Pregnancy and childbirth are journeys filled with anticipation and, understandably, some anxiety. While many women hope for a vaginal birth, sometimes unexpected circumstances arise, requiring a change in plans to ensure the safety of both mother and baby. In certain emergencies or in the case of pre-existing medical conditions, a C-section may be recommended.
It is important to remember that an emergency C-section is a safe option for delivering the baby. However, unplanned ones may cause a lot of worry. So, to dispel such fears, it’s best to be informed and prepared. Read to know about things you can expect during an unplanned C-section
What is an Unplanned C-Section?
Unplanned caesarean deliveries are performed when urgent health concerns, such as fetal distress, arise during labour, requiring the obstetrician to make rapid decisions to ensure the safety of both mother and baby. Because a C-section is a major surgery, a team of healthcare professionals will swiftly prepare to perform the operation, with the primary goal of safeguarding the lives of the baby and the mother.
Scheduled C-Section vs. Unplanned C-section
The key difference between scheduled and unplanned C-sections is in the timing.
Scheduled C-Section
This is a type of C-section surgery that is planned by your obstetrician well in advance, as it is the safest choice for the baby and the mother. This informed decision is taken based on the health condition of the mother. Pregnant women who have had a previous C-section are likely to have a planned C-section. The C-section date is usually scheduled close to your due date or months before delivery.
Unplanned or Emergency C-Section
At times, unforeseen issues may necessitate the need for emergency C-section surgery. This occurs when normal vaginal birth may result in increased risk to the health and safety of the baby and the mother. In such cases, a C-section is the best option for safe delivery. The decision to opt for such surgery may be made by the obstetrician within days or hours before giving birth.
Things You Can Expect During an Unplanned C-Section
Due to unforeseen medical circumstances, an unplanned caesarean delivery may be required either before or during labour, which means it might not have been part of your original birth plan. The following are the things you can expect during an unplanned C-section surgery:
Your doctor informs you about the decision for an unplanned C-section and the reason for the same.
Before an unplanned C-section, you will be administered local anaesthesia so you will not feel pain during the procedure. This anaesthesia is usually administered through an injection in the spinal cord. This is done when you have sufficient time for the surgery.
However, when you have limited time, you can opt for an epidural that quickens the surgery procedure. Your doctor may also opt for general anaesthesia, which helps to start the C-section procedure quickly.
Your doctor will select the most appropriate surgical incision based on your health and the health of your baby. You may receive a horizontal or vertical cut. A horizontal cut (also known as a bikini cut) is usually performed during planned C-sections, while a vertical cut is performed in case of an emergency, as it helps to get your baby soon. A vertical incision is also made in case of preterm birth.
The C-section vs vaginal birth recovery period is an aspect that also requires careful thought. Since a C-section involves surgical incisions, it requires more time to heal. Following the doctor’s post-surgery instructions is crucial, as they differ from those given after a vaginal delivery.
Why Do You Need an Unplanned C-Section?
The following are the reasons why your doctor goes for an unplanned C-section surgery:
Baby’s Position: When your baby's position turns out to be breech at the last minute, then an unplanned C-section is performed as a vaginal delivery is not possible with a head-up position.
Umbilical Cord Problems: There are chances for the umbilical cord to get compressed or tangled, which can be a threat to your baby’s life. In these situations, your doctor may recommend going for an unplanned C-section.
Placental Problems: Placental abruption is an emergency condition that can affect your baby that demands an immediate C-section.
Pre-existing Health Condition: If the mother suffers from high blood pressure, gestational diabetes, etc., then your doctor may go for a C-section due to an emergency.
Exhaustion: If the mother feels completely exhausted due to the labour, then a C-section may be recommended.
Long Labour Period: A long, prolonged labour can affect your baby, so your doctor may opt for a C-section.
An unplanned C-section surgery is just like any other surgery that requires rest and recovery time. You must stay in the hospital for 2-4 days so as to avoid any complications. The C-section healing process is slow, so you may need a recovery time of about 4-6 weeks. You may need bed rest for a few days. Do not put too much pressure on the incision area, as this may hinder the healing process. So, avoid climbing stairs and lifting heavy items.
Be alert and look for any signs of infection at the incision during the unplanned C-section recovery period. Your doctor may prescribe antibiotics that are safe to take while breastfeeding to avoid infection. Follow your doctor’s recommendations and be sure to adhere to follow-up schedules.
Overcoming the Emotional Trauma of Unplanned C-sections
An unplanned caesarean birth can be emotionally challenging, especially if you weren't prepared for it. It's natural to experience a mix of emotions, from relief that your baby is safe to frustration or sadness over the unexpected change in your birth plan.
So, allow yourself time to process your emotions, and don't hesitate to seek support from loved ones or healthcare professionals.
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