Motherhood is one of the biggest milestones in the life of any female. Those 40 weeks of labour pains, body mass gains and other complications are borne with love and courage for the sake of the baby to be born. But at the time of delivery there may be certain complications which might have a risk on the life of the mother or baby or on the lives of both. Therefore normal deliveries may not always take place although it has less risks and complications post-delivery. In this case a Caesarean delivery, also known as C-section delivery, is recommended. April has been officially named as the Caesarean Awareness Month and changing trends show that young mothers request for C-section deliveries with changing attitudes towards pain and other circumstances. Speaking to Health Capsule, Dr. Sanath Lanerolle, Consultant Obstetrician and Gynaecologist explained the instances in which a C-section is required, its risks and complications and how a mother should take care during
A C-section is the delivery of a baby through a surgical incision in the mother’s abdomen and uterus. This is often necessary when a vaginal delivery would expose the baby or mother to risk. A C-section delivery may be performed based upon the shape of the mother’s pelvis or history of a previous C-section. The World Health Organisation (WHO) recommends that Caesarean section should be performed only if medically necessary. Some C-sections are also performed at the request of the mother as well.
There are requests for C-section deliveries at present because it is less painful. But now we can perform a totally pain-free normal delivery provided that there is a trained anesthetist. That is another challenge that -we face because we don’t have many trained anesthetists to perform this task
When is it required?
According to Dr. Lanerolle there are two occasions during which a mother requires a C-section delivery. “One is during emergencies which may arise due to a requirement of the mother or the baby. In certain instances if the baby’s heart is going to stop or if the baby’s life is in danger we do C-section to salvage the baby. If the maternal life is in danger, for example if the baby gets stuck during a normal delivery, we have to do a C-section. In certain instances the mother comes with heavy bleeding and in order to save the mother’s life we have to go in for a C-section delivery. Certain causes are elective where we predetermine that either the mother or baby cannot withstand the stress of labour. It could also be that going in for a normal delivery could have a risk on the baby as well as the maternal life,”said Dr, Lanerolle.
Some other common complications associated with the maternal side are as follows ;
Several risks may be associated with the baby as well. These include ;
There are immediate, intermediate and long term risks. Immediate risks are high when you’re doing an emergency C-section delivery when compared to a planned and elective case.
A C-section delivery may be performed based upon the shape of the mother’s pelvis or history of a previous C-section
Long term risks
In his concluding remarks Dr. Lanerolle said that one should be pre-conditioned for a normal labour and the attitude towards pain needs to change. “Therefore one need not worry about the pain. If pregnancy is properly managed you need to prepare for labour from the beginning. The mother needs to be informed. Mothers should be empowered. They also need to do some physical and breathing exercises along with a few pelvic flow exercises which will help to deal with the pain. During delivery the mother will be able to push the baby out. Most of the time mothers cannot push strongly and therefore we wold have to use the forceps and vacuum. They should also know that there are painkillers. Epidural analgesia is available for them to have a pain-free labour,”he said.