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Cesarean section in 7 questions

What is a Cesarean?

It is a surgical operation that involves extracting the newborn after an incision in the lower abdomen (the abdominal wall and the uterus), when delivery by natural means is not possible through cesarean section surgical instrument set. Cesarean section can be scheduled when certain contraindications prevent the woman from giving birth vaginally; it can also be performed urgently, during labor, if the newborn shows signs (recorded through monitoring) showing that it is time to intervene.

How is a cesarean performed?

Cesarean section takes place in an operating theater. The woman is lying awake. Only her lower body is under anesthesia so that she can go through the birth. The surgeon makes a horizontal incision of about ten centimeters, 2 to 3 centimeters above the pubis. He spreads the muscles of the abdominal wall without severing them and encourages the patient to push. The obstetrician surgeon then guides the baby out of the womb, then places him skin-to-skin with the mother. It then closes the uterus and the abdominal wall. In total, a cesarean section lasts about 30 minutes.

In which cases is a cesarean section indicated?

There are two main reasons why a Caesarean section is performed:

For the well-being of the baby: if the fetus has no more energy to support the contractions (his heart rate shows abnormal signs), if he presents in a bad way (by the shoulder, in position transverse), if the umbilical cord is badly placed…, a cesarean section is considered.

For the well-being of the mother: certain medical reasons may also prevent the mother from giving birth vaginally: a pelvis too small to allow the baby to descend, cardiac pathologies which do not allow the mother to bear the strain of the baby with severe arterial hypertension, premature placental abruption.

What are the risks of a cesarean?

Thanks to advances in surgery and anesthesia-resuscitation, maternal and fetal risks are now minimal and correspond to those of conventional abdominal surgery. The bleeding is a bit heavier than in a vaginal birth and infection of the scar is sometimes possible when cesarean section surgical instrument  set is used.

And after

In the hours following the caesarean section, the mother finds herself calm with her baby and dad. Postoperative pain is greater than in vaginal birth. The patient is therefore equipped with a morphine pump to manage this pain.

During the day or the next, the mother gets up, with the help of a physiotherapist or a midwife. A bandage is placed on the scar for 2 days, and then it remains in the open air. Midwives come home to remove the sutures if they are not absorbable, about 7 to 10 days after surgery.

Will my scar be visible?

The day after giving birth, the scar is visible. It will fade over time. A few months after the operation, the redness subsides and the scar takes on the color of the skin. After a year, it becomes practically invisible because it is hidden by the pubic hair. In a bikini or in your underwear, you can’t tell you’ve had a cesarean.

Can I give birth vaginally after a cesarean?

Of course! If the cause of the cesarean is not permanent (such as a too narrow pelvis) and the first procedure went normally, a vaginal birth is quite possible for a second baby. A delay of one year is however recommended to prevent the scar from opening during childbirth.

 

For more details, please visit: jimymedical.co.uk

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