Scheduled C-Section


A scheduled C-section at the end of pregnancy is also known as planned CS or elective cesarean section, is the type of cesarean procedure performed upon the advice of an obstetrician, when there are medical indications known prior to labor such as breech baby, or it is the choice of the mother.

Many mothers feel that the best part of having a scheduled C-section is knowing in advance the birth date of their baby.

This is because once the fetus is full term, the actual date for a scheduled C-section is just a matter of preference and doctor availability. But to ensure safety for both the mother and child, doctors prefer that the pregnancy reaches 39 weeks of gestation first. Studies made by doctors show that babies delivered before 39 weeks may still show some of the health concerns of late-preterm babies, such as respiratory distress, poor thermoregulation, hypoglycemia, jaundice, and feeding problems.

One of the advantages of a scheduled C-section is it allows mothers to condition and prepare themselves mentally and emotionally at the end of pregnancy for the birth of their baby. This emotional preparation will mitigate the feelings of disappointment among mothers who are not able to experience vaginal delivery.

Reasons for Scheduled C-Section

There are several indicators that merit a scheduled C-section before labor sets in. Some doctors will not wait for the completion of gestation for medical reasons, which may include the following:

•    The baby is in transverse position (sideways) or in breech position (feet first or bottom first)

•    The baby has been detected to have birth defects such as severe case of hydrocephalus

•    The baby has some known abnormality or malformation such as open defects of the neural tube

•    The baby is very big, a condition particularly prevalent for diabetic mothers, known as macrosomia

•    The mother had a previous pregnancy which resulted in a cesarean delivery with a vertical incision in the uterine or the mother had several c-sections previously, and these conditions will likely increase the risk of rupture of the uterus during vaginal delivery.

•    The mother had other invasive surgery of the uterus such as myomectomy

•    The mother is having multiple babies (twins, triplets or more)

•    The mother has placenta previa – a condition where the placenta sits so low on the uterus thus covering the cervix

•    The mother is infected with genital herpes or human immunodeficiency virus (HIV)

Advantages of Scheduled C-Section

It is a known fact that giving birth is painful experience for the mother. It usually involves long hours of labor or contractions, of pushing and helping to speed up delivery of the baby. The mother experiences extreme pain due to perineal tearing where there is vaginal ripping or rectal ripping as the baby tries to push its way through the birth canal. These conditions often require several stitches, in order for the tear to be closed.

In a scheduled C-section, pregnancy however labor will not be experienced at all. The mother will not have to deal with problems such urinary incontinence, fecal incontinence, and damage to the pelvic floor that may lead to sexual dysfunction.

But that’s not all. The baby also gets benefits from a scheduled C-section such as less fetal distress which can lead to oxygen deprivation during long labor and the less injuries because there’s no need for the baby to squeeze through the birth canal anymore!

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