The Cesarean Section FAQ

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What are the indications that one needs a Cesarean?

Following are the commonest indications for a cesarian operation:

• Prolapsed cord (where the cord comes down before the baby)
  
• Placenta abruptio (where the placenta separates before the birth)
  
• Placenta previa (where the placenta partially or completely covers the cervix)
  
• Fetal malpresentation (transverse lie, breech )
  
• Cephalopelvic disproportion (CPD), meaning that the head is too large to fit through the pelvis
  
• Maternal medical conditions
  
• foetal distress,
  
• Repeat cesarean

What type of pain relief is offered before and after a cesarean?

• A regional anesthetic (epidural or spinal)
  
• A general anaesthetic
  
• A pre- operative sedative is usually avoided because it can reach the baby and make it difficult for the baby to breath.
  
• Post operatively pain can be reduced by medication.

What is the procedure for a cesarean?

The basic steps followed are:

• A catheter inserted to collect urine
  
• An intravenous line inserted
  
• An antacid for your stomach acids
  
• Monitoring leads (heart monitor, blood pressure)
  
• Anesthesia
  
• Anti-bacterial wash of the abdomen, and partial shaving of the pubic hair
  
• Skin Incision (vertical or midline(most common))
  
• Uterine Incision
  
• Breaking the Bag of Waters
  
• Disengage the baby from the pelvis
  
• BIRTH!!!! (Accomplished by hand, forceps, or vacuum extractor)
  
• Cord Clamping and cutting
  
• Newborn Evaluation
  
• Placenta removed and the uterus repaired
  
• Skin Sutured (Usually the top layers will be stapled and removed within 2 weeks.)
  
• You will be moved to the Recovery Room (If the baby is able s/he can go with you.)

Can I breast feed if I had a cesarean?
Certainly you can. It may take some more effort on your part, but do not hesitate to ask for help. Start breast feeding as soon as possible

If I had one cesarean (or more!), will I have to have another cesarean?
Recent studies have shown that there was an over 80% success rate for Vaginal Birth After Caesarian.

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