Caesarean section is now more in demand by most pregnant women to give birth. The process is fast and painless during labor, making them choose this method rather than giving birth normally.
Caesarean section may be recommended as a procedure planned or performed in an emergency, if giving birth normally is considered to have a very large risk. Usually, this operation is done after the 38th week of pregnancy.
When is a Caesarean Operation Really Necessary?
Some pregnant women choose to undergo a Caesarean section, even though she has the option to give birth normally. Some pregnant women choose Caesarean section for fear of feeling pain when giving birth normally, and want to give birth to the baby on certain dates (example: 11/12/13 or 10/10/10), or do not want to wait as long as waiting for the opening process birth canal which can take time.
Giving birth by Caesarean section means removing the baby through an incision from the mother’s abdomen, not from the vagina. Before surgery, the doctor will perform anesthesia (anesthesia) epidural, thus making the abdomen become numb when doing the process of incision in the area of the lower abdomen. So, you will be aware during the process of Caesarean section, but will experience numbness starting from the stomach area down. However, in certain circumstances general anesthesia will be performed.
With a curtain, you can’t see a doctor when you cut your stomach. Your doctor may give you a sedative to help you relax. Not until the count of hours, you will hear the sound of crying babies coming out of your womb. That is the process of giving birth through a Caesarean section.
Although a Caesarean section is a common procedure, it is a major operation, so that there are risks involved. This is what makes doctors not recommend it, unless necessary because there are medical indications.
It is better if you try to give birth normally, if there is no specific medical reason for having a Caesarean section. Not only is it safer, giving birth normally also has a better impact on women’s fertility in the future.
Then, when is the right time to give birth by Caesar? There are several conditions that require a child to be born through cesarean section. Take the Caesar route, if you or your baby’s condition is not medically possible, such as:
- The size of the baby is too large, while the pelvis is small.
- Infants suffer from disorders, such as spina bifida.
- The position of the fetal head is not under or breech.
- The mother has a heart disease or other medical condition such as severe preeclampsia which is at risk of worsening due to pressure during childbirth.
- Decreased blood supply to the placenta before birth. This can cause the baby to be born with a small body.
- Placenta previa.
- Open sores caused by active genital herpes infection.
- The mother is infected with the HIV virus.
- There is more than one fetus and complex pregnancy conditions, for example the fetus’s position is less than ideal or conjoined twins.
Risk of Caesarean section
So far, Caesarean section is considered relatively safe. But just like other major operations, this procedure is still risky and has the potential to cause complications compared to normal childbirth, both for the mother and baby. Here are some risks that can occur while undergoing a Caesarean section, including:
- Pain after surgery. Although many assume if a caesarean delivery does not cause pain, the fact is this is a major negative factor because the pain can last for at least a few weeks after surgery. You may experience pain in the incision and discomfort in your stomach.
- Infections, especially infections of surgical scars, urinary tract infections, and infections of the uterine wall.
- Blood clots in the legs or lungs.
- Losing a lot of blood.
- Effects after anesthesia include nausea, vomiting, and headaches.
- The emergence of incision wounds and scar tissue. This you can not avoid after undergoing surgery. An incision will cause injury to the stomach. Usually after a few years, the wound will be disguised. Caesarean scar can be seen if examined closely, but in general almost resembles the color of the surrounding skin.
- Injury to other organs. This can occur during surgery.
- Dead. But this is very rare. It is likely that only about 2 out of 100,000 mothers die from caesarean section.
- The long-term risk is that the cervix is obstructed by the growth of the placenta in the uterus, a condition commonly called placenta previa. In addition, it can also experience placental disorders such as placenta accreta which can cause severe bleeding after giving birth.
Not only the mother, the baby is also likely to experience several conditions such as injury during labor and respiratory problems if the baby is born before reaching the age of 39 weeks.
However, if there are no complications, usually a mother will undergo treatment for three days in the hospital. While the total recovery period usually takes four to six weeks.
Tips after undergoing a Caesarean section
The proverb “get sick first, have fun then” is precisely aimed at pregnant women who choose to give birth with a normal route. A woman who gives birth normally, will feel pain during childbirth alone. But after a few hours of labor, she was able to interact with her family and was able to return to routine within a few days.
However, that cannot be felt by those who choose a Caesarean section. During labor they will not feel pain. But the pain will be felt afterwards. They also can not move as usual during the recovery period of about four to six weeks to complete recovery.
The following are important things that you should know after undergoing a cesarean section.
- Avoid strenuous activities such as cycling, running, lifting weights, aerobics, crunches, and other sports for six weeks, to get approval from a doctor.
- After a Caesarean section, you will feel pain when walking. Even so, try to walk little by little. By walking, you can improve blood flow and help prevent constipation and blood clots.
- Enough sleep. When the body feels tired, rest.
- Do not lift items heavier than your baby until the doctor allows it.
- You will experience vaginal bleeding. Provide pads, and don’t use tampons without the doctor’s approval.
- Ask your doctor when you can start driving a car and have sex.
- After surgery, bowel movements become irregular. Avoid straining when constipated.
- When coughing or taking a deep breath, put a pillow on the cut in your stomach. That can reduce the pain in the incision.
- Incision on the abdomen should also be noted. Clean the wound every day with warm water and soap, but avoid cleaning products, such as hydrogen peroxide, because it can slow wound healing. Afterwards dry with a clean towel. Wrap the wound with gauze if it is wet or rubbing against clothes. Change gauze every day. Keep the area around the wound always dry.
Fear must be felt by mothers who will give birth. But all these things are returned to each individual. You have the right to choose whatever method of delivery you feel comfortable with.
The struggle against pain, both during normal childbirth or after a Caesarean section, seemed to be paid off by the presence of the beloved baby. Do not hesitate to consult with your obstetrician, which delivery process is most appropriate for you.