Care and Recovery for Cesarean Delivery
Cesarean section is the delivery of a baby through an incision in the abdominal and uterine walls. General anesthesia may be used or the mother may remain awake with either spinal or epidural anesthesia. This procedure is more convenient and considerably more profitable both to doctor and hospital. As cesarean birth can involve a stay three times as long as compare to normal birth. A normal birth normally takes no more than three days in the hospital.
A woman who is told during pregnancy that a prenatal diagnosis indicates the need for cesarean delivery. However, it would be wise to seek a second opinion. And women who have had one such delivery should not assume or be led to believe that a second one is inevitable. In the considered opinion of the most informed members of the profession, this point of view is completely outdated.
There are two types of skin incisions used for cesarean deliveries. Vertical incision from the navel to the pubic hairline or horizontal (“bikini”) incision near the top of the pubic hairline. A vertical incision may be necessary if the cesarean delivery is an emergency. Many physicians have been trained to use predominantly one type of skin incision or the other. The various layers of the abdominal wall are carefully opened until the uterus is exposed. Most cases a horizontal incision is then made in the lower part of the uterus and the baby is delivered. The uterus is then carefully repaired and the abdominal wall is closed.
Cesarean section may be necessary if the baby is in a position that makes vaginal delivery difficult or potentially dangerous. For example, if babies are in the breech position (either buttocks or feet first) at the end of pregnancy. The baby’s head is the largest part of the baby that must pass through the mother’s pelvic bones. When a baby is born head first, the head has a chance to elongate. The elongation of head helps to decrease in diameter and pass through the pelvic bones easily.
When the baby is breech, the head does not have a chance to accommodate itself to the mother’s pelvic bones. And some babies born breech suffer permanent damage. For this reason many doctors now advise a cesarean section in all cases of breech babies. Exceptions if individuals are suffering from diabetes or hepatitis B or who are taking certain medications need to be evaluated.
Many hospitals have made “rooming-in” available to mothers. Perhaps you have just had a baby girl. Rooming-in allows you to be with her, care for her, feed her, bathe her, and change her under the supervision of the hospital’s nursing staff. Some hospitals offer a modified rooming-in where you can take your baby during the day but have her cared for in the nursery at night. Others allow you to rest for the first day or two before you take the baby both day and night. The baby is usually taken out of the room when you have visitors.
If you are at all apprehensive about caring for your new baby, rooming-in provides excellent practice with trained people to answer your questions and to give you assistance. Rooming-in allows more contact between mother and child during these important early days. However, you should consider your feelings and physical condition after the delivery. When you leave the hospital, you will be returning to your care of the household with the additional attention and energy the baby requires. If you’re very tired and want to take advantage of your days in the hospital to recover your strength, rooming-in is not essential.
Well-meaning friends and relatives want to visit mother and baby as soon as possible, and if it weren’t for hospital rules, the lying-in room would be mobbed from morning to night. A new mother should make sure there’s a phone at her bedside not only so that she can keep in touch with the world but also to have a tactful way of discouraging unwanted visits and postponing them until after homecoming.
If you’re pregnant with your second child, it’s a good idea to find out in advance of delivery what policy the hospital imposes on visits by mother’s pelvic bones are large enough to accommodate the baby’s children who want to see the new family member. Many hospitals now allow young children to enter the maternity floor, but most don’t permit them to get any closer than the glass partition outside the nursery.
After the first day or two of excitement, many women experience some form of postpartum depression. Some call it the “baby blues”. Many things contribute to it. The let down after nine months of anticipating the birth, hormonal changes accompanying the start of the flow of milk. Fatigue from labor, anxiety about the realities of having a baby who needs taking care of. This depression is usually very short-lived-a few bouts of tears and you are on your way home.
However, this depression may recur periodically in the first few months after birth. As your body continues to make major adjustments in returning to the non pregnant state, as you deal with your new role and activities. If it is the first child, you will simply go through the physical stress of not having an uninterrupted night’s sleep. Again, the depression usually passes quickly.
Symptoms is when you’re increasingly upset by the constant crying and your nerves are ragged because of lack of sleep. It is extremely important not to deny your feelings of anger and frustration .Try not to suppress your feelings of irritation with the baby because the feelings produce so much guilt. Better to deal with the negative feelings, air them, and accept the need for help and support. In such circumstances, don’t let anyone make light of your anxieties. Speak to your doctor about your agitated state and ask for a recommendation of a therapist and a support group. In time to come, you will definitely overcome depression and your day-in/day-out stress of parenting will not be overwhelmed.