C القسم

A: Mothers who expect to deliver a baby by C-section surgery, go through the following stages.

• In the OT, a urinary catheter in addition to an intravenous line may be placed in the body.
• To keep their body stable on the table, a specialist may place straps over the legs
• An antiseptic solution may be used to clean the body and the hair may be clipped to prevent any distraction.
• A drape will be put on the chest area as well as the abdomen, to cover the surgical site.
• A specialist will monitor the heartbeat and other necessary bodily functions.
• As soon as the effects of anesthesia kicks in, the specialist will start the incision in the abdominal section just above the pubic bone. It may be vertical or transverse, depending on the mother’s condition. This will be followed by multiple incisions until the incision reaches the uterus. Just like the incision in the abdomen, this one may either be vertical or transverse.
• Next, the baby will be delivered after opening the amniotic sac through its opening. A medication will be given in the IV and the umbilical cord to help contract the uterus and release the placenta.
• After removing the placenta, the specialist will conduct a thorough inspection of the uterus for any tears or presence of any piece of placenta. Thereafter, the opening in the uterine muscles will be closed with sutures. Next, the uterus will be restored to its actual position in the pelvic cavity.
• Lastly, sutures will be used to close the openings in the layers of muscles and tissues. Sutures, in conjunction with surgical staples, will also be used to close the incisions on the surface of the skin. To prevent it from any kind of infection, sterile dressing or bandage will be applied.

A: Cesarean delivery becomes important during a medical emergency for either the mother or the baby. The factors that can lead to it may include:

• Unusual fetal heart rate
• Abnormal position of the baby in the womb at the time of birth
• Abnormal progression of labor
• The size of the baby is larger than usual for vaginal delivery
• Placenta previa and other placental complications
• HIV infection, high blood pressure, diabetes and other medical complications in a mother
• The presence of herpes lesions in the cervix and vagina
• Twin babies in the womb
• Previous cesarean delivery

A: The procedure followed for the delivery of a baby by the method may differ from one specialist to the other. Special arrangements are made for a planned cesarean delivery. Local anesthesia is given to a mother to make the process painless for her. Either spinal or an epidural may be used for the purpose. A mother normally does not feel pain in the lower part of her body despite being awake during the procedure. This happens due to the effect of the anesthesia.

A: Every surgical procedure involves risks in some way or the other. The same holds for cesarean delivery. Here is a list of some common complications that may arise from choosing this surgical procedure.

• Damage to the bowel or the bladder due to an injury
• Infection from a wound
• An infection in the uterus
• Urinary Tract Infection (UTI)
• Bleeding
• Formation of blood clots
• Disorders related to the movement of bowel

A: Cesarean Delivery is the medical procedure of delivering a baby by an incision on a mother’s abdomen and uterus. It is an alternative to the conventional method of vaginal delivery. In this procedure, an obstetrician performs the surgery by cutting the skin and the uterus in the lower part of the abdomen. The cut or incision may be either longitudinal or transverse, depending on the medical condition and requirements of the mother.

A: Vaginal delivery may sometimes cause excessive pain, and lead to post-delivery weakness. It may also cause several other complications for a mother. Apart from these conditions, a C-section delivery may be the only option for a mother to deliver her baby safely. C-section is indicated during the following:

• Stalled labor
• Obstruction in the birth canal
• The unusual size of the baby’s head due to a medical condition such as hydrocephalus
• A pelvic fracture
• Indication of a mother’s previous C-section delivery of a baby
• Abnormal position of a baby in the womb

A: Following the successful completion of a C-section surgery, the mother is asked to remain in the hospital for a few more days. The mother will be asked to keep herself hydrated and walk for a few minutes to prevent the possibility of constipation or deep vein thrombosis. The doctor will check on the incision for any possible intervention, if necessary. A lactation consultant will guide the mother regarding breastfeeding her child safely in a way that both are well-positioned. Along with this, medications will also be prescribed to relieve her from post-surgical pain. Before leaving the hospital, the doctor will brief the mother about the medications and precautions she needs to take at subsequent stages.

A: At the pre-procedure stage, a doctor conducts a session with a mother wherein the former briefs the latter about several aspects associated with the surgery. Next, the mother will be required to sign a consent form to officially give her approval for the surgery. The mother can ask questions to clear any kind of doubts or confusion she may have. A doctor may ask whether or not the mother wants to undergo tubal ligation. The next course of action will depend on whether the C-section procedure of a mother is a planned one or an abrupt one. In case it is a planned surgery, the mother will be asked to fast for eight hours for administering an epidural, general or spinal anesthesia. Also, a doctor may ask if she is on certain medications or has a sensitivity to tape, iodine, latex, and other anesthetic agents.

A: Cesarean delivery is performed in an operation theatre of a hospital. It is recommended that a mother should undergo the surgery in a multispeciality maternity hospital or a child health clinic for her safety as well as the safety of her baby. One of the benefits of adopting this approach is that a mother undergoes the surgery under the supervision of a qualified professional (either an obstetrician or a gynecologist (OB/GYN)). This is the sure-fire way to avoid complications during childbirth.

A: An obstetrician (OB/GYN) generally performs a cesarean delivery. These professionals have a specialization in childbirth and pregnancy-related issues in women. They are equipped with the skills to perform incision and other surgical procedures that may be necessary for the safe delivery of a baby.