Caesarean section specialist in PCMC

A Cesarean Section, commonly referred to as a C-Section, is a surgical procedure employed when a conventional vaginal delivery is not feasible. This procedure involves delivering the infant by making an incision in the uterus.

The decision to perform a Caesarean Section may be predetermined and scheduled if medical reasons warrant it. Alternatively, it may be an unplanned intervention during labor, initiated if certain complications arise. Scheduled Caesarean deliveries may be recommended if any of the following circumstances apply.

CPD, or cephalopelvic disproportion, refers to a situation where the baby’s head or body is either too large or too small to safely pass through the mother’s pelvis, or the mother’s pelvis is too small for a normal-sized baby delivery.

While a vaginal birth after a previous Cesarean is possible for some women, it may not be a feasible option for all and could become an emergency situation. Certain conditions necessitate a C-Section.

1. Aberrant Presentation in Multiple Pregnancies:

  • When there is an abnormal presentation, especially in pregnancies involving multiples, a C-Section is often required.

2. Placenta Previa:

  • If the placenta is positioned too low in the uterine wall, hindering the baby’s passage through the cervix, a C-Section is necessary.

3. Transverse Lie:

  • When the baby is positioned horizontally or sideways in the uterus (transverse lie), a Caesarean delivery is the standard approach.

4. Breech Presentation:

  • If the baby is positioned feet or bottom first (breech presentation), a scheduled C-Section is typically performed.

Unscheduled Caesarean deliveries may become necessary if certain conditions emerge during labor, such as:

1. Failure of Labor Progression:

  • If the cervix stops dilating or the baby fails to move down the birth canal.

2. Umbilical Cord Complications:

  • Cord coiling around the baby’s neck or body, cord wedging between the baby’s head and the mother’s pelvis, or umbilical cord prolapse.

3. Placental Issues:

  • Abruptio placenta, where the placenta separates from the uterine wall before the baby is born.

4. Fetal Distress:

  • If the baby experiences difficulties leading to an erratic heart rate during birth.

Dangers of Caesarean Section:
While a Caesarean section is a common procedure, it carries inherent risks, including:

1. Infection:

  • The risk of infection at the incision site or within the pelvic region

2. Postpartum Hemorrhage (PPH):

  • Excessive bleeding after the delivery.

3. Embolism:

  • Complications, such as blood clots breaking off and entering the bloodstream.

4. Injuries to Organs:

  • Possible injuries to the intestines or bladder during the surgical process.

5. Uterine Wall Weakening:

  • The uterine wall may weaken due to the incision.

6. Placental Abnormalities in Later Pregnancies:

  • Increased risks of placental issues in subsequent pregnancies.

7. Dangers of General Anesthesia:

  • Risks associated with the use of general anesthesia during the procedure..

8. Injury to the Fetus:

  • While rare, there is a potential risk of injury to the fetus during the C-section

It’s important to note that while these risks exist, Caesarean sections are often necessary and conducted safely by healthcare professionals after considering the specific circumstances and medical indications.