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Types of Cesarean Section and its risk factors

• A C- Section is a surgery that is performed to extract baby from the mother’s womb.
• This is done by providing an incision on the uterus or abdomen of the mother.
• This procedure is usually employed when the baby is mature enough with no pains or when the condition is not right for vaginal birth or any other complication.

Types of Cesarean Section

There are 4 main types of C section that are employed depending on the conditions of the mother and baby. They are:
1. Classical C Section
2. Lower Segment C Section
3. Emergency C Section
4. Elective C Section

C-Section is done when:
• When Labor is not progressing.
• Stalled labor
• When mother’s cervix is not opening.
• Baby’s head is large enough to come out of the canal.
• Baby is not receiving enough oxygen.
• Baby’s heartbeat is concerned.
• Baby is not in a normal position.
• Breech baby.
• More than one baby.
• Problem exists with the placenta.
• Problem with the umbilical cord.
• Health concern.
• Earlier C- Section.

C section and its Location

A C-section includes:
1. An abdominal incision
2. An uterine incision
• Initially an incision is made on the abdomen and then a second cut is made on the uterus.
• The cut on abdomen is a cut that is made vertically between navel and pubic hair.
• This can also be made horizontally on the lower side of the abdomen.
• After the cut made on abdomen, a cut is made on the uterus.
• This is a transverse cut that is made on lower side.
• A vertical cut on lower side is made when the baby is not in a right position.

Classical C Section
• The incision is on the upper section of the uterus.
• Baby is removed from this cut made.
• At present, the procedure is not used anymore due to the complication rate being high.

Lower Segment C Section
• The incision is on the lower section of the uterus.
• The baby is extracted from the side of the head.
• Breech babies are delivered this way.

Emergency C Section
This type of delivery is done when there is emergency situation where there is risk of death of mother or baby or both.

Elective C Section
• This is a planned type of C section.
• The delivery is done on a particular date like an auspicious date selected by the mother or their family.
• This is done when the baby is mature.

Reasons accountable for: Emergency C Section
• Fetal distress
• Maternal distress
• Mechanical impedance to the progress of labor

Reasons accountable for: Elective Caesarean section
• Previous C Section
• Previous Classical C section
• Placenta praevia grade 4
• Genital herpes in the mother
• Medical problems in the mother
• High blood pressure
• Diabetes
• Triplets or more
• HIV infection in the mother

Risk factors associated with Cesarean Section

• Heavy bleeding
• Uterine prolapse
• Uterine rupture Infection
• Blood clots
• Nerve injury
• Bladder injury
• Organ injury
• Anesthesia reaction
• Anesthesia failure
• Respiratory depression
• Heart arrhythmia
• Stroke
• Blood vessel injury
• Damage to the intestines
• Hypertension complications
• Wound breakdown
• Lung or heart failure

Other complications to the fetus include:
• Fractures
• Scratches
• Scrapes
• Cuts
• Serious nerve damage
• Severe brain damage
• Infections in the mother
• Infections of the infant
• Scar from a previous c-section on the uterus
• Hemorrhoids
• Constipation
• Minor bleeding
• Urinary tract infection
• Allergy
• Skin reaction
• Painful scar tissue
• Ileus

Risk Factors of C- Section Delivery
• Hepatitis
• Sexually transmitted diseases
• Seizure disorders
• Diabetes
• Heart, lung or kidney disease
• Obesity
• Alcohol use
• Tobacco use
• Illicit drug abuse

The Essential C-Section Guide Strategies for the C-Section Mom Worry Free C-Section

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