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Monday, November 21, 2016

C-Section

C-Section

A c-section, or cesarean section, is the delivery of a baby through a surgical incision in the mother's abdomen and uterus. 

Why would I have a scheduled c-section?

Sometimes it's clear that a woman will need a c-section even before she goes into labor. For example, you may require a planned c-section if:
  • You've had a previous cesarean with a "classical" vertical uterine incision or more than one previous c-section. Both of these significantly increase the risk that your uterus will rupture during a vaginal delivery.
  • If you've had only one previous c-section with a horizontal uterine incision, you may be a good candidate for a vaginal birth after cesarean, or VBAC.
  • You've had some other kind of invasive uterine surgery, such as a myomectomy
  • You're carrying more than one baby.
  • Your baby is expected to be very large (macrosomia). This is particularly true if you're diabetic or you had a previous baby of the same size or smaller who suffered serious trauma during a vaginal birth.
  • Your baby is in a breech (bottom first) or transverse (sideways) position. (In some cases, such as a twin pregnancy in which the first baby is head down but the second baby is breech, the breech baby may be delivered vaginally.)
  • You have placenta previa (when the placenta is so low in the uterus that it covers the cervix).
  • You have an obstruction, such as a large fibroid, that would make a vaginal delivery difficult or impossible.
  • The baby has a known malformation or abnormality that would make a vaginal birth risky, such as some cases of open neural tube defects.
  • You're HIV-positive, and blood tests done near the end of pregnancy show that you have a high viral load
HOW TO DO C SECTION 

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