If there are medical reasons to schedule your c-section, talk to your provider about waiting until at least 39 weeks of pregnancy. This gives your baby the time she needs to grow and develop before birth. Scheduling a c-section should be for medical reasons only.
You may need a c-section because of complications that make vaginal birth unsafe for you or your baby. For example:. Scheduling a c-section may cause problems for you and your baby because your due date may not be exactly right.
If you schedule a c-section and your due date is off by a week or 2, your baby may be born too early. Babies born early called premature babies may have more health problems at birth and later in life than babies born on time. If your provider talks to you about scheduling a c-section, ask if you can wait until at least 39 weeks to have your baby. In these cases, your provider may recommend an early birth because the benefits outweigh the risks.
Having a c-section before 39 weeks of pregnancy is recommended only if there are health problems that affect you and your baby. Get expert tips and resources from March of Dimes and CDC to increase your chance of having a healthy, fully-term pregnancy and baby.
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Mission stories Spotlights Impact Stories. If not, your obstetrician and the anesthesiologist will most likely choose an intrathecal spinal. Both involve an injection in your back, and both numb you from the rib cage down. Next, you'll drink some chalky stuff called Bicitra to neutralize your stomach acids, and you'll be given a catheter and IV. Then it's on to the operating room, where your partner suits up in scrubs and a mask. You're likely to hear a fair amount of activity: a scrub nurse, another nurse or two, the anesthesiologist, and perhaps a hospital pediatrician.
In a teaching hospital, an extra doctor may be observing. A nurse will shave just enough of your pubic hair to clear the way for the incision, which is usually about four to six inches long. But according to Anne Wigglesworth, M. Most doctors do a horizontal cut through your abdomen and uterus, although vertical cuts may be done on rare occasions.
Soon you may feel a fair amount of painless prodding, which means the baby is being moved into position. This part is not all that different from a vaginal birth , at least for the doctor. Because the mother can't push, she says, "I push the top of the uterus and elevate the head out of the pelvis, getting the shoulders and body to follow.
Before you know it, there will be a baby in the room. How long does a C-section take? From the time the incision is made, the baby can be delivered in as little as two minutes or as long as half an hour, depending on the circumstances. Usually you get to see your baby before he's whisked away for care. Now the spotlight moves off you as all those people across the room clean your baby, administer the APGAR test , and place him in the "warmer," which has radiant heat above it and keeps the baby's body temperature steady.
Once the baby has been given a clean bill of health, the obstetrician comes back to close you up—the most complex part of the C-section. Your provider will stitch up the uterus, realign the outer layers, and close the skin with either dissolving stitches which take longer to put in or staples which require removal a few days later.
Your legs will start coming back to life—sometimes gradually and sometimes in spurts. As the anesthesia wears off, you may feel itchy all over for a while; if it gets bad, you'll be offered an antihistamine.
After the birth, ask if your partner can hold the baby while you are being stitched up, if the baby can accompany you to the recovery room, and if you can breastfeed immediately. Unless the baby or mother needs immediate medical treatment, most hospitals will accommodate parents' expressed wishes for early bonding opportunities , says Dr.
On the day of the C-section, you'll likely have a pump to deliver a low dosage of a narcotic, such as morphine, as needed.
Some doctors will let you eat solids, while others will have you wait 24 hours or until you pass gas, a sign that your intestines are functioning normally. Cesarean delivery C-section is a surgical procedure used to deliver a baby through incisions in the abdomen and uterus. A C-section might be planned ahead of time if you develop pregnancy complications or you've had a previous C-section and aren't considering a vaginal birth after cesarean VBAC.
Often, however, the need for a first-time C-section doesn't become obvious until labor is underway. If you're pregnant, knowing what to expect during a C-section — both during the procedure and afterward — can help you prepare. Sometimes a C-section is safer for you or your baby than is a vaginal delivery.
Your health care provider might recommend a C-section if:. Some women request C-sections with their first babies — to avoid labor or the possible complications of vaginal birth or to take advantage of the convenience of a planned delivery.
However, this is discouraged if you plan on having several children. Women who have multiple C-sections are at increased risk of placental problems as well as heavy bleeding, which might require surgical removal of the uterus hysterectomy. If you're considering a planned C-section for your first delivery, work with your health care provider to make the best decision for you and your baby.
If your C-section is scheduled in advance, your health care provider might suggest talking with an anesthesiologist about any possible medical conditions that would increase your risk of anesthesia complications. Your health care provider might also recommend certain blood tests before your C-section.
These tests will provide information about your blood type and your level of hemoglobin, the main component of red blood cells. These details will be helpful to your health care team in the unlikely event that you need a blood transfusion during the C-section. Even if you're planning a vaginal birth, it's important to prepare for the unexpected. Discuss the possibility of a C-section with your health care provider well before your due date. Ask questions, share your concerns and review the circumstances that might make a C-section the best option.
In an emergency, your health care provider might not have time to explain the procedure or answer your questions in detail. After a C-section, you'll need time to rest and recover.
Consider recruiting help ahead of time for the weeks after the birth of your baby. If you don't plan to deliver any more children, you might talk to your health care provider about long-acting reversible birth control or permanent birth control. A C-section includes an abdominal incision and a uterine incision. The abdominal incision is made first. It's either a vertical incision between your navel and pubic hair left or, more commonly, a horizontal incision lower on your abdomen right.
After the abdominal incision, the doctor will make an incision in your uterus. Low transverse incisions are the most common top left. While the process can vary, depending on why the procedure is being done, most C-sections involve these steps:. After a C-section, you'll probably stay in the hospital for a few days. Your health care provider will discuss pain relief options with you.
Once the effects of your anesthesia begin to fade, you'll be encouraged to drink plenty of fluids and walk.
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