cesarean section - india parenting

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In: home > Pregnancy / Related Articles for Pregnancy / Cesarean Section

Cesarean Section pregnancy Related Articles for Pregnancy

What is a cesarean section

A cesarean section (or 'C-section') is a surgical procedure for delivering a baby. It isusually performed when a normal vaginal delivery may be risky or impossible. The

operation involves an abdominal and uterine incision. The abdominal incision may

be horizontal, just above the pubic hairline, or vertical extending down from the

bellybutton. The incision in the uterus runs horizontally across the lower part of

the uterus (low transverse or low segment incision). Cesarean sections are usually

done under general anaesthesia. The whole procedure takes between 35 to 40

minutes.

What are the complications linked to a c-section?

Cesarean sections are more painful, more disabling, requires a longer hospital

stay, and is four times more risky than a normal vaginal delivery. Uterine infection

is one of the common complications associated with cesarean sections and it

occurs ten times more frequently than in vaginal deliveries. Other complications

arising from are thrombophlebitis, urinary tract infection, respiratory problems in

the newbornand complications of anaesthesia. However, doctors are constantly making

improvements in surgical technique. This, accompanied by the swift pace of

medical advancement, serves to reduce the risk of this procedure.

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"Once a section, always a section." - Is this true?

It was a widely accepted belief that most women, whose earlier childbirth was

done through a cesarean section, had to have a repeat cesarean section for

subsequent childbirth. Initially, the 'classical' method of doing a cesarean was to

make a vertical incision in the upper part of the uterus. Incisions like this are morelikely to rupture when labour begins leading to bleeding that could put the lives of

both the mother and baby at risk. However, a woman who has had a low

transverse incision (as opposed to the classical vertical incision) in the uterus is a

better candidate for a vaginal birth after cesarean (VBAC). This is because this

incision cuts through the lower part of the uterus that has fewer muscles and is

less full of blood vessels lowering the chances of bleeding due to uterine rupture.

The present practice for women who have had previous cesarean sections with a

low transverse incision in the uterus is to give them a trial of labour and vaginalbirth. However, the doctors should be prepared to perform an emergency

cesarean should the need arise.

Breech babies

Doctors often perform a cesarean as a matter of course when the baby is in a

breech position. A breech is when the baby's feet or bottom enter the birth canal

first instead of the head. This makes a vaginal delivery particularly risky becausethere are more chances of a prolapsed cord or fetal injury. If the doctor and his

team have some experience in doing vaginal breech deliveries, they can attempt

to do the procedure in the following conditions: the baby is expected to weigh less

than eight pounds; the woman has a normal pelvis; and the baby is in a frank

breech with legs extended and head flexed.

Failure of labour

Dystocia is the medical term for failure to progress in labour. Some women have

ineffective uterine contractions that lead to prolonged labour. The woman may be

unable to push the baby out under her own steam. If the contractions are weak

and irregular, doctors usually administer oxytocin to stimulate contractions.

However, if this has no effect, the doctors may have no choice but to perform a

cesarean.

Fetal distress

Fetal distress is also often a reason why doctors decide to do a cesarean section.

In cases of prolonged labour and fetal distress, some doctors would prefer to do a


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India's Best Guide to Pregnancy for Indian Women The Normal Pregnancy

Fa m ily Pla nning Pr e gna nc y B a bie s K ids Te e ns D is c us s C om m

cesarean section as the safer option to performing a mid-forceps or low-forceps

delivery. They are of the opinion that a cesarean is less risky for the baby in these

situations.

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oin thediscussion..

ackie.5 years agolove the site. i'm a student midwife from the uk, would like to see more about

related customs and festivals! keep up the good work!

.

Reply

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5/14



ramki.5 years ago

a fine article.you should have included

post operation precautions.well done.

.

Reply

carlisa.5 years ago

i don't think alot of people understand cesareans.i didn't until i had one almost

eight months ago.i've just learned to accept the fact that sometimes that's just how

things work.at least i got a gorgeous,perfectly healthy 9lb baby boy out of it.

.

Reply

manju.5 years ago

a very beautifully done site which is really worth reading. keep up the good work.

.

Reply

Shan.5 years ago

this is a wonderful site and also educating to most of us. it would be better if youarrange for answers to questions column,wherein it should be answered by the

person of the related field,it will clear our personal doubts and give room for

further improvement and betterment.

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6/14



.

Reply

shahi.5 years ago

its really good side to learn about

.

Reply

sunita.5 years ago

a fine article. i think you should have included post operation blues, depression and

how to handle it.

.

Reply

Yogin.5 years ago

we had to go for a c-section when our baby was born. i wouldn't know what labour

pains are, but i'm sure they're stronger than any pain any male can feel and stay

conscious. our baby is healthy, and none the worse for the mode of delivery, and

that's what counts.

.

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7/14



ep y

Gillian.5 years ago

a very informative article. more should be discussed on uterine rupture as a risk of vbac. i had low transverse incision and with my next baby my uterus ruptured

during labour. was extremely painful and almost life threatening for me and baby.

the possibility of uterine rupture should not be downplayed, as it often is. it is a

very real possibility!

.Reply

Chitra.5 years ago

i had a c-section about a year ago when my daughter was born.

i was a very healthy person all along my pregnancy. my labor was progressingnormally until i took the

epidural. i felt very chilly and developed very high temperature and as a result the

baby in my womb got into distress.

as a result, the doctors did a c-section to save the baby. only when i spoke to the

doctors later did i find out that epidural is not suitable for everybody.

but i am very happy to have a very healthy baby who is real smart for her age. she

was 8 lbs 1 ounce at birth.

.

Reply

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cesarean section - india parenting

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