A Cesarean section, or C-section, is a method of delivering a baby through a surgical incision in the mother’s abdomen.
A C-section is performed to minimize risk to the mother and child during birth. Some conditions increase the risk of harm during vaginal birth.
Indications of Cesarean section:
- Malpresentation: breech / transverse or certain types of face presentations
- Multiple Births: The greater the number of fetuses, the greater likelihood of a Cesarean delivery.
- Fetal size: Macrosomia ( large babies)
- Placenta Conditions: placenta prevue ( covering cervical os )
- Failure to dilate or Descend during active labour
- Fetal heart tracing concerns
- Active Herpetic lesions
- HIV positive mother
- Severe Preeclampsia or Eclampsia
- Prior C- section history
What to expect:
First, you will be consented as to risks/benefits & alternatives of the procedure. You will then be moved to operating theater & receive fluids and medication through an IV line, Anesthesia will either be Spinal, Epidural block or GET (in emergencies). The nurse will wash your abdomen, and trim or shave your pubic hair. To protect the bladder from unwanted injuries a catheter for draining urine is inserted into the bladder.
The surgeon will then perform the operation in a usual and calm fashion, most likely in the presence of your husband and pediatric qualified personnel.
Risks associated with C-section birth include:
- Hemorrhaging & transfusions
- Blood clotting, especially in the pelvis, legs, and lungs
- Adverse reaction to medication
- Injury to bladder or bowels
- Anesthesia risks
You may need to stay in the hospital for 2-4 days following a cesarean section. Avoid intercourse or strenuous exercise for 4-6 weeks.
You may experience:
- Pain and soreness at the site of the incision
- Vaginal discharge, bleeding or clotting for up to 6 weeks