Contact Us  |  Search: 
Printer Friendly VersionEmail A FriendAdd ThisIncrease Text SizeDecrease Text Size

Cesarean section

 

Although cesarean (C-sections) are relatively safe surgical procedures, they should only be performed in appropriate medical circumstances. Some of the most common reasons for a cesarean are:

  • If the baby is in a feet first (breech) position
  • If the baby is in a shoulder first (transverse) position
  • If the baby’s head is too large to fit through the birth canal
  • If labor is prolonged and the mother’s cervix will not dilate to 10 centimeters
  • If the mother has placenta previa, where the placenta is blocking the birth canal
  • If there are signs of fetal distress which is when the fetus is in danger because of decreased oxygen flow to the fetus

Some common causes of fetal distress are:

  • Compression of the umbilical cord
  • Compression of major blood vessels in the mother’s abdomen because of her birthing position
  • Maternal illness due to hypertension, anemia, or heart disease

Like many surgical procedures, cesarean sections require anesthesia. Usually, the mother is given an epidural or a spinal block. Both of these will numb the lower body, but the mother will remain awake. If the baby has to be delivered quickly, as in an emergency, the mother may be given a general anesthetic, which will make her fall asleep.

During the surgery, an incision is made in the lower abdomen followed by an incision made in the uterus. There is no pain associated with either of these incisions because of the anesthesia. The doctor will open the uterus and the amniotic sac. Then the baby is carefully eased through the incision and out into the world. The procedure usually lasts about 20 minutes.

Afterward, the physician delivers the placenta and stitches up the incisions in the uterus and abdominal wall. Usually, the mother is allowed to leave the hospital within a few days, barring complications like wound infections.

One concern that many women have is whether they’ll be able to have a normal delivery after having a cesarean. The answer depends on what the reasons were for having the c-section in the first place. If it was because of a one-time problem, like umbilical cord compression or breech position, then the mother may be able to have a normal birth.

Therefore, as long as the mother has had one or two previous cesarean deliveries with a low-transverse uterine incision, and there are no other indications for a cesarean, she is a candidate for vaginal birth after cesarean, also called VBAC (say as "vee-back").

Cesarean sections are safe, and can even save the lives of both mother and baby during emergency deliveries. Expectant mothers should be prepared for the possibility of having one. Keep in mind, in childbirth, it’s not only the delivery method that matters, but the end result: a healthy mother and baby.



Review Date: 9/16/2008
Reviewed By: Dan Sacks MD, FACOG, Obstetrics & Gynecology in Private Practice, West Palm Beach, FL. Review provided by VeriMed Healthcare Network.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2009 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
MAIMONIDES
MEDICAL CENTER


Home Page
Why Choose Us
Donations
Website Terms of Use
PATIENT
INFORMATION


Visitor & Patient Info
We Speak Your Language
Patient Privacy
Contact Us
KEY
INFORMATION


Find a Physician
Medical Services
Maimonides In the News
Directions & Parking
FOR HEALTH
PROFESSIONALS


Medical Education
Career Opportunities
Nurses & Physicians
Staff Intranet Access

Maimonides Medical Center    |    4802 Tenth Avenue    |    Brooklyn, NY 11219    |    718.283.6000