what is the C-Section or Casarean delivery Why does it done? what are the risk and complications how does it done how to care of the mother after she back home?

2. Caesarean Section
Cesarean delivery (C-section) is a surgical
procedure used to deliver a baby through
incisions in the abdomen and uterus.
Sometimes a C-section is safer for the mother or
the baby than a vaginal delivery.
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3. Causes of C-Section
1. The labor isn't progressing (e.g. cervix isn't
opening enough)
2. The baby is in distress (e.g. heartbeat is not
normal)
3. The baby is in an abnormal position
4. There's a problem with the placenta or the
uterus (e.g. Placenta Previa)
5. Large infant size 3

4. Causes of C-Section
6. Prolapsed umbilical cord
7. The mother have a severe health concern
(e.g. Heart problems, Preeclampsia )
8. Physiological problems and obstructions (e.g.
broken pelvis, tumour in the birth canal)
9. A previous C-section
10. Premature labor
11. Infections (e.g. HIV, Sexual diseases) 4

5. Short term risks and complications of C-Section
• Infection (Endometritis, wound infection)
• Blood clots and Postpartum haemorrhage: A
C-section might cause heavy bleeding during
and after delivery
• Reactions to anaesthesia
• Reproductive system and bladder injury
• Wet lung of the baby causing breathing
problem 5

6. Long term risks and complications of C-Section
• Increased risks during future pregnancies (e.g.
Placental abruption and uterine rupture)
• Urinary incontinence
• Pelvic organ prolapse
• Permanent scar
• Increased risk factor of hysterectomy
6

7. Pelvic organs prolapse: it happens when the muscles
and tissues supporting the pelvic organs (the uterus, bladder,
or rectum) become weak or loose; so the organs comes out
of the vagina. 7

8. C section Scar 8

9. Procedure of C-Section
1. Anesthesia: Most C-sections are done under
regional anesthesia
2. Abdominal incision: The doctor will make an
incision through the abdominal wall. It's
usually done horizontally near the pubic
hairline. Or, the doctor might make a vertical
incision from just below the navel to just
above the pubic bone. 9

10. Abdominal incisions used during C-sections
HorizontalVertical

11. 3. Uterine incision: Then; the uterine incision
made; usually horizontally across the lower part
of the uterus (low transverse incision). Other
types of uterine incisions might be used
depending on the baby's position or
complications such as placenta previa.
4. Delivery: The baby will be delivered through the
incisions. The placenta will be removed from the
uterus, and the incisions will be closed with
sutures.
11

12. Uterine
incisions
used during
C-sections
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13. Serious complications after C-Section
1. The incision is red, swollen or leaking
discharge
2. High fever
3. Heavy bleeding
4. Severe and worsening pain
5. Breathing trouble
6. Severe postpartum depression
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14. 14

15. 15
Care after C section
1. Rest
2. Avoid heavy exercises and heavy work
3. Good nutrition and hydration
4. Using the prescribed medications (Painkillers,
Antibiotic and Anti-inflammation)
5. Cleaning and drying the wound
6. The mother needs check-up in 4-6 weeks