Dr. Shraddha Shinde-Payagude  Obstetrics and Gynecology  

Caesarean section

When would a caesarean section be necessary?

A Cesarean Section, often known as a C-Section, is a surgical procedure used when normal delivery is not possible. The infant is delivered by cutting the uterus in this procedure.

• Caesarean delivery may be scheduled ahead of time if a medical reason necessitates it, or it may be unplanned and occur during your labour if specific complications arise. If any of the following symptoms apply, you may need to have a scheduled caesarean delivery:

• CPD stands for cephalopelvic disproportion, which indicates the baby’s head or body is either too large or too little to pass safely through the mother’s pelvis, or the mother’s pelvis is too small to deliver a normal-sized baby.
  Although it is possible to have a vaginal birth after a previous Cesarean, this is not a viable option for all women. It could be an emergency.

• Pregnancies in multiples: When there is an aberrant presentation, a C-Section is required.
  The placenta is connected too low in the uterine wall and inhibits the baby’s escape through the cervix in placenta previa.

• The placenta is connected too low in the uterine wall and inhibits the baby’s escape through the cervix in placenta previa.

• The baby is in a horizontal, or sideways, position in the uterus when it is called a transverse lie. Caesarean delivery is always used in this situation.

• The infant is positioned to deliver feet or bottom first in a breech presentation, often known as a breech birth. A scheduled C-Section is performed in this position.

• If any of the following conditions emerge during your labour, you may require an unscheduled caesarean delivery:
  Worker’s inability to advance: The cervix dilates and then stops before the woman is fully dilated or the baby moves down the birth canal in this syndrome.

• The umbilical cord is coiled around the baby’s neck or body, or it gets wedged between the baby’s head and the mother’s pelvis, causing cord compression.
  The umbilical cord prolapses before the baby emerge from the cervix.

• A prolapsed chord occurs when the umbilical cord emerges from the cervix before the baby.

• The placenta separates from the uterine wall before the baby is born, a condition known as abruptio placenta.

• Fetal distress: The infant may have difficulties that cause an erratic heart rate during birth. Your doctor may determine that the baby is no longer able to tolerate labour and that a caesarean delivery is required.

What are some of the dangers of having a caesarean section?

A caesarean section, like every other procedure, carries inherent hazards. These could include the following:

• Infection

• PPH

• If a blood clot breaks off and enters the bloodstream, it might cause serious complications (embolism).

• Injuries to the intestines or bladder.

• A uterine cut may cause the uterine wall to weaken.

• Placental abnormalities in later pregnancies.

• The dangers of general anaesthesia.

• Injury to the foetus.

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