The most common reason for a scheduled C-section is that a woman has had one or more C-sections before. For first-time moms, the most common reason is that the baby is not in the head-down position for birth, Dr. The baby might be breech bottom or feet down or transverse sideways. This can rapidly become life-threatening for the baby, so doctors almost never recommend vaginally delivering a baby breech.
Twins and other multiples are often born via C-section, either because of the position of the babies or because the mom requests it, Dr. But if you want to try laboring and attempt a vaginal birth after cesarean, or VBAC, that might be possible.
For women who have had two or more C-sections, vaginal birth becomes less of an option outside of a limited number of hospitals mostly large academic centers. Most doctors do a horizontal cut through your abdomen and uterus, although vertical cuts may be done on rare occasions. Soon you may feel a fair amount of painless prodding, which means the baby is being moved into position. This part is not all that different from a vaginal birth , at least for the doctor.
Because the mother can't push, she says, "I push the top of the uterus and elevate the head out of the pelvis, getting the shoulders and body to follow. Before you know it, there will be a baby in the room. How long does a C-section take? From the time the incision is made, the baby can be delivered in as little as two minutes or as long as half an hour, depending on the circumstances.
Usually you get to see your baby before he's whisked away for care. Now the spotlight moves off you as all those people across the room clean your baby, administer the APGAR test , and place him in the "warmer," which has radiant heat above it and keeps the baby's body temperature steady. Once the baby has been given a clean bill of health, the obstetrician comes back to close you up—the most complex part of the C-section.
Your provider will stitch up the uterus, realign the outer layers, and close the skin with either dissolving stitches which take longer to put in or staples which require removal a few days later.
Your legs will start coming back to life—sometimes gradually and sometimes in spurts. As the anesthesia wears off, you may feel itchy all over for a while; if it gets bad, you'll be offered an antihistamine. After the birth, ask if your partner can hold the baby while you are being stitched up, if the baby can accompany you to the recovery room, and if you can breastfeed immediately.
Unless the baby or mother needs immediate medical treatment, most hospitals will accommodate parents' expressed wishes for early bonding opportunities , says Dr. On the day of the C-section, you'll likely have a pump to deliver a low dosage of a narcotic, such as morphine, as needed. Some doctors will let you eat solids, while others will have you wait 24 hours or until you pass gas, a sign that your intestines are functioning normally.
On the second day, you'll be switched from the pump to an oral painkiller. The catheter will come out, and you'll be asked to walk to the bathroom. They'll usually make a bikini incision, also called a Pfannenstiel incision, which is a horizontal cut just above the pubic bone that goes through the abdominal wall.
Then, doctors will make a second incision in your uterus before removing the baby. This whole process takes about five to fifteen minutes. Under extremely urgent circumstances, a doctor may make a vertical uterine incision, says to Hoegh. However, doctors try to avoid this since it means if the woman becomes pregnant again, she will have no choice but to give birth by C-section. After the baby has been delivered, doctors may give the baby to your partner, or even to you as surgery is completed.
Repairing the incision takes about 25 minutes, he says. By comparison, a vaginal birth generally takes 12 to 24 hours the first time you give birth, and less for later pregnancies, Hoegh says.
Under certain circumstances, a C-section is the safest way to give birth. But, for most pregnancies, the procedure may pose a greater risk to the health of the mother than vaginal delivery, according to The American College of Obstetricians and Gynecologists. That said, these problems occur in a small number of women and are usually preventable.
Though every woman's situation is unique, the delivery of a baby via cesarean may take as little as 15 to 20 minutes, with a further 45 minutes needed to stitch up the uterus and abdominal incision.
Discuss this with your healthcare provider before the procedure, because hospital policies differ. Some hospitals will allow you to meet and kiss your baby almost immediately after the delivery.
Then, as soon as you have been stitched up, you will be handed your baby for some important skin-to-skin contact, which has many benefits and helps you bond with your baby. There isn't any difference between a vaginal birth and c-section regarding starting to breastfeed , and milk may or may not have come in at this point.
Provided both you and your baby are doing well, your baby can try to latch on for some very nutritious colostrum shortly after delivery. Recovery differs from person to person, but it generally takes longer to recover from a cesarean birth than from a vaginal birth. Usually you will stay in the hospital for a few extra days after a cesarean birth, so your doctors can make sure you are healthy and healing well.
Although it can be challenging with a newborn, try to rest as much as you can. Avoid lifting anything heavier than your baby, follow up with your doctor to have the stitches on your tummy removed the uterine stitches will dissolve , and regularly clean the scar to avoid infection.
Wear loose clothes that don't rub or irritate the scar. Driving and exercise will also be off limits until your doctor gives you the all clear, usually around two to four weeks post-birth. Recovery from an uncomplicated cesarean can take four to six weeks. Having a cesarean delivery is major surgery, and as with any birth, complications are rare but do exist. Your healthcare provider is the best person to advise on the best delivery option for your medical needs.
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