C Section Delivery


A C section delivery is a medical term known as Caesarian section. It is a surgical incision made through the abdomen and uterus of a mother to deliver one or several babies.

It is done when normal birth delivery through the vagina is not safe for either the mother of the baby or when the existing circumstances make it impossible. In extreme cases, C section delivery is done to take out a dead fetus from the mother’s womb. Ferdinand Adolf Kehrer, a Germen gynecologist, performed the first modern C section delivery in 1881.

C Section Delivery Description

The C section delivery procedure is usually performed with the mother awake although a spinal anesthesia or an epidural anesthesia is administered to numb the chest up to the feet parts of the patient. An incision across the abdomen just about several inches or so from the pubic area is done by a surgeon. The uterus is opened as well as the amniotic sac before the baby is totally delivered. As soon as the surgeon hands the baby to the delivery team, the health professional usually a nurse or a midwife, clears the nose and the mouth of the baby of any fluid and then the umbilical cord is detached from the mother by cutting. The pediatrician or a nurse sees to it that the baby’s condition is stable and breathing is normal. In some cases, the father or a person giving support to the mother is often allowed to be inside the delivery or operating room.

Why the C Section Delivery is Performed

When delivery through the vagina is not possible, the problems may either involve the mother, the baby, or the prevailing condition of pregnancy. Problems involving the baby include: abnormal heart rate, abnormal position inside the womb such as transverse (crosswise) or breech (feet are positioned first), developmental problems of the baby like spina bifida or hydrocephalus, and multiple birth (twins, triplets, or more).

Problems related to health conditions and medical history of the mother include: human immunodeficiency virus (HIV) infection, active genital herpes infection, previous uterine surgery and C section delivery, large uterine fibroids near the cervix, severe health conditions such as heart illness, eclampsia or preeclampsia.

Problems related to the condition of the placenta or umbilical cord include: placenta previa – where the placenta partly or entirely covers the birth canal opening; placenta abruption – when the placenta is separated prematurely from the wall of the uterine; and prolapsed of the umbilical cord – where the umbilical cord is positioned through the birth canal opening before the baby.

Problems related to certain existing conditions of the pregnancy include: the head of the baby is too big to pass through the opening of birth canal; too long labor duration or labor that abruptly terminates; and the baby is too large – often the case when the mother is diabetic.

Risks Associated with a C Section Delivery

A C section delivery is very safe when done by an obstetrician or a specially trained doctor. Reported serious complications are relatively low but as with other surgical procedures, there are risks associated with it such as: injury to the baby, injury to the urinary tract of the mother, and infection of the uterus or bladder of the mother.

Future pregnancies are also affected by a previous C section delivery including higher risks for the mother to experience placenta previa, placenta accrete, and uterine rupture. These conditions can lead to hemorrhage, a health condition that is manifested by severe bleeding, and require the need for blood transfusion or in some cases the performance of hysterectomy, where the uterus is removed.

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