Cesarian Section

 

A cesarian section is a surgical operation to deliver a baby or babies by making one or several incisions in the abdomen (laparotomy) and uterus (hysterectomy) of the mother. A cesarian section in some rare cases is done to remove a fetus that does not manifest any life signs from the mother’s womb.


An upward trend in delivery by cesarian section has been found by the US Centers for Disease Control. Yearly since 1996, the percentage for cesarian section deliveries have increased, and in 2009 alone, 33% of those who gave birth in the US had cesarian section deliveries.

Purpose of Unplanned Cesarian Section

• Cesarian section is usually performed when abnormal conditions interfere with the mother’s labor and delivery thru the normal birth canal or vagina, causing a life threatening or health risk for the mother or baby or both. Unplanned cesarian section is done when the following conditions happen:

• The cervix of the mother stops dilating and the movement of the baby towards the birth canal has stopped, and the attempts of the medical professionals to help the mother to get contractions are no longer working.

• The baby is stressed as shown by the heart rate of the baby and further exposure to continued induction or labor will no longer be tolerated by the baby’s condition.

• A condition of a prolapsed umbilical cord – this happens when the umbilical cord gets through the cervix of the mother and this will lead to the interrupted oxygen supply to the baby.

• There is placental abruption – the placenta of the mother starts to separate from the wall of the uterus and this will also lead to the deprivation of oxygen for the baby.

• The mother has genital herpes or the water breaks – cesarian section is necessary to avoid infection to the baby.

Reasons for Planned Cesarian Section

These are the reasons for the mother to have planned cesarian section:

• The mother had previous cesarian section of more than one occurrence or the previous cesarian section of the mother was done with a vertical incision in the uterine – both cases will increase the risk for the mother’s uterus to rupture if baby is delivered through the vagina.

• The mother had myomectomy or other forms of invasive surgery in the uterine.

• The mother is expecting more than one baby – there are cases of twins being delivered through the vagina but multiple births require delivery by cesarian section.

• The baby is known to be large or a condition known as  macrosomia – this is usually true for mothers suffering from diabetes.

• The position of the baby before the expected delivery is transverse (sideways) or breech (bottom first).

• There is obstruction in the birth canal such as large fibroid which will hamper the delivery through the vagina.

• The mother has placenta previa – the placenta is covering the cervix because it is positioned very low in the uterus.

• The baby was diagnosed to have abnormality or malformation such as open neural tube defects that would make vaginal delivery very risky.

• The mother is tested positive on HIV (human immunodeficiency virus) and blood tests performed during the latter part of pregnancy showed that the virus count is very high.

A cesarian section delivery is surgery. So remember to take it easy and make sure that there’s plenty of support for you and the newborn baby. If you experience pain and or fever, call your doctor immediately and follow his advice.

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