You may be planning to have a vaginal delivery but it doesn’t matter what you have planned there is a chance of a c section delivery at any time. In 2015, 32% of the deliveries were C-sections, its better to be prepared for one just in case.
What is c section delivery?
Cesarean section is the delivery of a baby through a surgical incision in the mother’s abdomen and uterus.
Types of c section delivery
There are main 3 types.
The types depend on the difference being in the way that incision is cutting through the skin and uterus.
- Traditional cesarean section
In this type the cut is long, vertical incision being made in the midline of the abdomen. When the skin is incised, the uterus is also incised vertically, and the baby is delivered.
This type of C-section allows a large amount of space for delivering the baby due to the size of the incision. Here it’s weakens the abdominal muscles and increases the risk of hernia for years after surgery by the long incision. Also, once this type of C-section is performed, a vaginal birth is not safe for the delivery of future pregnancies. There fore this method is not commonly use in today.
- The lower uterine segment Cesarean section (LUCS)
Here an incision is made just above the pubic hairline, just above the bladder. The cut is horizontal through the underlying uterus as well as the skin. The baby is delivered by inserting a hand into the uterus and pulling the baby out. This is one of the most common method use in today.
Here, the risk of bleeding and hernia are minimal and the surgical wound repairs more easily than the wound that is left after a traditional C-section. Also, a woman can choose a vaginal delivery in future.
- Caesarean hysterectomy
This type involves when removing the uterus during the same procedure as the C-section delivery. This procedure carries when severe post-delivery bleeding from the placenta or when the placenta cannot be separated from the uterus walls.
Why do we need a C- Section delivery?
The C- Section delivery can be a planned one or an emergency one.
A planned C section delivery can be due to
- When you have a previous cesarean with a “classical” vertical uterine incision or more than one previous C-section. These may increase the risk that your uterus will rupture during a vaginal delivery.
- If your carrying more than one baby. It’ll depending on factors like how far along in the pregnancy you are when delivering and the positions of the twins.
- If your baby is expected to be very large (macrosomia). You will recommend having a C -section. In this case if you’re diabetic or you had a previous baby who suffered serious trauma during a vaginal birth.
- When your baby is in a breech or transverse position. Such as a twin pregnancy in which the first baby is head down, but the second baby is breech, the breech baby may be delivered vaginally.
- When you’re near full-term and have placenta previa -when the placenta is so low in the uterus that it covers the cervix.
- If you have an obstruction, like a large fibroid, that would make a vaginal delivery difficult or impossible.
- When the baby has a known malformation or abnormality that would make a vaginal birth risky, such as some cases of open neural tube defects.
- If you’re HIV-positive, and blood tests done near the end of pregnancy show that you have a high viral load.
Emergency and unplanned C- Section happen due to these kind of reasons
- If you have a genital herpes outbreak when you go into labor or when your water breaks. C-Section delivery will help to avoid infection.
- If or your baby stops moving through the birth canal or your cervix stops dilating.
- If your baby’s heart rate become different your cause for concern, and practitioner will decide that your baby can’t withstand continued labor or induction.
- Sometimes the umbilical cord slips through your cervix. If that happens, your baby needs to be delivered immediately because a prolapsed cord can cut off his oxygen supply.
- If your placenta starts to separate from your uterine wall (placental abruption), then your baby won’t get enough oxygen unless he’s delivered right away.
After the surgery, you and the baby will have to stay at hospital for 3 or 4 days. There are few things that you have to follow than a virginal birth.
- Follow the way to breast feeding that your nurse advised you. Then you can reduce the pain around incision area.
- Take it easy and rest, especially for the first few weeks.
- Use correct posture to support your abdomen.
- Drink plenty of fluids to replace those lost during your C-section
- Avoid sex for four to six weeks.
- Take pain medications as needed.
- Seek help if you experience symptoms of postpartum depression, such as severe mood swings.
Let’s see what are the risk that you have from C- section delivery. Then you can be careful and easy for you to avoid from those.
- longer recovery time compared with vaginal birth
- Increased risks for future pregnancies
- Injury to the child during surgery
- Surgical injury to other organs
- Breathing problems for the child, especially if done before 39 weeks of pregnancy
- Blood clots
Mrs. Ruwandi Fernando is reading for MPhil / PhD program in Physics and currently working as a Technology Entrepreneur in MAS Holdings. In her role as a Technology Entrepreneur, she explores new trends in the maternal apparel space, sustainable products, new technology trends that can be applied to the apparel sector. She is a mother of a newborn who is interested in Kandyan dancing, playing sports, working out, mentoring teenagers, lecturing during her leisure time.