A Caesarean section, C–section or the C, is an operation performed to deliver the baby through a cut in the tummy and the womb or uterus. The cut is most commonly a transverse cut made just below the bikini line. Infrequently it may be a vertical cut extending from below the belly button to the bikini line.
Although in modern day obstetrics, caesarean section is a very safe operation, it is still a major operation and carries some risks. It is performed only if it is the safest option for the mother and the baby. Due to the advancements in operative techniques and anaesthesia, recovery from surgery is very quick and women are surprised that they are up and about within 24-48 hours after the surgery.
Bearing the following points in mind can make the whole event as pleasant and painless as possible:
A caesarean may be necessary during the course of a normal pregnancy and labour in order to prevent morbidity and mortality in the mother and the baby. Women who are fixated on a normal delivery at all costs react poorly to a caesarean and take longer to recover in the post-operative period.
New mothers are also encouraged to move about as soon as possible and are given sessions with physiotherapists in the hospital. Complete bed rest is not an option and should not be encouraged as it can lead to dangerous clots called deep venous thrombosis in the legs.
Distension of the abdomen with gas causing increased pain can sometimes be a problem and may require an enema for the passage of stools and flatus.
(The author is director, obstetrics & gynaecology, Fortis Lafemme)
(Published 18 February 2019, 19:30 IST)
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