C-section is the surgical method of delivering a baby. An incision (usually horizontal) is made in your lower abdomen and uterus to take the baby out. It’s also known as a C-section. Long ago, this method was only used as a plan B but now, in some countries, the incidence of C-section overrides that of natural birth. Expectant mothers can read the following account to make an informed choice regarding mode of birth.
Why opt for a caesarian?
Sometimes, a natural or vaginal birth is not possible or is too risky. Mothers with health issues are encouraged to have a C-section to avoid complications. Here are some reasons for going under the knife:
- The baby’s head is too large to pass through the cervix (or the opening to the uterus). Forcing the baby out is not an option as it can cause damage.
- The cervix is not open completely
- Labor is not induced-there are no contractions to help the baby on its way out
- The baby is stressed-lack of oxygen, entanglement with the umbilical cord
- Improper positioning- baby’s feet try to come out first or it’s lying transverse in the uterus.
- Multiple pregnancy- this can be complicated because the babies may be in less than ideal positions. The extended labor can be extremely painful and uncomfortable for the mother.
- Mother is in ill health (i.e. high blood pressure) or severe vaginal infection (i.e. herpes)
- Previous caesarean birth- ‘once a cesarean, always a cesarean’ is a myth. But, sometimes, it’s safer for the mother to repeat a caesarean for the next baby (reduces risk of hernia)
The basic pre-operative procedure
When you get to the hospital expect a C-section, first, you have to sign a consent form for surgery. Then nurses will take over, to shave and scrub the abdomen area. A catheter (to discharge urine) will be inserted to keep your bladder empty during surgery.
As with any other surgery, you will not be given water or food to ingest. Rather, a flow of I.V. fluids to your body will be arranged. Once your vital signs (temperature, heat rate and blood pressure) and a blood sample are taken, you are ready to go into the operating theatre.
What type of anesthesia do I get?
The 2 main types are general and regional anesthesia. The latter is the preferred and safe form, for you and the baby while the former is used mainly in emergencies. General anesthesia will make the baby drowsy and you won’t get to see your newborn until you wake up after the surgery.
Regional anesthesia will be either an epidural or spinal injection which makes you numb from waist down. You are awake and alert throughout the procedure and can see the baby almost immediately. A screen will be placed between your head and belly so you will not see the operation.
After surgery, some women experience bouts of nausea and discomfort. Your doctor will prescribe painkillers to help you relax.
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