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  • Writer's picturedrkarishma bhatia

When do Gynaecologists suggest Caesarean Delivery?

Childbirth is something most women experience and they always choose the best gynaecologist to take them through this process smoothly. The memories of pregnancy and childbirth stay with the woman through the rest of her life. I see some second time moms who have had bitter experiences or mistrust in their obstetrician, and are not aware why they went through a caesarean birth?

A smooth childbirth experience plays a crucial role in ensuring the health and well-being of both the mother and the baby. While most women aim for a natural, vaginal birth, there are situations where a caesarean section, or C-section, is the better and sometimes even the necessary option.

Here, I am trying to discuss a few of the indications of caesarean section , to equip the woman and the family to understand and even discuss their birth plan with their doctor.

1. Breech Presentation: When a baby is in a breech position (feet or buttocks down instead of head down), delivering vaginally can be risky as the head of the baby can get stuck in the birth canal. C-sections are often recommended to ensure the baby's safety and prevent complications.

2. Placenta Previa: If the placenta covers or partially covers the cervix, it can lead to severe bleeding during labour, which is a huge risk of life for the woman. A planned Caesarean section is the safer option to avoid this risk.

3. Umbilical Cord Prolapse: If the umbilical cord slips through the cervix before the baby, it can become compressed, cutting off oxygen to the baby. An urgent caesarean section is essential to avoid serious complications.

4. Fetal Distress: If there are signs that the baby is in distress( low heart beat) during labour, a C-section may be the quickest way to ensure the baby's safety.

5. CPD or Cephalopelvic disproportion: this simply means that the maternal pelvis is small too accommodate the baby s head. This warrants a caesarean delivery too.

6. Large Baby or Macrosomia: In cases where the baby is significantly larger than average, vaginal delivery can lead to birth trauma. A Caesarean section can help avoid complications like shoulder dystocia (head comes out but shoulders are still stuck), vaginal tears.

7. Maternal Health Concerns: Conditions like preeclampsia, HELLP, heart disease, or certain infections may make vaginal delivery dangerous for the mother. In such cases, a Caesarean section delivery may be safer for the mother.

8. Previous C-Section: Women who've had a previous C-section may need another C-section due to the risk of uterine rupture during a vaginal birth. 9. Labor Progression Issues: Prolonged labor or failure to progress may necessitate a C-section to prevent maternal and fetal distress. 10. Multiple Gestation: Women carrying twins, triplets, or more are more likely to require a C-section due to the increased complexity of delivering multiple babies.

It's important to note that the decision to opt for a C-section is made by the Gynaecologist after careful assessment of the mother's and baby's health. In many cases, a C-section is a life-saving procedure that ensures the safe delivery of a healthy baby and the well-being of the mother. While a natural birth is preferred, the priority is always the safety of both mother and child.

It is important to trust your doctor, and if there is a doubt at any point of time its always a good idea to ask, understand your options and make an informed choice.

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