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Natural/C-Section Surgery in
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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
C-section meaning refers to the surgical procedure where a baby is delivered through the incisions made in the mother's abdominal and uterine walls. A cesarean section is usually performed when a normal vaginal delivery is not possible or is not safe. Consult a healthcare professional in Lucknow to have a better understanding of the conditions that might require a cesarean delivery. Indications for a planned C-section - A planned cesarean section occurs when certain conditions preexist, which may include the following: - A C-section is recommended for pregnancies with multiple babies. - A C-section is necessary if the baby is in a breech, transverse, or sideways position. - C-section is advised in cases of large fibroids, pelvic fractures, or when the baby's size obstructs the pelvic passage. - C-section is necessary in case of placenta previa, a condition in which the placenta is attached too low down in the mother's uterus and will block the way out for the baby through the cervix. - A C-section is preferred if the mother has certain health conditions like heart or brain disease, which could worsen during vaginal delivery. Indications for an unplanned C-section - An unplanned C-section may be necessary in emergencies like: - Prolonged labour: The labour does not progress, and the baby may stop moving down the birth canal. This is usually the most common reason for c-section. - Distress to the foetus: Sometimes, the baby cannot tolerate labour and develops life-threatening conditions. - Umbilical cord problems: The umbilical cord may loop around the baby's neck or body and get compressed.
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 many c-section procedures depending on the incision site and surgical approach, among other variables. The most typical kinds are: 1. Low Transverse C-Section: The most typical form of cesarean section is the low transverse one. Above the pubic hairline, a horizontal incision is created. It is chosen because it reduces bleeding and speeds up healing. 2. Low Vertical C-Section: In this type, the incision is made vertically, which provides better access in some complex cases. However, it may take longer to heal and can be associated with more post-operative pain. 3. The traditional C-section: It is done when immediate access to the infant is required. It entails making a vertical incision across the upper part of the uterus. Due to the higher risk of uterine rupture in subsequent pregnancies, it is rarely done. 4. T-shaped or J-shaped Incision: Sometimes, specialized incisions are used to protect specific areas of the uterus or to accommodate surgical instruments better.
Preparation for Caesarean Delivery
Here’s how you can prepare for a C-section operation The Night Before Your C-section Preparation: Avoid eating, drinking, or smoking candy, gum, or water after midnight. Ensure you have adequate sleep and can brush your teeth in the morning. Contact your doctor if at all on medication. You need to shower and leave valuable things in the house while packing your suitcase in the car and moving it to the postpartum unit after being transferred to the hospital. Admission Arrival at the Hospital: Report to the Labor and Delivery ward approximately two hours before the scheduled time for the C-section. Remember to have a copy of your insurance card and an ID. This means you will complete your pre-registration forms to speed up your registration. Before Surgery Preparation Protocols: Change into a hospital gown and give a urine specimen. The nurse will initiate an intravenous line (IV) to give in essential fluids and medicines. They will also draw blood and sometimes ask you to take a clear liquid antacid orally. The preparation of the surgical site will take place in the hospital. The obstetrician and anesthesiology specialist will also examine you and ask for consent. Your Procedure Operating Room Protocol: One person can stay with you in the operating room. Foley will have a specialist in anesthesiology monitor your vital signs, give you anaesthesia, and place a Foley catheter. You are prepping your abdomen and putting sterile drapes. Once you are settled, your support person will join you, and the C-section will begin. Your baby will be handled by a paediatrician or neonatology specialist and a few nurses. Lastly, C-section stitches will be performed. Although few of these followed in Lucknow, the likelihood or frequency of occurrence could be higher. Recovery Room Post-Birth Care: Your vital signs, like a C-section scar, will be closely observed as you are transferred to the recovery room. You can be given oxygen and spend valuable moments bonding with your baby, too! However, your support person can come to you in the recovery department. Children older than 3 years have yet to be allowed here. You can reach out to the professional in Lucknow for faster recovery.
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
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 may occur, too. some other challenges may include: taking deep breaths moving your body getting out of bed You may need to stay at the hospital for the next 2-3 days after the delivery. Consider getting assistance for 4-6 weeks after getting home as well.
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.
