What week of pregnancy do caesarean. Planned caesarean section: to do or not. Indications and contraindications for repeated caesarean section

Cesarean or not caesarean ... This question torments every expectant mother, whom doctors have prescribed an artificial birth. Alas, there are times when a baby cannot be born naturally, and an operation is needed. Parents are worried, if only such a surgical intervention would not undermine the health of the mother and would not affect the future of the child somehow badly. After all, an operation can really scare a woman: a pregnant woman is opened the abdominal wall of the uterus, then the baby is removed, then ... The doctors themselves insist: first of all, a caesarean section is not done to alleviate the pain during childbirth for the mother, but to save the life of the baby.

"Royal incision" - this is how a caesarean section is translated from Latin. Among the people, this method of delivery was even called “royal birth”. Some say that the famous Roman emperor Julius Caesar was born with the help of a Caesarean section. Others say that Julius Caesar ordered the bellies of pregnant women to be cut open after their death in order to save the babies.

Today, all over the world, the number of births "through the stomach" is constantly growing. Caesarean section is especially popular among star mothers. Singers Shakira and Christina Aguilera, actresses Angelina Jolie and Liz Hurley, supermodel Claudia Schiffer gave birth by caesarean section ... The percentage of such operations has now grown to 27%, and in some countries - up to 60-80%. If earlier cesarean was done very rarely, now every 3-5th child is artificially born. Meanwhile, the World Health Organization recommends that caesarean sections should not exceed 15% of the total number of births.

When is a caesarean section necessary?

A caesarean section is performed only as directed by a doctor. It’s good if the expectant mother weighs all the pros and cons and turns to several specialists. As a rule, artificial delivery is offered to pregnant women for several reasons. Indications for a caesarean section may include:

• bearing a very large fetus (over 4 kg);
• narrow pelvis or deformation of the pelvic bones of a pregnant woman;
• diseases of the cardiovascular or nervous systems;
• serious vision problems;
• malformations of the vagina;
• uterine fibroids;
• genital herpes;
• tumors;
• severe gestosis;
• placenta previa;
• transverse position or fetal hypertrophy;
• ruptures of the perineum in previous births or the presence of scars on the uterus.

When doctors choose the day of the operation, close to the date of birth. A hygienic shower, a light dinner, healthy sleep - all this will be needed on the eve of the “X hour”. In the morning before the operation, in no case should you eat. Before the woman is given a cleansing enema, and immediately before the start of the operation, a catheter is inserted into the bladder and anesthesia is given.

In addition to the planned, in some cases, an emergency caesarean section can also be performed. Such an operation is used if during childbirth the mother has complications of labor activity, fetal hypoxia, premature rupture of amniotic fluid, the placenta "exfoliated", the umbilical cord loops fell out, there is no effect of labor induction. An emergency operation is done if the lives of the mother and child are in mortal danger.

Methods of anesthesia for caesarean section

There are general (endotracheal) and regional (epidural or spinal anesthesia) methods of pain relief for caesarean section.

Endotracheal anesthesia immerses the woman in labor in a drug-induced sleep, and anesthesia is carried out into the respiratory tract through a tube. General anesthesia works faster, but after waking up it often causes unpleasant consequences: nausea, shoulder pain, burning, drowsiness.

An epidural is an injection into the spinal canal. Only the lower part of the body is anesthetized. During the operation, the woman in labor is conscious, but does not feel pain. You won’t have to see the whole process - the health workers will hang a special screen at the level of the pregnant woman’s chest. After the anesthesia has taken effect, the doctor carefully cuts the abdominal wall, then the uterus. The baby is taken out after 2-5 minutes. As soon as the baby is born, the mother can see it and attach it to the breast. An epidural operation lasts about 40-45 minutes and is especially suitable for mothers who are worried that under anesthesia they will not feel all the magic of childbirth and will not be able to see their babies first.

Features of the postoperative period

After giving birth, the newly-made mother is taken to the postoperative ward, where doctors monitor her condition. A woman in labor will be able to get out of bed only after 6 hours, and walk - after three days. Then the woman is given an ultrasound scan, tests, and if everything is fine, she is discharged in a week.

The mother's body will recover in 6-8 weeks. During this period, you can not lift weights, wet the seams and stomach during the first week. Also, doctors do not recommend exercising, resuming sexual activity and taking a bath for 3-4 months after a cesarean section - only a shower is allowed. Obstetricians advise planning to get pregnant again no earlier than one and a half to two years later. And do not be sad: even if for the first time a woman gave birth by caesarean, the second baby still has a chance to see the light in a natural way.

Some time after cesarean, the woman in labor is worried about the stitches - for several weeks the wound aches, hurts, sometimes itches. The incision on the uterus is sutured with absorbable or removable sutures. The last ones are removed in a week. If you suddenly have complications - suppuration or diastasis (divergence) of the seams - immediately consult a doctor.

Mom's diet after caesarean

Diet after surgery should be given special attention. After all, it is proper postpartum nutrition that contributes to the rapid recovery of the body of the woman in labor, and through breastfeeding - the baby.

After giving birth, the mother must follow a strict diet. On the first day, doctors are allowed to drink non-carbonated mineral water. Yes, only on the second day. You can afford porridge, boiled meat, broth, baked apples, crackers, tea and kefir. But fresh bread is impossible - it is harmful to the intestines. A full-fledged "feast" will begin on the third day - then you can have a good breakfast, lunch and dinner. Naturally, you need to exclude those foods that doctors do not recommend for breastfeeding.

At home, try to eat more eggs, meat, liver - these foods contain zinc. You can and should include more vitamin C in your diet - eat currants and cauliflower. Eat more "iron" - yolks, spinach.

Consequences of a caesarean section

Statistics show that a third of women have complications after surgery. These can be infections, blood loss, unforeseen reactions of the body to anesthesia, weakening of the intestines. It is important to understand that a cesarean is a surgical intervention, and recovery after it can take a little longer than after a natural birth. Among them is endomyometritis (or inflammation of the uterus). Therefore, doctors prescribe antibiotics and special therapy to women in labor.

A caesarean section can also have negative consequences for the baby. There is evidence that “caeserites” are more likely to suffer from infectious diseases, they have a very high risk of developing asthma and other respiratory disorders. A child born by caesarean section did not go all the "way" on his own, so he may not form a reaction to stress. Instead, slowness, isolation, passivity, or vice versa, a hyperreactivity syndrome are often observed. In addition, the "Keseryat" have low hemoglobin and allergies.

But doctors say such consequences are very individual. Some "Caesarites" are not at all different from their "brothers" born naturally. On the contrary, sometimes they are ahead of them in development both physically and mentally.

Especially for Nadezhda Zaitseva

The most common operation in obstetrics today is a caesarean section. Over the past decades, doctors have improved their technique, but there are differences between a planned operation and an urgent one to this day.

Birth by caesarean section - the appearance of the method in obstetric practice

There is one version that the name of the operation appeared in practice because of Julius Caesar: he was born with the help of a dissection of the abdomen, for which the manipulation got its name. It is believed that this is the first child who was born during an obstetric surgical operation.

However, this surgical operation found its application in medicine only after two millennia, with the advent of anesthesia and the improvement of surgical techniques. Prior to this, obstetric forceps were used for a long time at the birth of children.

The cesarean section operation began to be used only in the second half of the last century, when antibiotics were invented, and began to develop actively in medicine. With the advent of new opportunities in medicine, serious complications after operative childbirth have decreased. With the help of blood transfusion, the problem arising from large blood loss was solved, and with the advent of antibiotics, bacteria that cause inflammation in the uterus and in the peritoneal cavity (obstetric peritonitis) were fought.

Currently, universal types of anesthesia are used - for example: it is practically safe, and is increasingly used for caesarean - both planned and emergency.

Indications for caesarean section in a planned or emergency order

A caesarean section is used when a woman cannot safely give birth to a child naturally.

The indications for such an operation are the anatomical structure of the pelvis of a woman- it is narrow, or a large baby is expected.

Sometimes in childbirth there is a threat to the health of the pregnant woman and the baby, and possibly their lives.

Usually, a planned caesarean section is prescribed, when adverse situations are foreseen in advance, and there are contraindications for natural childbirth. If the course of pregnancy is normal, then natural childbirth is expected.

But it happens that the situation already in the birth itself changes for the worse - then there is a need to urgently apply a caesarean section.

In law!

Before an operation is performed on a future mother, both planned and emergency, the Law provides for obtaining her written consent to surgery.

If a pregnant woman is unconscious, then the doctor can make a decision on her own.

Surgical tactics for performing a caesarean section

With an urgent operation, and with a planned approach, the approaches are the same: an incision is made on the uterus, through which the child is removed, and then the afterbirth.

But the tactics for surgical intervention are different.

Currently, doctors perform cutaneous and uterine transverse smile cut between the womb and the navel. Such a cut has an aesthetic effect, it will be hardly noticeable under the linen. Also, the lower segment of the uterus is dissected by a transverse incision, it affects the connective tissue without damaging the muscles of the uterus. Well healing, the seam in this place resolves almost completely.

also do longitudinal section above the womb perpendicular to the umbilicus. Such a seam is much easier to perform, therefore, with urgent intervention, the doctor must use this method. But today, many Russian surgeons are highly qualified, and therefore, in an emergency, they can make a transverse incision easily and quickly.

Due to the fact that the longitudinal incision dissects the muscles of the uterus, the suture heals for a long time, and the scar remains until the end of life. With repeated births, uterine rupture may occur, because of this, natural childbirth will subsequently be prohibited.

When using a transverse incision, the chance for a subsequent natural birth is preserved.

Approaches to caesarean section

The uterus is dissected using different incisions. Surgeons often open a thin film of the peritoneum, which covers the abdominal cavity from the inside, protecting against infection of the uterus. This caesarean section is called intraperitoneal.

This method has a minus, the risks of infection of the peritoneum increase, but with the advent of new generations of antibiotics, operations have become more successful.

There are rare cases when the anhydrous period lasts a long time, then they spend extraperitoneal cesarean. There is a small area, it is not covered by the peritoneum, and is located near the fallopian tube - through it they get to the uterus. In this case, the abdominal cavity is not cut, so infections are less introduced. But such an extraperitoneal operation is too technically complicated, so it is rarely done.

The growing popularity of caesarean section - is the use of operative birth always justified?

In recent decades, there have been three times as many caesarean sections: today, thirteen out of a hundred babies are born in this way.

In the future, this trend will continue, as many women give birth to their first children after 30 years. At this age, childbirth is often complicated, so it is necessary to do a caesarean section.

When there are not enough female hormones, weak labor activity is formed.

Women who have already had a caesarean section change the statistics upwards. The second child will see the light in the same way as the first, with the help of an operation - if a paid contract was not concluded for the birth.

Indications for a planned caesarean section - everything is going according to plan

Elective caesarean shown when the fetus lies across, with an anatomically narrow pelvis of 2-4 degrees in a woman, with the failure of a postoperative scar on the body of the uterus after a previous cesarean, with placenta previa, which was detected by ultrasound, with fetoplacental insufficiency, with severe myopia, which is accompanied by changes in the eye bottom, thinning of the retina.

If a boy is expected to be born, but he has one, then this is a reason for a caesarean section due to the fact that a scrotal injury can form during natural childbirth.

Another weighty argument is pregnancy with complications after a period of infertility or in cases of in vitro fertilization. A caesarean section is used to minimize the risk of having a baby.

If a woman suffers from diabetes mellitus, heart defects, kidney diseases, severe hypertension, then the obstetrician-gynecologist agrees with the therapist on the method of childbirth.

A planned operation is being performed at 38 weeks pregnant. By this time, the child is already fully formed, and ready to be born. If there are strong indications - for example, a severe Rhesus conflict, the development of severe hypoxia that cannot be treated, then the operation is performed earlier.

The expectant mother is hospitalized in the observational department for pregnant women in the maternity hospital. The date of the operation is determined after examinations, such as a blood test, ultrasound, cardiotocography.

A planned caesarean section has a major plus - you can fully prepare. The day before the operation, a pregnant woman is prescribed a light diet, which consists of a light breakfast, lunch, and only tea with sugar is allowed for dinner. After shower procedures, a cleansing enema is given to a woman, in the morning she is put again. Such measures are taken so that intestinal paresis does not develop, the possibility of which appears after surgery with stagnation of fecal masses. Microbes that are in the intestine are able to enter the abdominal cavity through the intestinal wall, leading to obstetric peritonitis. This route of infection of the peritoneum is very common, although there are others.

In order for the expectant mother to sleep well before the operation, she is prescribed a safe sleeping pill at night.

And when planning a caesarean section, a woman is psychologically adjusted. With this attitude, the expectant mother and baby will be less stressed, which will have a positive effect on the operation itself, on the period of rehabilitation after the operation.

Emergency caesarean section - at a fast pace

If there is a threat to the life of the expectant mother or her child, then an emergency caesarean section is used. This is also used during pregnancy, and during the period of natural childbirth that has begun.

When a placental abruption begins prematurely in a pregnant woman, this leads to sudden bleeding, so an emergency CS is resorted to.

In childbirth, it is carried out when complications suddenly develop, manifested by weak labor, bleeding, the threat of uterine rupture, and acute fetal hypoxia. But, if the baby's head should soon appear in childbirth, then it will be difficult to remove it through an incision made on the body of the uterus. In such cases, doctors use obstetric forceps, or use a vacuum extractor.

Emergency caesarean section is performed at different times of the day. Preparation for the operation is not carried out due to lack of time, therefore increased risk of infectious complications after surgery, for the prevention of which antibiotic therapy is carried out.

Sometimes during the examination, the gynecologist finds various abnormalities in the expectant mother or her child that threaten health. In this case, the doctor decides on operative delivery so that everything goes smoothly, without problems.

For most women with problems, a caesarean section is the best option. It all depends on how the woman's pregnancy proceeds, and doctors have to decide on the type of delivery. When a planned caesarean section is done, the operation takes place with fewer complications than in the case of an emergency operation.

Planned operation carried out after 38 weeks, and emergency - with the onset of labor, if something went wrong and there is a danger to the life of the woman in labor or the child. Cesarean is an operation that carries a number of risks, so it is done only according to indications:

Let's find out what week a cesarean section is done with a breech presentation. It all depends on the given situation. A pregnant woman with a fetus that sits in the womb is offered go to the hospital in advance at 37 weeks. If everything is in order, then the planned caesarean section takes place, as usual, at 38–39 weeks.

But at what time is a planned caesarean section done in the presence of several fetuses? Many twins are born prematurely - somewhere after the 37th week. A planned caesarean section for multiple pregnancies usually occurs at 38 weeks, and in the presence of three children - at 35-36 weeks.

Based on this information, the doctor decides when to perform the operation. Sometimes doctors in the maternity hospital advise the patient to wait until the day when the first light contractions begin. A woman is placed in the hospital ahead of time so that she is under observation at the onset of labor. Usually, a pregnant woman goes to the hospital a few weeks before the due date of the expected birth.

How is a planned caesarean? What week is a planned caesarean section? When is the second caesarean section done? These questions should be asked to your gynecologist, he will explain everything to you in detail so that you do not have any questions during the preparation and the operation itself.

They try to schedule a planned operation on time, close to natural birth. Independent onset of childbirth is not taken into account. Let's pay attention to what week they do a planned caesarean. The operation is usually done at 39–40 weeks of gestation, and at what time is the second caesarean? The second and third are done at week 38, sometimes earlier.

Caesarean section - preparation for surgery

How to prepare for surgery:

Most transactions are completed on time. spinal or epidural anesthesia. With this type of anesthesia, the woman is conscious, but she does not feel the lower part of the body. She does not feel pain or touch.

• The whole operation takes 40–50 minutes;
• The doctor will make an incision in the abdomen and uterus (about 10 cm long). The incision is usually made just below the bikini line;
• The child will be taken out through the incision and carefully checked;
• then the child is placed on the mother's chest;
• remove the umbilical cord and placenta;
• sew up and treat the wound;
• they will pierce antibiotics so that there is no infection and hemostatic drugs.

What happens after the operation

There are pros and cons of a caesarean

Pros:

• there is no risk of lack of oxygen to the child during childbirth;
• reducing the risk of birth trauma to the child during the passage of the birth canal;
• reducing stress in anticipation of childbirth;
• reduced risk of urinary incontinence

Minuses:

• the child is born prematurely if the gestational age is incorrectly calculated;
• sometimes when the uterus is cut, the baby is injured;
• the danger that the intestines and bladder of the mother will be damaged;
• increased maternal blood loss when a transfusion is needed;
• risk of complications from anesthesia (pneumonia, allergic reaction, low blood pressure);
• increased risk of infections, the appearance of blood clots in the mother;
• decreased bowel function after surgery;
• more time the woman is in the hospital;
• longer recovery period;
• possible complications when breastfeeding;
• possible increased likelihood of clinical postpartum depression;
• the appearance of adhesions on the uterus.

Second and third caesarean sections, what you need to know

Recovery after repeat cesarean takes longer and harder. The skin was cut twice in the same place, so it will take longer to heal than usual. The process of uterine contraction will increase, the woman will experience discomfort. There are complications with reoperation. They are different, it all depends on the health of the mother, the course of pregnancy and the development of the child.

Consequences for the newborn

• circulatory disorders in the brain;
• hypoxia.

If you have a second caesarean, don't worry! The main thing is to follow all the recommendations when preparing. All doctors know how many weeks they do a planned caesarean and they will definitely calculate everything so that there are no complications.

Recovery after cesarean

A woman needs more time to recover after surgery than after vaginal delivery. She will have to stay in the hospital for more days than a normal birth. She may experience some abdominal discomfort for the first few days and will be given pain medication. At home, you will not have to lift weights (after the operation you can’t) and follow the seam.

The number of births by caesarean section has increased significantly in recent years. In Brazil, the rate exceeds 56%, and the state is taking steps to reduce the number of surgeries without indications. WHO has set a clear percentage of operative births - this is 10-15% of all births in all countries. It has been proven that when 10% of all births in the state are through surgery, then the infant and maternal mortality rate drops as most women with health problems need it. In different countries, the percentage of transactions performed is different. In Brazil and the Dominican Republic, where about 56%, in Egypt, 51.8% of children are born by caesarean section, in Turkey (47.5%) and Italy (38.1%).

To date, planned caesarean section - very common operation conducted by different maternity hospitals. Doctors are aware of all the nuances of surgical delivery, know what to do if there are complications and answer the question “how many weeks is a cesarean?”. So do not worry in vain and do not be afraid. Trust the doctors, follow all their instructions - and then everything will be fine with you and your child.

In such cases, women in labor have many questions: how long is a planned caesarean section, what are the indications for surgery, how does the recovery period go, whether this will harm the health of the child.

A caesarean section is a surgical procedure in which the fetus is removed through an incision in the peritoneum and uterus. The decision to conduct a planned operation is made depending on the presence of indications that make natural childbirth impossible. Various complications endanger the life of the woman in labor and the baby, as a result of which a caesarean section is preferable to natural childbirth.

With surgery, the likelihood of uterine rupture is reduced. The chance of complications in the later stages of a second pregnancy can be reduced by a planned caesarean section. In the case of elective surgery, newborns do not often need mechanical ventilation. The operation also reduces the risk of uterine prolapse, helps to avoid excessive bleeding after childbirth, stitches and bruising in the perineum.

Indications for caesarean section

Absolute indications for surgery include features of the anatomical structure (narrow pelvis), the presence of mechanical obstacles for natural childbirth (uterine fibroids, tumors, bone deformities). In the case of an operation already undergone during the next pregnancy, women are most often recommended another caesarean section. Repeated cesarean is often recommended for various complications: placenta or fetus previa, with a vertical incision of the uterus, with uterine ruptures during previous births.

Among the relative indications are chronic diseases in the acute stage, weakness of labor, a combination of breech presentation with other pathologies, and possible complications during natural childbirth.

Risks associated with the operation:

• Spikes. Scars that can fasten the pelvic organs to the muscles of the abdominal wall, which causes discomfort and discomfort. Adhesions are a fairly common occurrence in women after cesarean.
• With a large amount of scar tissue, the operation takes a lot of time due to the complexity of making the next incision.
• placenta previa in the future. The next pregnancy will most likely need another caesarean section, as the risk of such a complication increases with each operation.
• Placenta accreta. This complication occurs when the placenta cannot naturally detach from the wall of the uterus and most often requires surgery to stop heavy bleeding. In some cases, the uterus has to be removed. The danger of such a complication arises with every caesarean. Most often, this complication occurs in women who have had more than three caesarean sections.

Operation progress

The patient is admitted to the maternity ward a few days before the planned operation. How long to carry out a caesarean section is determined by analyzing the condition of the mother and fetus. On the day of the operation, a cleansing enema is prescribed. The operation is performed under epidural or spinal anesthesia. In some cases, general anesthesia is used. The duration of the operation is less than an hour. In the postoperative period, the introduction of blood-substituting solutions is carried out, since during the operation there is a loss of up to 1000 ml of blood.

When is a planned caesarean section done?

A caesarean section is usually performed at 39 weeks or urgently during contractions. Infants with emergency surgery before 39 weeks may experience breathing problems. Most often, this option is possible with a second caesarean. The second caesarean section is carried out at the same time.

Postoperative period

The first day the woman in labor is under observation in the postpartum ward. For the first few days, painkillers and medicines are prescribed to reduce the uterus. Within a day after the operation, the patient is transferred to the postpartum department. The seam is treated with antiseptic solutions daily until removed. To normalize the condition of the intestine, a special diet is prescribed. As a rule, an extract is made a week after the operation, at the discretion of the attending physician.

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A planned caesarean section is such an operative birth, which is known in advance. If you have indications for this intervention, the decision can be made by doctors long before the term of full-term pregnancy approaches.

Knowing that a planned operation is ahead, all pregnant women are most worried about its timing. And this is not surprising, because often doctors do not say until the last when this will happen.

Previously, it was believed that it was necessary to operate on a pregnant woman without waiting for the onset of labor. 40 weeks was approaching, and you are put on the operating table.

Now the approach has changed, the term is chosen by the child himself. It is he who decides which week the planned cesarean will be optimal, because the most important thing is his health and the health of his mother. If the mother's body is ready for childbirth, the first contractions are the ideal time for the operation, because if it had not been done, the child would have come out anyway, because he is completely ready for birth. With this approach, the mother’s milk comes as after a natural birth, at the same time, and the crumbs do not have any difficulties with adapting to extrauterine life.

However, in some cases, an operation is performed, the timing of which is not dictated by the child. With the available caesarean section a little earlier than the first symptoms begin, more correctly, contractions cannot be expected. There are other similar reasons for the operation, when it is undesirable to wait for the term of natural childbirth.

The timing of how many weeks a planned caesarean is performed is also determined by the work of the maternity hospital. Most hospitals have operating days, days of predetermined operations, such as Tuesday and Thursday. In addition, the degree of workload of doctors and its anesthesiology service can affect the choice of date. If there are no places in the intensive care unit, it is better to keep you in the antenatal unit for an extra couple of days until a place becomes free, even if the pregnancy has already come to an end.

In general, do not guess when a planned cesarean is done, it is impossible to predict how long this event will take place for you, you can only be sure of one thing, this will be the best time for the birth of your baby. There is no specific date, for example, 40 weeks and not a day earlier or later, the approach is always individual.

So, according to the results of the examinations, your doctor in the antenatal clinic is inclined to believe that you will have an operative birth. we described in a separate article. If this is your second experience, of course, you already know everything, if not, in this article, everything you need to know about what will be waiting for you in the hospital.

Preparation involves advance hospitalization. When the deadline approaches, you will be given a referral for hospitalization.

There are some important things to be aware of:

- If you are waiting for a planned operation, you can not shave the pubic area and abdomen at home. Why? Because if inflammation appears in this area as a result of skin injury during shaving, the operation will be dangerous. Small pustules on the skin as a result of an unsuccessful shave will become a source of infection for the wound. Shaving should be postponed until the morning before the operation, just remember to take a good razor with you to the hospital.

When you are assigned the day of the operation, you should take care that you will drink on the first day after it in intensive care. You will not be able to eat at first, but you can and should drink. Prepare yourself clean water without gas and ... a lemon.

After the operation, you will need a postpartum bandage from the very first days. It relieves pain. Choose a wide model that covers the tummy as much as possible, you can just buy a postoperative bandage.

Be sure to prepare yourself a charged phone, a full battery and enough money in your account so that you don’t get too bored during the first days in intensive care. After delivery, you will definitely want to talk with loved ones.

Hygiene products, such as pads, disposable diapers, are also worth preparing for yourself.

The child may need diapers, you may need some medicines or dressings, a list of such things is usually given in the antenatal clinic when you are referred for hospitalization.

How is a planned caesarean?

On the eve of the operation, you and the anesthesiologist will have a detailed conversation, during which a decision will be made on the method of anesthesia for childbirth. Of course, I would very much like to see the moment the baby is born, to hear his first cry. often offered with a cosmetic suture in a paid operation package, if you are willing to pay for your comfort, how much it will cost depends on the clinic. Nevertheless, it is more correct to choose this particular path, the first minutes of meeting with the child are very important, as is the possibility of the presence of the husband at the birth.

On the evening before the operation, you will have to give up a full dinner, limiting yourself to something very light, and on the morning of the operation you will be left without breakfast and even without a sip of water. In the morning, not very pleasant procedures, enema and shaving are waiting for you.

Then there will be an operating room.

The duration of a caesarean section does not exceed 40 minutes, and very little time passes before the baby appears, they try to extract it as quickly and carefully as possible. You will not see what is being done to you, the operating field is protected from the view of a woman.

What sensations await you?

If it is general anesthesia, you will feel how they put a dropper on you, insert a catheter into your bladder, treat the skin of your abdomen, feel the mask on your face, and then complete darkness and emptiness will come, as if the lights were turned off ... You will come to your senses after the operation.

If spinal anesthesia is chosen for you, in the operating room you will be asked to lie on your side with your legs pressed against your stomach. There will be a painful stab in the back, after which you will feel how your entire body below the chest completely loses sensation, and you can no longer move your legs. During the operation itself, nausea and vomiting are possible (this is when you will be glad that you did not have breakfast), severe weakness and dizziness.

When your baby takes his first breath, you will hear his first cry... Perhaps you will almost not experience emotions due to severe weakness, but they will bring the baby to you and show you, and be sure to ask you to touch it with your hand... Then you will always remember this moment with gratitude , because it is this first contact, the first touch to the child that will connect you with the baby forever.

After the operation, the puerperal is transferred to the department of anesthesiology and resuscitation, where she will spend the first day or two.

After spinal anesthesia, sensation will begin to return, and pain will come with it. Do not be afraid of it, they will definitely help you, easing it with medicines.

When you wake up in a few hours, your baby will be brought to you. It is unlikely that he will take the breast, most likely, he will just sleep, and you will look at him, surprised and rejoicing, and the happiness of being a mother will push back all your fears and pain experienced ...