Cesarean section is surgery to deliver a baby
Cesarean section is the surgical delivery of a baby. Commonly referred to as a C-section, it is the alternative to vaginal delivery. Our San Antonio OBGYNs note that 1 in 3 babies in the United States are delivered using this method.
When is a C-section necessary?
Medically, a vaginal birth is the preferred method of delivery, but some reasons necessitate a Cesarean section.
- Labor is not progressing, and the cervix has not opened enough for the baby to move into the vagina
- Concern for the baby’s health, including an abnormal heart rate or reduced oxygen and blood flow
- The baby is positioned feet first, sideways or diagonal, rather than head-down
- Delivering multiple babies, due to concern about preterm labor and the complicated positions of the babies
- Health concerns of the mother, including infections, heart conditions or risk of aneurysm
- The baby is too large to be delivered vaginally
- Complications of the placenta that limit oxygen and nutrients to the baby
- A previous C-section, due to concern of uterine rupture
The surgery can be planned or emergent
The procedure will be scheduled when the need for the Cesarean method is known before delivery. Should the need for surgical delivery arise during a vaginal birth, that is considered an emergent case, and the procedure is done immediately.
The process of a Cesarean section delivery
Before the procedure, the mother is given anesthesia. The mother stays awake with an epidural block and spinal block, both of which numb the lower part of the body. Sometimes, during emergency procedures, women will be given general anesthesia and will be unconscious during the delivery. The mother’s and baby’s medical conditions will determine the type of anesthesia used.
During the Cesarean section surgery, an incision is made in the abdomen and uterus. The amniotic sac is opened, and the baby is taken out. The umbilical cord is cut, and the placenta is removed. Then, the OBGYN will close the uterus, using stitches that will dissolve. The abdomen is then closed with stitches, staples or surgical glue.
Considerations for surgical delivery
Delivery of a baby, whether vaginal or Cesarean delivery, involves possible complications. As with any surgical procedure, there are potential risks with C-sections, including infection; blood loss; blood clots in the legs, pelvic organs or lungs; injury to the bowel or bladder; or an allergic reaction to anesthesia.
Post-delivery care for the mother
The hospital stay after a Cesarean delivery is typically two to three days, and will depend on the reason for the procedure. The OBGYN will give the mother specific instructions for caring for the surgery incision at home, and some restrictions on activities, such as heavy lifting.
Our San Antonio OBGYNs provide their patients with detailed information prior to a scheduled Cesarean section, and we are available to answer any questions. Contact us for an appointment.
