It is up to the attending physician and the woman herself to decide whether she should have a caesarean section. A planned caesarean section involves a horizontal incision of the uterine cavity. There are a number of common indications for the operation:

• Small size of the woman’s pelvis;
• A large fetus;
• Placenta previa (the placenta blocks the baby’s way out);
• Cervical myoma;
• Fetus lying across the uterus;
• Uterine scarring;
• Multiple pregnancy;
• Genital herpes (to avoid infecting the baby);
• General illnesses that prevent the woman from giving birth on her own.

The decision to have an emergency caesarean section is made by the doctor and the woman’s next of kin. The operation is performed when the birth is difficult and the life of the child or the mother is in danger. It is usually performed when labour has ceased completely (contractions) or when the placenta has detached, so that the baby does not receive the necessary amount of oxygen.

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A caesarean section is considered an uncomplicated operation and is rarely performed under general anaesthesia. The woman is usually anaesthetised in the lower torso and the baby is immediately placed on her chest after extraction. The operation takes about half an hour, most of which is spent repairing the abdominal wall and putting stitches in. After the operation, medics make sure that the uterus is contracting intensively and not bleeding, and medication is prescribed to restore gastrointestinal function. The woman is monitored around the clock, the stitches (or staples) are removed after a week and the patient is sent home if the recovery is favourable.

ADVANTAGES AND DISADVANTAGES OF CAESAREAN SECTION

Advantages:

• possibility of a safe delivery for women with a narrow pelvis;
• Reducing the threat of a birth when it cannot be delivered naturally;
• Avoiding prolapse of organs;
• The baby’s head is not deformed when passing through the narrow birth canal.

Disadvantages:

• Risk of infection;
• The risk of complications is 10 times higher than in natural childbirth;
• Scarring of the uterus, which may hinder the next birth;
• The likelihood of the woman developing severe stress due to the unnaturalness of the birthing process;
• Reduced immunity of the baby.

Be that as it may, many women resort to this method, often for medical reasons. If the doctor is experienced, he or she will do everything to the highest standard and you don’t have to worry about all the above disadvantages and complications.