Reasons why you should plan for cesarean section
A cesarean section is the delivery of the baby via surgical incision in the uterus and abdomen of the mother. For some circumstances, this procedure is being planned in advance. For others, it is done in response to some unforeseen complication. In accordance with Centers for Disease Control and Prevention, there are about 33% of women who have given birth in the year 2009 who had the Cesarean delivery. There has been an increased of 2% over the past years and the utmost rate to be reported in cesarean section history.
At some point, it is clear that pregnant women would need to go to cesarean section procedure right before going to labor. For instance, you may need some planned cesarean section if:
- You have had some past cesarean with classical vertical incision or more rather than the previous cesarean section. Both of these boost the hazard that your uterus would rupture during the vaginal delivery.
- You have had another type of persistent uterine surgery, just like myomectomy.
- You may have been carrying twins or more that you cannot deliver them through the vagina. However, most of the time, the higher-older multiplies need a cesarean section.
- Your baby is likely to be very large and it is certainly true if you are diabetic or had a preceding baby of similar size or smaller one who had gotten through somber trauma during the vaginal birth.
- The baby is in breech, which is bottom first or a transverse, which is in the sideways position. The low transverse cesarean section is somewhat a risky procedure.
- You have placenta previa, which happens when the placenta is low in the uterus that it already covers the cervix.
- You have the obstruction just like large fibroid, making the normal delivery hard or impossible one.
- The baby has a known malformation or abnormality that could make vaginal birth a risky one, like some defect cases of the open neural tube.
- You are positive with HIV and the blood tests have already done near the end of your pregnancy show that you have higher viral load.
Reasons why you should not go for cesarean section
When the elective cesarean section has been done, the benefits and the risks of the procedure should be weighed carefully. It actually includes looking at the additional risks of doing a cesarean section or if it is about birthing the child naturally. Keep in mind that cesarean section is a major surgery and there are always risks being involved. The estimated risks for woman who are doing right after C-section is less than one in every 2,500. The individual medical conditions like heart problems could make the risks of vaginal birth higher than birth.
- Infection – the uterus or the pelvic organs like the kidneys or the bladder could become infected.
- Increased loss of blood – blood loss on the average would be about twice as much with the cesarean birth, as the vaginal birth. The only thing is that, blood transfusions are rarely needed during cesarean section.
- Decreased bowel function – the bowel slows down for some time right after the surgery. This will then result in distention, discomfort and bloating.
- Respiratory complications – the general anesthesia could somewhat lead up to pneumonia.
- Lengthy stay in the hospital for your cesarean section recovery- you need to stay about 3 to 5 days of stay, while it is less than three days of the vaginal birth.
- Anesthesia reactions – the health of the mother could be endangered by the unexpected responses to anesthesia or any other medications during surgery.
- The risk of additional surgeries – there might be some bladder repair, risks of adhesions, hysterectomy, risk for the future babies and future fertility. There could also be risks of placenta previa in the future pregnancies. Another risk could be about future births that would become surgical.
- Scar – there would be left cesarean section scar left right after the surgery.
- Maternal death – at some point, some women who undergone cesarean section hadn’t survived.
Possible risks of cesarean section to the baby
- Premature Birth – when the due date hasn’t been calculated accurately, the baby could be delivered earlier.
- Breathing Problems – the babies who were born cesarean are likely to develop breathing problems like transient tachypnea.
- Lower Apgar score – babies who were born by cesarean section could sometimes have lower Apgar scores. Having a lower score could be the effect of anesthesia as well as cesarean birth. Moreover, the baby could have been distressed or the baby hasn’t been stimulated as what he or she could be by the vaginal birth.
- Fetal injury – though it is rare, the surgeon could nick the baby accidentally while making uterine incision.
- Asthma – there could be increased risk of asthma for the babies who were born via cesarean section.
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