Chances of a C-section Second Baby When First Was Vaginal
- What Is It?
- C-section (cesarean section) delivery nascency definition and facts
- What is a C-section commitment?
- Reasons
- What are the reasons for a C-section?
- 4 Questions to ask your doctor before a C-section
- Pain Control
- What options practice y'all take to control pain during a C-section?
- Procedure
- What should you lot wait during a C-section delivery?
- How long does a C-section process accept? Volition you exist awake?
- Recovery Time
- What should I await after surgery?
- Risks/Complications
- What are the side furnishings and risks of a C-section delivery?
- Can y'all request a C-department delivery?
- VBAC
- What about a vaginal birth after C-department (VBAC)?
- Eye
- C-Section (Cesarean Birth): Procedure, Reasons, Recovery, and Complications Eye
- More
- Observe a local Obstetrician-Gynecologist in your town
C-section (cesarean section) delivery birth definition and facts
Women should discover out what C-sections are, why they are performed, and the pros and cons of this surgery.
- Cesarean commitment, too called C-section, is surgery to evangelize a baby. The baby is taken out through the mother's abdomen. Most cesarean births result in salubrious babies and mothers. But c-section is major surgery and carries risks. Healing also takes longer than with vaginal birth.
- Most healthy pregnant women with no risk factors for problems during labor or commitment have their babies vaginally. However, the cesarean birth rate in the United States has risen greatly in recent decades.
- Public heath experts recollect that many C-sections are unnecessary, so it is important for pregnant women to get the facts almost C-sections earlier they deliver. Women should find out what C-sections are, why they are performed, and the pros and cons of this surgery.
What is a C-section delivery?
A cesarean delivery, also chosen a C-department or cesarean birth, is the surgical delivery of a baby through a surgical cutting or incision in a woman's abdomen and uterus. After the baby is removed from the womb, the uterus and abdomen are closed with stitches that later dissolve.
According to the U.S. Centers for Disease Control and Prevention, in 2015, 32% of births were by cesarean delivery—the lowest rate since 2007. Between 1996 and 2008, the number of cesarean deliveries increased past 72%.
What Are the Symptoms and Signs of Labor?
Symptoms and signs that labor is near or has begun are:
- H2o breaking: Spontaneous rupture of the fetal membranes is referred to as one'southward "h2o breaking." Once this occurs, labor will more often than not ensue spontaneously. If information technology does non, it may exist necessary to induce labor to avoid infections. Usually, the ruptured membranes practice not occur until labor has already begun.
- Contractions: Finally, labor begins with the onset of contractions. At that point, the cervix begins to thin out and amplify. When contractions begin to occur less than ten minutes apart, this ofttimes signals the onset of labor.
- Braxton-Hicks contractions: Irregular contractions, known as Braxton-Hicks contractions or "false labor," occur toward the cease of pregnancy during the third trimester, and they do non necessarily signify that labor is imminent. Some women even feel these contractions during the second trimester. Braxton-Hicks contractions are usually milder than those of true labor are, and they do not occur at regular intervals.
What are the reasons for a C-section?
Cesarean delivery may exist necessary in the post-obit circumstances:
- Labor is not progressing. Contractions may not open up the cervix enough for the baby to move into the vagina for delivery.
- The infant'south health is in danger. The umbilical cord, which connects the fetus to the uterus, may go pinched, or the fetus may have an abnormal centre rate. In these cases, a cesarean delivery allows the infant to be delivered quickly to accost and resolve the babe'due south health problems.
- The baby is in the wrong position. Almost oftentimes when this occurs, the baby is breech, or in a breech presentation, meaning that the baby is coming out feet first instead of head start. The baby may also be in a transverse (sideways) or oblique (diagonal) position.
- The pregnant woman is delivering 2 or more fetuses (multiple pregnancy). A cesarean delivery may be needed if labor has started too early (preterm labor), if the fetuses are not in good positions inside the uterus for natural delivery, or if at that place are other bug.
- The baby is too large. Larger infants are at adventure for complications during delivery. These include shoulder dystocia (pronounced dis-TO-she-ah), when the baby'south caput is delivered through the vagina simply the shoulders are stuck.4 Women with gestational diabetes, particularly if their blood sugar levels are not well controlled, are at increased hazard for having large babies.
- The placenta has problems. Sometimes the placenta is not formed or working correctly, is in the wrong place in the uterus, or is implanted besides securely or firmly in the uterine wall. These bug tin can cause bug, such equally preventing needed oxygen and nutrients from reaching the fetus or causing vaginal bleeding.5
- The mother has an infection, such as HIV or herpes, that could be passed to the baby during vaginal birth. Cesarean delivery could help forestall transmission of the virus to the infant.
- The mother has a specific medical condition. A cesarean delivery enables the health intendance provider to better manage the mother's health issues.
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What questions should you ask your md before a C-section?
- Can I take a support person with me during the operation?
- What are my options for blocking hurting?
- Tin can I accept music played during the surgery?
- Will I exist able to sentry the surgery if I desire?
What are your options to control pain during a C-section?
Women who take a cesarean delivery may be given pain medication with an epidural block, a spinal cake, or general anesthesia.
- An epidural cake numbs the lower part of the body through an injection in the spine.
- A spinal block likewise numbs the lower office of the body, but through an injection directly into the spinal fluid.
- Women who receive general anesthesia, often used for emergency cesarean deliveries, will not be awake during the surgery.
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What should yous expect during a C-section?
The doctor will make an incision that is virtually vi inches long and goes through the skin, fatty, and muscle. Most incisions are fabricated side to side and low on the abdomen, chosen a bikini incision. Once within the abdominal crenel, the doctor will brand an incision to open up the uterus. The opening is made just wide enough for the baby to fit through. 1 doctor will utilize a hand to back up the baby while some other doctor pushes the uterus to help push that baby out. Fluid will be suctioned out of your baby's rima oris and nose. The physician volition concur upwards your baby for you to meet.
Once your baby is delivered, the umbilical string is cutting, and the placenta is removed. Then, the doctor cleans and stitches up the uterus and belly. The repair takes up virtually of the surgery fourth dimension. Questions to ask:
- Can my partner cut the umbilical cord?
- What happens to my baby right after delivery?
- Can I hold and touch my infant during the surgery repair?
- When is it okay for me to try to breastfeed?
- When can my partner take pictures or video?
QUESTION
Run into Answer
How long does a C-section procedure take?
- Cesarean delivery takes well-nigh 45 to hour. It takes place in an operating room. So if y'all were in a labor and delivery room, you will be moved to an operating room. Often, the mood of the operating room is unhurried and relaxed.
- A medico will give you medicine through an epidural or spinal block, which volition block the feeling of hurting in office of your body, but allows you to stay awake and alert.
- Spinal blocks work right away and completely numbs your body from the breast down.
- Epidural blocks accept abroad pain, only you might exist aware of some tugging or pushing.
- Medicine that makes you fall asleep and lose all awareness usually is merely used in emergency situations.
- Your abdomen will be cleaned and prepped.
- You volition have an IV for fluids and medicines.
- A nurse will insert a catheter to drain urine from your bladder. This is to protect the bladder from impairment during surgery. Your heart rate, blood force per unit area, and breathing too will be monitored.
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How long does information technology take to recover from a C-section?
- You lot will be moved to a recovery room and monitored for a few hours.
- Yous might feel shaky, nauseated, and very sleepy.
- Later, you lot volition be brought to a hospital room.
- When you and your infant are fix, you lot can hold, snuggle, and nurse your baby.
- Many people will be excited to meet you. But don't take as well many visitors.
- Use your fourth dimension in the hospital, unremarkably 2 to four days, to rest and bond with your baby.
- C-section is major surgery, and recovery takes nigh half-dozen weeks (not counting the fatigue of new maternity).
In the weeks ahead, you volition demand to focus on healing, getting as much residue every bit possible, and bonding with your baby — nothing else. Be careful about taking on besides much and accept aid as needed. Questions to ask:
- Can my babe be brought to me in the recovery room?
- What are the best positions for me to breastfeed?
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What are the risks and complications of a C-section?
Cesarean delivery is a blazon of surgery, so it has risks and possible complications for both female parent and infant.
Possible risks from a cesarean delivery include:
- Infection
- Blood loss
- Blood clots in the legs, pelvic organs, or lungs
- Injury to surrounding structures, such every bit the bowel or float
- Reaction to medication or anesthesia used
- It is important to annotation that these risks likewise apply, to some degree, to vaginal birth.
A woman who has a cesarean commitment may also have to stay in the hospital longer than a woman who has had a vaginal delivery.
The more cesarean deliveries a woman has, the greater her take chances of certain medical problems and problems with future pregnancies, such as uterine rupture and problems with the placenta.
Can you lot asking a C-section?
Some women may desire to have a cesarean birth even if vaginal commitment is an selection. Women should discuss their options in particular with their doctor before making a decision about a type of commitment. The decision should consider the impact of the delivery non just on the current pregnancy, only likewise on future pregnancies. The safest method of delivery for both the female parent and the fetus is an elementary vaginal delivery.
Regardless of the blazon of delivery, unless at that place is a medical necessity, commitment should non occur before 39 weeks of pregnancy (called "total term"). Sentry this video to learn why it is important for the mother'southward and infant's health to look until at least 39 weeks to evangelize unless there is a medical reason to practice so earlier.
Can you have a vaginal nascency later on a C-section (VBAC)?
Some women who have delivered previous babies past c-department would similar to have their next baby vaginally. This is called vaginal commitment afterwards c-section or VBAC. Women give many reasons for wanting a VBAC. Some want to avert the risks and long recovery of surgery. Others desire to feel vaginal delivery.
Today, VBAC is a reasonable and safe choice for most women with prior cesarean commitment, including some women who have had more than i cesarean delivery. Moreover, emerging prove suggests that multiple c-sections can cause serious harm. If you are interested in trying VBAC, enquire your doctor if you are a good candidate. A key gene in this determination is the type of incision made to your uterus with previous c-sections.
Your medico can explain the risks of both repeat cesarean commitment and VBAC. With VBAC, the about serious danger is the chance that the c-section scar on the uterus will open up during labor and delivery. This is called uterine rupture. Although very rare, uterine rupture is very dangerous for the mother and baby. Less than 1 pct of VBACs pb to uterine rupture. Only doctors cannot always predict if uterine rupture is likely to occur in a woman. This risk, albeit very pocket-size, is unacceptable to some women.
The percent of VBACs is dropping in the U.s. for many reasons. Some doctors, hospitals, and patients have concerns about the safe of VBAC. Some hospitals and doctors are unwilling to do VBACs because of fear of lawsuits and insurance or staffing expenses. Many doctors, however, question if this trend is in the best interest of women's health.
Choosing to attempt a VBAC is complex. If you are interested in a VBAC, talk to your doctor and read up on the subject. Only you lot and your doctor tin can decide what is best for you lot. VBACs and planned c-sections both have their benefits and risks. Learn the pros and cons and be aware of possible issues before you make your option. If your md or hospital does not back up VBAC, it may be necessary to discover providers who will adapt your wishes.
References
What is a cesarean commitment? NIH. Updated: Jan 31, 2017.
<https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/cesarean>
Source: https://www.medicinenet.com/c-section_cesarean_birth/article.htm
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