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Here are the most common reasons a C-section is needed:
- Prolapsed cord: This is when the cord comes down before the baby.
- Placenta abruptio: When the placenta separates before the birth.
- Placenta previa: The placenta partially or completely covers the cervix.
- Fetal malpresentation: Transverse lie, breech (feet first).
- Cephalopelvic disproportion (CPD): When the head is too large to fit through the pelvis.
- Fetal distress: the baby's heart rate rising or dropping rapidly.
- Maternal medical conditions: such as preclampsia for example.
The basic steps followed are:
- A catheter inserted to collect urine
- An intravenous line inserted
- An antacid for your stomach acids
- Monitoring leads (heart monitor, blood pressure)
- Anesthesia
- Anti-bacterial wash of the abdomen, and partial shaving of the pubic hair
- Skin Incision (vertical or midline)
- Uterine Incision
- Breaking the Bag of Waters
- Disengage the baby from the pelvis which is accomplished by hand, forceps, or vacuum extractor.
- Cord Clamping and cutting
- Newborn Evaluation
- Placenta removed and the uterus repaired
- Skin Sutured, usually the top layers will be stapled and removed within 2 weeks.
- You will be moved to the Recovery Room
You may have pains from being opened, incisional pain, uterine contractions (your uterus will take time to get back to it's original shape). Do not lift anything heavier than your baby until at least 6 weeks after the C-section (this rule is applied to vaginal births as well). Everyone's recovery will be different, depending on your age, body type, and general health.
- A regional anesthetic (epidural)
- A general anaesthetic
- A pre-operative sedative is usually avoided because it can reach the baby and make it difficult for the baby to breath.
- Post operatively pain can be reduced by medication.
Recent studies have shown that there was an over 82% success rate for vaginal birth after C-section.
Certainly you can. It may take some more effort on your part, but do not hesitate to ask for help. Start breast feeding as soon as you are able. You will need to position the baby on a table and lean over, so that the baby does not weigh on your belly as you breastfeed.
© Copyright 1999 Anai Rhoads.
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