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Caesarean Delivery

LSCS/Lower segment Caesarean delivery is the surgical delivery of baby with the aid of an incision in the lower segment of the uterus.A caesarean delivery is typically performed when complications from pregnancy make traditional vaginal birth difficult, or put the mother or child at risk. The decision to go for caesarean can be decided before the mother goes into labor (Elective Caesarean) or during labor(Emergency Caesarean) Common reasons to schedule a caesarean before labor may include a breech presentation, a previous caesareanwhere vaginal birth after caesarean is not advised, low lying placenta, multiple pregnancies, adverse maternal medical conditions etc. Emergency Caesarean is done for Foetal distress, meconium stained liquor, antepartum haemorrhage, obstructed labour etc.

Most caesareans are carried out under spinal anaesthesia; that means one will be awake but the lower portion of the body, below the waist will be numb. One may feel some pulling when the baby is being delivered. The whole procedure takes around 40-50 minutes. There will be a tube placed in the urinary bladder for passage of urine, which will be removed after a day. The average stay in the hospital after caesarean delivery is around 3-4 days.

A caesarean is generally a very safe procedure, but like any type of surgery it carries a certain amount of risk.

It's important to be aware of the possible complications, particularly if you're considering having a caesarean for non-medical reasons.

Possible complications include:

  • infection of the wound or womb lining
  • blood clots
  • excessive bleeding
  • damage to nearby areas, such as the bladder or the tubes that connect the kidneys and bladder

After discharge one should watch for

  • Fever
  • Red/swollen incision or leaking discharge
  • Heavy bleeding
  • Worsening pain

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