Cesarean Birth (C-Section)

Overview :-

When a vaginal delivery is not possible nor safe, or when the mother's or baby's health is in peril, a cesarean section, sometimes known as a c-section, is performed. The infant is delivered through surgical incisions in the abdomen and uterus during this surgery.

If you have pregnancy difficulties or have had a previous C-section and aren't interested in having a vaginal delivery after your cesarean, a C-section may be scheduled ahead of time (VBAC). However, the need for a first-time C-section is sometimes not apparent until labor has begun.

Why it's done :-

If a medical reason requires it, a caesarean birth can be scheduled ahead of time, or it might be unscheduled and occur during your labour if particular issues emerge.

If any of the symptoms listed below applicable to you, you should get medical attention right once, you may need a planned caesarean section:

• Cephalopelvic disproportion (CPD): When the baby's head or body is either too big or too little to pass through the mother's pelvis securely, or when the mother's pelvis is too small to deliver a normal-sized baby, it's called CPD.

• Previous cesarean birth: Although a vaginal birth is feasible, it is not recommended., it is not recommended. delivery after a prior Cesarean, it is not a choice for many women. Two factors that can determine whether a caesarean is necessary are the type of uterine incision used in the previous caesarean and the risk of uterine rupture.

• Multiple pregnancy: Although twins can usually be born vaginally, delivering two or more babies may necessitate a caesarean section.

• Placenta previa: The placenta is anchored too low in the uterine wall in this situation, preventing the infant from exiting through the cervix.

• Transverse lie: In the uterus, the infant is in a horizontal, or sideways, position. A caesarean delivery is always used in this situation.

• Breech presentation: The infant is positioned to deliver feet or bottom first in a breech presentation, or breech birth. You will need a caesarean delivery if your doctor determines that the baby cannot be rotated with abdominal manipulation.

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Surgery Procedure –

Anesthesia will be delivered at the commencement of the procedure, and a screen or sterile drape will be used to protect the incision site's sterile environment. Your abdomen will be cleaned with an antiseptic, and an oxygen mask may be placed over your mouth and nose to help the baby get more oxygen.

After that, the doctor will make an incision through your skin and into the abdominal wall. A vertical or transverse incision may be used by the doctor. (Because it is made beneath the belly button, a horizontal incision is sometimes known as a bikini incision.) The doctor next makes a 3- to 4-inch incision in the uterine wall and removes the baby through the incisions. The placenta is removed, the umbilical cord is cut, and the incisions are closed.

Risk and complications -

A caesarean section, like every other procedure, carries inherent hazards. These could include the following:

• Infection.

• There is a blood loss.

• A blood clot that has the potential to break out and enter the bloodstream (embolism).

• Injuries to the intestines or bladder.

• A uterine cut that may cause the uterine wall to weaken.

• Placental abnormalities in later pregnancies.

• The dangers of general anaesthesia.

• Injury to the baby.

Do’s -

• Take some time to sit with your kid and bond with him or her.

• When you're exhausted, take a break.

• Every day, go for a walk. Constipation and blood clots can both be avoided by walking.

• Keeping the space clean and dry.

• Wash your incision every day with warm, soapy water (usually when you shower). After cleansing, pat the area dry.

• Allow tape strips to fall off on their own if your doctor used them on your incision. This work usually takes around a week to complete.

• Water and other fluids should be consumed in sufficient quantities.

• Maintain a nutritious and well-balanced diet.

• A fibre supplement should be taken on a daily basis. Constipation may be avoided by doing so.

Don’ts -

• Use wound-healing treatments to help your wound heal more slowly.

• Anything that is heavier than your baby should be lifted.

• Until you have clearance from your doctor, use tampons or douche.

• Bathe until your incision heals and your postpartum bleeding stops.

• Until your doctor gives you the all-clear, engage in strenuous activity or core muscle workouts.

• Have sex until your doctor says it's safe to do so.

• Do not be frightened to seek assistance. This could entail enlisting the help of friends and relatives to keep the baby while you nap or to help with the washing.

• Take the stairwell several times.

• Swim in a public pool or soak in a hot tub.

Insurance Covered – Following insurances are covered for C-SECTION :

 The average length of stay - entails 2 days in hospital & 6-8 weeks to fully recover. 

Doctors who perform ACL Injury-Knee Surgery procedure :