All you need to know about cesarean section

If vaginal birth is the most common delivery, cesarean section is performed in just over 20% of deliveries, or one in five women. Unfortunately, we cannot always predict what will happen on D-Day. .. Caesarean section is therefore a possibility that you should consider and better prepare for during your pregnancy, just in case. Here’s everything you need to know about cesarean section.

What exactly is a cesarean?

A cesarean section is a surgical act that involves delivering your baby by making a horizontal incision in your lower abdomen in the event of the inability to deliver vaginally or in the event of a life-threatening emergency, whether for you or your patient with the help of cesarean section surgical instrument set. Several planes are incised, namely the skin, the abdominal muscles and then the uterus. Rest assured, the scar is usually made in such a way that it is hidden by your clothes.

In which cases is a cesarean performed?

There are two scenarios in the practice of cesarean section:

– your cesarean section is scheduled: your baby is too big compared to your pelvis, for example, you suffer from a disease that is not compatible with a vaginal birth, your baby is presenting poorly or even in the event of a positioned placenta on the collar …

– your cesarean section is performed urgently: while you have no contraindication for vaginal birth, on D-day labor stagnates or stops, your baby does not descend into your pelvis or he has a slowdown in significant heart rate.

While the first case helps you prepare a little psychologically, the second, while necessary, can be difficult for mothers.

If your baby is breech or if you are expecting twins, this does not necessarily mean that you will have to deliver by cesarean section: a low delivery is quite possible.

How is a cesarean performed?

Whether emergency or scheduled, it is performed in a sterile operating room and lasts about 30 minutes. With a few rare exceptions which require general anesthesia, you will be under local anesthesia, thanks to an epidural or spinal anesthesia, therefore woken up during the cesarean section.

A field will be stretched out in front of you, so that you cannot see what is going on. Before making the incision, your pubis will be shaved: if your cesarean section is scheduled, it is therefore better to make an appointment with your beautician. You will also have a urinary catheter which will remain in place for 24 hours after giving birth.

During the procedure, the doctor may ask you to push at some point. Your arms are generally crossed, held most of the time during the cesarean section. You will then stay in the OR after the baby is born, to be sewn up. The suture can be made by threads as well as staples which will be removed later. In general, the threads used resolve on their own. You will then remain under surveillance for the following hours.

What are the risks of a cesarean?

Like any intervention, a cesarean carries risks; nevertheless, they remain minimal to this day thanks to advances in medicine. It is especially after the cesarean section that will be monitored because of the risk of bleeding as well as infection of the scar.

Will the dad be able to attend the cesarean?

It all depends on your maternity, ask them beforehand. Some maternity hospitals invite dads, dressed in a charlotte, a blouse and slippers, to stay with you to attend the birth. Once your baby is born, it is often the dad who takes care of it with the help of the nursing staff and who will provide the first skin to skin.

Will I be in pain after my cesarean?

As with any surgery, you may experience significant pain in your scar during the days following the surgery. The medical staff will prescribe a strong pain reliever given as an infusion to keep you as little pain as possible.


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