Overview

Cesarean delivery (C-section) may be a surgery wont to deliver a baby through incisions within the abdomen and uterus.

A C-section could be planned before time if you develop pregnancy complications or you've had a previous C-section and are not considering a childbirth after cesarean (VBAC). Often, however, the necessity for a first-time C-section doesn't become obvious until labor is underway.

If you're pregnant, knowing what to expect during a C-section — both during the procedure and afterward — can help you prepare.

Why it's done

Sometimes a C-section is safer for you or your baby than may be a vaginal delivery. Your health care provider might recommend a C-section if:

Ø     Your labor isn't progressing - Stalled labor is one among the foremost common reasons for a C-section. Stalled labor might occur if your cervix isn't opening enough despite strong contractions over several hours.

Ø     Your baby is in distress - If your health care provider cares about changes in your baby's heartbeat, a C-section could be the simplest option.

Ø     Your baby or babies are in an abnormal position - A C-section could be the safest thanks to deliver the baby if his or her feet or buttocks enter the passage first (breech) or the baby is positioned side or shoulder first (transverse).

Ø     You're carrying multiples - A C-section could be needed if you're carrying twins and therefore the leading baby is in an abnormal position or if you've got triplets or more babies.

Ø     There's a problem with your placenta - If the placenta covers the opening of your cervix (placenta previa), a C-section is suggested for delivery.

Ø     Prolapsed umbilical cord - A C-section could be recommended if a loop of duct slips through your cervix before your baby.

Ø     You have a health concern - A C-section could be recommended if you've got a severe ill health , like a heart or brain condition. A C-section is additionally recommended if you've got a lively herpes genitalis infection at the time of labor.

Ø     Mechanical obstruction - You might need a C-section if you've got an outsized fibroid obstructing the passage , a severely displaced pelvic fracture or your baby features a condition which will cause the head to be unusually large (severe hydrocephalus).

Ø     You've had a previous C-section - Depending on the sort of uterine incision and other factors, it's often possible to aim a VBAC. In some cases, however, your health care provider might recommend a repeat C-section.

Risks

Like other sorts of operation, C-sections also carry risks.

Risks to your baby include:

Ø     Breathing problems. Babies born by scheduled C-section are more likely to develop transient tachypnea — a breathing problem marked by abnormally fast breathing during the primary few days after birth.

Ø     Surgical injury. Although rare, accidental nicks to the baby's skin can occur during surgery.

Risks to you include:

Ø     Infection - After a C-section, you would possibly be in danger of developing an infection of the liner of the uterus (endometritis).

Ø     Postpartum hemorrhage - A C-section might cause heavy bleeding during and after delivery.

Ø     Reactions to anesthesia - Adverse reactions to any sort of anesthesia are possible.

Ø     Blood clots - A C-section might increase your risk of developing a grume inside a deep vein, especially within the legs or pelvic organs (deep vein thrombosis). If a blood clot travels to your lungs and blocks blood flow (pulmonary embolism), the damage can be life-threatening.

Ø     Wound infection - Depending on your risk factors and whether you needed an emergency C-section, you would possibly be at increased risk of an incision infection.

Ø     Surgical injury - Although rare, surgical injuries to the bladder or bowel can occur during a C-section. If there's a surgical injury during your C-section, additional surgery could be needed.

Ø     Increased risks during future pregnancies - After a C-section, you face a better risk of probably serious complications during a subsequent pregnancy than you'd after a vaginal delivery. The more C-sections you've got , the upper your risks of pregnancy and a condition during which the placenta becomes abnormally attached to the wall of the uterus (placenta accreta). The risk of your uterus tearing open along the scar line from a previous C-section (uterine rupture) is additionally higher if you attempt a VBAC.

How you prepare

If your C-section is scheduled beforehand , your health care provider might suggest talking with an anesthesiologist about any possible medical conditions that might increase your risk of anesthesia complications.
Your health care provider may additionally recommend certain blood tests before your C-section. These tests will provide information about your blood group and your level of hemoglobin, the most component of red blood cells. These details are going to be helpful to your health care team within the unlikely event that you simply need a transfusion during the C-section.

Even if you're planning a childbirth , it is vital to organize for the unexpected. Discuss the likelihood of a C-section together with your health care provider well before your maturity . Ask questions, share your concerns and review the circumstances which may make a C-section the simplest option. In an emergency, your health care provider won't have time to elucidate the procedure or answer your questions intimately.

After a C-section, you will need time to rest and recover. Consider recruiting help before time for the weeks after the birth of your baby.

If you do not decide to deliver any longer children, you would possibly ask your health care provider about long-acting reversible contraception or permanent contraception.

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