When should a pregnant lady consider a Caesarean Delivery

When should a pregnant lady consider a Caesarean Delivery or C-Section? Ask Gynaecologist in Gurgaon

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A Caesarean section (C-section) is a surgical procedure in which the baby is delivered through an incision in the mother’s abdomen and uterus (womb). C-sections are typically recommended when a vaginal delivery is deemed unsafe or not possible.

  • According to new research from the World Health Organisation (WHO), caesarean section use continues to rise globally, now accounting for more than 1 in 5 (21%) of all childbirths.
  • According to the WHO, the prevalence of caesarean sections worldwide has increased from about 7% in 1990 to 21% currently, and it is expected to rise further over the next ten years.

Resource : https://www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access

Dr. Astha Dayal is a specialist in the management of High risk pregnancies. Her experience and work in topmost government and private hospitals help her provide the best care to her patients. Here she suggests some important reasons why pregnant women should go for C-Section/ cesarean surgery.

Previous C-section:

If a woman has had a previous C-section surgery, she might opt for a repeat C-section for subsequent deliveries. However, vaginal birth after a C-section (VBAC) is also a possibility in some cases, and the decision depends on various factors.

Labor complications:

Some pregnant women face complications during labour, such as fetal distress, failure to progress, or problems with the baby’s position, and for this condition, Dr. Astha recommends a C-section to ensure the safety of both the mother and the baby.

Placenta previa:

Your doctor can recommend C-section surgery. If you are having a low lying placenta, vaginal delivery may be dangerous due to the risk of severe bleeding.

What is placenta previa?

This means that the placenta rests abnormally low in the uterus, partially or fully covering the cervix. The placenta is a crucial organ during pregnancy that provides oxygen and nutrients to the growing fetus.

Breech presentation:

If the baby is positioned feet or buttocks first (breech), in this condition, a C-section may be recommended by the doctor because delivering a breech baby vaginally can be very risky for the mother and the baby.

Multiple pregnancies:

In the case of twins, triplets, or higher-order multiples, a caesarean section may be recommended by your OBGYN surgeon if the babies are not in optimal positions for a safe vaginal delivery.

Maternal medical conditions:

Dr. Astha Dayal also mentioned that pregnant women with certain maternal health conditions, such as active herpes infection, HIV, heart disease, or certain types of cancer, may necessitate a C-section to reduce the risk of complications for both the mother and the baby.

Fetal health concerns:

If there are concerns about the health of the baby, such as abnormal fetal heart rate patterns or known birth defects, a C-section may be recommended by your concerned Doctor.

Lastly, Dr. Astha Dayal, Lead Consultant Obstetrics and Gynaecology at CK Birla Hospital, Gurgaon.

At our hospital, you need to understand that the decision to have a C-section is typically made on a case-by-case basis, taking into consideration the specific circumstances and medical history of the mother.

We always discuss the risks and benefits with the mother to make an informed decision based on the individual situation. It’s advisable for expectant mothers to discuss their birth plan and any concerns they may have with their healthcare provider well in advance of the delivery date.

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