A caesarean section is an operation to give birth to your baby. Caesarean section surgery usually takes 30-60 minutes, although the entire process takes a few hours. There'll be many people in the operating theatre with you.
The typical C-section takes about 45 minutes from start to finish. After your provider delivers your baby, they'll stitch your uterus and close the incision in your abdomen. Different types of emergencies can arise during a delivery.
A caesarean is a major operation that carries a number of risks, so it's usually only done if it's the safest option for you and your baby.
The average hospital stay after a C-section is 2 to 4 days, and keep in mind recovery often takes longer than it would from a vaginal birth. Walking after the C-section is important to speed recovery and pain medication may be supplied too as recovery takes place.
Most C-sections are done under regional anesthesia, which numbs only the lower part of your body. This allows you to be awake during the procedure. Common choices include a spinal block and an epidural block. Some C-sections might require general anesthesia.
For a planned C-section, you may have a choice of anesthetic, although you should be aware that a spinal block or epidural are generally considered the safest options for both you and your baby. In an emergency or when bleeding occurs, general anesthesia may be necessary.
Unnecessary general anesthesia for cesarean delivery is associated with maternal complications, including serious anesthesia-related complications, surgical site infection, and venous thromboembolic events.
“It's recommended that you get up and walk around,” says Dr. Higgins. “We don't want someone lying in bed for two weeks.”
At first you may be asked to only eat ice chips or take sips of water, at least until your provider is certain you are not likely to have very heavy bleeding. Most likely, you will be able to eat a light diet 8 hours after your C-section.
You may remove your wound dressing and take showers if stitches, staples, or glue were used to close your skin. Do not soak in a bathtub or hot tub, or go swimming, until your provider tells you it is OK. In most cases, this is not until 3 weeks after surgery.
At the beginning of a caesarean section, six separate layers of the abdominal wall and uterus are opened individually. Once the baby is delivered the uterus is closed with a double layer of stitching.
Whether you are planning a scheduled c-section for health or personal reasons, you can work with your doctors' office to decide when you'd like your baby's birthday to be. The date you choose will vary depending on your specific circumstances and the policies of your health care providers and hospital.
Regional (or rarely general) anesthesia (spinal or epidural) is given to prevent pain, a vertical or horizontal ("bikini line") incision is made in the skin of the lower abdomen, and then the underlying tissues are dissected to expose the uterus.
If you are awake, you can usually see and hold your baby straight after your C-section birth. You can begin skin-to-skin contact and possibly breastfeeding. Skin to skin contact is important for you and your baby after birth to enhance bonding and establish breastfeeding.
After C-Section: The First 24-48 Hours
Again, you've just had major surgery, so fatigue and pain are to be expected. Many women also report experiencing nausea for the first few hours. Depending on the composition of your epidural, you may have some itching.
The classic back sleeping position
While back sleeping isn't recommended once you're more than 20 weeks pregnant, this position is recommended for those recovering from surgery. It places the least amount of strain and pressure on your incision site and ensures that your body is aligned in a neutral position.
After a C-section, she recommends women take eight weeks off and to avoid heavy activity to prevent complications.
When Can I Drive After a C-Section? You should wait until you're healed—which is typically around two weeks.
You likely won't need any pain medication after those first few weeks. And by 6 to 8 weeks, most people feel much better. “Your overall health, mobility, and support system at home play a major role in easing the pain following C-section delivery,” says Blindt.
The Night Before Your C-section
You will not be allowed to eat, drink or smoke after midnight. This includes candy, gum and water. Try to get a good night's sleep. You may brush your teeth in the morning.
For women with 1 previous cesarean delivery, it is generally agreed that the optimal timing of delivery by elective cesarean delivery is during the 39th week of gestation, whereas for women with ≥2 previous cesarean deliveries, the optimal delivery time remains debatable.
Babies born by caesarean section may be a little sleepy. They may need some extra encouragement to stay alert during the first few feeds. Skin-to-skin contact will encourage them to latch and feed more often.