What is a cesarean section?
A cesarean section, is a procedure in which the baby is born through an incision in the lower abdomen. This is a major operation, as not only the abdominal wall is opened, but also the muscle layer, fat layer, and uterus. A cesarean is therefore only performed when there is a strong medical reason.
When is a cesarean section performed?
Sometimes, the decision is made during pregnancy. This is called a primary cesarean. This may be because it is clear that a vaginal birth is not possible—for example, if the baby is lying sideways or the placenta is covering the cervix. The reasons for a primary cesarean will always be discussed thoroughly with your gynecologist.
A secondary cesarean occurs when the decision is made during labor. This can happen if the baby shows signs of insufficient oxygen or if labor is not progressing despite medications. If the decision is made during the pushing stage, it is often because the baby’s head is not descending and a vacuum extraction is not possible or successful.
Risks
As with any surgery, a cesarean carries risks. For the mother, these can include bleeding, blood clots (thrombosis), or wound infections. In rare cases, the bladder can be injured during surgery, or the intestines may not function properly afterward.
For the baby, breathing problems can sometimes occur. A pediatrician will examine the baby immediately after birth. Breastfeeding may also take a little longer to establish after a cesarean.
Recovery after a cesarean
A cesarean is major surgery, and recovery usually takes at least six weeks—often longer than after a vaginal birth. During this period, it is recommended that the mother avoids heavy physical activities, such as lifting heavy grocery bags, performing strenuous household tasks, or carrying older children.
Future pregnancies and births
A cesarean leaves not only an external scar on the abdomen but also an internal scar on the uterine wall. This scar must heal properly before a future pregnancy. It is generally advised to wait at least 6 months to 1 year before becoming pregnant again.
Future pregnancies can be monitored by a primary care midwifery practice, but a few weeks before the expected birth, the hospital will take over care, as delivery must be supervised by a doctor or hospital midwife. Because of the vulnerable scar in the uterine wall, extra monitoring of the baby is required, which can only be done in a hospital setting.
Want to register with us? If you would like to register with us, please fill out our convenient registration form. Our assistant will contact you within a few days: Registration Form.