Discuss the possibility of a C-section with your health care provider well before your due date. Ask questions, share your concerns and review the circumstances that might make a C-section the best option. In an emergency, your health care provider might not have time to explain the procedure or answer your questions in detail.
After a C-section, you'll need time to rest and recover. Consider recruiting help ahead of time for the weeks after the birth of your baby.
If you don't plan to deliver any more children, you might talk to your health care provider about long-acting reversible birth control or permanent birth control. A C-section includes an abdominal incision and a uterine incision. The abdominal incision is made first.
It's either a vertical incision between your navel and pubic hair left or, more commonly, a horizontal incision lower on your abdomen right. After the abdominal incision, the doctor will make an incision in your uterus.
Low transverse incisions are the most common top left. While the process can vary, depending on why the procedure is being done, most C-sections involve these steps:. After a C-section, you'll probably stay in the hospital for a few days. Your health care provider will discuss pain relief options with you. Once the effects of your anesthesia begin to fade, you'll be encouraged to drink plenty of fluids and walk.
This helps prevent constipation and deep vein thrombosis. Your health care team will monitor your incision for signs of infection. If you had a bladder catheter, it will likely be removed as soon as possible. You will be able to start breast-feeding as soon as you feel up to it. Ask your nurse or a lactation consultant to teach you how to position yourself and support your baby so that you're comfortable.
Your health care team will select medications for your post-surgical pain with breast-feeding in mind. Before you leave the hospital, talk with your health care provider about any preventive care you might need. Making sure your vaccinations are current can help protect your health and your baby's health. This is when the umbilical cord slips into the vagina before the baby. Your baby is in distress. Your baby has certain birth defects , like severe hydrocephalus. Birth defects are health conditions that are present at birth.
They change the shape or function of one or more parts of the body. Birth defects can cause problems in overall health, how the body develops or how the body works. What are the risks of scheduling a c-section for non-medical reasons?
If your provider recommends scheduling a c-section, ask these questions: Why do I need to have a c-section? Is there a problem with my health or the health of my baby makes it necessary to have my baby before 39 weeks?
Can I wait to have my baby closer to 39 weeks? What problems can a c-section cause for me and my baby? What will my recovery be like? Can I have a vaginal birth in future pregnancies? Last reviewed: October, See also: 39 weeks infographic. Prepare for a healthy pregnancy and baby this year. Help save lives every month Give monthly and join the fight for the health of moms and babies.
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Week by week Learn how your baby grows each week during pregnancy. News Moms Need Blog Read about what moms and moms-to-be need to know. Return to website. I'M IN. Connect With Us. Cord prolapse : This situation does not occur often, but when it does, an emergency cesarean is performed. A cord prolapse occurs when the umbilical cord slips through the cervix and protrudes from the vagina before the baby is born. When the uterus contracts, it causes pressure on the umbilical cord, which diminishes the blood flow to the baby.
Fetal distress : The most common cause of fetal distress is a lack of adequate amounts of oxygen delivered to the baby.
If fetal monitoring detects a problem with the amount of oxygen that your baby is receiving, an emergency cesarean may be performed. Failure to progress in labor : This can occur when the cervix has not dilated completely, labor has slowed or stopped, or the baby is not in an optimal delivery position.
This can be diagnosed correctly once the woman is in the second phase beyond 5 centimeters dilation , since the first phase of labor centimeters dilation is almost always slow. Repeat cesarean : Ninety percent of women who have had a cesarean are candidates for a vaginal birth after cesarean for their next birth VBAC. The biggest risk involved in a VBAC is uterine rupture, which happens in 0. However, there are criteria you must meet in order to have a VBAC.
Consult with your health care provider about your current situation and your options. Active genital herpes : If the mother has an active outbreak of genital herpes diagnosed by a positive culture or actual lesions , a cesarean may be scheduled to prevent the baby from being exposed to the virus while passing through the birth canal. Diabetes : If you develop gestational diabetes during your pregnancy or are diabetic, you may have a large baby or other complications.
This increases your chance of having a cesarean. Preeclampsia : Preeclampsia is a condition involving high blood pressure during pregnancy. It happens when a new mom is in labor for 20 hours or more. Babies that are too large for the birth canal, slow cervical thinning, and carrying multiples can all prolong labor.
In these cases, doctors consider a cesarean to avoid complications. In order to have a successful vaginal birth, babies should be positioned headfirst near the birth canal.
But babies sometimes flip the script. They can position their feet or butt toward the canal, known as a breech birth, or position their shoulder or side first, known as a transverse birth.
A cesarean may be the safest way to deliver in these cases, especially for women carrying multiple babies. Your doctor may choose to deliver via emergency cesarean if your baby is not getting enough oxygen. To reduce delivery complications, doctors will choose to deliver babies diagnosed with certain birth defects, like excess fluid in the brain or congenital heart diseases, through a cesarean to reduce delivery complications.
This is known as vaginal birth after cesarean VBAC. Moms-to-be should talk with their physician to decide whether a VBAC or repeat cesarean is the best and safest option. Women may deliver via cesarean if they live with certain chronic health conditions like heart disease, high blood pressure, or gestational diabetes. Vaginal delivery with one of these conditions may be dangerous for mom. Doctors will also suggest a cesarean if the mom-to-be has HIV, genital herpes, or any other infection that could be transferred to the baby through vaginal delivery.
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