Caesarian Section | C-section | What is Caesarian Section

What is Caesarian Section/ C-section

Caesarian Section/ C Section is a surgical process of delivering a baby. In the process a surgical cut is made in the mum’s abdomen and uterus. A C-section usually occurs when normal or virginal delivery is not possible. A C section may be planned or it may arise due to emergent situations. Studies have indicated that currently there is an increase in the C section.

Why C-section is carried out/What leads to C-section/Factors that lead to C-section

There are varied reasons why you would undergo C-section. As indicted above the procedure may be as result of planned procedure or out of emergency. Below we have outlined reasons why one may undergo C-section

  1. Previously given birth through the C-section

It’s important to note that if you have given birth once through C-section, the following birth may be through surgical procedure. However in the case of vertical incision it’s advisable to deliver through C-section even if it’s the second baby. For mothers who have undergone more than one C-section then all subsequent birth will follow the same procedure. If you have a history of giving birth through the C-section it’s important you always seek the advice of your doctor or gynecologists.

  1. History of other uterus surgery.

A major operation in the uterus may lead to C-section because it leads to likelihood of the uterus rapturing during the vaginal delivery. A good example of this surgery could be the removal of fibroids.

  1. Having twins or more than one baby

It possible to have a vaginal birth in the case of twins, but in some circumstance it man require C-section. Your doctor will advise you depending on the position of the baby, the term of the pregnancy, the weight of the twins, the health condition of the mother etc. The likelihood of having of more babies means that a C-section will likely be carried out.

  1. Situation of Macrosomia

What is macrosomia?

Macrosomia is described as having a newborn baby with excess birth weight. On average a newborn baby with more than 4.5kgs or 4500g is likely to lead to C-section.  The tricky thing about macrosomia or big babies is that it’s less likely to be determined before birth.   C-section may be carried out in circumstance that the doctor feel the baby is too big for the mother to give birth normally without leading to complications for both parties.

  1. The baby is in a breech

What is breech baby?

A baby is considered to be in a breech position if moments before birth the baby’s head is positioned away from the cervix. When the baby is in a breech position is means complications may arise hence chances of C-section may arise.

  1. Placenta previa

      Definition of Placenta previa

Placenta previa occurs when a mother’s placenta cover her cervix either fully or partially. In a normal situation the placenta should be located away from the cervix. The reason why placenta previa would lead to C-section is because it would result to excessive bleeding during vaginal delivery.

  1. Large fibroids

The reason why large fibroids would lead to C-section is because they make it difficult for normal delivery.

  1. Pro longed labour that leads to baby distress

Pro-longed labour may lead to baby fatigue that may lower child heart beat something that can be risky

  1. Other factors related to the mother that may lead to C-section include high blood pressure, heart problems, high viral load

Vertical C-section vs. horizontal C-section

The type of incision that a doctor will likely prefer will depend on the situation at hand. Conditions requiring fast response may prompt the doctor to do a vertical incision since it will allow him or her have faster access to the uterus than in the case of horizontal incision.

Advantages of vertical C-section are that it gives a fast and better access to the uterus, in case of placenta previa or severe fetal distress. Vertical C-section is also less bloody.

Disadvantage of vertical C-section is that it is to some extent more painful in the post-operative period and is more probable to get weakened, resulting in incisional hernia. After vertical C-section, vaginal births are ruled out.

Advantages of horizontal C-section is that it is less visible

Disadvantages of horizontal C-section are that it’s bloodier and it takes longer for the doctors to access the uterus. In addition the doctor carrying out this type of a procedure needs to be more experienced.

What to expect during C-section

Many first time mother fear the C-section. Today we have tried to demystify what goes on during the C-section. The procedure followed especially before the actual surgery depends on hospital procedure and preparations. Below we have tried to explain what to expect during C-section

In case of an emergency C-section your doctor will clarify why he/she has confidence in a C-section as the only way of delivering your baby. You will be asked to sign an agreement/consent form. After this you will change in hospital gown including the head cover. If not already shaven, the pubic hairs at the top will be shaven.

After signing the consent letter you will be moved into the operating room. Your partner may be allowed into the room with you or not

A pain management drug will be administered by an anesthesiologist. Mostly you will get an epidural or spinal block. Either of the two will only numb your lower body but you will be awake during the procedure. You will feel no pain but at some point you feel some pressure around you abdomen.

A catheter is implanted into your urethra to channel out urine throughout the procedure.  An IV is inserted to be used in administering of medications and fluids.

an antacid medication may be given before the surgery as a cautionary measure. You may be wondering why the antacid medication is given before C-section? The reason is that in case an emergency occurs during the surgery you will be given a general anesthesia, this may prompt you to vomit while you are unconscious. The antacid medication will ensure the lungs are not damaged if the vomit gets to your lungs. This rarely happens but being cautious is better than being sorry.

Through the IV you will get antibiotics that will hinder infections before the operation.

How C-section is done?

The doctor cut a small horizontal incision on the skin above your pubic bone. That is the reason why the hairs around this area are shaved moments before the surgery. The tissues below the skin will also be cut through as the doctor tries to reach the uterus. Upon reaching the abdominal muscles the doctor will avoid cutting but will rather separate them manually to reach the uterus. The uterine wall will get a small horizontal incision and the baby will be removed. NB In rarer cases as discussed earlier will the doctors consider vertical incision unless it’s from a very urgent risk. After the baby and the placenta have been removed the baby will be handed over to the nurse and doctors will begin stitching the incisions. Unlike during the cutting of incision closing up the uterus will take mush time. In most cases it likely takes up more at least 30 minutes.

What happens few hours after C-section?

Immediately after the C-section you will be moved to the recovery room where

1.       You will be closely monitored for some hours and you will leave the recovery after 3 to 4 days

2.       Since you cannot feed immediately fluid will be administered through IV

3.       You will be given pain medications

4.       Your baby will be handed over to you so you can breast feed.

Are there risks associated with C-section?

Normal delivery vs. C-section

Compared to vaginal delivery, C-section has several disadvantages or risk. Below we have stated the risk that could be associated with C-section

  1. C-section increases the chances of Moms getting infections although this is reduced by giving antibiotics.
  2. Bleeding excessively could also be experienced by women who have undergone C-section
  3. Blood clots,
  4. Compared to vaginal birth, C-section postnatal pain is more especially around the incision
  5. Mothers who have undergone C-section will stay in hospital for longer. In most cases for not less than 3 days on the other hand mother who have delivered through normal process may go home the same day.
  6. Total recovery takes at least 3 months before a woman can resume all her duties. For normal delivery it takes up to 6 weeks
  7. Although it rarely occurs but in some cases the bladder or bowel of the mother may be injured during C-section.
  8. After C-section some women experience negative side effects of the anesthesia.
  9. Researchers have discovered that babies born by optional C-section before weeks 39 are more likely to have breathing problems than babies who are delivered normally or by C-section arising out of an emergency.
  10. Every birth through C-section raises future danger complications such as well as placenta previa

What are the advantages of having C-section?

Across the world many women and babies lives have been saved by performing the surgery. A procedure that saves lives cannot be purely said to be bad. The only problems come when women who can give birth normally want to abuse the whole procedure.

 

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