What are the indications that one needs a Cesarean?

Following are the commonest indications for a cesarian operation:

 
• Prolapsed cord (where the cord comes down before the baby)  
• Placenta abruptio (where the placenta separates before the birth)  
• Placenta previa (where the placenta partially or completely covers the cervix)  
• Fetal malpresentation (transverse lie, breech )  
• Cephalopelvic disproportion (CPD), meaning that the head is too large to fit through the pelvis  
• Maternal medical conditions  
• foetal distress,  
• Repeat cesarean

What type of pain relief is offered before and after a cesarean?

• A regional anesthetic (epidural or spinal)
• A general anaesthetic
• A pre- operative sedative is usually avoided because it can reach the baby and make it difficult for the baby to breath.
• Post operatively pain can be reduced by medication.

What is the procedure for a cesarean?

The basic steps followed are:

 
• A catheter inserted to collect urine  
• An intravenous line inserted  
• An antacid for your stomach acids  
• Monitoring leads (heart monitor, blood pressure)  
• Anesthesia  
• Anti-bacterial wash of the abdomen, and partial shaving of the pubic hair  
• Skin Incision (vertical or midline(most common))  
• Uterine Incision  
• Breaking the Bag of Waters  
• Disengage the baby from the pelvis  
• BIRTH!!!! (Accomplished by hand, forceps, or vacuum extractor)  
• Cord Clamping and cutting  
• Newborn Evaluation  
• Placenta removed and the uterus repaired  
• Skin Sutured (Usually the top layers will be stapled and removed within 2 weeks.)  
• You will be moved to the Recovery Room (If the baby is able s/he can go with you.)

Can I breast feed if I had a cesarean?
Certainly you can. It may take some more effort on your part, but do not hesitate to ask for help. Start breast feeding as soon as possible

If I had one cesarean (or more!), will I have to have another cesarean?
Recent studies have shown that there was an over 80% success rate for Vaginal Birth After Caesarian.