Things you need to know about Caesarean section (C-Section)!

If you are preparing to give birth, you may be a little curious, and perhaps even nervous, about having a C-Section. Some mothers schedule a C-Section surgery in advance. Others are expecting a vaginal birth but end up having an emergency C-Section due to a last-minute complication. However, it is important to know what a C-Section is and what happens during it. Although it is a major surgery, it is now performed very safely and successfully all over the world. So don't worry, let's talk about it clearly.

Simply put, what is a C-Section?

A C-Section, or caesarean section, is a surgical procedure in which a baby is delivered through a small incision in the mother's abdomen and uterus. In some countries, as many as one in three babies are born this way. This means it is very common.

There are two main types of incisions used when performing this surgery.

• Horizontal C-section : This is the most common type. This incision is made horizontally in your lower abdomen, just below your navel. Some people also call this a "bikini line" incision. This type of incision is less painful and heals faster.
• Vertical C-section: This is not very common anymore. This incision is made vertically from the navel down. Doctors choose this incision in emergencies , such as when the baby is in some discomfort or the mother is bleeding heavily. This method allows for quick access to the uterus and baby.

In addition to this external incision, the doctor will make a second incision in the uterus. This is also usually done horizontally. However, in special cases, such as when the baby is breech, the incision may also be made vertically.

What are the types of C-Section surgeries?

C-Section surgeries can be mainly divided into two parts.

If you have had an epidural in the past, you may be given more medication to numb your back quickly. Alternatively, you may be given general anesthesia, which puts you completely to sleep. However, the safety of you and your baby is the most important thing.

Why do I have to have a C-Section?

There are many reasons why a C-section may be performed. Sometimes it is decided in advance, other times it is decided during labor. Here are some of the main reasons:

• If you have already had a CS ECT ion.
• If the mother has infections such as HIV or herpes (these can be transmitted to the baby during normal delivery).
• If the mother has medical conditions such as diabetes or high blood pressure.
• If the placenta is located at the bottom of the uterus and is blocking the cervix.
• If there are multiple babies, like twins or triplets.
• If the baby is larger than normal for a normal delivery, or if the baby is in the wrong position (e.g. breech).
• If labor pains stop during labor.
• If the baby shows signs of discomfort, such as an irregular heartbeat.
• If the umbilical cord is wrapped around the baby's body or enters the birth canal before the baby arrives.

Let's learn about the recovery time after surgery.

It takes about 6-8 weeks to fully recover from a C-section. You need to take extra care of your body during this time.

How many days will you spend in the hospital?

You will need to stay in the hospital for 2-4 days after the surgery. It is normal to have some pain around the incision for the first few days. Your doctor will give you painkillers for this. After the catheter is removed, ask a nurse or family member to help you get out of bed and go to the bathroom the first few times. Walking as much as possible is very important to prevent blood clots .

After coming home

You may still feel some pain around your incision for a few days after you return home. You may experience some mild backache as your uterus contracts during breastfeeding. It is normal to have some vaginal bleeding for 4-6 weeks. Use only pads during this time, not tampons.

Common problems after C-Section

• Back pain: Many mothers experience this. It is not caused by anesthesia. It is caused by things like the increased weight during pregnancy, and the weakening of the abdominal and back muscles due to not being able to exercise properly after surgery. Ask your doctor and try to reduce this by taking short walks and doing simple exercises.
• Swelling in the legs: It is very common for the legs and ankles to swell due to the extra fluid that builds up in the body during pregnancy and the saline (IV) fluids given during surgery. Don't worry, this will go away on its own in a few days. Placing a pillow under your legs while sleeping can help reduce swelling quickly.
• Driving: You can usually drive after about two weeks. However, if you are taking strong painkillers, you may need to wait a little longer. Do not drive if you feel tired.

When to seek immediate medical advice

If you experience any of these symptoms while at home after surgery, call your doctor immediately or go to the nearest hospital's Emergency Department (ETU).

• Fever
• Feeling cold and shivering
• Pus-like fluid draining from the incision, severe redness, or swelling
• Severe pain or swelling in the legs
• Difficulty breathing
• Heavy bleeding (wetting more than one pad per hour)

A C-Section is a very important surgery that is performed to save the life of both the mother and the baby. Don't be afraid of it. If you have any questions about this, talk to your doctor openly. He or she will explain everything to you.

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