During a c-section, the doctor makes an incision in the belly and then the uterus. The baby comes out through that incision, rather than through the vagina.
In most c-sections, the bladder and intestines are moved aside so the ob-gyn can keep them safely out of the way while delivering the baby and repairing the uterine incision. Those organs won't be moved outside the body, though.
Examination of the ovaries at caesarean section is a normal practice as ovarian pathology may be found. The incidence of an adnexal mass found at caesarean section ranges from 1 in 123 1 to 329 2.
To ensure that the entire placenta and membranes are removed after delivery of the placenta at cesarean, the uterine cavity is usually cleaned with one hand holding a dry sponge to remove any remaining membranes or placental tissue, while the other hand is placed on the fundus to stabilize the uterus.
An incision is made in the uterus to allow removal of the baby and placenta. Other procedures, such as tubal ligation (a permanent birth control procedure), may also be performed during cesarean birth.
Under most circumstances, undergoing a c-section via Spinal Anesthesia or Epidural Anesthesia (rather than General Anesthesia) is preferred since it involves less risk and has the advantage of allowing you to be awake during your baby's birth.
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.
Try to relax, meditate, and stay positive. It can be hard to control your worries before a C-section. But deep-breathing exercises can help you stay calm and focused.
However, from the current medical evidence, most medical authorities do state that if multiple C-sections are planned, the expert recommendation is to adhere to the maximum number of three.”
No muscles in the abdominal wall are actually cut. In fact the Obstetrician goes between the muscles. Some people are concerned about the pain relief during a caesarean. Less than 1% of caesarean sections are performed under a general anaesthetic in a private hospital.
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 more C-sections, the higher the risks of placenta previa and a condition in which the placenta becomes attached to the wall of the uterus (placenta accreta). A C-section also increases the risk of the uterus tearing along the scar line (uterine rupture) for women who attempt a vaginal delivery in a later pregnancy.
Next, something that completely surprised me: Some hospitals may strap your arms to the operating table (others leave them free)—done to prevent you from inadvertently knocking a member of the medical team while they are wielding a scalpel.
Sometimes, your arms will be strapped down in a T-position away from your sides. This is done to prevent you from accidentally interfering with the surgery. You may also have a catheter placed. There will be a drape placed at your abdomen to keep you from seeing directly into the incision.
The mother is given an anesthetic throughout the whole operation. Women who have a Cesarean section usually have a choice of two or three options: A general anesthetic, where they are completely unconscious, and two types of regional anesthetic known as “epidural” and “spinal” anesthesia.
“It's recommended that you get up and walk around,” says Dr. Higgins. “We don't want someone lying in bed for two weeks.”
1 day later: You'll be encouraged to walk around within the first 12 hours after delivery to help relieve gas buildup in the abdomen, and to eat something light as soon as you feel able.
Regardless of the type of skin incision, the uterine incision is made horizontally and low down on the uterus unless the position of your baby or the placenta demands a vertical cut instead. The amniotic sac will be opened and the amniotic fluid will pour out.
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.
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.
The obstetrician should consider the risks of vaginal birth and the likelihood of an emergency c-section. The hospital can only refuse to offer you a c-section if it has balanced all the factors and can show that there are good reasons for refusing and the effect on you is not disproportionate.
If your placenta is not delivered, it can cause life-threatening bleeding called hemorrhaging. Infection. If the placenta, or pieces of the placenta, stay inside your uterus, you can develop an infection. A retained placenta or membrane has to be removed and you will need to see your doctor right away.
Since you'll receive two incisions — one in your abdomen and one in your uterus — your surgeon will close both incisions.