus; - If you have had a previous C-section; - If you are expecting multiple births, i.e. twins, triplets, or more; - If your baby is in a breech position, i.e. your baby’s feet or buttocks enter the pelvis first at the time of delivery; - If you have a health condition such as genetical herpes; - If there are any obstructions, such as a uterine fibroid or a pelvic fracture, or if your child is expected to hav...
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Who is at Risk?

    Here are the C-section risks and benefits. C-section Complications: If you are willing to know C-section vs normal delivery, you must know the C-section complications. For the Mother: - Infections (urinary, uterine, wound). - Prolonged hospital stay - Longer recovery period - The increased risk of bleeding warrants a blood transfusion. - Only on an infrequent occasion will women require a hysterectomy. - Increased chances of blood clots and complications in future pregnancies For the Baby: - Slight cuts on the skin are possible at this stage. - Chance to have breathing problems, especially if born at less than 39 weeks gestation. - Severe cases may require neonatal unit support. Benefits of C-section Delivery: For the Mother: - Minimising the risk of discomfort during delivery. - Lower chance of vaginal injuries - Reduced risk of incontinence. - Lowered pelvic organ prolapse. Comprehending the possible C-section delivery side effects and benefits should be considered during decision-making on the mode of delivery. However, they should consult their doctors in Kottayam and consider various factors before deciding appropriately for the benefit of both the mother and the child.

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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 a low vertical incision. However, the cut is made high up on the abdomen and across the stomach.

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

    The c-section procedure involves several key steps: 1. Incision: The mother's abdominal wall and uterus are cut through in a horizontal or vertical fashion. The location of the baby and the need for a C-section are two criteria that affect the choice of incision. 2. Delivery of the Baby: After the uterine incision, the baby is carefully delivered, usually headfirst. The healthcare team ensures the baby's safety and monitors its vital signs. 3. Placenta Extraction: The placenta is then cut loose and taken out of the uterus. 4. Closing the Incisions: Dissolvable sutures are used to close the uterine incision. Sutures or staples are used to seal the abdominal incision depending on the surgeon's inclination. 5. Recovery: Following the surgery, the woman is sent to a recovery area and closely watched for any difficulties.

Recovery Care

    Recovery after a c-section is a crucial phase in ensuring the well-being of both the mother and the newborn. The following aspects are essential during the recovery process: 1. Pain Management: Pain medication is administered to manage post-operative pain. This may include oral pain relievers and, in some cases, epidural catheters. 2. Early Mobility: Encouraging the mother to get out of bed and walk as soon as possible helps prevent blood clots and speeds up recovery. 3. Monitoring: Regular monitoring of vital signs, such as blood pressure and heart rate, is essential to detect any complications early. 4. Wound Care: Keeping the incision site clean and dry is crucial to prevent infection. The healthcare team will provide instructions on wound care. 5. Breastfeeding Support: Mothers can start breastfeeding soon after the surgery, and lactation consultants are available to provide guidance. 6. Emotional Support: Postpartum emotional support is vital, and healthcare providers are available to address any concerns or emotional well-being. 7. Duration of Hospital Stay: The length of the hospital stay varies but is typically between 2 to 4 days.

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

C-section delivery typically takes between 15 and 20 minutes. A further 45 minutes may be needed to stitch the abdominal and uterine incisions.

A c-section is equivalent to a vaginal delivery in terms of nursing your child, which means you can breastfeed your newborn as required.

If you desire a C-section for reasons other than medical necessity or because you are terrified of labor and delivery, discuss your options with your doctor before your due date.