C- section (cesarean delivery)INTRODUCTIONA cesarean delivery (also called a surgical birth) is a surgical procedure used to deliver an infant (figure 1). It requires regional (or rarely general) anesthetic to prevent pain, and then a vertical or horizontal (. Another incision is made in the uterus to allow removal of the baby and placenta. Other procedures, such as tubal ligation (sterilization), may also be performed during cesarean delivery. More than 3. 0 percent of births in the United States occur by cesarean delivery. REASONS FOR CESAREAN DELIVERYSome women who intend to deliver vaginally will eventually require cesarean delivery. The following list describes some (not all) reasons cesarean might be needed. This may occur if the contractions are too weak, the baby is too big, the pelvis is too small, or the baby is in an abnormal position. If a woman's labor does not progress normally, in many cases, the woman will be given a medication (Pitocin/oxytocin) to be sure that contractions are adequate for several hours. If labor still does not progress after several hours, a cesarean delivery may be recommended. This can occur if the placenta separates from the uterus before the baby is delivered (called a placental abruption). Every woman loses pregnancy weight at a different rate. By six months, much of what you gained will.Cesarean deliveries that are done because the woman wants, but does not require, a cesarean delivery are called . Some (not all) of these circumstances are listed below: . A vaginal delivery is possible after cesarean delivery in some, but not all cases. These include some birth defects, such as spina bifida and fetal abdominal wall defects, and some maternal medical problems. One of the most important factors in scheduling a cesarean delivery is making certain that the baby is ready to be delivered. In general, cesarean deliveries are not scheduled before the 3. An amniocentesis may be recommended to determine if the baby's lungs are fully developed, especially if cesarean is planned before 3. Most women will meet with an anesthesiologist before planned surgery to discuss the various types of anesthesia available and the risks and benefits of each. Instructions about how to prepare for surgery will also be given, including the need to avoid all food and drinks for 1. Looking for ways to reduce tummy after cesarean delivery? Here are 5 effective home remedies to do just that while sitting in the comfort of your home. A cesarean delivery (also called a surgical birth) is a surgical procedure used to deliver an infant (). It requires regional (or rarely general) anesthetic to. Learn about C-section (cesarean birth) options, and reasons for a C-section delivery including multiple births, health problems, problems with the pelvis, placenta. DISCLAIMER: The information on this website is not intended and should not be construed as medical advice. Consult your health provider. Advantages of planned cesarean — The advantages of a planned cesarean delivery include. These injuries sometimes occur during vaginal delivery, which may increase the risk of urinary or anal incontinence. The benefits of planned cesarean delivery must be weighed against the risks. Cesarean delivery is a major surgery, and has associated risks. Risks — Because cesarean delivery involves major surgery and anesthesia, there are some disadvantages compared to vaginal delivery. This risk is small and depends upon the type of uterine incision. Infant risks — There are few risks of cesarean delivery for the infant. One risk is birth trauma, which is rare. Temporary respiratory problems are more common after cesarean birth because the baby is not squeezed through the mother's birth canal. This reduces the reabsorption of fluid in the infant's lungs. Potential complications — The most common complications related to cesarean delivery include infection, hemorrhage (excessive bleeding), injury to pelvic organs, and blood clots. Endometritis is treated with antibiotics. Wound infection, if it occurs, usually develops four to seven days after surgery, but sometimes appears during the first day or two. In addition to antibiotics, wound infections are sometimes treated by opening the wound to allow drainage, cleansing with fluids, and removing infected tissue if needed. Hemorrhage usually responds to medications that cause the uterus to contract or procedures to stop the bleeding. In rare cases, when all other measures fail to stop bleeding, a hysterectomy (surgical removal of the uterus) may be required. This risk is further increased after cesarean delivery. The risk can be reduced by using a device that gently squeezes the legs during and after surgery, called an intermittent compression device. Women at high risk of DVT may be given an anticoagulant (blood thinning) medication to reduce the risk of blood clots. CESAREAN DELIVERY ON MATERNAL REQUESTThe concept of requesting a cesarean delivery is relatively recent. In the United States and most Western countries, pregnant women have the right to make choices regarding treatment, including how they will deliver their child. A woman who wants to request a cesarean delivery should discuss this decision with her healthcare provider. He or she can provide information about each method of delivery and can help to relieve common fears about pain, the expected process of labor, as well as the woman's right to determine how she will deliver. The woman should also discuss the risks and benefits of maternal request cesarean delivery; in general, the risks are the same as those of a planned cesarean delivery (see 'Risks' above). The woman should also discuss the possible need for a cesarean delivery with future pregnancies (see 'Future deliveries' below). Regardless of a woman's decision, it is possible to reconsider the decision at any time based upon a change in circumstances. EMERGENCY CESAREAN DELIVERYIn some cases, cesarean delivery is performed as an emergency surgery, after attempting a vaginal delivery. Time may be of the essence, depending upon the situation. Cesarean deliveries performed due to concerns about the mother's or infant's health are started as quickly as possible. In contrast, if a cesarean is performed because labor has not progressed normally or for other, less serious concerns about the baby's wellbeing, the surgery is usually begun within 3. If an epidural was placed before the attempted vaginal delivery, it can be used to administer anesthesia for the cesarean delivery (a larger dose is necessary for cesarean delivery versus vaginal delivery). Otherwise, spinal anesthesia (or rarely general anesthesia) is given.
With a Cesarean Breastfeeding is Likely to be Delayed. A cesarean birth makes it more difficult for mothers to initiate and establish breastfeeding. Recently underwent a cesarean delivery & are clueless about the right diet to help you regain your strength & health? Find out diet after cesarean delivery. Another medication may be given to reduce the secretions in the mouth and nose. An intravenous line will be placed into the hand or arm, and an electrolyte solution will be infused. An antibiotic will be given through the IV to help prevent a postoperative infection. Monitors will be placed to keep track of blood pressure, heart rate, and blood oxygen levels. Anesthesia — The woman is usually accompanied to an operating room before anesthesia is administered. A spouse or partner can usually stay with the woman in the operating room. There are two types of anesthesia used during cesarean delivery: regional and less commonly, general. For a planned cesarean delivery, regional anesthesia is usually performed. Meeting with the anesthesiologist allows the woman to ask specific questions about anesthesia, and allows the anesthesiologist to identify any medical problems that might affect the type of anesthesia that is recommended. With epidural and spinal anesthesia, the anesthetic is injected near the spine, which numbs the abdomen and legs to allow the surgery to be pain- free while allowing the mother to be awake. General anesthesia, now infrequently used for cesarean, induces unconsciousness. This means that the mother will not be awake or aware during the procedure. After the anesthesia is given, the woman will fall asleep within 1. General anesthesia carries a greater risk of complications than epidural or regional anesthesia because of the need for an endotracheal (breathing) tube and because drugs given to the mother affect the infant. Women who have general anesthesia will not be awake during the cesarean delivery. Regional anesthesia is generally preferred because it allows the mother to remain awake during the procedure, enjoy support from staff and a family member, experience the birth, and have immediate contact with the infant. It is usually safer than general anesthesia. After the anesthesia is given, a catheter is placed in the bladder to allow urine to drain out during the surgery and reduce the chance of injury to the bladder. The catheter is usually removed within 2. Skin incision — There are two basic types of incision: horizontal (transverse or . Most women have a transverse skin incision, which is made 1 to 2 inches above the pubic hair line. The advantages of this type of incision include less postoperative pain, more rapid healing, and a lower chance that the wound will separate during healing. Less commonly, the woman will have a vertical (. The advantages of this type of incision include a slightly more rapid access to the uterus (eg, if the baby is in distress or if the woman is bleeding excessively). Uterine incision — The uterine incision can also be either transverse or vertical. The type of incision depends upon several factors, including the position and size of the fetus, the location of the placenta, and the presence of fibroids. The main consideration is that the incision must be large enough to allow delivery of the fetus without causing trauma. The most common uterine incision is transverse. However, a vertical incision may be required if the baby is breech or sideways, if the placenta is in the lower front of the uterus, or if there are other abnormalities of the uterus. After opening the uterus, the baby is usually removed within seconds. After the baby is delivered, the umbilical cord is clamped and cut and the placenta is removed. The uterus is then closed. The abdominal skin is closed with either metal staples or reabsorbable sutures. After the mother and baby are stable, she or her partner may hold the baby. POSTOPERATIVE CAREAfter surgery is completed, the woman will be monitored in a recovery area. Pain medication is given, initially through the IV line, and later with oral medications. When the effects of anesthesia have worn off, generally within one to three hours after surgery, the woman is transferred to a postpartum room and encouraged to move around and begin to drink fluids and eat food. Breastfeeding can usually begin anytime after the birth. A pediatrician will examine the baby within the first 2.
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