Cesarean Section
A caesarean section or C-section is a procedure where the baby is delivered surgically through the mother’s abdomen. These surgeries can be planned or in some cases recommended by the doctor when unexpected problems arise during the delivery.
Who needs a caesarean?
In some cases a caesarean is planned early in the pregnancy, sometimes women opt for a C-section over vaginal delivery but most cases are unplanned, and surgery is opted for due to labour complications like:- Early pregnancy complication
- Baby is positioned such that it is coming out feet first
- Baby is coming out shoulder first
- Health issues like heart conditions or high BP in the mother
- The baby has reduced oxygen supply
- Developmental conditions in the baby
- The baby’s head is too large for the birth canal
- Stalled labour
How is a caesarean section performed?
Before a C-section, the mother is given anaesthesia, put on IV and a catheter is attached. Once properly medicated and numbed, the surgery begins with an incision being made right above the pubic hairline. This incision is usually horizontal and is made vertical only in certain emergencies. After the first incision has been made into the abdomen and the uterus is exposed, the second incision is made into the uterus from where the newborn is removed. Once the baby has been removed, it is cleared of fluids around its mouth, nose and then the umbilical cord is cut off. The uterus incision is repaired with dissolvable stitches and the abdomen is also closed with sutures. The baby is then taken for observation to ensure everything is fine and is breathing normally after which the baby is put in the mother’s arms.Recovering after a caesarean
The mother and baby will remain in the hospital for the next few days where painkillers will be administered to help the mother post-delivery as the anaesthesia wears off. The mother will also be recommended to walk around to prevent clotting and constipation. The nurses also help in breastfeeding and ensure the mother learns the best position to breastfeed to avoid her from suffering any additional pain in the incision area. A caesarean is a serious surgery, and it is important that you give the body enough time to recover completely.- Do not exert yourself and take enough rest.
- Drink plenty of fluids to help the body regain what it lost during surgery.
- Avoid having sex for about 6 weeks.
DOCTORS
Dr. Kavya Krishna Kumar
MBBS, FMAS, MS
Consultant - Obstetrician & Gynaecologist
Alwarpet, Chennai
Dr. Sireesha Reddy
MBBS, CCT, MD (OBG), FRCOG
Consultant - Obstetrics & Gynaecology
Bangalore, Hebbal
Dr. Dhanalakshmi R
MBBS, DNB (Pediatric), MRCP CH, Followership in Neonatal Neonatal medicine(UK), PGPN (Boston university,USA), IPPN, ACLP
Consultant - Paediatrician and Neonatologist
Bangalore, HRBR Layout
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