Babies can enter this world in one of two ways: Pregnant women can have either a vaginal birth or a surgical delivery by Cesarean section, but the ultimate goal is to safely give birth to a healthy baby.

C-section or Cesarean section is a surgical procedure to remove baby through an incision in the mother s abdomen and then a second incision in the uterus. It may be a necessity in certain situations, such as delivering a very large baby in a mother with a small pelvis, or if the baby is not in a heads-down position and efforts to turn the baby before a woman gives birth have been unsuccessful.

Sometimes the decision by an obstetrician to perform a C-section is unplanned, and it is done for emergency reasons because the health of the mother, the baby, or both of them is in jeopardy. This may occur because of a problem during pregnancy or after a woman has gone into labor, such as if labor is happening too slowly or if the baby is not getting enough oxygen.

Some C-sections are considered elective, which are planned by the treating doctor for medical reasons. The patient may choose to deliver by CS due to previous unpleasant experience or to avoid the pain of normal labour. In such cases also it is called elective CS.

Reasons for a C-section may include:

Health problems in the mother
The mother carrying more than one baby
The size or position of the baby
The baby s health is in danger
Labor is not moving along as it should
The surgery is relatively safe for mother and baby. Still, it is major surgery and carries risks. It also takes longer to recover from a C-section than from vaginal birth. It can raise the risk of having difficulties with future pregnancies. Some women may have problems attempting a vaginal birth later. Still, many women are able to have a vaginal birth after cesarean (VBAC).

How You Might Feel

You won t feel any pain during the C-section, although you may feel sensations like pulling and pressure. Most women are awake and simply numbed from the waist down using regional anaesthesia during a C-section. That way, they are awake to see and hear their baby being born. A curtain will be over your abdomen during the surgery, but you may be able to take a peek as your baby is being delivered from your belly. However, women who need to have an emergency C-section occasionally require general anesthesia, so they re unconscious during the delivery and won t remember anything or feel any pain.

Recovering from a C-section

After a C-section, a woman may spend two to four days in the hospital, but it may take her up to six weeks to feel more like herself again. Her abdomen will feel sore from the surgery and the skin and nerves in this area will need time to heal. Women will be given narcotic pain medications to take the edge off any post-surgery pain, and most women use them for about two weeks after ward.

A woman may also experience bleeding for about four to six weeks after a surgical birth. She is also advised to not have sex for a few weeks after her C-section and to also avoid strenuous activities, such as lifting heavy objects.

Cesarean Section (C-Section) - Birth and Delivery

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?

When it comes to giving birth, vaginal delivery is considered to be the most natural process. However, several women nowadays opt for C-section or Cesarean section to avoid the labour pain that accompanies natural birth.If you are pregnant and weighing the pros and cons of natural and C-section delivery, here are a few things to consider.

Vaginal Delivery
The Pros of this method of delivery are as follows:

1. From the psychological perspective, women who undertake a vaginal delivery have a positive birth giving experience. Women undergoing this method think they should be present in the process. 
2. The recovery time for women opting for vaginal delivery is shorter. The mother and the baby can make skin contact right after the delivery, which enhances the bonding process.
3. Babies who are born through vaginal delivery develop much fewer medical complications. There are fewer respiratory problems, allergies and the baby can start breastfeeding soon.

The Cons of vaginal delivery are as follows:
1. Vaginal delivery is a stressful process for the women undergoing it and the time required cannot be predicted. Some deliveries take less time, while others may take hours.
2. Usually, there are no cons for the babies who are born via vaginal delivery. In very rare cases, brain injury can be experienced.

Cesarean Section
The pros of this type of delivery method are as follows:
1. Many women choose Caesarean sections to avoid long labor hours. Planned C-section surgeries enable the mother to plan the birth. Better control is acquired over the delivery, which can be predicted properly.
2. In case your baby is large, or if you are carrying twins, C-section is the best delivery option. 
3. If the mother has diseases such as HIV or the mother's blood has a high viral load, C-section surgeries should be opted as the risk of the infection being passed on to the baby is decreased.

The cons of Cesarean section surgery are as follows:
1. C-section is a major surgery and a long time is required for recovery. There may be risks of infection, but they can be prevented by caring for the surgical wound properly. C-section delays the breastfeeding process and the mother cannot have immediate contact with her baby, which can affect the bonding.

2. Some babies, delivered through C-section may have respiratory problems. C-sections may also cause complications, such as problems with anaesthesia.

While both processes have their pros and cons, it is best to discuss with your doctor to understand which process will suit you more. Depending on your pregnancy and whether there are any complications involved, your doctor will suggest the best way possible.

Vaginal Birth Vs C-section - Pros and Cons

When the delivery of a baby has to happen through a surgical process rather than normal child birth, the procedure is known as a Caesarean Section or a C-section. There are many reasons why one many need to go through this surgical procedure including complications during pregnancy and childbirth. One can also plan for a C-section beforehand by talking it through with a doctor who will recommend the same in case there are any complications and risks at play during the pregnancy. Read on to know more about the procedure.

Reasons: There are many reasons why a doctor may want to go in for a C-section. If the labour is not progressing properly, then a C-section may be required in order to extract the baby. This procedure may also be used in case the baby is not getting proper amount of oxygen which can put it in distress and lead to changes in the heartbeat. Also, if the baby is in an abnormal position like a breech position, then a C-section may be required. This procedure is also used when a woman is carrying twins or triplets. Other health concerns like high blood pressure and genital herpes or even HIV can lead to this procedure. Any mechanical obstruction like fibroids in the birth canal can also cause the doctor to resort to a C-section, while a patient who has delivered via C-section earlier may also be asked to do the same again.

Risks and complications: One has to remember that a C-section takes longer to recover from than normal childbirth and delivery would. Also, it does pose a few risks and complications that may arise during and after the procedure.

Breathing issues: The babies who are born via C-section are more susceptible to a condition known transient tachypnea which is a breathing problem characterised by an abnormally fast rate of breathing in and out. Also, other respiratory distress syndromes may take over subsequently.
Surgical injuries: The doctor may accidentally nick the baby s skin during the surgical process which involves the use of sharp instruments for making the incision.
Inflammation risk: The uterus may undergo inflammation which may also lead to endometriosis as well as infections of the membrane which can cause fever and foul smelling vaginal discharge. The wound may also get infected.
Bleeding: While some amount of bleeding is normal, this procedure can also lead to excessive bleeding in which case immediate medical intervention may be required. Also, the patient may suffer from blood clots inside the veins of the pelvic organs. These clots may also travel to the lungs and cause further complications.

C-Section - Are There Risks Associated With it?

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

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?

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