A Caesarean is an operation where a transverse incision (a cut) is made through the abdomen and uterus to deliver the baby. A caesarean is also called a C-section, LSCS or just a section. Caesarean sections are in some cases performed for reasons other than medical necessity. Caesarean sections are performed in the absence of obstetrical or on the patient’s request. The mother usually takes the final call whether to go through this procedure or not.
The final decision may vary based on doctor-centric reasons and mother-centric reasons. This is a preferred procedure by the mother and sometimes the doctor because it is quick Caesarean is more convenient for an obstetrician than a lengthy vaginal birth, or because it is easier to perform surgery at a scheduled time than to respond to nature’s schedule and deliver a baby at an hour that is not predetermined.
In a planned caesarean you are well informed about the need for C-section or an alternate way if available. This surgery is performed only after 38 weeks of pregnancy, or only under certain medical concern regarding you and your baby’s health.
It is when you can no longer wait for your baby to be born due to some emergency condition, whose delay may risk you or the baby’s life. To avoid any health risk to both emergency caesarean is done.
Why go for Caesarean section surgery?
- If the placenta is over the cervix and the baby may not be able to be born vaginally.
- Your baby is not lying head down or in a state to deliver vaginally.
- If you have been through caesarean section previously due to problems in vaginal delivery.
- Your doctor suggests you go to the caesarean section.
Fasting time of 2 hours is recommended before the surgery for liquid consumption and 6 hours from a light meal and minimum of 8 hours of the gap from a regular meal but in most cases, 12 hours of fasting is required before surgery.
Preoperative preparations include:
- Evaluation by the surgeon and the anesthesiologist.
- Placement of an intravenous (IV) line
- Placement of an external fetal monitor and monitors for the patient’s blood pressure, pulse, and oxygen saturation
- Infusion of IV fluids
- Placement of a Foley catheter
- Preoperative antibiotic use which decreases risk of endometritis after elective caesarean delivery by 76%, regardless of the type of caesarean delivery
You may be asked to undergo various lab tests like blood count (blood type, blood count etc) before caesarean section. Test for the screening of HIV, hepatitis A & B, syphilis, herpes or any other STD to make sure you are not infected as well as the baby.
Caesarean Section at the hospital
Caesarea section cannot be performed at any birthing hospital. It can only be done at a Hospital equipped with OCCU (Obstetric Critical Care Unit) and NICU (Neonatal Care Unit), fully equipped Operation Theatre, Pathology, USG, pharmacy with a dedicated team of experts is required. Currae hospital has experienced Obstetricians, Neonatologists, Anaesthetists, Pain Specialist is required to be present round the clock to manage each caesarean delivery.
After Caesarean Section
You may be unable to hold your baby for a while after the operation due to numbness and weakness due to CS. You may get your partner with you to help you move you and your baby around, though hospital staff will be there to help you.
You may be required to stay away from your baby if you have a general anaesthesia for a short while for yours and baby’s own good. You will be told when it is safe for you to hold your baby after your operation so that both of you are free from any infection that may cause harm to you or your baby.
You baby will be weighed and measured around you. You may require help from your partner or midwife to help you move around with your baby and breastfeed. You may be taken to the examination room for a routine checkup.
You may be feeling tender and sore and bleeding from your vagina for some time, which may stop after some time. You will need support post operation for your shower and get out of bed.
You will have to keep moving your legs and body, start breathing heavy and cough to keep your body active. A physiotherapist may also help you with some exercises for your body
Remember you have just had a big operation, so don’t overdo any activity that may strain your body. The catheter will be removed as soon as possible or until you are able to pass urine. you may resume drinking fluids as soon as you are out of the operation theatre.
You can resume eating as soon as you have passed wind from your stomach, this means you are ready to start eating small meals soon and avoid wind pains later. The area operated will be well covered with dressing over the stitched and staples which may be removed after a week. Some stitches dissolve and hence need no removal.
Ready to Go Home
You and your baby will be able to go home once you are able to care for your baby independently, which usually takes around less than a week after the operation. In most cases, you will need enough time to recover as caesarean is a major operation.
You may feel tired or lazy and sometimes moody after to go back home from the hospital after a long time of rest. You may spend most of your time looking after and getting to know your baby and recovering from your operation. It will be of great help if your partner, parent or friend can stay with you and help out with the chores while you rest and look after the baby for a week or so.