Hi, my name is Dabasmita Chakrabarti. I’m an Ob/Gyn with Signature Ob/Gyn.
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A C-section is a surgery to deliver a baby through the abdomen.
The US C-section rate according to the CDC is 32 percent.
A C-section is necessary in cases of fetal distress,
in cases of fetal malpresentation,
like breech presentation.
Also, in cases of abnormal placentation,
like placenta previa or a vasa previa,
also in cases that labor does not progress properly.
The risks of a C-section are many.
- They include pain,
- bleeding,
- infection,
- damage
to the uterus and surrounding structures like the bowel and the bladder.
They also increase a patient’s risk of blood clots like DVT.
They also increase complications in future surgeries.
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if a woman is to needs a hysterectomy in the future, it may make that surgery more complicated.
It also increases the risk of future pregnancy complications.
Babies born by C-section do have an increased risk of NICU admission and they have difficulty transitioning to breathing on their own a little bit more than babies born vaginally.
A woman can decrease her risk of a C-section by maintaining a healthy weight during pregnancy,
exercising regularly, and eating a healthy diet.
They can also talk to their doctor about doing an ECV,
which is rotating the baby to the proper position if their baby is found to be breech.
Babies can easily be rotated to the head down position which will encourage a vaginal birth.
People who have had prior C-sections can consider talking to their doctor about a trial of labor after cesarean and that is trying for a vaginal birth instead of having a repeat C-section.
There are cases where VBAC is not indicated.
or example,
- if there are abnormalities of the placenta that would prevent a vaginal birth,
- things like a placenta previa – that is a placenta in front of the cervix.
- Certainly,
- if a patient’s baby is already in distress or a patient is already in labor,
- we would not consider an external cephalic version.
- Immediate recovery from a C-section takes longer than a vaginal birth,
- approximately two to seven days.
Full recovery takes between four and six weeks.
Women have increasing pain medication requirements and have to advance the diet.
A C-section really is major abdominal surgery.