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

Hypertension or high blood pressure is common in pregnant women, even in those who have no previous history of high blood pressure. This leads to complications in about 6 to 10% of all pregnancies around the world. High blood pressure may develop before or after conception and as such needs special medical attention.

Hypertension prevents sufficient flow of blood to the placenta and this inhibits the normal growth of the fetus. This could result in low birth weight of the child. However, if diagnosed in time and treated properly, hypertension does not affect the child's health too much. There are various types of hypertension during pregnancies, such as:

Gestational hypertension: This type of hypertension is developed about 20 weeks after conception. There is no abnormality in urine or any signs of other organ damage (as is common with hypertension during pregnancy) but the condition can worsen and complicate very quickly. Pregnant women below the age of 20 and above the age of 40 are often diagnosed with high levels of blood pressure. Women who have heart or kidney conditions before pregnancy and women carrying more than one child are also likely to develop gestational hypertension.
Chronic hypertension: Chronic hypertension is high blood pressure which develops around 20 weeks before conception and does not normalize within 12 weeks after childbirth. The patient may also have been suffering from high blood pressure for a long time but the complications appear only during pregnancy because high blood pressure rarely exhibits symptoms without an associated condition.
Chronic hypertension superimposed with Preeclampsia: Women who have hypertension before pregnancy may develop even higher blood pressure levels during pregnancy. This leads to several health disorders like frequent headaches, fatigue and depression.
Preeclampsia: Preeclampsia is often a serious complication of gestational pregnancy and affects about 5% to 7% of all pregnancies globally. Gestational pregnancy does not always develop into preeclampsia but it needs to be diagnosed and treated in time to avoid the complication. Women who have conceived for the first time or have a history of hypertension in the family are at a greater risk of preeclampsia. The symptoms of the condition are throbbing headaches, blurred vision, nausea and vomiting, pain in the upper abdominal region and shortness of breath.

Types Of Hypertensions Experienced During Pregnancy

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!

A woman's body needs a lot of nourishment. There are many vitamins and minerals that ensure a healthy body. However, as you reach puberty and age more, a few nutrients become vital for healthy functionality, reproduction as well as vitality. On this International Day Of Action For Women's Health, 28th May, learn more about the women's health so that you or women around you stay healthy.

Here are top 6 nutrients that are a must for women of all ages.

1) Vitamin B12 - Women suffer from extreme fatigue as soon as they reach late 20s or mid-30s and vitamin B12 has proven to be extremely efficient in not only curbing the feeling of fatigue, but also in promoting swiftness and alertness in the body.

2) Vitamin D3 - Lack of vitamin D3 is detrimental for breast and ovarian cancers which plague a large number of women. This vitamin  also builds immunity against certain autoimmune diseases and provides adequate strength to muscles, bones and teeth.

3) Iron - Adequate levels of iron in the body ensures that you never run out of energy and are always active. In addition, iron plays an important role in maintaining efficient functioning of the brain.

4) Vitamin B6 - Vitamin B6 mainly promotes the maintenance of a healthy and regular sleep pattern and protects against sleep-related disorders such as insomnia. It also helps in the correct regulation of your appetite while maintaining hormonal balance, thus protecting you from mood disorders.

5) Folate - Women who are expecting or have recently given birth certainly benefit a great deal from adequate consumption of folate. These women are highly vulnerable to a number of spinal and brain defects which are effectively prevented by the nutrient. It also helps to make the body highly resistant to colon and breast cancers.

6) Calcium - Calcium is like a wonder drug for all women as it solves a majority of problems which hinder their daily life. It plays an important role in maintaining a stable blood pressure and is extremely efficient in controlling certain noxious symptoms of PMS. It is important also to maintain their bone density as they age.

If you have any questions on women health, please click on 'Consult.

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6 Nutrients Women Need The Most

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!

A preterm labour is referred to a condition when the cervix opens up within 37 weeks of pregnancy. An ideal pregnancy lasts for a span of 40 weeks. If preterm labour is caused due to preterm contractions, the baby is born earlier. This results in serious health risks for the baby. At times it requires long intensive care for the baby to ensure no mental or physical damage happens in the long term.

What are the symptoms of pre-term labour?
While some women show evident signs of pre-term labour, some women present symptoms that are more subtle. Some unmistakable symptoms of pre-term labour include regular contractions, sense of tightness in the lower abdomen, vaginal discharge, diarrhoea, constant backache, bleeding from the vagina, watery discharge from the vagina, pain in the abdomen and abdominal cramps. One or more of these symptoms should be immediately reported to the doctor to negate the chances of any miscarriages or serious complications.

What are the risk factors?
While there are no proven risk factors of preterm labour, lots of factors have been tagged with a pre-term labour. Some of the notable ones include:

Little pre-natal care
Premature birth in previous pregnancies
Giving birth to more than one baby at a time. This is especially applicable while giving birth to a triplet.
A stressful event such as a personal loss or events related to extreme emotions
Bleeding from the vagina during pregnancy
Any infection of the genital tract
Any complications related to the placenta, uterus and cervix
Any birth defect related to the vagina
Chronic health conditions such as diabetes or high blood pressure
Putting on weight more than the recommended level
An excess of amniotic fluid
Consumption of illicit drugs or smoking at a heavy rate
The shorter length of the cervix than the normal one
What are the complications involved?
Pre-term labour cannot be stopped with any medical procedures. If pre-term labour is caused due to smoking or an infection, the same can be addressed. Any pre-term labour that eventually leads to giving birth can confront with complications such as low weight, problems related to the vision of the baby, behavioural problems and learning disabilities.

Diagnosis and tests:
A doctor will closely monitor the symptoms a woman is facing. In the case of regular contraction, a close look at the cervix helps a doctor to decide the condition of a patient. To be assured a doctor might recommend a full pelvic exam, ultrasound test, uterine monitoring, and maturity of amniocentesis. A test of the vaginal secretion further gives the doctor enough evidence about the possibility of a pre-term labour. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

Pre-Term Labour - Can There Be Complications?

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