C-Section

Types of C-section

Depending on the approach that is followed during the procedure, a C-section can be of the following types:

• Classical C-section: It is the traditional approach in which doctors make a vertical incision on the abdomen, as well as the uterus, to deliver the baby. The technique is not very common these days as you cannot have a normal delivery once you undergo a classical C-section. It is used in times of emergency if the baby is in a breech position or if it’s a preterm delivery. 

• Low transverse C-section:  Also known as bikini incision C-section, it is a relatively new and highly preferred method in which the baby is delivered by making a horizontal incision right on top of the pubic hairline. Even after undergoing the procedure, you can choose to go for normal delivery in future.

Who is eligible for a C-section?

There are times when expecting mothers want to go for a C-section as their personal choice, however, there are also certain circumstances that may call for the need for a C-section as the preferred approach. 

Our experts may recommend you go for the procedure if:

• You’ve had a C-section in earlier pregnancies
• The expectant mother is carrying more than 2 babies
• The baby is in a breech position, i.e. feet-first 
• The placenta is obstructing the cervix, i.e. placenta previa
• The baby is in a transverse position
• It’s a twin pregnancy with one baby in a breech position
   

C-section may also be recommended in emergency situations when:

• The baby’s head is large and does not come out of the birth canal
• The expectant mother does not have strong contractions to allow cervical dilation 
• The umbilical cord has prolapsed during labour
• The mother has health complications like hypertension 
• The baby is showing signs of distress

How to prepare for a C-section?

If you preparing for a C-section, here are a few things that you need to take care of:

• You will be required to fast, starting at least 6 hours prior to the procedure. If the delivery is performed on an emergency basis, you will need to inform your doctor in case you've eaten anything. 
• Pre-evaluation will be done, which involves physical examination and blood tests for risk analysis and determining any potential complications.
• If you have any concerns or queries, you can ask our experts without any hesitation and they will provide all the assistance and support you need. 
• Expectant mothers who are at risk of clotting are usually required to wear compression stockings during the procedure. Your doctor will inform you about the same beforehand.
• You will need to adjust or stop your medication, as per the recommendation of your doctor. 

What happens during a C-section?

The procedure is performed under the influence of anaesthesia (spinal, epidural or general) and can take anywhere between 30  minutes to an hour. 

• The team starts by preparing the surgical site, followed by making a clean incision in the abdomen to access the uterus. Another incision will be made on the wall of the uterus to access and deliver the baby. Both incisions are around 10 cm long. 
• The baby will be carefully lifted and the umbilical cord will be detached. Doctors then remove the placenta while the baby is being assessed thoroughly.
• After assessing your vitals and making sure there are no potential risks or complications, our experts will carefully close the incision and shift you to the recovery room along with your little one.

What happens after a C-section?

Every woman’s recovery journey will be unique, however, it is essential that you adhere to the detailed instructions and advice given to you by our team, for added safety at every step. 

Soon after the effect of the anaesthesia wears off, you are likely to experience pain and soreness after the surgery. This is temporary and can be managed with prescribed pain medication. 

We staunchly emphasize breastfeeding and bonding. Our expert will help you with the process as it can be a bit challenging if it is your first time. In case, the mother is not able to feed the baby, we also offer a specialized Human Milk Bank facility to ensure your baby’s nutrition and well-being are not being compromised. 

You will be assigned a midwife/nurse to help you during your hospital stay who will take care of your needs and guide you with their knowledge and experience. Your diet, nutrition and medication will be taken care of to make sure you can cherish quality time with your baby and family. 

To facilitate swift and sound recovery, you will be encouraged to walk around. These alleviate the risks of complications like clotting and swelling. 

How does a C-section benefit the mother and the baby?

C-sections offer a safe alternative for high-risk pregnancies and for managing related emergencies. The technique also offers a plethora of other benefits, which include:

• Alleviated risks of incontinence and sexual dysfunction
• Alleviated risk of respiratory distress in babies
• Minimal risks of trauma to the birth canal and baby.