Cesarean Section
At one time, cesarean sections (c-section) were performed in emergency
situations only. Today the practice is much more common due to the
advances in surgical and anesthetic techniques. The most common reasons
for a c-section are; if danger to mother or baby would be greater by vaginal
delivery, and if complications arise during a vaginal childbirth, which
includes breech presentation.
C-Section Procedures:
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The first incision is made through the skin and muscles of the abdominal
wall which exposes the peritoneum.
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A transverse incision is then made through the peritoneum and the incision
is held open with retractors.
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The bladder will rest upon the lower part of the uterus
and is moved so that the uterus is in full view.
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A short, transverse cut is made in the lower part of the uterus.
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The surgeon will then slowly and carefully extend the incision by finger
traction only.
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At this point the membranes of the fetal sac are visible and ruptured with
surgical scissors.
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The surgeon will then immediately slip one hand into the uterus to locate
the baby's head.
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Using obstetric forceps,
the baby's head is eased out of the uterus.
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The mother is then injected with the natural hormone oxytocin.
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The baby is eased out to avoid enlarging the incision.