C-section or Caesarean section is a surgery performed to deliver a baby. The baby is taken out from the abdomen through an incision in the abdominal wall. This surgery is performed when there is some sort of physical difficulty in natural childbirth through the vagina. Other reasons for performing a C-section are when the mother is carrying more than one baby, or the health of the baby is in danger. It could also be because of an undesirable fetal position, or when the mother is physically unable to push the baby out of the uterus. 


Procedure followed in C- Section
The procedure is most often done when the mother is in her senses and awake. However, epidural or spinal anaesthesia is provided to numb the body from chest to the feet, before the surgery is performed.


An incision is made on the lower abdomen, above the pubic area. A cut is made through the uterus and amniotic sac. The baby is pulled out from this opening. The umbilical cord is cut and cleaned. The fluids are cleaned from the baby s mouth and nose. The infant s breathing rate, heart rate and other vitals are kept under observation. 


Recovery from a C-section can take several weeks. The stitch wounds need to heal, including the recovery of pelvic muscles. It is important to walk around and do some very light exercises to boost the healing procedure. Doctors may prescribe painkillers in some cases and advice on effective post-operative care. Though the surgical procedure is quite safe now, with the use of highly advanced technology, there are risks that cannot be entirely ignored. 


Risks associated with C-section
Infections: Any surgery has some risk of infection associated to it. In the case of a C-section, an infection can occur around the site of incision that may rapidly spread in the uterine wall and other internal pelvic organs.
Haemorrhage: Blood refuses to clot and dangerously high quantity of blood is lost in the process. In such a case, it requires immediate transfusion and intensive care.
Injuries: The mother or the baby, both have a risk of getting injured during the surgery. Although these are rare, but the infant may suffer nicks and cuts while being manually pulled out from the womb. Other organs of the mother located near the pelvis may suffer minor or major wounds.


After the C-section, the mother and child will be retained in the hospital for 2 to 3 days, under intense care and constant monitoring. It is important to exercise and take the medications as advised by the physician to prevent any complication. 

C- Section - Understanding the Procedure and Risks

One of the most severe forms of pain is the pain that a woman experiences during the process of childbirth. On a scale of 1 to 10, with 10 being the most severe, it is believed to be 8 to 10. In the earlier days, a number of women would die during childbirth and survival was considered as a second lease of life. This belief has however, changed with the advancements in medical science. The delivery has now become an almost painless procedure.

How it works: The pelvis and the lower limbs receive nerve supply through the nerves coming out of the spinal cord. A strong anesthetic is injected into the lower back to numb the pelvis and down below. This ensures that the mother is comfortable and awake during the whole procedure and is able to see the child being delivered but has reduced pain in the lower half of the body.

What are its benefits?

The mother has a painless delivery and is conscious and able to see the process of delivery.
Significant relief from the painful experience of childbirth. The pain induces secretion of stress hormones in the mother, which adversely affects both the mother and the child.
Blood pressure is better controlled using this procedure.
Additional instruments can be used during the delivery if required without the need for additional anesthesia.
If required, the procedure can be converted to a cesarean section too, by adding an epidural catheter.
The duration of childbirth has been significantly decreased.
Suitable for patients who have preeclampsia and heart disease
It has some disadvantages too

There are minor complications, including:

This can develop after the painless delivery and the onset and intensity vary from one individual to another
Post-procedure headache
Pain at the site of injection
Difficulty during urination
The normal pushing effect by the woman is reduced due to the numbness and so vacuum may be used or delivery may have to be converted to a cesarean one.
In rare cases, there could also be a sudden drop in the blood pressure
Certain indications

In the following cases, the doctor would advise the mother to go for a painless delivery

Medical conditions like preeclampsia, high BP, or other heart conditions
Subsequent births after having had a cesarean section (VBAC   vaginal birth after cesarean)
People who have previously had prolonged or complicated labor, a painless delivery is easy on both the mother and the child
When it should be best avoided

In some cases, like the ones listed below, the painless delivery should be avoided

Women with bleeding disorders.
Women who are on blood thinners like aspirin, heparin, etc.
Women who have had prior low back surgeries
Women with neurological conditions
A detailed discussion with your gynecologist is the best way to identify, if this would work for you.

Painless Normal Delivery - Is it Possible?

Giving birth is a life-changing event for every mother and it leaves an everlasting impression in your life. Every delivery is unique and you can just gain from the experience of others, but don t expect it to be the same. 
You will experience many changes in your body and will learn to take care of yourself and your growing baby as soon as you find out that you are pregnant. Pain is a part of labour that every woman has to undergo. It is the fear of labour pain that make many pregnant women opt for c-section. However there is no denying the fact that c-section is a major surgery and requires several days to recover.

Keep in mind the following tips to go in for a normal delivery:

Try to get prenatal education, which guides you about labour, birth and natural labour pain management techniques, such as breathing, self-hypnosis, relaxation and other coping mechanisms. You should check with your hospital too as most of them offer an evening or weekend course.
Pick a gynaecologist who has a history in delivering babies naturally.
Keep yourself physically active by doing mild exercises throughout pregnancy.
You should keep a calm environment in your labour room.
Don t gain too much weight as women who aren't overweight do not have much difficulty in delivering babies vaginally.
Opt for fewer rather as more tests, treatments and interventions during your pregnancy tend to interfere with normal birth. Whenever tests or procedures are recommended, you should ask about the need of undergoing such tests.
Continue with your walks as it helps in relieving the pain.
Go in for a water therapy. A shower, bathtub, birthing pool and hot compresses are other tools for easing pain and helping you relax. Spend as much time as possible in water.
Use various positions such as sitting on the toilet, kneeling, and squatting to ease vaginal delivery.
Massage/back rubs equally help in easing the pain.
You can also go in for Effleurage which is a light massage of the abdomen to ease your vaginal delivery.
Apply warm or cold compresses.
Avoid hearing negative stories about labour.
Eat a healthy balanced diet as the health and development of your baby depends on your nutrition.
Stay away from stress and anxiety. Read good books about parenting and be in the company of good lively people.
Use relaxation/breathing techniques to keep yourself calm.
Guided meditation and prayers undoubtedly will reinforce your faith in yourself to deliver a baby vaginally.
Have adequate sleep. Avoid drinking tea or coffee two hours before going to bed in order to have uninterrupted sleep.
Following these tips religiously can definitely increase your chances of having a normal delivery.

Normal Delivery - 18 Things You Must Always Remember!

Natural child birth is a process of giving birth to a child with no or little medical interference. In spite of the severe labor pain, many women decide to go for natural child birth because they find the experience beneficial. One of the best advantages that you can expect from a natural child birth is being in full control of your body.

Utmost care: From the time you conceive until your delivery, hospitals are expected to take the best care of both the mother and the child. At the best child care hospitals, paediatrics should be able to put themselves in your place and aspire to take care of your child. Reliable child care hospitals should have the ability to ensure smooth and safe delivery of the child.
Expertise: Child care hospitals must provide best paediatric services. Paediatrics deal with child care and that requires a high level of expertise. A child's health and well-being should be of paramount importance for any best child care hospital. The team of doctors should possess wide - ranging knowledge because they have been entrusted with the responsibility of taking care of your child's health. Besides these the hospital's team should include trained nurses; highly qualified and experienced medical workers.
Work Dedicatedly: Doctors from the best child care hospitals should be able to listen to you carefully and should attend to your child. They must be able to assist you with the queries related to your child's development. The child care services should be able to take care of the child from birth and assist them throughout their developing years.
Best child care hospitals should also provide reasonable treatment offers with the use of the latest, state-of-the-art technology.

Natural Childbirth - What to Expect From Best Child Care Hospitals?

Delivering a baby is a painful, but also a pleasurable moment for the mother. But if the delivery is done through a C-section surgery or what is more commonly termed as Caesarean delivery, the pain is not felt during the actual delivery since the woman in under anaesthesia. However, the real challenge is to recover from the operation. The first week is particularly critical. Here are some things you can do to manage it with less discomfort:

The first few hours, naturally, you will be under close observation till you fully regain conscience if it was a general anaesthesia. If only the lower portion was numbed for the surgery, then also the feelings in the legs etc. will return within a few hours.
You will start breastfeeding the baby; wear comfortable clothes so that you can feed the baby without any discomfort. If this is the first experience, learn things that you need to know through books or from friends and relatives who would have had a C-section earlier.
You may feel more comfortable in a recliner than a flat bed. Most hospitals should be able to provide you one.
You might be better off with a heater pad of your own, since your back may be aching considerably and bringing down the pain is essential.
Wearing a binder around your tummy is another suggestion given by many women who have had a C-section delivery; besides helping with easing the pain, it also prevents the tummy from bulging, which you would want to avoid.
Follow the obstetrician s advice on having a shower and also on resuming some of your physical activities without hurting the stitches or the sutures.
By Day 3, you should be able to resume eating your normal diet; in many cases, it could be earlier than that.
Do take care to avoid lifting anything heavy. The heaviest object you can lift is your baby. Make your husband or any other person to help you through this period to avoid any complications later.
How about medicines? If you are already on any kind of medication and if you had stopped any of them due to the surgical procedure, check with the doctor and resume taking the medicines.
Keep a close watch on the food you eat, particularly since you will also be nursing your baby. Don t hesitate to consult the doctor on things you may be fond of, but have to avoid in order to protect the kid from being affected in any way.
Pregnancy and delivery are some of the happiest moments in any mother s life; so remain cheerful throughout and enjoy the moments. If the delivery has been done through C-section, some of these extra precautions are to be observed to make it easy for yourself to recover fast.

C-Section - Tips to Help You Recover From It

Pregnancy is one of the most exciting and anxious phase in a woman s life. There is definitely an information overload from all sources i.e. family, friends, medical team, books, Internet, etc., that is dumped on the mother-to-be. The idea is to prepare her for the delivery. What needs to be borne in mind though is that each delivery is unique and there are no two women who have had the exact same experience.

However, it is good for the mother to know what to expect so that she is mentally prepared and not totally caught unawares when the actual scenes unfold. The following are the sequence of events that she should be aware of and watch out for:

With the due date nearing, she should keep a watch for the water breaking. This is passing of fluid surrounding the baby and is usually colorless and odorless. However, if it is green or brown, it is an indication that something might be wrong. Immediate medical help should be sought in that case.
Along with water breaking, contractions is the next thing to watch out for. This is due to the tightening and releasing of the uterus, indicating that the baby has begun to descend down towards the cervix. If these last for up to a minute, occur every five minutes, and persist for up to an hour, it is a clear indication that it is delivery time and you must head to the hospital.
Two sensations very prominent during delivery are pain and pressure. The pressure is from the baby passing down the birth canal. As the cervix and the vaginal canal expand to allow passage of the baby, there would be a great deal of pain and pressure. It is not just the mother, even the baby exerts significant pressure to come out of the womb during labor.
The process of the baby getting out of the womb is what is medically termed as labor and has three distinct stages to it:
The first stage has two parts to it i.e. an initial, gradual phase that may last for a few hours and a later, quicker phase. The rate of progress of delivery is steady.
The second stage usually lasts for about two hours, during which the cervix is minimally dilated and pushing begins. This stage lasts until the baby is out of the womb.
The third and the last stage is where the placenta is extracted and the umbilical cord is cut.
Some common problems you may expect include injury or tearing of the vagina or cervix, need for episiotomy, vomiting, passing of motion, anesthetic complications, etc. However, what would remain etched in the mother s memory would be the first sight of the baby.

The Top Things To Know About Delivering A Child!

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