Natural/C-Section Surgery in
Tirunelveli

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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

- There are specific situations where your gynecologist may recommend a Cesarean section, like the following: - There are any obstructions such as a uterine fibroid or a pelvic fracture, or if your child is expected to have a congenital anomaly; - 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 is not fully developed by -the time of your delivery; - Your baby is in a transverse lie, i.e. 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've had a previous C-section; - You're expecting twins, triplets, quadruplets, or more; - You have placenta previa, i.e. the placenta is very low in your uterus, blocking your baby’s exit out of the cervix - You have a ...

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Who is at Risk?

In most cases, a C-section operation is safer than a vaginal birth for both the mother and the baby. Sometimes, an unplanned c-section may be considered an emergency, e.g. when your baby's heart rate drops to an unsafe level. Unlike any other surgery, even C-section delivery involves certain risks. These include the following: - Blood loss - Infection - Embolism, i.e. breakage of a blood clot and its entry into the bloodstream - Bladder injury - Bowel injury - Fetal injury - Weakness of the uterine wall due to a cut - Placental abnormalities in future pregnancies - 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

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 Tirunelveli, 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 Tirunelveli for faster recovery.

Steps Involved in Caesarean Delivery

A C-section 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 gynecologist may prepare you for anesthesia, bathe your belly 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 caesarean section surgery. The doctor will next create a skin incision that extends into your belly. While the technique is the same for both types of caesareans, planned ones take longer. Soon after birth, you may hold your baby.

Recovery Care

A C-section takes longer to heal than a vaginal delivery. You may start to experience incisional and gastric discomfort after the effect of anesthesia is gone. 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. It might take 4 to 6 weeks to heal completely.

Success Rate of Cesarean Delivery

A C-section delivery is a safe procedure, but it is still a major surgery. The success rate of a C-section is good as it reduces the life risks for both mother and child if done under proper conditions by a qualified surgeon. C- Section delivery is a good and lifesaving choice when a vaginal birth is not possible or there is a danger to mother and baby. The success rate in Tirunelveli is also increasing because of the availability of skilled doctors.