During a caesarean section The doctor will make a cut in your abdomen and your uterus (both about 10 cm long). Your baby will be lifted out through the cut. Sometimes the doctor may use forceps to help lift out your baby's head. Your baby will be carefully checked.
During a C-section, your organs are usually just moved aside so that the doctor can see your uterus better. But the organs stay within the abdominal cavity and aren't taken out. In rare cases, the intestines may be temporarily lifted out for better visualization and space to operate, but not permanently.
The seven layers are the skin, fat, rectus sheath (medical term for the coating outside the abs), the rectus (abs, which are split along the grain somewhat more than cut), the parietal peritoneum (first layer surrounding the organs), the loose peritoneum and then the uterus, which is a very thick muscular layer.
The uterus consists of the serosal outer layer (perimetrium), the muscle layer (myometrium), and the inside mucosal layer (endometrium). All three of these layers are incised to make the uterine incision or hysterotomy.
Even though labor and vaginal birth can be hard work, they are generally easier on a woman's body than a cesarean. Recovery after vaginal birth is usually shorter and less painful than after a C-section, and allows the woman to spend more time with her baby.
“So, every patient is different and every case is unique. 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.”
Once the baby is delivered the uterus is closed with a double layer of stitching. Four of the five remaining layers are stitched with a single layer of stitching, but one layer is not restitched as it heals better – with no buckling and reduced chance of scar tissue developing, without restitiching.
A caesarean section (c-section or 'caesarean') is a surgical procedure in which a baby is born through an incision (cut) made in the mother's abdominal wall and the wall of the uterus (womb).
Seek medical care if you have any of the following warning signs or symptoms: Heavy bleeding (more than your normal period or gets worse) Discharge, pain or redness that doesn't go away or gets worse. These could be a signs of infection in your c-section incision or episiotomy incision.
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.
Some women feel pain, restriction, or a pulling sensation on or around their scar months or even years after surgery. This is normally due to the build-up of scar tissue which can stick to muscles or even organs and cause pain.
Shivering occurred frequently during cesarean sections, with the peak incidence occurring after skin disinfection. Anxiety, emergency delivery, and transfer from the delivery room to the operating room increased the risk of shivering development during cesarean sections.
“They'll massage your uterus to help it contract down,” Bohn says. “And your nurse will press on your belly and massage it every 15 minutes for the first two hours after delivery. This can be very painful, especially if you didn't have an epidural.”
Cesarean Section Preparation and Anesthesia
In some cases of emergency, general anesthesia is used, which means you will be asleep. 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.
A cesarean delivery is relatively safe for you and your baby. But it is still a major surgery, and it carries risks.
The more C-sections you've had, the greater is your risk of developing problems with the placenta — such as the placenta implanting too deeply into the uterine wall (placenta accreta) or the placenta partially or completely covering the opening of the cervix (placenta previa).
If you're having a second C-section, normally your surgeon will attempt to cut through the same scar. This might not be possible if there's lots of scar tissue in the area, or if the scar tissue is too thick to cut through.
Ideally, your doctor will cut through the same scar so that you don't have multiple scars on your abdomen and uterus. Sometimes scar tissue can be difficult to cut through but your doctor should be able to cut through it.
The whole procedure usually takes around 40 to 50 minutes.
There's usually no limit to the number of caesarean sections you can have. But the more caesareans you have, the longer each operation will take and the higher your risk of serious complications becomes. You will have scar tissue where your wounds have healed after each operation.
Any pain should decrease after 2 or 3 days, but your cut will remain tender for up to 3 weeks or more. Most women need pain medicine for the first few days to 2 weeks. Ask your provider what is safe to take while breastfeeding.
The reason for the lower likelihood of pregnancy after a C-section is not known, but the lead author, Kristen H. Kjerulff, a professor of public health at Pennsylvania State University, said that scarring of the inside of the uterus during the procedure and ensuing low-grade infection may be factors.