OBSTETRIC TECHNOLOGY
Cesarean Section or C-section
Cesarean section , or C-section , is the surgical removal of the baby through an incision in the abdominal wall and the uterus . While vaginal delivery remains the preferred mode of delivery , a C-section is necessary for about 25 % of women . A C-section is a major surgical procedure and comes with all of the risks associated with any surgery , including infection , bleeding , damage to the adjacent organs , and potential need for transfusion . This surgery should only be done if it is medically necessary .
The most common reasons for a C-section delivery include :
• Cephalopelvic disproportion ( CPD ) – occurs when the pelvic cavity is too small to allow passage of the baby through the birth canal . In this case , the labor process will stop despite adequately strong and frequent contractions . CPD is also known as labor dystocia .
• Prior C-section deliveries – once you have had a C-section , you may choose to have a repeat C-section . In most cases , this will be scheduled for the week prior to your estimated due date .
• Abnormal fetal position – breech or transverse positions
• Fetal heart rate abnormalities
• Active genital herpes infection at the time of labor
• Abnormalities of the placenta
Some women will require a STAT , which is an emergency C-section . This is usually done in situations involving severe abnormalities of the fetal heart rate , heavy vaginal bleeding , or prolapse of the umbilical cord . Your physician , nurse , and the labor & delivery staff are trained for this situation and will move quickly to get you ready for a C-section .
A C-section usually results in a two-to-four day hospital stay . You will be up and walking within eight hours of surgery . Under an Alabama law known as Rose ’ s Law , you are allowed to stay in the hospital up to 96 hours after a routine C-section . Many women will prefer discharge prior to 96 hours . If you and your physician feel that early discharge is safe and acceptable , you will be asked to sign a document stating that you are aware of Rose ’ s Law and still desire early discharge . Most women will require pain medicine and assistance for 1-2 weeks after a C-section . Most women feel completely recovered about 6-8 weeks after surgery .
36 My Prenatal Care Book