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Natural/C-Section Surgery in
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Caesarean Delivery

Being pregnant means being prepared to be a mother as well as the first step of being a mother - giving birth. Two procedures are followed for this - normal vaginal delivery and surgical c-section delivery. Contrary to a vaginal birth, sometimes a child may be delivered by making an incision in the abdomen. This procedure is called a C-section delivery. C-section is recommended when a vaginal birth is unsafe, and there is a risk to your and your child’s health.

Reasons for Caesarean Delivery

Some common indications of a Cesarean section include: - Obstructions like a uterine fibroid or a pelvic fracture, or if your child is expected to have a congenital anomaly; - Cephalopelvic disproportion, where either the head or body of your baby too large or it is small for normal and safe delivery. - The transverse position of your baby, where it lies horizontally or sideways in the uterus; - Breech position of your baby, i.e. its feet or buttocks enter the pelvis first at the time of delivery; - Having a c-section history; - Expecting multiple births, i.e. twins or more; - Placenta Previa, where the blood vessels that connect the placenta to your uterus may tear, making it dangerous for both mother and the baby; - Genetic herpes-like health condition. Your doctor may consider an unplanned C-section if labour isn't progressing, the umbilical cord is enci...

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 gets 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 - Foetal injury - Weakness of the uterine wall due to a cut - Risks associated with general anaesthesia

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Types of C-section Incisions

There are 3 types of Cesarean section incisions: Low transverse: A low horizontal cut is made across the bikini line in this procedure, which is also known as a bikini incision. Low vertical: This procedure resembles a transverse section, except a vertical cut is made across the lower abdomen as opposed to a horizontal one. High vertical: This incision resembles a low vertical incision in terms of shape. However, the stomach is cut horizontally 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 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. To execute a cesarean section, your gynecologist may first get you ready 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. After that, the doctor will make an incision through your skin and into your abdomen. A planned cesarean section takes longer than an emergency one, but the process is the same.

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.