Meet Our DoctorElsa de Menezes Fernandes
Obstetrician & Gynaecologist
Caesarean section, also called a C-section, is a non-vaginal delivery of a baby. It is a surgical procedure of delivering a baby through an incision made in the abdomen and in the uterus. Your doctor may decide to perform a C-section if your condition is unsafe to go for a vaginal birth. Most of the times, it may be done when unexpected complications arise during labour. Some of the conditions, for which your obstetrician may recommend caesarean delivery, include:
Your doctor may recommend a C-section if you had a C-section during your previous pregnancy. In conditions, such as placenta praevia, where your placenta lies too low in the uterus and blocks the birth canal, your doctor may suggest a C-section when it is diagnosed by ultrasound several weeks before delivery.
In the current scenario, C-section delivery is done not only because of medical complications but also some women choose C-section, though the medical necessity doesn’t exist. This is elective C-section or parent-choice C-section. Some of the reasons why some women choose C-section include:
Obstetricians may do counselling and convince the patients for a safe and successful vaginal delivery, unless they anticipate some medical complications.
Once you are moved into the surgery room, an intravenous line, through which fluids and medications are given during the surgery, is placed in a vein of your arm. Antibiotics may be administered to prevent infection. A thin tube or catheter will be placed in the urethra, so as to drain the bladder and keep it empty during the procedure. Anaesthesia, usually a spinal block, will be administered, then your doctor will make two incisions, one through the skin and the abdominal wall and the second one through the uterus. The abdominal wall incision is made 10 cms in length and the incision passes into the skin and fat. It is usually a horizontal low and cosmetically aesthetic incision. The abdominal muscles are moved apart. After this incision the uterus is opened to remove the baby. Once the baby is out, your doctor will clamp and cut the umbilical cord and remove the placenta. Closure is with absorbable sutures
As you will be awake during your caesarean, you will see the baby immediately and the atmosphere in the operating room is kept family friendly. You will have a catheter and an I.V line, which all is taken down the next day. Pain relief will be prescribed, as will antibiotics. Mobilisation happens in 12 to 24 hours but breastfeeding can be immediate, even in the recovery room.