Consider recruiting help ahead of time for the weeks after the birth of your baby. If you don't plan to deliver any more children, you might talk to your health care provider about long-acting reversible birth control or permanent birth control. A C-section includes an abdominal incision and a uterine incision.
The abdominal incision is made first. It's either a vertical incision between your navel and pubic hair left or, more commonly, a horizontal incision lower on your abdomen right. After the abdominal incision, the doctor will make an incision in your uterus. Low transverse incisions are the most common top left. While the process can vary, depending on why the procedure is being done, most C-sections involve these steps:.
After a C-section, you'll probably stay in the hospital for a few days. Your health care provider will discuss pain relief options with you. Once the effects of your anesthesia begin to fade, you'll be encouraged to drink plenty of fluids and walk. This helps prevent constipation and deep vein thrombosis.
Your health care team will monitor your incision for signs of infection. If you had a bladder catheter, it will likely be removed as soon as possible. You will be able to start breast-feeding as soon as you feel up to it. Ask your nurse or a lactation consultant to teach you how to position yourself and support your baby so that you're comfortable. Your health care team will select medications for your post-surgical pain with breast-feeding in mind.
Before you leave the hospital, talk with your health care provider about any preventive care you might need. Making sure your vaccinations are current can help protect your health and your baby's health. You might also consider not driving until you are able to comfortably apply brakes and twist to check blind spots without the help of pain medication.
This might take one to two weeks. Check your C-section incision for signs of infection. Pay attention to any signs or symptoms you experience. Contact your health care provider if:. If you experience severe mood swings, loss of appetite, overwhelming fatigue and lack of joy in life shortly after childbirth, you might have postpartum depression.
Contact your health care provider if you think you might be depressed, especially if your signs and symptoms don't fade on their own, you have trouble caring for your baby or completing daily tasks, or you have thoughts of harming yourself or your baby. The American College of Obstetricians and Gynecologists recommends that postpartum care be an ongoing process rather than just a single visit after your delivery.
Have contact with your health care provider within the first three weeks after delivery. Within 12 weeks after delivery, see your health care provider for a comprehensive postpartum evaluation. During this appointment your health care provider will check your mood and emotional well-being, discuss contraception and birth spacing, review information about infant care and feeding, talk about your sleep habits and issues related to fatigue and do a physical exam. He or she will make a final incision in the uterus.
This incision is also either horizontal or vertical. Your provider will open the amniotic sac, and deliver the baby through the opening.
You may feel some pressure or a pulling sensation. He or she will use stitches to close the incision in the uterine muscle and reposition the uterus in the pelvic cavity.
Your provider will close the muscle and tissue layers with sutures. He or she will close the skin incision with sutures or surgical staples. In the recovery room, nurses will watch your blood pressure, breathing, pulse, bleeding, and the firmness of your uterus. Usually, you can be with your baby while you are in the recovery area. In some cases, babies born by Cesarean will first need to be monitored in the nursery for a short time. Breastfeeding can start in the recovery area, just as with a vaginal delivery.
After an hour or 2 in the recovery area, you will be moved to your room for the rest of your hospital stay. As the anesthesia wears off, you may get pain medicine as needed. This can be either from the nurse or through a device connected to your IV intravenous line called a PCA patient controlled analgesia pump.
In some cases, pain medicine may be given through the epidural catheter until it is removed. You may have gas pains as the intestinal tract starts working again after surgery. You will be encouraged to get out of bed. Moving around and walking helps ease gas pains. Your healthcare provider may also give you medicine for this. You may feel some uterine contractions called after-pains for a few days. The uterus continues to contract and get smaller over several weeks.
You may be given liquids to drink a few hours after surgery. You can gradually add more solid foods as you can handle them. You may be given antibiotics in your IV while in the hospital and a prescription to keep taking the antibiotics at home.
You will need to wear a sanitary pad for bleeding. It's normal to have cramps and vaginal bleeding for several days after birth. You may have discharge that changes from dark red or brown to a lighter color over several weeks. You may also have other limits on your activity, including no strenuous activity, driving, or heavy lifting.
Take a pain reliever as recommended by your healthcare provider. Aspirin or certain other pain medicines may increase bleeding. So, be sure to take only recommended medicines. Your doctor will make sure to record your blood type in case you need a blood transfusion during the surgery. Blood transfusions are rarely needed during a cesarean delivery, but your doctor will be prepared for any complications.
At prenatal appointments with your doctor, discuss your risk factors for a cesarean delivery and what you can do to lower them. Make sure all of your questions are answered, and that you understand what could happen if you need to have an emergency cesarean delivery before your due date. Because a cesarean delivery takes additional time to recover from than normal birth, arranging to have an extra set of hands around the house will be helpful.
Not only will you be recovering from surgery, but your new baby will need some attention as well. This allows doctors to administer fluids and any type of medications you may need. You will also have a catheter put in to keep your bladder empty during the surgery.
When you have been properly medicated and numbed, your doctor will make an incision just above the pubic hairline. This is typically horizontal across the pelvis. In emergency situations, the incision may be vertical. Once the incision into your abdomen has been made and the uterus is exposed, your doctor will make an incision into the uterus.
Your doctor will first tend to your baby by clearing their nose and mouth of fluids and clamping and cutting the umbilical cord. Your baby will then be given to hospital staff and they will make sure your baby is breathing normally and prepare your baby to be put into your arms. Your doctor will repair your uterus with dissolving stitches and close your abdominal incision with sutures.
After your cesarean delivery, you and your newborn will stay in the hospital for about three days. Immediately after surgery, you will remain on an IV.
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