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Caesarean section

Updated 04.04.2022
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A caesarian section, also known as a C-section, is a surgical method in which your baby is delivered through a cut in your tummy and womb.  A caesarian is a very big operation, so it is only carried out when necessary and safe for you and your baby by your specialist doctor (obstetrician). 

Why you might have a caesarean section?

If the doctor thinks it may be too risky for you to have a natural birth, a caesarian may be planned in advance as an elective procedure. It may also be done as an emergency - this is usually decided during labour if a vaginal birth puts you or your baby at immediate risk. An elective procedure is usually done from the 39th week and may be planned for if: · You have complications such as pregnancy-related high blood pressure or a low lying placenta (placenta praevia)   · You have preexisting conditions such as genital infections (like first presentation herpes late in pregnancy) or HIV.  · Your baby is in the incorrect position (breech) and they have not been able to turn them in time An emergency procedure may occur if: · Your labour is moving slower than planned, it is not progressing or there is significant vaginal bleeding.  · Your baby is not getting enough oxygen or nutrients and they are appearing distressed. 

What are the risks of a C-section?

C-sections are very common and occur in 1 in 4 pregnancies and are generally a very safe procedure. But like with any surgery, it does carry a certain amount of risk. These risks can be both immediate and delayed. Immediate complications include; excessive bleeding, damage to any organs nearby like the kidneys or bladder, and damage to the baby when the womb is opened. Delayed complications can be infection, delayed healing of the wound, or blood clots. A caesarian can also result in temporary breathing difficulties in your baby. 

Can I ask for a C-setion?

You can certainly request to have a caesarian for non-medical reasons, however, some hospitals have strict policies to only allow caesarian sections for medical reasons, so it is worth doing thorough research beforehand. Your midwife or doctor will talk you through your options, concerns, and worries and weigh up the risks and benefits of how you will deliver your baby.

What happens during and after a C-section?

Caesarians are carried out under anaesthesia, a procedure that will make you numb to pain and paralyse your muscles so that the doctors can operate. This is usually done under a spinal or epidural anaesthetic, where you won’t be put to sleep but will still be numb from the back/hip downwards.  A 10-20cm cut is made along your tummy below your bikini line. You will not be able to see what is happening as you will be separated by a screen. You will feel pulling and tugging and the whole procedure lasts roughly less than an hour. Your birthing partner will be allowed to be in the operating room with you and as soon as both you and baby are safe, you will both be given your baby to hold. After a C-section, you may be required to stay in hospital for a few days. It's not unusual to feel some pain in the area for a few days afterward. Most health professionals advise you to abstain from heavy lifting and strenuous exercise or driving for 6 weeks until you have had your postnatal check and your team are confident that you are healing well. 

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