Understanding Caesarean Section Surgery

A Comprehensive Guide to C-Section Delivery

General Surgery

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Last updated: Mar 24, 2025

What is a Caesarean Section?

A caesarean section (C-section) is a surgical procedure used to deliver a baby through incisions in the mother's abdomen and uterus. It may be planned in advance or performed as an emergency procedure when complications arise during pregnancy or labor.

Common Reasons for C-Section

  • Baby's Position: Breech or transverse position
  • Multiple Pregnancy: Twins or higher-order multiples
  • Medical Conditions: Including placenta previa or maternal health issues
  • Previous C-Section: Though vaginal birth after caesarean (VBAC) may be possible
  • Labor Complications: Such as failure to progress or fetal distress

The Procedure

Before Surgery

  • Preparation: IV line placement and anesthesia administration
  • Anesthesia Options: Usually spinal or epidural anesthesia
  • Surgical Site Preparation: Cleaning and draping

During Surgery

  1. Abdominal incision (usually horizontal)
  2. Uterine incision
  3. Baby delivery and cord clamping
  4. Placenta removal
  5. Closure of incisions

Recovery Process

  • Hospital Stay: Typically 2-4 days
  • Initial Recovery: First 24-48 hours include:
    • Pain management
    • Early mobilization
    • Catheter removal
    • Diet progression

Long-term Recovery

  • Complete recovery: 6-8 weeks
  • Gradual return to normal activities
  • Regular wound care
  • Follow-up appointments

Risks and Complications

Maternal Risks

  • Infection
  • Bleeding
  • Blood clots
  • Anesthesia reactions

Future Pregnancies

  • May affect future delivery options
  • Discussion needed about birth spacing

Post-operative Care

  • Pain Management
  • Wound Care
  • Physical Activity Guidelines
  • Breastfeeding Support

When to Seek Help

Contact your healthcare provider if you experience:

  • Fever
  • Increased pain
  • Unusual discharge
  • Redness around incision
  • Heavy bleeding

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