26/03/2019
(Part 1)
There are lots of myths, rumors, half truths, beliefs and assumptions about C-Section. Most of these are unfounded and blatantly misleading. Since the advent of C-Section, many women and babies have been saved from needless preventable deaths. Medically CS is only an option when vaginally delivery is impossible, or when there is an acute emergency where the life of the mother and the baby is at risk. Most times doctors resort to CS as a salvage mission.
With the advent of modern medical technologies and expertise, the success rate of CS is quite impressive. In some clime, some women choose CS for aesthetics and cosmetic reasons; this habit is discouraged and frowned at. Ethically CS should be carried out when there is a clear indication.
C-S can be either elective (planned) or emergent (acute and immediate). It might be planned ahead of time if you develop pregnancy complications or you've had a previous C-section and aren't considering vaginal birth after cesarean (VBAC). Often, however, the need for a first-time C-section doesn't become obvious until labor is underway, and the only ultimate choice is to deliver the baby and save the mother’s life.
1.
Cesarean delivery also known as a C-section is simply a surgical procedure used to deliver a baby through incisions in the mother's abdomen and uterus.
2. , -section?
Like I mentioned earlier, sometimes it is safer for you or your baby than is a vaginal delivery. Indications/reasons for a C-section include:
1. : This is one of the commonest reasons for C-section. It can range from inability of the cervix to open enough despite strong contractions over several hours. It can also be due to the baby's head, if it’s too big to pass through your birth canal.
2.When the baby is oxygen deprived: If your baby isn't getting enough oxygen. C-section is the last resort to saving the baby’s life. Also changes in If your baby’s heartbeat is abnormal, a C-section might be the best option.
3. , of your baby or babies: This is another common reason for a C-section. This might be the safest way to deliver the baby if his or her feet or buttocks enter the birth canal first (breech) or the baby is positioned side or shoulder first (transverse). When you're carrying multiple babies, it's common for one or more of the babies to be in an abnormal position.
4. : .A C-section might be needed if the babies are being born early or if there are other problems. Most multiple babies are delivered via C-section.
5. : If the placenta covers the opening of your cervix (placenta previa), C-section might be the safest way to deliver the baby. Other disorders of placenta might warrant C-section too.
6. : A C-section might be recommended if a loop of umbilical cord slips through your cervix ahead of your baby or if the cord is compressed by the uterus during contractions.
7. / : A C-section might be recommended if you have health conditions, such as complex heart problems, high blood pressure requiring urgent delivery or an infection that could be passed to your baby during vaginal delivery — such as ge***al herpes or HIV.
8. : You might need a C-section if you have a large fibroid obstructing the birth canal, a severely displaced pelvic fracture or your baby has severe hydrocephalus, a condition that can cause the head to be unusually large.
9. -section: Depending on the type of uterine incision and other factors, it's often possible to attempt a vaginal birth after a previous C-section, however in some cases; however, your health care provider might recommend a repeat C-section. Most times, it’s always better to go for a repeat CS than vaginal delivery.
10. : It is important to note, some women request C-sections with their first babies, to avoid labor or the possible complications of vaginal birth or to take advantage of the convenience of a planned delivery. However, this is discouraged if you plan on having several children.
Just like any surgical procedure, women who have multiple C-sections are at increased risk of placenta problems as well as heavy bleeding, which might require a hysterectomy.
3. are the associated Risks to the Baby and Mother with C-Section?
Just like other major surgeries, C-sections also carry risks to both the mother and the baby
1. to your baby include:
• problems: Babies born by scheduled C-section are more likely to develop transient tachypnea , a breathing problem marked by abnormally fast breathing during the first few days after birth.
• -sections done before 39 weeks of pregnancy or without proof of the baby's lung maturity might increase the risk of other breathing problems.
• there can be Surgical injury to the baby's skin can occur during
2. to Mother include:
1.Inflammation and infection of the membrane lining the uterus. This condition known as endometritis can cause fever, foul-smelling vaginal discharge and uterine pain.
2.Increased bleeding. C-section can likely lead to lose of more blood compared with a vaginal birth. However, transfusions are rarely needed.
3.Reactions to anesthesia. Adverse reactions to any type of anesthesia are possible
4.Blood clots. The risk of developing a blood clot inside a vein especially in the legs or pelvic organs is greater after a C-section than after a vaginal delivery
5.Wound infection. Infections are more common with C-sections compared to vaginal deliveries. C-section infections are generally found around the incision site or within the uterus.
6.Surgical injury. Although rare, surgical injuries to nearby organs — such as the bladder — can occur during a C-section.
7.Increased risks during future pregnancies. After a C-section, you face a higher risk of potentially serious complications in a subsequent pregnancy including problems with the placenta than you would after a vaginal delivery.
8.The risk of uterine rupture, when the uterus tears open along the scar line from a prior C-section, is also higher if you attempt vaginal birth after C-section (VBAC).
of C-section
1.Lower Transverse Incision
2.Lower Vertical Incison
3. Classical Incison
2.... Continues shortly and will include:
1. Preparations For C-section
2.What you can expect during and after C-section
3. Miscellaneous