Kioo
Health

Let’s talk cesarean section.

Known as C – section.

It is the surgical delivery of a baby.

Involves one incision in the mothers’ abdomen and another in the uterus.

C section are generally avoided before 39 weeks of pregnancy so that the child has proper time to develop in the womb.

Reasons for c section.

1. Baby’s head is too big for the canal.

2. Labor fails to progress the cervix doesn’t open (dilate) enough.

3. The baby is in the wrong position i.e. breech position where the head is facing up.

4. You are having multiples i.e. twins, triplets etc.

5. Placenta previa where the placenta is between the baby’s head and birth canal.

6. Problems with the cord.

7. An active vaginal infection e.g. HIV.

8. When the mother has a medical condition that makes vaginal birth risky e.g. diabetes or high blood pressure.

9. The baby is in distress which means he isn’t getting enough oxygen.

How long does a c section take?

It is quick with the procedure itself lasting 10 minutes or less followed by another 30 minutes to stitch you back.

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What happens during a c section?

A c section begins with a routine IV and anesthesia usually epidural or spinal block, so the lower half of your body will numb but you will stay awake.

Then you will be prepped by having your abdomen shaved if necessary and washed with an antiseptic solution.

They will insert a catheter into your bladder and place sterile drapes over your tummy.

If you are having an emergency c section there might not be time to numb you, in which case you will be completely conked out with general anesthesia for a duration of the procedure.

Incision and delivery.

Once you are totally numb or fully asleep, the doctor will make a small incision in your lower abdomen just above your pubic hair line.

Your doctor will make another incision in the lower part of your uterus.

Two options are possible for incision;

1. A low transverse incision.

This cut across the lower part of the uterus, used 95% of c sections.

2. A vertical cut.

This incision down the middle of your uterus is usually required if the baby is nestled low in your uterus.

Complications.

1. Post surgery infection.

2. Too much blood loss.

3. Blood clot.

4. Emergency hysterectomy.

5. Reaction to anesthesia.

6. Scar tissue and difficulty with future deliveries.

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Recovery.

It may take about 6 weeks to recover.

You will have a scar but this will fade over time.

Gently clean and dry the wound every day.

Wear loose, comfortable clothes and cotton underwear.

Take painkiller if the wound is sore.

Watch out for signs of infection.

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