Essay C-Section

The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.

In depth discussion of planned and emergency C/S deliveries were also discussed. Planned C/S births were defined as “breech presentation, multiple pregnancy, preterm birth, small for gestational age, placenta praevia, morbidly adherent placenta, cephalopelvic disproportion in labor, mother-to-child transmission of maternal infection, Hepatitis B and C viruses, Herpes, and maternal request for C/S birth was outlined” (National Guideline Clearinghouse, 2011). An in-depth outline of anesthesia and surgical techniques followed. It seems that this source addressed nearly every type of C/S birth technique, including “method of placental removal, exteriorization of the uterus, closure of the uterus, peritoneum, abdominal wall, and subcutaneous tissue, use of superficial wound drains, closure of skin, and even timing of antibiotic administration and thromboprophylaxis for C/S births. Care of the woman after C/S surgery, routine monitoring, pain management, eating and drinking after surgery, and removing the urinary catheter after C/S surgeries was also discussed(National Guideline Clearinghouse, 2011)”. There is even a benefits/harms section that looks at potential risks and successes of C/S deliveries. The National Guidelines Clearinghouse

A commonly known procedure when it comes to hospital births are epidurals. An epidural is an injection of a drug between the “epidural space” which causes

Birth by cesarean gives several challenges for a baby. If we Compare vaginally born babies with babies born by cesarean, the latter are at risk for health complications they are less likely to face with a normal birth. Breathing problems are more likely if baby is premature and was born by caesarean. They may also happen if baby was born by a caesarean before your labour started, particularly before 39 weeks of pregnancy. With a scheduled cesarean, babies are more likely to be born preterm, before the lungs have fully developed. Respiratory complications can be serious enough to get admitted to nursery.

Vaginal birth is not a easy trip for a baby. These days the death rate in U.S. for full-term babies is 2 in 1000. According to some experts a C-section during the week the woman is due would save lives.

Caesarean delivery is the method by which a baby is born through an incision in the abdominal wall and uterus. Statistics show that 166,081 caesarean deliveries were carried out within NHS hospitals in England during 2013/2014, of which 50% were elective. This represents a 2.5% rise over the previous year, continuing the trend of increasing elective caesarean rates (Health & Social Care Information Centre, 2015). Indications for a caesarean section (CS) can include foetal distress, previous CS, breech presentation, abnormal progress during labour, etc. (Vacca, 2013).

A cesarean section, often referred to as c-section or section, is a surgical birth. This is not a vaginal birth, incisions are made through the mother’s abdomen as well as uterus in which the fetus is removed through (Berger, pg. 64, 2014). C-sections are not all necessary, some women have them unnecessarily. Although this procedure is usually safe for both the mother and child, it has advantages and disadvantages. Some affect the child more than others. For example, for hospitals they are easier to schedule, more expensive, as well as faster than vingal birth (Berger, pg. 64, 2014). Yet, there is a direct relationship and positive correlation between c-sections and reduced breast-feeding. Therefore, non-surprisingly so, c-sections are controversial.

Delivering a baby is the most beautiful thing to a woman in her life. But with childbirth woman also has to face significant emotional and physical changes happening to her body.

A C-Section is where the obstetrician has to make an incision in the mothers' abdomen and uterus to be able to pull the baby out of the mothers' uterus instead of her delivering the baby naturally. This medical procedure is called for when there are complications or life threatening emergencies with vaginal birth. Complications that happen during birth that might make the doctor choose a C-Section is "if the mother is having multiple babies, if the baby is simply too big, the baby is in a breech position, and even if the mother has had a C-Section in the past." ("March of Dimes"). Once a woman has a C-Section, that is the way she will have to give birth from there on out. Although having a baby naturally seems safer, C-Sections seem to actually be the better route of having a baby. Having a baby

Cesarean section steals away the joy of natural birth, evidence shows that natural birth is part of femininity (Phillips E; McGrath P; Vaughan G, 2010) and every woman should strive to experience it. Cesarean section also has a negative effect on breastfeeding. Whatever happens to the mother affects the baby therefore, a sedated baby will not be strong enough to latch on the mother’s nipple. Evidence also shows that there is a decrease level of exclusive breast feeding in elective surgery compared with virginal birth. (Zanardo, 2010).

Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.

In this workshop for pregnant mothers and their partners, the first topic covered would be the Pros and Cons of each type (vaginal or Caesarian) of birth.

Babies can enter this world in one of two ways: Pregnant women can have either a vaginal birth or a surgical delivery by Caesarean section, but the ultimate goal is to safely give birth to a healthy baby. Vaginal or natural births are the most common method with 73% of births in Australia happening in this way (Malek A, 2013). Caesarean surgery is the delivery of a baby through a surgical incision in the abdomen and uterus, and a natural birth is where the baby comes out through the vagina. Caesarean births can be elective (planned) or can be a case of emergency. In your 9 months of pregnancy you will be examined many times to ensure that you and your baby are on a healthy path. In this time you may see some complications and your doctor may advise you to have a caesarean birth. If you are having twins or your baby is larger than average it is recommended that a caesarean section is done, this is because the pelvis is to small for the baby to pass through and the baby would stop moving down the birth canal in labor. Other conditions that may cause you to have a Caesarean is existing medical conditions

A majority of mothers prepare for their pregnancies with full intention of a vaginal birth at the end of their third trimester. However, there is a possibility that medical conditions could arise, such as a baby who is positioned incorrectly, preeclampsia, or toxemia. Therefore, a cesarean delivery is the safest way. Most believe that subsequent pregnancies require subsequent C-sections. Today, many mothers are opting for VBACs aka vaginal birth after C-sections.

Also, you may have problems delivering your babies. There is a higher probability of undergoing a cesarean section, which is when the babies are delivered through a surgical opening in your belly, also known as a