Caesarian section also called the C-SECTION or otherwise simply the cut from the womb is the use of surgery to deliver babies. It is especially important when a normal vaginal delivery would turn fatal to the baby or the mother.

The need for C-Section

Reasons for surgical delivery includes obstructed labor, twin pregnancy, high blood pressure in the mother or problems related to the umbilical cord. Sometimes, the shape of the mother’s pelvis or a history of previous C-section necessitates performance of C-section. At the other times, it may be performed on request by someone, usually the mother.

Main issues that necessitate C-section are listed as follows:

• Placental issues (Placental abruption, placenta praevia etc)
• Failure to induce labor.
• A condition of macrosomia (baby weighing more than 4000grams)
• Abnormalities of umbilical cord
• Previous medical history
• HIV infection of mother with a high viral load.
• STDs, which can cause infection in baby if born vaginally.
• Hypertension in mother or baby.
• Uterine rupture or an elevated risk.
• Prolonged labor or failure to progress(dystopia)
• Infertility
• Chronic pelvic pain
• Small bowel obstructions

Adverse outcomes

Adverse outcomes in the low-risk pregnancies occur in 9.2% of C-section. The post-operative adhesions will lead to further health issues in the near future. Added to this are the most common incisional hernias which later require surgical corrections. The wound may also get infected and further lead to more complications.

If performed in an emergency, the risk of surgery may be increased due to a number of factors. The patient’s stomach may not be empty and thus the risk of anesthesia increases. Severe blood loss may end up in the requirement of blood transfusion and post dural puncture spinal headaches.

Moreover above all these is the high chance of hysterectomies(removal of the uterus) being done. Increased incidence of postnatal depression and psychological trauma in mothers is also a fatal outcome.

The next baby

Delivery of the next child after the previous section of the cut womb can either be by the vaginal method or the elective repetition method. But this has to be taken care of because of the high risk of problems occurring in the vaginal method.

Prevention better than cure

Its always better to prevent than later searching for a cure. The things that should be done to prevent these kinds of conditions are simple enough that they can be well followed.

• The pregnant ladies should be advised for appropriate exercising under somebody’s guidance. The lady should be healthy enough by the time of parturition.
• Counseling sessions should be provided to the ladies who prefer for this mode rather than the normal delivery.
• Women should be given the proper idea of what they will have to face and they should be given confidence.
• More than everything this section should not be adopted unless there is a non-avoidable reason.

The pain now will give you a great gain for tomorrow.