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Cesarean Delivery in Pune

C-Section

Cesarean Delivery in Pune

A C-section is a medical procedure that entails making incisions in both the abdomen and uterus to facilitate the delivery of the baby. Medical professionals perform this procedure when a vaginal delivery poses risks to either the mother or the baby. It can take place before the onset of labour (referred to as preterm cesarean delivery), during labour, or after the initiation of the pushing phase. It's crucial to note that a C-section is a major abdominal surgery.

Why Is It Done? 

The best gynecologists in Pune recommend a C-section in various situations, including:

  • Labor Dystocia: When labour isn't progressing as expected, which can involve a prolonged first stage (requiring further cervical dilation) or a prolonged second stage (involving extended pushing efforts).

  • Fetal Heart Rate Fluctuations: If there are irregularities in the baby's heartbeat, a C-section is often the preferred option.

  • Malpositioning of the Baby: When the baby is in the breech position (feet or hips facing the birth canal) or transverse position (lying on its side or with its shoulder facing the birth canal).

  • Multiple Pregnancies: In cases involving more than one baby.

  • Placenta Previa: When the placenta obstructs the cervical opening.

  • Umbilical Cord Complications: If the umbilical cord becomes lodged in front of the baby's head as it moves through the cervix.

  • Maternal Health Conditions: When the pregnant woman has underlying health issues.

  • Obstructions: In the presence of obstructions like a large fibroid obstructing the birth canal.

  • Hydrocephalus: If the baby has severe hydrocephalus, it causes an enlarged head.

  • Pelvic Fracture: When the pregnant woman has a pelvic fracture.

  • Prior C-Section: If the previous delivery was also a C-section.

Some women may opt for a C-section to manage labour pain or to schedule the delivery according to their preferences.

Risks

C-sections are not without risks, including:

  • Breathing Issues: Babies born via C-section may experience transient tachypnea, which leads to rapid breathing for a few days after birth.

  • Skin Injury: Although rare, there's a slight risk of unintentional injury to the baby's skin during the surgical procedure.

  • Infections: Infections can develop in the endometrium (lining of the uterus), urinary tract, or at the incision site.

  • Blood Loss: Occurring during and after delivery.

  • Drug or Anesthetic Reactions: Some individuals may react to medications or anaesthesia.

  • Surgical Injuries: Possible injury to the bladder or bowel.

  • Deep Vein Thrombosis: The formation of blood clots in deep veins in the legs or pelvis.

  • Future Pregnancy Complications: Potential complications in subsequent pregnancies.

Preparation

Before a C-section, the mother should discuss the procedure, medical conditions, and allergies with the gynaecologist to minimize surgical risks. Blood tests may be recommended before surgery. Even if planning for a vaginal birth, the possibility of a C-section should be discussed in advance.

Before the Procedure

  • The doctor may advise the mother to use antiseptic soap for a pre-surgery shower.

  • Pubic hair will be trimmed, but shaving is discouraged to prevent infection.

  • A catheter will be inserted into the bladder for urine collection.

  • An IV line will be placed in the hand or arm for fluids and medications.

  • Regional anaesthesia (such as spinal or epidural block) will be administered to numb the lower body.

During the Procedure

Incisions are made in the abdomen and uterus.

  • Abdominal incision: Horizontal near the pubic hairline or, in some cases, vertically below the navel to above the pubic bone.

  • Uterine incision: Horizontal across the lower part of the uterus, determined by the baby's position and any complications.

After incisions, fluids around the baby's mouth and nose are cleared, the umbilical cord is clamped and cut, and the placenta is removed. The incisions are then sutured.

After the Procedure

  • Hospitalization for 2 to 3 days is typically required.

  • In the hospital, pain relief, fluids, and walking to prevent complications like constipation and deep vein thrombosis are encouraged.

  • The incision site is closely monitored for signs of infection.

  • The bladder catheter is removed.

  • Lactation experts provide guidance on breastfeeding.

At home, the mother should rest, avoid heavy lifting, abstain from sexual activities for at least six weeks, and maintain incision hygiene.

The mother should promptly contact the doctor in case of fever, heavy bleeding, worsening pain, swelling, redness, or discharge from the incision site. Postpartum depression should also be addressed with medical guidance, and a postpartum evaluation is recommended within 12 weeks after delivery.

Why Manipal Hospitals? 

Manipal Hospitals offers a seamless delivery experience, boasting trained gynaecologists who prioritize patient care and well-being. Their dedicated healthcare staff, including lactation experts, provide compassionate care around the clock. The hospitals feature state-of-the-art facilities and cutting-edge medical technology, establishing them as top maternity hospitals in Pune, India.

Frequently Asked Questions

  • What type of anaesthesia is used for C-sections?

Doctors typically use regional anaesthesia like spinal or epidural blocks, allowing the patient to remain awake. In some cases, general anaesthesia, where the patient is asleep, may be used.

  • What are the signs of infection at the incision site?

Signs include a high fever, swelling, redness, and discharge from the incision site, as well as pain.

  • Why is walking recommended after a C-section?

Walking helps promote blood circulation in the legs, reducing the risk of blood clot formation.

  • Can the mother lift the baby after a C-section?

It's generally advised not to lift heavy objects, including anything other than the baby, for the first few weeks after surgery to prevent strain on the abdominal incision.

  • Can mothers breastfeed after a C-section?

Yes, mothers can initiate breastfeeding immediately after delivery, with support from lactation experts for latching, milk supply, and comfort.

Summary

A C-section, or Cesarean section, is a surgical method of childbirth employed when the risks associated with a vaginal delivery are present. It may also be planned by some expectant mothers to avoid the pain associated with vaginal birth or to schedule the time of delivery. However, Cesarean Delivery in Pune carries potential risks for both mothers and babies. Regional anaesthesia is commonly used during the procedure, allowing the mother to remain conscious. The surgery involves incisions in the abdomen and uterus, followed by careful post-operative care. Choosing a reputable hospital with experienced staff, like Manipal Hospitals, can ensure a smooth delivery experience.

Experience world-class healthcare at Manipal Hospitals. Our expert team of doctors and state-of-the-art facilities ensure personalized and advanced treatments. Take the first step towards wellness. Book an appointment today.

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