Understanding Cesarean (C-Section) Births
Every woman's journey to motherhood is unique, and for some, it involves the experience of a cesarean section (C-section) birth. Most babies enter the world through the birth canal. However, in about one-third of cases, a baby is born by cesarean delivery. There are many reasons why a doctor may recommend a cesarean birth, including maternal medical conditions, breech presentation and when labor does not progress. Jefferson OBGYN’s c-section rate is approximately 30% lower than the national rate.
It can be frustrating and disappointing to have initial plans of a "traditional" labor changed, but know that we are using our knowledge and experience as medical professionals to keep your health and safety our top priority. If you have any questions about cesarean birth, be sure to ask us during your next appointment.
What is a C-Section, and Why Might It Be Necessary?
A C-section is a surgical procedure in which a baby is delivered through an incision made in the mother's abdomen and uterus. There are many reasons why a doctor may recommend a cesarean birth, including
Failure of labor to progress
Concern for the baby: For example, the umbilical cord may become pinched or compressed or fetal monitoring may detect an abnormal heart rate.
Multiple pregnancy: Many women having twins are able to have a vaginal delivery. The chance of having a cesarean birth goes up with the number of babies.
Problems with the placenta
A very large baby
Breech presentation
You have a medical condition that makes vaginal birth risky: For example, a cesarean delivery may be done if you have an active genital herpes infection during labor. It may also be done if you have certain heart conditions or certain brain problems, such as an aneurysm.
Women may request a cesarean birth as well, but this decision should take into consideration the risks associated with the surgery and should be discussed with their OB/GYN.
The C-Section Procedure: What to Expect
Before you have a cesarean delivery, you will be prepared for the operation:
An intravenous (IV) line will be put in a vein in your arm or hand. This allows you to get fluids and medications during the surgery. Medication will be given to prevent infection.
Your belly will be washed, and your pubic hair may be clipped or trimmed.
A catheter (tube) is placed in your urethra to drain your bladder. Keeping the bladder empty decreases the chance of injuring it during surgery.
Massaging sleeves are put around your legs to reduce the risk of deep vein thrombosis (DVT) during surgery. These sleeves periodically fill with air to encourage blood circulation in your veins. If you have risk factors for blood clots, you may also receive medication to help prevent clots.
If you are awake for the surgery, you may be able to hold your baby right away. You will be taken to a recovery room or directly to your room. You may need to stay in bed for a while. The first few times you get out of bed, a nurse or other adult should help you. If you are planning on breastfeeding, tell your ob-gyn before surgery. If all is going well for you and your baby, you should be able to start breastfeeding soon after delivery.
Recovery and Postpartum Care
Recovery from a cesarean birth often requires a longer hospital stay and involves a longer recovery period. It will take a few weeks for your abdomen to heal.
As the incision site heals, it will also be more prone to tearing, so it is essential to avoid strenuous activities, including placing anything in your vagina (such as tampons) or having sex for a few weeks. It is best to avoid lifting anything heavier than the baby.
While you recover, you may have
Mild cramping, especially if you are breastfeeding
Bleeding or discharge for about 4 to 6 weeks
Bleeding with clots and cramps
Pain or numbness in the incision
Constipation, made worse by the need for painkillers during and after surgery (Ask your provider about laxatives)
Your abdominal incision (cut) may be sore for the first few weeks. The following may help provide relief:
Taking pain medication as recommended or prescribed by your ob-gyn (There are pain medications you can take even if you are breastfeeding. Talk with your ob-gyn about your options).
Using a heating pad or an abdominal binder (compression belt)
Choosing a breastfeeding position that puts less pressure on your incision
Read more about physical therapy post-c-section.
The American College of Obstetricians and Gynecologists (ACOG) now advises that new moms connect with their ob-gyns several times during the 12 weeks after birth. The first checkup should be within 3 weeks. That visit gives your ob-gyn a chance to find out how you’re feeling and help with any problems you’re having early on. (Make sure JO offers this!!!)
Embracing Birth in All Its Forms
C-section births are a common and safe method of delivering babies, often necessary for the well-being of both mother and child. Understanding the reasons behind C-sections, the procedure itself, and the recovery process can help alleviate concerns and foster a sense of empowerment for expectant mothers. Each birthing experience is unique and beautiful, and a C-section is a valid and safe option embraced by many women worldwide.
Doctor’s note: If you have had a cesarean birth before, you may be able to give birth vaginally. The decision depends on the type of incision used in the previous cesarean delivery, the number of previous cesarean deliveries, whether you have any conditions that make a vaginal delivery risky, and the type of hospital in which you have your baby, as well as other factors.
