Caesarean Delivery

An incision is created in the uterus and abdomen of the mother during a cesarean section, C-section, or cesarean birth. Pregnant women and their unborn children can benefit from it when doctors feel it is best for both.

The skin is cut in the following ways:

A constant sway (vertical). It goes from the belly button to the pubic hairline.

or

Across the width of the room (horizontal). Extends across the pubic hairline. It’s the most popular choice since it’s quick to heal and causes less bleeding than other options.
The health of the mother and the fetus determines the sort of incision to be performed. The uterine incision can be made in either a vertical or a horizontal fashion.

When is a C-Section Necessary?

A cesarean section is a delivery procedure designed to reduce the danger to the mother’s and baby’s health. Vaginal births are riskier for a variety of medical reasons.

● Multiple Births

Cesarean sections are the safest method of giving birth to multiples, such as twins or triplets. The doctor may prescribe a C-section if the woman is in preterm labor with multiple pregnancies or if the fetuses are positioned incorrectly. Cesarean delivery is more likely when there are more fetuses present.

● Size of the baby

A mother’s health may be jeopardized if she gives birth naturally to an unusually big kid.

● Breech presentation in the uterus

Babies born with their feet or buttocks out of the cervix are said to be in a breech presentation. The umbilical cord may be forced into an unnatural position during the delivery of a breech baby, preventing the newborn from receiving adequate oxygen.

● Placenta Conditions

Hemorrhages can occur if the placenta covers the birth canal or separates from the uterine wall.

● Failure to dilate

If the cervix does not fully dilate, you will need a C-section to deliver your baby.

● Various other health issues

The use of a cesarean section can be utilized to avoid the mother-to-child transmission of infections, such as HIV or genital herpes, during vaginal birth.

If the woman has a heart issue, diabetes, pre-eclampsia, or eclampsia, it can also be utilized to avert difficulties during vaginal birth.

If you’ve had a c-section in the past, you’re more likely to have one in the future. Unless your OB/GYN believes it is safe to continue vaginal delivery following a cesarean, you may have to deliver your next child through C-section.

How do I get ready for a C-section?

● You can ask your healthcare practitioner any questions you may have about the process.
● Before the process can begin, you must sign a consent form indicating your agreement to it. Take your time and ask questions if you don’t understand something on the form.
● It is likely that you may be quizzed about when your last meal or drink was. Before a scheduled C-section, you will be advised to abstain from eating or drinking for eight hours to allow the anesthetic to take effect.
● Be sure to tell your doctor if you have an allergy or intolerance to latex or any of the following: iodine, tape or anesthesia.
● Any and all medications (prescription and over-the-counter), vitamins, herbs, or supplements you use should be disclosed to your healthcare physician.
● A history of bleeding problems or the use of anticoagulants, aspirin, and other medications that alter clotting should be disclosed to your healthcare professional. Before the surgery, you may be asked to cease taking these medications.
● If your stomach acid is too high, medication to lower it may be prescribed. These also aid in the removal of mucus from the mouth and lungs.
● After a C-section, you should have a friend or family member remain with you for a few days. You will suffer from pain for a few days.
● Your healthcare professional may offer you further preparation instructions.

American College of Obstetrics and Gynecology’s most recent recommendations

1. Cesarean delivery should not be conducted before 39 weeks of gestation on the mother’s desire.
2. The lack of appropriate pain management should not be used as an excuse for a cesarean birth requested by the mother.
3. The risk of placenta previa, placenta accreta, and the necessity for hysterectomy at the moment of birth increases with each cesarean delivery for women who desire several children.

If you have a qualified physician who is paying careful attention to each pregnancy, planned vaginal birth with access to a timely and safe cesarean section, if necessary, is the ideal way to deliver both mother and baby. There is no one-size-fits-all answer to this question, since each woman has her own unique background and concerns around childbirth and parenthood. Cesarean birth may be the best option for certain women if we cannot alleviate their anxieties or concerns so that planned vaginal birth is acceptable.

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Dr. Shikha Joshi is the top Gyneclogyst in Greater Noida and works in Kailash hospital having 15 years of experience in delivering world-class services to her patients, she is assisting women of every age ... Read More

 

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