Although the figures show that more caesarean sections are performed than necessary, especially in private health, sometimes it is essential to practice it to save the baby's life.
A few days ago we talked about the possible complications that may occur in childbirth (divided into Part I and Part II). Most of the time, before the appearance of any of these problems, childbirth usually ends in caesarean section.
We know the vaginal delivery procedure, but we will explain in detail how a caesarean section is practiced.
It is a surgical procedure that lasts about an hour, although the birth of the baby from the first cut until they take it takes about 10 minutes. The rest of the time involves the previous preparation and the final suture.
There are two types of possible incisions: the most common horizontal incision, which is made just above the pubic bone at the height of the pubic hair birth or a much less frequent vertical incision, which extends from the navel to the area pubic
The vertical incision is only made in an emergency in which more direct access to the baby is needed, but try to avoid it because it has a higher risk of uterine rupture in subsequent pregnancies.
Therefore, after anesthetizing the mother with epidural analgesia, cleaning the cutting area with antiseptics, placing a catheter in the bladder to empty it and covering the mother's body with sterilized fabrics, the doctor proceeds to make a horizontal cut in the lower abdomen
Five different tissues are cut: skin, subcutaneous fat, muscular aponeurosis and parietal peritoneum. The abdominal muscles do not cut but move to the side. With regard to the cutting of the tissues, in some hospitals a less invasive technique is performed whereby the tissues are crossed at the point with less resistance, where there are fewer blood vessels reducing damage and bleeding.
Once the uterine cavity has been reached, the doctor makes an incision in the uterus and in the amniotic sac to allow the amniotic fluid to drain.
When the liquid has come out, the doctor reaches out by raising the baby's head while a helper helps him out by pressing the upper part of the mother's gut. Finally, the baby is removed from the uterine cavity.
As in a vaginal delivery, once the baby is out of the mother's body, the umbilical cord is clamped and cut.
Subsequently, the placenta is removed by checking that the uterus has been emptied after delivery and proceeds to suture. Resorbable stitches are placed in the uterus, while the outer cut is stitched with stitches or staples.
By explaining it, you can see that all the work is from the medical team because the mother does not expel the baby as in vaginal delivery, but rather they remove it. I have not had a C-section, but some women say it feels like they "hold hands" inside of you.
The worrying thing is that some mothers see some comfort (speed, absence of pain) in cesarean delivery, but it is a surgical intervention that is performed (or should be performed) only in case of emergency before any complication in vaginal delivery as detachment of placenta, no progression of childbirth, cord prolapse or fetal distress.
