What is a Caesarean Section?
A cesarean section is a surgical procedure that makes it possible to a baby born – in incision of the mother’s abdomen and uterus – when it is not possible to do this by low road.
Procedure: how is a cesarean section performed?
The cesarean section perhaps planned Where performed in an emergency when the medical team encounters difficulties during the delivery process. ” De cesarean section is practiced under anesthesiamostly loco-regional (epidural or spinal anesthesia), Dr. Olivier Multon himself. The midwife or nurse prepares the patient and inserts a urinary catheter to empty the bladder. The anesthetist injects the product. Then everything goes very quickly: usually we have cut the abdomen horizontally just above it pubic bone in order to prevent scar is visible afterwards, the muscles (the rectus abdominis) are pushed aside and uterine muscle† Next, the doctor slides his hand into the uterus to remove the fetus from the uterus. Once the baby is born, umbilical cord is cut and the new born given to the midwife or pediatrician to make sure everything is in order. Finally, we continue with Salvation : we delete the placenta then the uterine muscle and the abdominal wall are closed. †
From green code to red: how long does a caesarean section take?
The cesarean section generally be performed in an emergencyits duration is very fast† “You should know that the caesarean section is classified according to: three color codes according to the degree of urgency : green, orange or red, data from the obstetrician-gynaecologist. When it’s a . is code redit is necessary to intervene as soon as possible and deliver the baby in less than fifteen minutes† Sometimes it can be scary for the mother-to-be because everything suddenly moves very quickly. In addition, in the most urgent cases, when you really cannot wait – for example during a bleeding – we’ll make one right away General anesthesia. †
How is a planned cesarean section performed? How long before the term will it be executed?
Unlike the emergency caesarean sectionthe planned cesarean section unfolds like a surgical procedure “classic”.
Usually, the cesarean section is scheduled between 39 and 40 weeks of amenorrhea, the specialist specifies.
the day of surgerywill the mother-to-be be asked for all traces of nail polish† to take off her jewelryfrom wash in the shower with an antiseptic solution (Betadine) and then to coat an outfit for the operating room† Than a Urinal Catheter is placed to empty the bladder and the anesthetist will give a spinal anesthesia† this technique regional anesthesiathe “cousin” of the epidural, admit the mother-to-be aware and to attend the birth of her child. “Increasingly the husband may be presentwhich brings the circumstances of birth by cesarean section even closer to those of a normal delivery, the authors of the Big book of my pregnancy† The surgeon begins to incise the skin and then the uterus. If possible, once the incision in the uterus is completed and the surgeon begins to remove the baby’s head, the work field is lowered and the raised head table for mom and dad to witness the birth”. After the extraction of the baby, if the baby is healthy, after having clamped the umbilical cordthe midwife immediately deposits the newborn on his mother’s chest for a skin to skin moment†
What are the indications for a cesarean section?
The indications for performing a cesarean section are many and differ depending on the situation and the health of the mother and her child. A cesarean section can be planned or performed urgently.
For a planned cesarean section
The nursing staff may decide to schedule a caesarean section, ie before the natural start of labour, in the following cases:
- fetal macrosomia : baby over 4.5 kg,
- placenta implantation abnormality: placenta previa†
- presentation of the child by the chair when the conditions for vaginal delivery are not met (mother’s pelvis too narrow, etc.),
- multiple pregnancy†
- history of caesarean section during a previous pregnancy,
- pathological pregnancy: preeclampsiastunted growth in utero, etc.
- obstetric history : uterine rupture, shoulder dystocia, etc.
Can we ask for a cesarean section?
Sometimes doctors agree planning a cesarean section to the request from mother† “Sometimes some patients have fear of giving birth vaginallythey do not want don’t damage their vagina and the vulva Where worrying that you don’t know how to deal with contractions work, says Dr. Olivier Multon. In this case, we try to talk to them to reassure them and give them the opportunity to change their mind. They are also reminded that cesarean section is no easier or less dangerous than vaginal delivery† On the contrary: a caesarean section increases the risk of infection and bleeding after delivery. †
emergency caesarean section
The cesarean section is practiced emergency during pregnancy or at the time of delivery when the delivery does not go as expected. The medical team may make the decision to perform a cesarean section:
- when it detects a heart rhythm abnormality of the fetus during delivery (fetal distress),
- as part of a bleeding † placental abruption† uterine ruptureetc.
- in case of stagnation of dilationof the collar of the womb,
- for a severe high blood pressure or its complications (preeclampsia)
- during a abnormal placental placement †placenta previa) resulting in severe bleeding,
- in case of premature placental abruption inserted normally.
Postpartum: what are the consequences of a cesarean section?
Because a cesarean section is a surgical procedure, diaper suites could be longer and uncomfortable than a vaginal delivery. For example, it is very normal to feel pain conflict on the level of scar† If necessary, painkillers are prescribed to the patient.
What are the risks of complications after a cesarean section?
Even if a cesarean section is now a very well-controlled gesture, complications are possible in the immediate aftermath of surgery or in the longer term.
- A urinary tract infection : This is the most common complication of cesarean section. This results in frequent urges to urinate, burning while urinating and even lower back pain. If a urinary tract infection is suspected, a cytobacteriological examination of the urine (ECBU) will be performed and, upon confirmation of the diagnosis, antibiotic treatment will be prescribed.
- A hematoma or a scar infection can also occur, usually requiring simple local care.
- As with any surgery, there is also a small risk of: phlebitis (clot forming in a vein) and pulmonary embolism after cesarean section. To avoid this, anticoagulant injections are generally prescribed and wearing compression socks is recommended.
Finally, in the longer term, during a new pregnancy, the woman who has a battered uterus has an increased risk of uterine rupture and from placenta previa†
Depending on the institution, the return home will take place between the fourth and the ninth day after the birth. When you leave the maternity ward, you may have a tight feeling around the scar: don’t panic, it’s normal! On the other hand, if it turns red, oozes, or swells, see your doctor to make sure there isn’t an infection.
Caesarean scar: how do you care for it?
In the days after the caesarean section midwife cleans the wound and check if it closes properly. “We quickly remove the bandage to scar in the open air,” says Dr. Olivier Multon. After the sutures or staples are removed, with the doctor’s approval, you can: massage the scar careful with a vegetable oil or a healing cream to improve aesthetics and remove any adhesions. After a few months, a thin horizontal line about ten centimeters long remains, just above the pubic bone, where the abdomen was incised. But don’t worry, hidden by pubic hair, it won’t be very visible!