Problems with labor. Labor that fails to progress or doesn't progress the way it should. Size of the fetus. The baby is too large for your provider to deliver vaginally. Placenta problems. This includes placenta previa, in which the placenta blocks the cervix. Premature detachment from the fetus is known as abruption. Certain conditions in the mother, such as diabetes, high blood pressure, or HIV infection. After a C-section, a woman may not be able to have a vaginal birth in a future pregnancy.
It will depend on the type of uterine incision used. Vertical scars of the uterus are not strong enough to hold together during labor contractions, so a repeat C-section is necessary. You may have other risks that are unique to you. Be sure to discuss any concerns with your healthcare provider before the procedure, if possible.
You will be asked to sign a consent form that gives your permission to do the procedure. Read the form carefully and ask questions if something is unclear. You will be asked when you last had anything to eat or drink. If your C-section is planned and requires general, spinal, or epidural anesthesia, you will be asked to not eat or drink anything for 8 hours before the procedure.
Tell your healthcare provider if you are sensitive to or are allergic to any medicine, latex, iodine, tape, or anesthesia. Tell your healthcare provider of all medicine prescription and over-the-counter , vitamins, herbs, and supplements that you are taking. Tell your healthcare provider if you have a history of bleeding disorders or if you are taking any blood-thinning medicines anticoagulants , aspirin, or other medicines that affect blood clotting.
You may be told to stop these medicines before the procedure. You may be given medicine to decrease the acid in your stomach. These also help dry the secretions in your mouth and breathing passages. Plan to have someone stay with you after a C-section. You may have pain in the first few days and will need help with the baby. A C-section will be done in an operating room or a special delivery room.
Procedures may vary depending on your condition and your healthcare provider's practices. In most cases, you will be awake for a C-section. Only in rare cases will a mother need medicine that puts her into a deep sleep general anesthesia. Most C-sections are done with a regional anesthesia such as an epidural or spinal.
With these, you will have no feeling from your waist down, but you will be awake and able to hear and see your baby as soon as he or she is born. The average stay in hospital after a caesarean is around 3 or 4 days, compared with an average of 1 or 2 days for a vaginal birth. You may experience some discomfort in your tummy for the first few days.
You'll be offered painkillers to help with this. When you go home, you'll need to take things easy at first. You may need to avoid some activities, such as driving, until you have had your postnatal check-up with the doctor at 6 weeks.
The wound in your tummy will eventually form a scar. This may be obvious at first, but it should fade with time and will often be hidden in your pubic hair. Find out more about recovering from a caesarean. A caesarean is generally a very safe procedure, but like any type of surgery it carries a certain amount of risk. It's important to be aware of the possible complications, particularly if you're considering having a caesarean for non-medical reasons. If you have a baby by caesarean, it does not necessarily mean that any babies you have in the future will also have to be delivered this way.
Most women who have had a caesarean section can safely have a vaginal delivery for their next baby, known as vaginal birth after caesarean VBAC. But you may need some extra monitoring during labour just to make sure everything is progressing well. Before the procedure begins, an anesthesiologist will discuss what will be done so that you don't feel pain during the C-section.
After anesthesia is given, the doctor makes an incision on the skin of the abdomen — usually horizontally 1—2 inches above the pubic hairline, sometimes called "the bikini cut". The doctor then gently parts the abdominal muscles to get to the uterus, where he or she will make another incision in the uterus itself.
This incision can be vertical or horizontal. Doctors usually use a horizontal incision in the uterus, also called transverse, which heals better and makes a VBAC much more possible.
After the uterine incision is made, the baby is gently pulled out. The doctor suctions the baby's mouth and nose, then clamps and cuts the umbilical cord. As with a vaginal birth, you should be able to see your baby right away. Then, the little one is handed over to the nurse or doctor who will be taking care of your newborn for a few minutes or longer, if there are concerns.
The obstetrician then removes the placenta from the uterus, closes the uterus with dissolvable stitches, and closes the abdominal incision with stitches or surgical staples that are usually removed, painlessly, a few days later. You may need help holding the baby on the breast if you have to stay lying down flat.
You won't feel any pain during the C-section, although you may feel sensations like pulling and pressure. That way, they are awake to see and hear their baby being born. A curtain will be over your abdomen during the surgery, but you may be able to take a peek as your baby is being delivered from your belly.
Sometimes, a woman who needs an emergency C-section might require general anesthesia, so she'll be unconscious or "asleep" during the delivery and won't remember anything or feel any pain. C-sections today are, in general, safe for both mother and baby. However, there are risks with any kind of surgery. Potential C-section risks include:. Some of the regional anesthetic used during a C-section does reach the baby, but it's much less than what the newborn would get if the mother had general anesthesia which sedates the baby as well as the mother.
Babies born by C-section sometimes have breathing problems transient tachypnea of the newborn because labor hasn't jump-started the clearance of fluid from their lungs. This usually gets better on its own within the first day or two of life. Having a C-section may — or may not — affect future pregnancies and deliveries.
Many women can have a successful and safe vaginal birth after cesarean. But in some cases, future births may have to be C-sections, especially if the incision on the uterus was vertical rather than horizontal. A C-section can also put a woman at increased risk of possible problems with the placenta in future pregnancies. In the case of emergency C-sections, the benefits usually far outweigh the risks.
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