Dr. Geeta Aggarwal | Gynaecologyist, book and appnent

Caesarean Section

Caesarean Section

Caesarean Section

Cesarean section (C-section) is a surgical procedure used to deliver a baby through incisions in the abdomen and uterus. While vaginal delivery is the preferred method in most cases, there are situations where a C-section becomes necessary for the health and safety of the mother and baby.
- Understanding the indications for a C-section is crucial for expecting mothers and healthcare providers to make informed decisions.

Indications for Cesarean Section:

1. Fetal Distress:
   - Abnormal fetal heart rate patterns indicating compromised oxygen supply to the baby.
   - Meconium-stained amniotic fluid, suggesting fetal distress and potential aspiration.

2. Failure to Progress in Labor:
   - Prolonged labor where the cervix fails to dilate despite adequate contractions.
   - Arrested descent of the baby's head in the birth canal.

3. Placenta Previa:
   - Placenta partially or completely covering the cervix, obstructing vaginal delivery and posing risks of severe bleeding.

4. Previous Cesarean Delivery:
   - History of prior C-sections increases the likelihood of requiring another C-section due to the risk of uterine rupture during vaginal birth after cesarean (VBAC).

5. Breech Presentation:
   - Baby positioned feet or buttocks first instead of head-down, increasing the risk of birth complications during vaginal delivery.

6. Multiple Gestation:
   - Twins, triplets, or higher-order multiples may necessitate a C-section due to increased risk of complications such as entangled umbilical cords or abnormal fetal presentations.

7. Maternal Health Concerns:
   - Pre-existing conditions like high blood pressure, diabetes, or heart disease may increase the risk of complications during labor, warranting a C-section.
   - Active genital herpes infection to prevent transmission to the baby during vaginal birth.

8. Umbilical Cord Prolapse:
   - Umbilical cord slips through the cervix ahead of the baby, compromising blood flow and requiring immediate delivery via C-section.

9. Maternal Request:
   - Some women opt for a planned C-section for personal or cultural reasons, even in the absence of medical indications.

Conclusion:
- Cesarean section is a valuable tool in obstetric care, reserved for situations where vaginal delivery poses risks to the health and safety of the mother and baby.
- Healthcare providers carefully evaluate each case to determine the most appropriate delivery method, weighing the benefits and risks to ensure optimal outcomes for both mother and child.

  • Category: Caesarean Section
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