Understanding Cesarean Sections:
Reasons, Risks, and Avoidance Strategies

Introduction:

Pregnancy and childbirth are extraordinary journeys, and the human body is designed to facilitate vaginal births. However, due to certain complications, a cesarean section (C-section) may become necessary when a natural birth is not possible or poses risks to the mother and baby. While C-sections are often life-saving procedures, they require longer recovery times and come with potential risks. Postpartum care is crucial for ensuring a smooth recovery.

At KD Blossom Women and Child Care Department, our expert gynaecologists handle such situations with skill, precision, and care, ensuring the best possible outcomes for both mother and baby.

What is a cesarean section?

A C-section is a surgical procedure used to deliver a baby through incisions in the abdomen and uterus. Unlike elective procedures, C-sections are typically performed only when vaginal delivery is not safe and the baby’s health is at risk.

When is a vaginal delivery not possible?

Several medical conditions and complications can make vaginal delivery unsafe, necessitating a C-section. These include:

1. Placenta previa

The placenta is an organ that develops inside the uterus during pregnancy, supplying nutrients and oxygen to the baby. In placenta previa, the placenta attaches to the lower part of the uterus, partially or completely covering the cervix (the opening of the uterus). This condition can cause severe bleeding before, during, or after delivery, making a C-section necessary.

2. Fetal distress

Fetal distress refers to signs of complications before or during childbirth, often due to a lack of oxygen. It is more common when the pregnancy extends beyond the typical full-term period. A C-section may be required to prevent serious risks to the baby’s health.

3. Failure to progress (FTP)

In some cases, labor does not progress as expected, meaning the cervix does not thin or open sufficiently, preventing the baby from moving down the birth canal. This condition, known as failure to progress (FTP), may lead to prolonged labor and distress for both mother and baby, making a C-section the safest option.

4. Breech presentation

A breech presentation occurs when the baby’s position in the womb is not head-first but instead feet or buttocks first. There are three types of breech presentations:

  • Frank breech – The baby's legs are folded upwards, with the buttocks closest to the birth canal.
  • Incomplete breech – One leg is bent, with the foot and buttocks closest to the birth canal.
  • Complete breech – Both legs are bent at the knees, with both feet and buttocks positioned near the birth canal.

Since breech births can be dangerous for both mother and baby, a C-section is often the safest delivery method.

5. Previous C-Section

While vaginal birth after cesarean (VBAC) is sometimes possible, it carries risks such as:

  • Uterine rupture (tearing of the previous C-section scar)
  • Infection
  • Severe blood loss

Due to these potential complications, doctors often advise against VBAC, making a repeat C-section a safer alternative.

6. Multiple pregnancies (Twins, Triplets, etc.)

Carrying twins, triplets, or more increases the likelihood of complications. If vaginal delivery becomes exhausting or poses a risk to one or more babies, a C-section is recommended.

At KD Blossom Women and Child Care Department, the best gynaecological hospital in Ahmedabad, we ensure that expecting parents are well-informed about potential complications. This allows them to physically and mentally prepare for the safest birthing method.

Disadvantages of a C-Section

Although C-sections are sometimes unavoidable, they come with certain drawbacks, including:

1. Longer recovery time

C-section incisions require a longer healing period compared to vaginal births. Postoperative care is essential to avoid complications.

2. Increased risk of infections

As a major surgical procedure, C-sections carry higher risks of infection, including:

  • Sepsis (a severe bacterial infection)
  • Wound complications
  • Pelvic abscess (pus buildup in the pelvic area)
3. Higher risk of blood loss

C-sections often result in greater blood loss than vaginal deliveries, sometimes requiring blood transfusions or additional medical intervention to stabilize the mother’s condition.

4. Risk of surgical complications

Since a C-section is a surgical procedure, there is a risk of:

  • Blood clots
  • Adverse reactions to anaesthesia
  • Injury to other organs (e.g., the bladder or intestines)
5. Impact on future pregnancies

Having a C-section can increase the risk of complications in subsequent pregnancies, such as:

  • Uterine rupture (tearing of the uterine wall)
  • Placenta previa (abnormal positioning of the placenta)
  • Placenta accreta (placenta attaching too deeply to the uterine wall)

These conditions may require early delivery or, in extreme cases, a hysterectomy (removal of the uterus).

6. Breathing issues in newborns

Studies suggest that babies born via C-section are at higher risk of respiratory issues, such as:

  • Transient tachypnea of the newborn (TTN) – Rapid breathing due to fluid in the lungs.
  • Other breathing difficulties requiring medical intervention.
7. Challenges with breastfeeding

C-sections may delay early skin-to-skin contact between mother and baby, making breastfeeding more difficult. Additionally, limited mobility due to pain may hinder the mother's ability to breastfeed comfortably.

Can C-Sections be avoided?

While not all C-sections can be prevented, expectant mothers can take steps to increase their chances of a vaginal birth, such as:

  • Following a healthy pregnancy diet and lifestyle
  • Attending regular prenatal checkups
  • Exercising under medical supervision
  • Practising optimal labor positioning techniques
  • Discussing birth plans with an experienced gynaecologist

At KD Blossom Women and Child Care Department, our experienced gynaecologists provide detailed guidance and support to help expectant mothers maximise their chances of a vaginal birth whenever possible.

Conclusion:

Although C-sections carry risks, they are sometimes essential for ensuring the safety of both mother and baby. By understanding the reasons for C-sections and taking proactive measures to prepare for vaginal birth, expectant mothers can make informed decisions about their delivery options.

At KD Blossom Women and Child Care Department, our experienced gynaecologists provide expert guidance and comprehensive care throughout pregnancy, ensuring a safe and healthy childbirth experience.