C-Sections

C-section:

C- Sections or a cesarean section is a process of delivery of a baby by surgical from mother’s womb. In some cases, C-Section is pre scheduled, in other cases, surgery needs only in some complications. If you or your baby is in danger, then doctor will ask you for emergency C-Section. Otherwise, it will be pre planned section.

c section

Why would I have a scheduled C-Section?

There are some cases, in which your doctor will ask you for C-Sections instead of normal delivery. You may need a C-Section for the following reasons:

  • If you have previous C-Sections or more than one C-Sections. In this cases, there is a high chance of ruputuring uterus during vaginal delivery.¬† But if you have only one C-Section with horizontal incision, then you may go for vaginal delivery or you have choice to either go for C-Section or Normal Vaginal Delivery.
  • If you have any other uterine surgery, like removing of fibroids. In this case, uterus may rupture during normal delivery.
  • If your baby is big in size.
  • If you are diabetic, then your doctor will recommend you C-Section, or if in previous vaginal delivery, your baby suffer serious trauma.
  • If baby is very low in uterus and it cover cervix.
  • If you have some obstructions like large fibroid, it make your vaginal delivery very difficult and doctor recommend you C-Section.
  • In some rare cases in which doctor get to know that you are HIV positive and you have a high viral.

Why would I have an unplanned C-Section?

There are following reason for your unplanned C-Section:

  • If when you go for labor and your water breaks, then doctor ask you for C-Section to prevent your baby from infection.
  • If your cervix stop to dilate or your baby stop to come down toward birth canal.

Why would I have an emergency c-section?

You may ask for an emergency C-Section, if continuing labor is dangerous for you or your baby. There are some following reasons:

  • If baby’s heartbeat become a reason of concern and your doctor will decide that it can be dangerous for baby if continuing labor.
  • If cord slips from your cervix, then its very urgent to be delivered baby, because it may cut the oxygen supply to your baby.
  • If baby start to move away from uterine wall, this may also cause in shortage of oxygen to your baby.

What Happens Right Before a C-Section?

First of all, your doctor will explain why he thinks that C-Section is necessary, and he may ask you to sign a consent form. You husband or any one of your family can be with you during  c-section. In a very high emergency, and doctor just give you a normal anesthesia and your husband or family member may not be allowed in the operation theater with you.

Its very rare to give a normal anesthesia except in case of high emergency situation, or you don’t have any pain relief.

Mostly doctor will give you epidural which will numb your lower part of body and you will awake and alert for your baby birth. If doctor give you epidural during labor for pain relief, then it will used for your c-section as well. Before surgery, doctor can give you extra medication to ensure that your lower part has been completely numbed. But you can still face some pressure at some point.

A catheter inserted inside your uterus to drain urine for this process. An IV also inserted for medication and top portion of your public hair will be shaved and you will move into operation room.

Doctor can give you antacid to drink before surgery, because in case of emergency, doctor will use general anesthesia which can put you at a risk of vomiting if you are unconscious. This antacid will help to neutralizes  your stomach acid so that it prevent your lung tissue at the time of you vomit.

Doctor will give you antibiotic by IV to prevent you from any kind of infection after surgery. Some doctor gives antibiotic after surgery, but it recommended that antibiotic should be given before operation.

After that anesthesia will be given and a small wall type screen raise just on your waist so that you will not have to seen the incision take place. But if you want to see this, then you may ask your nurse to remove that screen so that you can see just baby.

How is a c-section done?

Once anesthesia start to show his effect, doctor makes cesarean incision near your abdomen and uterus above bikini cut. Doctor will cut through underline tissue, and slowly down to your uterus. When doctor reach at your stomach muscle, doctor will separate them and spread them to expose uterus.

When doctor reach at your uterus, he will make a horizontal cut in the lower section and this is called low-transverse uterine incision. In a very rare cases, doctor choose vertical uterine incision. This case is happened only if baby is premature and lower part of uterus is not able to cut. Now doctor will ready to pull out your baby. Once cord cut by doctor, then you have little chance to see your baby before doctor handed it to nurse. When nurse examine your newly born baby, at that time doctor will deliver your placenta and then he start the process of closing you.

C section Dilivery

After fully examine your baby, nurse will hand him to your husband and he will come to you with your baby so you can kiss him.

What Happens Immediately After a C-Section?

After C-Section, doctor stitches the incision in your uterus and final layer (the skin) close with stitches which will be removed after one week or doctor can choose the stitches which dissolve. It will take a much longer time to close your uterus and stomach and it may take approx 30 minutes.

After complete the operation, doctor will send you in a special recovery room, where you will be monitored for some hours. And if your baby is also fine, then he will be with you in the recovery room and finally you will hold him. Doctor will give you fluid through your IV till you can eat or drink.

What Are my Options For Participating In My C-Section?

Some hospitals offers a family C-Section, in which they placing your baby on your chest just before delivery. You may ask to your doctor if you are interested for this kind of process.

What Are The Risks of Having a C-Section?

This is a big abdominal surgery, so there is no doubt that this is more risky than normal Vaginal Delivery. So most Gynecologists advise women for vaginal delivery if possible. Women who go through C-Section may suffer from infections, heavy bleeding, postpartum pain, longer stay in hospital, blood clot and longer time to recover. One possibility is reaction of anesthesia or medication which gives to you at the time of C-Section.

It seems that baby born with scheduled C-Section before 39 weeks facing some breathing problem as compare to baby who vaginal deliver or by emergency C- Section. It said that, not all C- Section can be prevented. In some cases, its necessary for save mother, baby or both. You can ask your doctor why exactly he is recommended C- Section. You may ask her about risk factor or its advantages for you or your baby.

C-Section: Tips for a Fast Recovery

You finally get your baby who is growing inside you. You need more time to recover as compare to normal vaginal delivery. Here are some suggestions, which help you to speed up your recovery:

 

Get Plenty of Rest:

A C-Section is a big surgery like other surgery. So your body time to heal after this. Stay in hospital three to four days, give your body fully rest till six weeks. Its really hard to lay down on bed for six weeks when your baby wants some attention from you. You may take help from your family members and ask them for changing diaper other other house work, so that you can lie down as much as possible.

Avoid going up and down stairs. You have to keep all important things like diaper, food near to you so that you don’t get up too quickly. You should avoid lifting any heavier thing more that your baby. At the time of sneeze or cough, hold your abdomen to save your incision site.

It may take upto six to eight weeks for you to get back into your normal lifestyle. Also avoid sex until your doctor gives you permission. Avoid strenuous exercise, but you can walk as much as you can. This movment will help you to prevent from any blood clot or constipation.

Relieve Your Pain:

You can ask your doctor for pain killer specially when you are Breast feeding. Doctor will check how much pain you have, he will prescribe you pain killer as per your condition. You may use heating pad to releive pain at surgical site.

Focus on Good Nutrition:

Good nutrition is very important for you, as it was important when you were Pregnant. One more thing you should keep in your mind is that, you are the primary source of nutrition of your baby. So eat variety of vegetables and food will keep your baby healthy and it will make you stronger too. Different vegetables makes breast milks flavored and that increase child’s interest and enjoyment. You should drink plenty of water to boost your breast milk and this will also help you to prevent from constipation.

When to Call the Doctor:

You may feel some soreness in the incision area and you may have some bleeding or discharge up to eight weeks after C-Section. This is pretty normal and not to worry about this. But if you feel some following symptoms, then you should call your doctor as soon as possible, because it may be infection:

  • Swelling, redness or pus coming from incision site.
  • Pain around incision area.
  • Fever
  • Bad smelly discharge from vagina.
  • Pain in your breast.
  • Difficulty in breathing
  • Swelling in your leg and feet

Finally, if you see or meet with your friend or family member who went through C-Section, don’t try to compare yourself with her. Because every women have a different experience with this surgery. You just need to focus on your healing and give proper time, it needs to take time to go back normal life.