Whether scheduled or unexpected, cesarean section is a controlled surgical procedure, decided to avoid you and your baby a "difficult" childbirth. Why is it practiced? How's it going ? 10 answers to your questions.
1. What is a caesarean section?
- Whether programmed (called "prophylactic") or unforeseen and carried out urgently during work, Caesarean section is to give birth to the baby by "high way" by making an incision on the lower belly at the level of the uterus.
- Today, it concerns about 20% of deliveries in France and nearly half of them are scheduled.
- Exceptionally, there are also cases of caesarean convenience, where it is scheduled at the request of the future mother. Cesarean section is not, as any surgical procedure, a harmless gesture, it will be up to the doctor to ensure that this decision is well matured and shared.
2. When is it practiced?
- Caesarean section can be planned during pregnancy or decided in the middle of childbirth. In case of scheduled cesarean delivery, the date of delivery is usually twelve to fifteen days before term: the uterus is still at rest and it is easier to intervene before the contractions begin.
- It can also be decided during labor after an attempted vaginal delivery.
3. What are the causes of cesarean section?
- A pathology of the mother or fetus may require a caesarean section : if the baby is stunted, for example. The bad insertion of the placenta that covers the cervix (this is called a placenta previa) can cause haemorrhage during childbirth and sometimes requires a caesarean section.
- In the event of an outbreak of genital herpes at the time of delivery, the risk of transmission of the virus to the baby leads in some cases intervention.
- 30 to 35% of cesareans still have a disproportion between the mother's pelvis and the volume of the baby whose "measurements" will be taken at the end of pregnancy.
- The obstetrician also sometimes decides to intervene if, like 5% of babies, a toddler stubbornly refuses to appear first in the pelvis.
4. What motivates an emergency Caesarean section?
- Even well followed, a pregnancy can book surprises until the last moment! If the baby's heart rhythm has a severe abnormality, then it is necessary to finish the delivery quickly, so to have a caesarean section. Similarly, if the cervix does not expand and the work progresses poorly (dystocia), the baby may have difficulty going down.
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