At what time do cesarean section? Routine and emergency cesarean

Caesarean section is a surgical intervention in which the fetus and the pelvis are removed from the uterus through a small incision of the abdominal wall and the uterus itself. At what time do caesarean section, the doctor decides, but most often this operation is appointed not earlier than the 37th week of pregnancy. There are many indications for this operation, they can be related to the health of the mother herself or the state of the fetus, as well as to the wrong arrangement of the fetus or some problems that have already arisen during the birth.

At what time do cesarean section?

Scheduled cesarean is prescribed by a doctor during pregnancy, while a woman is still observed in a women's consultation. Indications for a planned operation can be the inability of births in a natural way or a threat that threatens the life of the fetus or the mother. At what time do cesarean section planned, depends on the examinations performed not only by a gynecologist, but also by specialists of other specialties - endocrinologist, therapist, oculist and, if necessary, a surgeon, orthopedist and neurologist. These doctors give their recommendations and make a conclusion about a possible mode of delivery, but the final decision on how exactly the child will be born will be done directly in the maternity hospital. Finally, the date of the operation will also be installed in the maternity hospital. In each individual maternity hospital there are specific features of the operation (methods of anesthesia, postoperative period and terms of discharge), therefore it is recommended to choose a maternity ward in advance and consult with the doctor who will lead you, find out from him all the questions that concern you.

How is the cesarean section planned?

The operation is called planned, because it is planned in advance, and the doctor, in whom the woman is observed in the antenatal clinic, sends her to the maternity hospital at least one week before the expected date of delivery. If all the examinations are normal and there are no complications, then the operation date is chosen as close as possible to the date of delivery. Before you enter the hospital, you need to undergo an ultrasound examination of the fetus, cardiotocography and dopplerometry of the vascular system between the mother, placenta and fetus. In the maternity home, a woman must sign her consent to the operation and the method of anesthesia. At what time do cesarean section planned, and also the method of anesthesia is chosen not only by the doctor, usually here they are still considered with the wishes of the woman herself. Only after agreeing with it all necessary papers are signed.

How are cesareans treated?

The most safe method of anesthesia for both the child and the mother is spinal (epidural) anesthesia. So, the day of the operation is appointed, at what time the cesarean section is planned, determined, and this exciting moment comes. On this day, you can not eat or drink anything, two hours before the operation begins A woman is made with a cleansing enema and immediately before the operation put a urinary catheter. It will be deleted after the operation after 6 hours. This must be done to avoid adverse effects from the kidneys. Above the bosom, after treatment with special antiseptics, a longitudinal incision of the abdominal wall is made, the muscles are expanded and the incision is made of the uterus itself, then the fetal bladder is opened. The baby is removed from the uterine cavity and transferred for further treatment to the midwife. Uterus is sewed with special threads. These seams need not be removed, they dissipate after a few months. The abdominal wall is also sutured and a sterile bandage is applied. The procedure itself lasts an average of 30 minutes. The day of discharge depends on how the recovery period proceeds. Usually it occurs no later than on the 7th day. After the surgery, weakness or pain in the seam area may persist for a while, but this will soon pass. The subsequent pregnancy is better to plan not earlier, than in two years.