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Caesarean Delivery
You need to be aware of your delivery options when you are pregnant. Either a natural birth (through the vagina) or a cesarean section (by C-section) is used to deliver the baby. In a C-section delivery, your baby is delivered through an incision created in the abdomen and uterus. This procedure is recommended if vaginal birth is risky or impractical or when your or your baby’s health is at stake.
Reasons for Caesarean Delivery
Some situations make it absolutely necessary to have a cesarean section, like - Uterine fibroid or a pelvic fracture, or if your child is expected to have a congenital anomaly; - Cephalopelvic disproportion, which means the head or body of your baby is too large for safe, normal delivery through your pelvis or if the baby is underdeveloped, making it too small for the delivery; - Transverse position of your baby, meaning it is in horizontal or sideways position in the uterus; - 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-sections. It may also cause Placenta Previa, where blood vessels may tear up, resulting in serious bleeding and putting both of you in danger; - Multiple births; - Certain health issues like genetic herpes. Your gynaecologist may decide to perform an unexpected C-section if labour isn't advancing, the umbilical cord gets tangled around your baby's neck or abdomen, the placenta dissociates from the uterine wall before your baby is born, there is foetal distress, or your baby's heart rate is abnormal throughout labour.
Who is at Risk?
A C-section is often safer for the mother and the baby than a vaginal birth. Sometimes, if there is a medical emergency, such as if your baby's heart rate drops dangerously low, an unanticipated C-section may be recommended. Like any other surgery, C-section delivery also involves certain risks, including: - 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
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
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
A C-section requires greater recuperation time than a vaginal delivery. You may start experiencing incisional discomfort and stomach aches when the anesthesia wears off. You could find it difficult to inhale deeply or to turn your body easily and hit the pedals. Most women spend two to three days in the hospital following the delivery. After giving birth, you might want assistance getting out of bed for a few days. Up to six weeks may be needed for full recovery.
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
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.
