The midwives will regularly check your blood pressure, your wound and how much vaginal bleeding you have. After the first 12 hours, a midwife will help you get up so that you can shower. Getting up and moving around as soon as possible after the surgery will help reduce your risk of blood clots. And you might be asked to keep wearing compression stockings or be fitted with another compression device over your lower legs to reduce your risk.
Some birthing mothers are also given daily injections of blood thinning medicine. Breastmilk is the best possible food to help your baby grow healthy and strong. After a caesarean, starting to breastfeed can take a while. The midwives can help you find the most comfortable ways to hold your baby while breastfeeding. The sooner you start with breastfeeding, the easier it is for you and your baby. The hospital should help you breastfeed as soon as possible after birth.
This is usually in the recovery room but sometimes you can do this in the operating theatre. For example, you can ask friends to help with housework or with driving your other children while you recover. Skip to content Skip to navigation. About elective caesarean birth A caesarean section is an operation to give birth to your baby. But a C-section is a major surgery and, like any surgery, does come with risks.
These include:. Another potential risk of having a scheduled C-section that is not medically necessary is giving birth to a late pre-term baby born between 34 and 36 weeks. Because the due date also called the expected delivery date, or EDD may be wrong. Your due date is 40 weeks from the first day of your last menstrual period LMP. The cut is usually made across your tummy, just below your bikini line. Around 1 in 4 pregnant women in the UK has a caesarean birth.
Why caesareans are carried out A caesarean may be recommended as a planned elective procedure or done in an emergency if it's thought a vaginal birth is too risky. Planned caesareans are usually done from the 39th week of pregnancy. A caesarean may be carried out because: your baby is in the breech position feet first and your doctor or midwife has been unable to turn them by applying gentle pressure to your tummy, or you'd prefer they did not try this you have a low-lying placenta placenta praevia you have pregnancy-related high blood pressure pre-eclampsia you have certain infections, such as a first genital herpes infection occurring late in pregnancy or untreated HIV your baby is not getting enough oxygen and nutrients — sometimes this may mean the baby needs to be delivered immediately your labour is not progressing or there's excessive vaginal bleeding If there's time to plan the procedure, your midwife or doctor will discuss the benefits and risks of a caesarean compared with a vaginal birth.
Asking for a caesarean Some women choose to have a caesarean for non-medical reasons. What happens during a caesarean Most caesareans are carried out under spinal or epidural anaesthetic.
During the procedure: a screen is placed across your body so you cannot see what's being done — the doctors and nurses will let you know what's happening a cut about 10 to 20cm long will usually be made across your lower tummy and womb so your baby can be delivered you may feel some tugging and pulling during the procedure you and your birth partner will be able to see and hold your baby as soon as they have been delivered if they're well — a baby born by emergency caesarean because of foetal distress may be taken straight to a paediatrician for resuscitation The whole operation normally takes about 40 to 50 minutes.
Find out more about how a caesarean is carried out Recovering from a caesarean Recovering from a caesarean usually takes longer than recovering from a vaginal delivery.
Find out more about recovering from a caesarean Risks of a caesarean A caesarean is generally a very safe procedure, but like any type of surgery it carries a certain amount of risk. This study showed that elective CS delivery between 38 to 39 gestational weeks is associated with a higher rate of TTN and NICU admission in comparison with elective CS performed after 39 completed gestational weeks.
Other major complications and more serious disorders such as respiratory distress syndrome RDS and sepsis were not significantly different between the two groups. Matsuo et al. In a study of , South Asian and Black women, Balchin et al. Moreover, Trata et al. A retrospective study of singleton pregnant women in Taiwan and Southeast Asia with scheduled cesarean delivery at 38 gestational weeks compared to 39 weeks revealed no statistically significant difference in severe neonatal complications including TTNB, RDS and NICU admission [ 1 ].
In contrast, the rate of NICU admission was higher in our study at 38 gestational weeksthan 39 gestational weeks. Furthermore, most studies on Caucasian and mainly white women have emphasized the improved neonatal outcome in scheduled cesarean deliveries at 39 gestational weeks [ 9 , 10 ]. It has been suggested that difference in the prevalence of respiratory dysfunction at different gestational ages in white and Asian infants can be due to genetic differences when the fetus matures in the uterine [ 7 , 11 ].
Black and Asian infants have mostly shown meconium-stained amniotic fluid, indicating prematurity [ 11 ]. On the other hand, a multicentre clinical trial in Denmark showed that NICU admission was higher in scheduled cesarean delivery at 38 gestational weeks than those born at 39 gestational weeks,even though the difference was not significant [ 5 ]. It can be concluded that race alone cannot determine neonatal complications at different pregnancy ages.
The difference of these studies conducted in the Caucasian and Asian communities in terms of the gestational age at the time of scheduled cesarean delivery can be due to differences in the sample size, failure to control confounding variables, or race. NICU admissions may lead to a large financial burden.
Christopher J. Robinson et al. However, the likelihood of emergency cesarean delivery and its maternal complications should also be taken into account. As suggested by some studies, the mean gestational age in Asian and black populations is less than the whites, which can be due to fetal prematurity [ 11 ]. Emergency cesarean can be followed by complications for mothers and infants [ 13 ]. Thus, in our study, we cannot draw a definite conclusion that delivery should be performed after 39 gestational weeks.
Further studies are required to compare the rate and complications of emergency and scheduled cesarean delivery in Iranian population at 38 and 39 gestational weeks. One of the concerns that causes scheduled cesarean delivery at 38 gestational weeks is prevention of unexpected fetal death. In this study, we did not have any cases of stillbirth. The risk of unexplained stillbirth at 38 gestational weeks was reported to be about 0. To measure the prevalence of 0.
Therefore, a small size of the sample may be the reason. In this study, the most common causes of cesarean delivery in the two groups were a previous history of CS and maternal request. However, the frequency of repeated cesarean delivery was higher at 38—39 gestational weeks than its frequency after 39 gestational weeks. Two-thirds of births were done at 38—39 gestational weeks for this reason. A multicentric cohort in the United States showed that one-third of cesarean deliveries are performed before 39 gestational weeks.
The reason for this concern is maternal complications in pregnancy associated with previous CS [ 17 ]. In this study, other reasons, including maternal request, breech presentation, and CPD, were more prevalent at 39 gestational weeks. In our study, almost half of elective caesarean sections were performed before 39 gestational weeks. Wilmink et al. Zanardo V. The strong points of this study were excluding the cases of emergency cesarean delivery and a large sample size.
The limitations of this study were evaluating neonatal complications only up to 28 days after birth not beyond 28 days. According to our study findings, scheduled CS delivery between 38 and 39 gestational weeks is associated with a higher rate of NICU admission in comparison with scheduled CS performed after 39 gestational weeks. Therefore, based on the results of this study, it cannot be concluded that scheduled caesarean section should be performed after 39 gestational weeks.
We suggest that the above issue be examined in the future studies to determine the time of scheduled CS more accurately.
Timing of elective cesarean delivery at term and its impact on maternal and neonatal outcomes among Thai and other Southeast Asian pregnant women. J Obstet Gynaecol Res. Article PubMed Google Scholar. Glavind J, Uldbjerg N.
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