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C-Section

What is C-Section?

C-Section is also known as Caesarean Section or Caesarean delivery. This is a surgical procedure and is performed when a vaginal delivery can put the life of the baby or the mother or both at risk. In some cases, the C-section is scheduled in advance when this risk to mother or baby can be anticipated.

The indications for C-section are:

  • Obstructed Labour:
    When the descend of the child through the natural passage is impeded causing prolonged labor which might endanger the lives of the child and mother. This can be caused by several reasons
  • Multiple Pregnancy:
    Some multiple pregnancies cannot be delivered safely through vaginal delivery.
  • Large size of baby:
    May sometimes be a cause for obstructed labour.
  • High Blood Pressure of the mother
    Development of Preeclampsia, high BP induced by pregnancy.
  • Breech birth:
    When the baby is either in a feet-first or buttock-first and cannot be turned to the normal position.
  • Problems with the
    • Placenta: partly or completely blocking the cervical opening or if prematurely separates from the uterine wall.
    • Umbilical cord: around the baby’s neck choking the baby.
    • Shape of the pelvis: if small or narrow, can obstruct the baby’s path.
  • Previous C-Sections.
    If the mother has had more than one C-section previously it can increase the risk of the uterus being ruptured during a delivery.
  • Fetal distress
    Fetal distress of any cause is an indication for a C-section

The Procedure

  • The procedure usually lasts an hour.
  • It is performed with a Spinal Block , Epidural anaesthesia or under General Anaesthesia.
  • Urinary catheter drains the bladder and abdomen’s skin is cleaned with an antiseptic.
  • An incision of about 15cm is made through the lower abdomen. Uterus is opened with a second incision and baby is delivered.
  • The incisions are stitched  and closed.

Pre-Procedure

  • Medical conditions that can cause complications during delivery are evaluated and managed.
  • Blood tests are done for the patient’s:
    • Blood Type
    • Hemoglobin level
    • Renal function
    • Clotting mechanism

Post-Procedure

  • Most babies and mothers stay in the hospital for a couple of days for recovery and breast-feeding.
  • Mothers are examined to maintain normal  vital parameters, incision site, and breasts. urinary and bowel functions. Oral intake is graduated slowly from liquids to solids.
  • Medications that won’t be harmful in breastfeeding are prescribed.
  • Once discharged, the mothers are advised to:
    • Rest
    • Give abdominal support with binders
    • Drink plenty of fluids
    • Take supportive medications
    • Avoid sexual activity and strenuous physical activity for  6 weeks
  • Some of the complications that could occur in the post-op period are postpartum fatigue, bleeding from or infection at the surgical site and depression.

Consult our experienced Obstetrician and Gynaecologist for any of your concerns.


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