Cesarean Delivery

At North Carolina Ob/GYN & Midwifery at Holly Springs, we understand that every childbirth is unique, and sometimes, a cesarean delivery (C-section) is the best option for the safety of both mother and baby. A C-section is a surgical procedure used to deliver a baby through incisions made in the abdomen and uterus. Our dedicated team is committed to providing comprehensive care and support throughout the process, ensuring a safe and welcoming experience for your special arrival.

Conditions for a Cesarean Delivery

Cesarean deliveries are often recommended when complications arise that make traditional vaginal birth difficult or risky. Some common reasons for a C-section include labor not progressing, the baby being in an abnormal position, signs of distress in the baby, certain health issues in the mother, and multiple birth pregnancies.

Cesarean Section Pre-Operative Preparation

Preoperative preparation for a C-section typically includes administering intravenous fluids and medications, which may include antibiotics to prevent infection. Anesthesia is a crucial part of the preparation; most C-sections are performed under regional anesthesia such as an epidural or spinal block, which numbs the lower part of the body. However, in certain cases, general anesthesia may be necessary, especially if the C-section must be performed quickly or if there are contraindications to regional anesthesia.

Steps in Cesarean Section Delivery

The following is a general overview of the steps involved in a C-section delivery:

• Incision– The surgeon makes a small incision just above the pubic hairline, typically either a horizontal incision along the bikini line, known as a low-transverse incision, or less commonly, a vertical incision from the navel to the pubic hairline. The horizontal incision is preferred because it results in n-less blood loss and has a better healing profile.
• Accessing the Uterus– The surgeon carefully cuts through the underlying tissue to reach the uterus. Another incision is made on the uterus itself. This uterine incision is also usually horizontal but can be vertical depending on the baby’s position and other factors.
• Delivery– The baby is gently lifted out through the incisions. The umbilical cord is then cut, and the newborn is handed over to post-natal pediatric team members for immediate assessment and care.
• Closing the Incisions– After the baby is delivered, the placenta is removed, and the surgeon begins the process of closing the incisions with sutures. The uterus is sutured first, followed by the layers of tissue and skin. Sometimes, staples or glue may be used for skin closure.

What to Expect Immediately After a C-Section Delivery

Immediately following delivery, the mother’s vital signs are closely monitored, and pain management begins to help alleviate discomfort from the surgery. Mobility is usually encouraged within the first 12 to 24 hours, to help prevent blood clots and promote healing. Walking lightly can aid recovery, despite the common soreness at the incision site, abdominal pain, and discomfort from gas buildup. Mothers typically spend 2 to 4 days in the hospital, during which the incision is monitored for signs of infection.

What to Expect During Home Recovery Following a C-Section Delivery

Full recovery following a cesarean delivery can take four to six weeks, during which mothers should avoid heavy lifting and strenuous activities. Follow-up care includes postpartum visits to check on the incision’s healing and the mother’s overall health, and to discuss breastfeeding, birth control, and lifestyle adjustments with a new baby. The emotional and hormonal changes following a C-section can also impact recovery. Feelings of disappointment if the C-section was unplanned, or relief if it was necessary for safety, are common. Hormonal shifts may cause mood swings and feelings of depression, making support from family, friends, and healthcare providers crucial.

Contact Us for More Information

Whether you are an existing patient or considering joining our family at North Carolina Ob/GYN & Midwifery at Holly Springs, we are here to answer any questions and address concerns you may have about cesarean delivery or any aspect of your prenatal care and postnatal care.