C-Section: What Happens During a Cesarean Delivery?

C-Section Everything you need to know

You might have imagined your childbirth multiple times, but that could be taken away at once when you are told for the delivery to take place by a cesarean or C section. There could perhaps be many reasons to end up having a C section, being stuck in the hospital longer, and the tougher recovery. However, do not get disappointed. There are about 32% of babies in the United States that are delivered by C-section, which is equal to about a 1 in 3 chance.

What is a C-section and why does it take place ?

Cesarean or a C-section is a surgical delivery done through incisions in the uterus and the abdomen, typically recommended is medically necessary cases like ones with high-risk pregnancies or the baby in a breech position failing to get flipped around.

A C-section can be done due to the following reasons:

1. A certain medical condition

 If you have a chronic condition like heart disease, diabetes, high blood pressure, or kidney disease. All of this makes a vaginal delivery quite dangerous for your body and a cesarean birth safer.

2. Infections

If you are HIV-positive or have active genital herpes infection, a scheduled C-section is necessary to avoid the transmitting of the infections.

3. The health of the baby

If the baby suffers from an illness or a congenital condition that could make a vaginal delivery dangerous.

4. You have a large baby

Having a large baby is a condition called macrosomia, which could be dangerous for a vaginal birth

5. Your weight

If you weigh extra (gestational diabetes) or have obese, there could be a chance of you needing a C-section delivery as they tend to have longer labors, risking the operating table.

6. The age

Being older doesn’t guarantee a cesarean but has the odds of a possibility.

7. The breech position

If your baby is in a breech position, that is either feet-first or butt-first, the practitioner may decide on a C-section

8. If you’re carrying multiple babies

If you are carrying more babies, you are likely to the procedure for a C- section

9. Placental problems

A C – section is done for the safety of the baby in case the placenta is partly or entirely blocking either the cervical opening, the placenta previa, or is separated from the uterine wall.

10. Any other complication

If you end up developing preeclampsia (pregnancy-induced high blood pressure) or eclampsia (a rare progression of preeclampsia affecting the central nervous system causing seizures), and the treatment fails to work, you will be asked to deliver via C – section to protect the both of you.

Then what happens in cases that call for an unplanned C-section without the symptoms mentioned above?

Normally a C – section is called for a few immediate reasons that term to be an unscheduled or unplanned C-section. These immediate reasons include:

1. Delayed labor

In cases where the labor fails to start, that means the cervix isn’t dilating through the contractions post 24 or 25 hours for the first pregnancy, the doctor will call for surgery.

2. Labor stalls

It is possible for the Pitocin or any other labor stimulator to jump-start the contractions, but the head of the baby is too big to fit through your pelvis, a C – section is called for.

3. Exhaustion or a fetal distress

In case of the mother getting exhausted or in cases of the fetal monitor picking up signs of your baby in distress, you may opt for surgery. 

4. A prolapsed umbilical cord

In cases of the umbilical cord slipping into the child’s birth canal that compresses the level of oxygen.

5. A uterine rupture

If the uterine tears, a C-section is required.

What are the complications and benefits of a C - section ?

While C -sections are extremely safe there can be small things to take care of that may result in larger complications.

Here are the complications a mother faces:

  • A mother could react to the medications or the anesthesia used in the procedure
  • There could be loss of blood and an increase in the infection which is why you need to follow the doctor’s post-op care instructions.
  • There can be blood clots in the legs, pelvic organs, or lungs that may occur occasionally
  • The surrounding organs like the bowel or the bladder could be injured, requiring additional surgery
  • The thin lining of the uterus becomes inflamed or irritated known as endometritis. However, this is quite rare

Note: In case you experience any increase in pain in the  So if you experience any pain in the pelvic area, or any unusual discharge, or even a fever post-birth, call the doctor immediately.

Complications a baby faces :

  • Babies from C-sections have a risk of transient tachypnea. Rapid breathing by the leftover fluid in the lungs that lasts for a day after delivery and gradually fades away.
  • In the case of a baby delivery under 39 weeks of pregnancy, there is a risk of breathing problems as the lungs have a chance of not developing fully. But, don’t worry, your doctor will keep a close eye on the treatment and any suspected problems while you’re in the hospital.

Benefits of a C-section ?

Keeping aside the rare conditions mentioned earlier, a C-section is usually quite safe, and if seems medically necessary, it is the safest and the fastest way of getting your little one into the world and in your arms. Additionally, it is also quite healthy for you in cases of normal delivery.

Here are the other benefits of a C - section :

  • The baby will be born with a nice rounded head and not a pointy conehead newborn, resembling a tight squeeze through the vaginal canal.
  • In other cases, if a C – section is done before you have pushed enough for a vaginal birth, you’ll avoid bloodshot eyes and bruises on your face.
  • It also prevents the pelvic wear-and-tear that could have resulted in pain due to the episiotomy.
  • Lastly, studies have shown that a C – section doesn’t impact your future fertility negatively or even limit the number of babies you can have.

The bottom line being, any delivery that makes sure of the safety and health of both, the baby and the mother is the perfect and best delivery.

How can you recover from a C-section ?

Post a C – section, you need to give yourself time and space to recover both physically and mentally which will take some time. You most probably will be asked to stay back for about 3 to 4 days in the hospital and will take at least 4 to 6 weeks at home as well before to get back into your normal routine.

Here are a few strategies for you to keep in mind for the next few weeks to come to help cope with the pain and speed recovery:

1. Lower your expectations

You will be dealing with the same soreness you felt at the incision site during your recovery after a C-section. These symptoms include postpartum fatigue, sleep deprivation, after-pains due to the contracts of the uterus, postpartum bleeding or discharge also known as lochia, perineal pain, breast engorgement, and the most irritant hormonal range. So, give yourself time to rest and recover.

However, make sure to expect your scar to be sore for about a few weeks. So avoid holding and carrying most things except of course the little one.

2. Get yourself some much needed and earned break

No, we aren’t asking you to do away with your newborn, but plan on dividing your time equally with people around you to have some time to yourself too! Reduced the household chores, we’re sure your partner would love to give you a helping hand with preparations of meals, laundry, cleaning, dishes, and of course the little one.

3. Monitor your incision

Keeping your wounds clean is of utmost importance to help speed the healing process. Ask your gynecologist how you could do so and make sure to wear loose tops and pants to avoid irritating your belly. Be assured that the itching, pulling sensations, and numbness around the incision is normal and will pass as the time comes.

However, if you end up with fever, a lot of pain or the wound is getting red or oozy, you must contact your practitioner as these could be a sign of an infection.

4. Medicate

Your doctor must have recommended a few pain-relieving drugs immediately after the surgery. So, have them, and don’t worry, it won’t pass into your colostrum.

5. Relax yourself

With the gas buildup, you may experience discomfort with added pressure on the incision and the anesthesia can slow the activity in your bowels. So avoid gassy foods, or try lying on the left side or back, drawing up your knees, holding the site of the incision, and taking deep breaths.  

6. Keep regular

Constipation is another symptom that can crop up irrespective of the childbirth experience. So, try relaxing on the toilet seat, consume some fiber-rich foods like whole-wheat bread, vegetables, and fruits, and drink plenty of fluids.

7. Nourish/pamper yourself

Have snacks and water nearby to help maintain energy and strength. Have good picks like nuts, string cheese, fiber-rich fruits, whole-wheat pretzels, baby carrots with dip, and of course bananas!

8. Do your Kegels

Kegels are great for when it comes to your pelvic region, building on the pelvic floor muscles. However, also remember to avoid sex for at least four to six weeks.

That’s all folks! This is all about the reasons, complications, and benefits of having a C- section as a mode of birth. However, speaking of labor, if you need or would like to have a better understanding on the stages of labor, you can view the article curated by your very own Parenthood bliss.

To Conclude:

C – section can be a tough time and an experience, but one needs to always keep in mind the advantages too, focusing on the light at the end of the tunnel. Always remember to stay hydrated, healthy, and well-exercised, also stay positive and optimistic above all. You know you’ve got this and by the end, you will have your beautiful little creation in your arms. Lastly, make sure to be kind to yourself, and relax before you get into the full-steam-ahead mommyhood.

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FAQs: What Happens During a Cesarean Delivery?

1. How much time does it take for a C-section to take place?

A C- section is a rather quick process of delivering a baby. It takes only 10 minutes or even less before the doctors or the nurses hand over the much-awaited little human in your comfortable hands. However, it is a process of stitching back your tummy that takes up to about 30 minutes to wind up.

2. Is it possible for a mother to opt for a C- section?

Partially yes. Some C-sections are considered to be elective. This means the situations in which perhaps not for any medications or reasons but on the request of the mother before she goes into labor. To answer the question, the mother-to-be may choose to have a C-section if she wishes to plan when she delivers or if she previously had a few complications in the past while delivering vaginally.

3. Why do a few doctors prefer to have a C- section?

You might come across times during your delivery where the doctors may prefer or opt for a c-section as it is more 'convenient' and 'organized' with the medics favoring the procedure. These are done in cases of any complications caused last minute during delivery, medical issues, or any complications seen in the position or health of the baby.
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