A Glance to Cesarean Section

A Glance to Cesarean Section

  Autor Dr. Oana Melinte Moraru, educator certificat Lamaze International Data: 23.06.2006

A cesarean is a surgical birth of your child. Most times it is not considered to be the best way to give birth, but sometimes it can be a safer way for both mother and baby.

A lesson about cesarean birth and about the recovery period can be of great help to pregnant women and persons who provide support during childbirth. Should you do a cesarean? Learning about the procedure you will be able to increase your participation level in the childbirth.

Cesarean incision - is the formal term applied to surgical procedure in which incisions are made on the abdominal wall and uterus. The baby is then lifted through the incision. When deciding a cesarean, the doctor must weigh and help you to balance with great attention the risks and benefits compared to a vaginal birth.

Your doctor may determine that a cesarean is necessary even before the onset of labor. In this case, do not hesitate to ask "why"! Usually, this decision is supported by data diagnostic procedures.

Medical Indications for Cesarean

Cesarean births offer a good solution to any potential problems arising during pregnancy or during labor and birth. Some cesarean sections are planned in advance, while others are last-minute decision because of potential problems that may be urgent for you or your babies. The decision to do a cesarean is always taken to protect the health of mother and child.

Here is a list of some reasons that lead to the choice of cesarean:

Cephalopelvic Disproportion (CPD) - a baby's head or body is too large to fit through the mother's pelvis.
Position or Presentation - the baby is in an abnormal position. Examples: transverse facial presentation.
Preterm Multiple Birth - multiple births are performed by cesarean section because one or even all babies can be in a different position from the normal one with the "head first". Sometimes preterm labor can end by a C-section because of baby's stress.
Placenta Previa - the placenta partially or completely covers the cervix. As labor progresses and the cervix opens, the placenta may separate from the uterine wall. This results in an abundance of maternal bleeding and fetal oxygen deprivation.
Placental Abruption - the placenta separates from the uterine wall before or during labor. Thus, there is a severe, uncontrollably maternal bleeding (hemorrhage) and fetal oxygen deprivation.
Prolapsed Umbilical Cord - after rupture of membranes, when baby's head does not engage in the pelvis, there is a small risk that baby's umbilical cord be pushed into the vagina ahead of the baby and to be compressed. This threatens the supply of oxygen to the baby.
Compression of the Umbilical Cord - the cord is compressed sometimes from undetermined reasons. Baby's need to get more oxygen is indicated by the irregular fetal heart beat.
Uterine Dysfunction - including an unusually low expansion, low shrinkage, cessation of contractions or unusually strong contractions that threatens the baby's oxygen supply.
Missed Induction - if your doctor tried to induce birth ineffectively, a cesarean may be necessary.
Prolonged Rupture of Membranes - if your membranes have ruptured more than 24 hours ago and labor has not yet been installed, the risk of intrauterine infection increases. Your doctor may consider that a cesarean is a preferable risk in this case.
Maternal Disease - if the mother's health is endangered by labor or the stress of vaginal delivery, a cesarean may be indicated. Examples: diabetes, heart disease or toxemia.
Herpes Simplex - if the mother is an active carrier of Herpes Simplex, the baby's passing through the vagina may have as result your baby's exposure to infection.

Read the English version of this article: A Glance to Cesarean Section