Cesarean Delivery
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Dr. Smita Jadhav: Cesarean Delivery Doctor in Salt Lake, Kolkata
What is cesarean delivery?
Who can have a cesarean delivery?
While vaginal birth after a previous C-section (VBAC) is possible, it may not be suitable for everyone. Factors such as the type of uterine incision used and the risk of uterine rupture are considered.
Although vaginal delivery is often possible for twins, delivering three or more babies may require a C-section.
When the placenta is positioned too low in the uterus, it blocks the baby's path through the cervix, making a C-section necessary.
If the baby is lying horizontally (sideways) in the uterus, a C-section is usually needed.
If the baby is positioned feet-first or bottom-first, a C-section may be necessary if attempts to turn the baby are unsuccessful.
Certain health conditions, such as heart disease or active genital herpes, may require a C-section to avoid complications.
Conditions like large uterine fibroids, pelvic fractures, or certain congenital anomalies in the baby may also necessitate a C-section.
What is Abnormal Menstruation?
Abnormal menstruation, or menstrual irregularity, refers to any deviation from a regular menstrual cycle. While variations in menstrual patterns are common, abnormal menstruation involves significant deviations in frequency, duration, or intensity. This condition can manifest in various ways, disrupting the usual rhythm of a woman’s menstrual cycle and, in some cases, leading to other, more severe health concerns.
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drsmitajadhav76@gmail.com
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IB-193, Broadway Rd, IB Block, Sector III, Bidhannagar, Kolkata, West Bengal 700106
Steps of a cesarean delivery
Step One
You will be positioned on an exam or operating table, and if not already done, a urinary catheter will be inserted. An IV line will be placed in your arm or hand to administer fluids and medications.
Step Two
Your abdomen will be covered with sterile material, and a drape will be placed above your chest to shield the surgical area from view.
Step Three
Throughout the procedure, the anesthesiologist will monitor your heart rate, blood pressure, breathing, and oxygen levels. Once the anesthesia takes effect, the gynecologist will make an incision above the pubic bone, either horizontally or vertically. You might hear the sound of an electrocautery machine being used to stop any bleeding.
Step Four
The gynecologist will make deeper incisions through the tissues, separating the muscles until reaching the uterus. They will then make a final incision in the uterine wall, which can also be horizontal or vertical.
Step Five
After opening the amniotic sac, the baby will be delivered through the incision. You may feel pressure or pulling at this stage.
Step Six
Once the baby is delivered, the umbilical cord will be cut, and medication will be given through your IV to help the uterus contract and release the placenta. The gynecologist will remove the placenta and check the uterus for any tears or retained tissue.
Step Seven
Next, the incision in the uterine muscle will be closed with stitches, and the uterus will be repositioned in the pelvic cavity. The muscles and tissue layers will be sutured, and the skin will be closed with either stitches or surgical staples. Finally, a sterile bandage will be applied to the incision site.
Benefits of Cesarean Delivery
Safer option for complicated pregnancies
Reduced risk of birth trauma
Planned timing
Avoidance of prolonged labor
Fewer pelvic floor issues
Frequently Asked Questions
It usually takes about 6 to 8 weeks to fully recover from a C-section. During this time, the incision and muscles heal, but it’s important to rest and avoid heavy lifting. Most women can resume light activities after a few weeks, but complete healing may take longer depending on individual health.
Yes, back pain can occur after a C-section, often due to the spinal or epidural anesthesia used during the procedure. The strain of surgery, muscle changes, and posture during recovery can also contribute to back discomfort. In most cases, this pain is temporary and improves with time.
A C-section delivery lasts about 45 minutes to an hour. The actual birth happens quickly, usually within the first 10 to 15 minutes, while the remaining time is spent delivering the placenta and stitching up the incisions.
A C-section is necessary in situations where a vaginal delivery poses risks to the mother or baby. This can include complications such as placenta previa, breech position, multiple births, or if labor is not progressing. It may also be required for women with certain health conditions like heart disease or if the baby has certain congenital anomalies.
Many women can have a successful vaginal birth after a cesarean (VBAC). However, this depends on factors like the type of uterine incision used during the previous C-section, the reasons for the initial C-section, and overall health. The gynecologist can help determine if a VBAC is a safe option for you.
