A C-section may be planned in advance if you develop pregnancy complications, or you’ve and a previous C -Section, and are not considering a vaginal birth after cesarean (VBAC). Often, however, the need for a first C-Section does not become evident until labor is underway.
If you are pregnant, knowing what to expect during a C-section – both during the produced and afterward – can help you prepare a much as feasible.
C-Sections result in a small overall increase in poor birth outcomes, in low-risk pregnancies. The poor outcomes that transpire with C-sections differ from those that occur with vaginal delivery
In 2013, nearly 23 women underwent C-sections globally. In some countries, C-sections occur more frequently than is necessary and consequently government and health organizations support programs to reduce the use of C-section for virginal delivery.
Why Are C-Section Done?
Sometimes C -Sections are safer or the mother and the baby over vaginal delivery. A C -Section may be recommended in the following section.
The labor is not progression. – Labor that is stalled is one of the most common reasons for a C-section. The cervix is not opening enough despite strong contractions over several hours – or the baby head is too big to pass through your birth canal.
The baby is not getting enough oxygen – If the doctor is concerned that the baby is not getting enough oxygen supply or that there are changes in the baby heartbeat. The doctor may recommend a C-section as an option.
The baby or babies may be in abnormal positions. A C-section may be the safest way to deliver babies if there is a breach in the birth canal (their feet or buttocks in the birth canal first) or transverse (where the baby is positioned side or shoulder first). When a mother is carrying multiple babies. It is common for one or more of the babies to be in an abnormal position.
The mother is carrying multiple babies – A C-section may be needed if the babies are being born early or there are other problems.
There is a problem with the placenta – If the placenta covers the opening of the cervix (placenta ). C- section might be the safest way to deliver the baby.
The is an issue with the umbilical cord A C-section may be recommended if a loop of umbilical cord slips through the cervix before the baby or if the uterus compresses the cord during contractions.
If there are health concerns – A C-Section might be recommended if you have health conditions, such as complicated heart problems, high blood pressure requiring urgent delivery or an infection that could be passed to the baby vaginally during the delivery, such as HIV or genital herpes.
Mechanical obstruction – You may need a section if you have a large fibroid obstruction the birth canal, a seriously displaced pelvic fracture or your baby has severe hydrocephalus, a disease that can cause the head to be unusually large.
You have a previous C – Section, The type of uterine incision and other factors may determine if it is possible to attempt a vaginal birth after the first C0section. In some cases, the doctor may recommend a repeat tC -section.
Some women may request a C-Section with their first babies – to bypass labor or the potential complications of vaginal birth. C-Section also allows women to take advantage of the confidence of a planned delivery. However a C-Section for women having children the first time, yet plan on having several more children
Collages- Women who have multiple C -sections have increased risked of placenta problems and heavy bleeding, which might require a hysterectomy. If you are considering a planned C-section for your first delivery, work with your health care provider to make the best decision for you and your baby.
Risk of A C-Section
Recovery from a C-section takes longer than does recover from a vaginal birth. Similar to other types of major surgery, C-Section also carries risk.
Risk to the baby:
Breathing problems – Babies born by C-section are more likely to develop transient tachypnea – which is a breathing problem that is marked by abnormally fast breathing during the first few days following birth. C- sections that happen before 39 weeks of pregnancy or before the baby’s lung has matured, may increase the risk of breathing problems, including respiratory distress syndrome – a condition that makes it difficult for the baby to breathe.
Surgical injury – Although rare accidental nicks to the baby’s skin during surgery.
Risk to the mother
Inflammation and infection of the membrane lining the uterus – the condition is known as endometritis – can cause fever, foul-smelling vaginal discharge, and uterine pain.
Increased bleeding – The mother is likely to lose more blood in a C-section over the vaginal birth. Transfusion is rarely needed.
Reactions to anesthesia. -Adverse reactions to any anesthesia are possible. After a spinal block or combined epidural spinal anesthesia 0 common type of anesthesia of C-Section – it is rare but possible, to experience a severe headache when you are upright in the days after delivery.
Blood clots – The risk of developing a blood clot inside a vein – specifically in the legs or organs. In greater after a C-section than after a vaginal delivery. If a blood clot travels to your lungs (pulmonary embolism) the damage can be life threatening. Your health care providers will take steps to prevent blood clots. You can help, too by walking frequently soon after surgery.
Wound infections- are more common with C-sections compared to vaginal deliveries C-section infections are frequently found on the incision site or within the uterus.
Surgical injury – Although rare, surgical injuries to nearby organs – such as the bladder can occur during a C-section. Healing injuries are more frequent if you have multiple C-sections. If there is a surgical injury during your C-section additional surgery might be needed.
Increased risk during future pregnancies – After a C -section, your face a higher risk of potentially serious complications in subsequent pregnancies. This includes problems with the placenta than a mother would have after a vaginal delivery. The potential for uterine rupture when the uterus tears open along the scar line from a prior C-section is also higher if you attempt a vaginal birth after C-section (VBAC)