Most pregnant women make their birth plans well ahead of time to make sure everything goes smoothly during delivery. But sometimes, things do not go as planned. You may not even see a C-section coming. Your doctors may decide things for you if complications arise, or you may yourself change your mind about having a vaginal birth. Whatever may be the reason, while C-section is key to make sure that you and your baby are safe, there is always a risk of complications. Apart from the pain from abdominal surgery, you may also experience bleeding and infections. So it is better to be fully prepared. Here’s when you may need a C-section.
1. Multiple C-sections: If you have had multiple C-section deliveries in the past, you should have a repeat C-section due to the increased risk of uterine rupture. However, in many instances, it can be safe to give birth vaginally after having one C-section.
2. Baby in breech position: During pregnancy, babies move around in the uterus and should be in the head-down position by the end of 36 weeks. However, there can be an instance where the baby does not reach the position and is considered breech. While the cause of a breech baby is not always known, attempting to give birth in this position can lead to many complications.
3. Stalled labour: Your labour can stall if your contractions are not strong enough or if they slow down, your cervix may not dilate as quickly as anticipated. Your doctor might give you medications to increase the number and duration of contractions. Also, sometimes, your baby can stop descending even though you continue to have contractions. All these factors along with heightened stress due to fear of labour can cause your labour to stall and arise the need for an emergency C-section.
4. Foetal diseases: If there are issues with the baby’s heart rate or if the oxygen supply has been disrupted by a prolapsed umbilical cord, C-section can be the safest bet. Umbilical cord prolapse occurs when the cord slips down through the cervix ahead of baby and gets compressed.
5. Placenta previa: Placenta previa occurs when the placenta lies in the bottom of the uterus instead of the top or the side, blocking the baby’s way through the cervix. Attempting for a vaginal delivery with placenta previa can cause heaving bleeding posing risk for both mother and the baby.
6. Placental abruption: You will need a C-section if you experience placental abruption. Placental abruption takes place when the placenta starts to separate from the uterine wall before the baby is delivered causing bleeding and pain in the uterus. The condition can interfere with the baby’s oxygen supply and a C-section may be necessary.
7. Multiple births: You will be needing a C-section if you are having twins or more! Twins can be delivered through birth canal depending on their gestational age and estimated weight.