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C-section (Cesarean Delivery)

a cesarean section often referred to as

a c-section is a surgical procedure in

which incisions are made in a woman's

abdomen and uterus to deliver a baby

some cesarean sections are planned more

often however the need for the procedure

becomes apparent after the onset of

labor when abnormal conditions make a

vaginal delivery unsafe for the mother

or her baby common indications for

cesarean section include dystocia

placenta previa and fetal distress

dystocia or prolonged non progressive

labor can occur when the baby's head is

unable to fit through the birth canal or

its body is in an unfavorable position

such as perpendicular to the birth canal

or buttocks first which is the breech

position placenta previa occurs when a

low-lying placenta partially or

completely blocks the cervical opening

fetal distress occurs whenever the

health of the baby is in imminent danger

usually from inadequate blood flow

through the placenta or umbilical cord

fetal distress can occur when the

placenta separates from the wall of the

uterus prior to delivery or the

umbilical cord becomes compressed or

squeezed other conditions that may

require a caesarean section include

multiple births large tumors of the

uterus

genital herpes or other infections or

medical problems such as uncontrolled

diabetes or hypertension your doctor may

use ultrasound testing and a fetal heart

monitor to help decide whether your

babies should be delivered by caesarian

when a caesarean section becomes

necessary you will be prepped for

surgery if not already in place an

intravenous line will be started and a

catheter will be inserted into your

bladder to drain urine in the operating

room you will be given anesthesia in

most cases a spinal anesthetic is

administered to numb the lower portion

of your body sometimes however a general

anesthetic will be used your doctor will

begin by making an incision in your

abdomen it will either be a vertical

incision

from just below the navel to the top of

the pubic bone or more frequently a

horizontal incision across and just

above the pubic bone this is often

called a bikini cut your doctor will

then make a second incision on the lower

part of the uterus

once the uterus is opened your doctor

will rupture the amniotic sac if it is

still intact and deliver the baby the

time from the initial abdominal incision

to birth is typically 5 minutes

your doctor will then clamp and cut the

umbilical cord

gently remove the placenta and tightly

suture your uterus and abdomen this

typically takes about 45 minutes the

hospital stay after a cesarean section

is usually three to five days during

this time you will be encouraged to

breastfeed nap when the baby sleeps and

get out of bed often while most patients

are able to take care of their new

babies soon after the procedure full

recovery may take six to eight weeks

your scar will lighten as it heals