A caesarean birth (C-section) may be scheduled before the start of your labour or after it has started. A C-section is performed by a doctor by making an incision into your abdomen and uterus to birth the baby. C-sections are recommended when it is necessary to protect you and your baby. It is important to talk with your healthcare provider about your chance of having a C-section and what to expect.
When is a C-Section Required?
- The cervix does not open completely or labor is not progressing
- The mother has had a previous C-section or a serious medical condition
- The baby is in a breech or transverse position
- The mother has active herpes lesions on her genitals that make a vaginal birth unsafe for the baby
- It is a multiple pregnancy (babies are in an awkward position)
- The baby is too big to fit through the mother’s pelvis.
*Most women who have had a previous C-section can have a vaginal delivery in the future.
What About An Anaesthetic?
Most women having a C-section will have a spinal or epidural anaesthetic. This allows you to be awake during the surgery and be pain free. In most hospitals your birth partner is allowed to be with you in the operating room. In some cases, such as an emergency, a general anaesthetic is given where you will not be awake during the birth and your partner will not be allowed in the operating room.
What to Expect After a C-Section
- You will be given pain medication to make you more comfortable
- You will have an IV in your arm and a catheter in your bladder. These will be discontinued once you are drinking well and able to get up to go to the bathroom.
- You will have stitches or small adhesive strips that will come off on their own. If you had staples you will have to have them removed.
- You will need help at home for yourself and baby. Healing may take six weeks or longer. Do not lift anything more than your newborn’s weight. This includes other children.
- You can drive when you are feeling better and able to twist your torso as you normally would to check behind you and use the break in an emergency.
**Drinking and eating healthy foods will help you heal. Don’t be afraid to ask for help when you need it.
What are the Risks Associated With C-Sections?
Mothers will have a greater risk of infection, complications from the anaesthetic, a longer recovery time, pain from the surgery and require more help from support people in comparison to a vaginal delivery.
Reference: Baby’s Best Chance
February 28, 2007
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