It's often benign. Postpartum diarrhea after a C-section is normal. Sharing our experiences of pregnancy and infant loss can help us heal. Health Conditions Discover Plan Connect. Share on Pinterest. Should you schedule an elective C-section? What are the medical reasons for a C-section?
Parenthood Pregnancy 3rd Trimester. Medically reviewed by Katie Mena, M. C-Section vs. Read this next. C-Section Cesarean Section. Medically reviewed by Debra Rose Wilson, Ph.
Medically reviewed by Fernando Mariz, MD. Then the doctors or midwives will check your baby very carefully. Your doctor will recommend an injection or medicine through an intravenous drip to make your uterus contract and to reduce bleeding. The doctor will stitch the layers of the uterus, muscle, fat and skin in your tummy back together and put a dressing over your wound.
Early skin-to-skin contact helps your baby to stay warm and feel secure. It also lets you and baby bond physically and helps with breastfeeding. You should be able to have it in the operating theatre. You can ask a midwife to go with you to the recovery room to help you breastfeed your baby.
After a general anaesthetic, the midwife or nurses will look after you in the recovery room until you wake up. The midwives will regularly check your blood pressure, your wound and how much vaginal bleeding you have. After the first 12 hours, a midwife will help you get up so that you can shower. Getting up and moving around as soon as possible after the surgery will help reduce your risk of blood clots. And you might be asked to keep wearing compression stockings or be fitted with another compression device over your lower legs to reduce your risk.
Some birthing mothers are also given daily injections of blood thinning medicine. Breastmilk is the best possible food to help your baby grow healthy and strong. There are exceptions to the week rule, of course, including conditions such as placenta previa, which is when the placenta covers the cervix and poses a bleeding risk. In that case, a C-section might be scheduled as early as 36 or 37 weeks, Dr.
Most women receive spinal anesthesia, which the anesthesiologist administers immediately before surgery, and this makes everything from your upper abdomen down to your toes go numb. In most cases, you can hold your baby right after birth while your OB-GYN closes the surgical incision. Recovery from a C-section is typically a little more difficult than from a vaginal birth.
Expect significant soreness for a few weeks; arrange for help for you and your new baby in advance. Your OB-GYN will ask you to avoid strenuous exercise and lifting anything heavier than 15 pounds for six weeks. Explanatory variables were considered into the model for adjustment in the following order: maternal age, parity, neonatal weight, first minute Apgar, and fifth minute Apgar. Data analysis was undertaken using the Stata statistical software, released Totally, CS were performed in our hospital during the study period, and based on the inclusion and exclusion criteria, patients were enrolled.
Indications for elective caesarean delivery were prior caesarean section in As shown in Table 1 , repeated caesarean was more frequent in mothers who delivered between 38 and 39 gestational weeks compared to mothers who delivered after 39 gestational weeks The weight of neonates born after 39 gestational weeks was significantly higher than neonates born between 38 and 39 gestational weeks mean difference: Also, the one-minute Apgar score was significantly different between the two groups mean difference: 0.
There was no statistical significant difference in other characteristics between the two groups. No significant differences were found in the incidence of neonatal sepsis between the two groups 0.
The incidence of respiratory distress syndrome RDS was 0. Adjusted OR: 2. The incidence of NICU admission was 2. The difference was statistically significant adjusted OR: 2. The incidence of TTN was 1. The adjusted odds ratio of the association between TTN and time of delivery was 2.
Table 2 shows crude and adjusted odds ratio of the association between adverse outcomes and time of delivery. This study showed that elective CS delivery between 38 to 39 gestational weeks is associated with a higher rate of TTN and NICU admission in comparison with elective CS performed after 39 completed gestational weeks. Other major complications and more serious disorders such as respiratory distress syndrome RDS and sepsis were not significantly different between the two groups. Matsuo et al.
In a study of , South Asian and Black women, Balchin et al. Moreover, Trata et al. A retrospective study of singleton pregnant women in Taiwan and Southeast Asia with scheduled cesarean delivery at 38 gestational weeks compared to 39 weeks revealed no statistically significant difference in severe neonatal complications including TTNB, RDS and NICU admission [ 1 ].
In contrast, the rate of NICU admission was higher in our study at 38 gestational weeksthan 39 gestational weeks. Furthermore, most studies on Caucasian and mainly white women have emphasized the improved neonatal outcome in scheduled cesarean deliveries at 39 gestational weeks [ 9 , 10 ]. It has been suggested that difference in the prevalence of respiratory dysfunction at different gestational ages in white and Asian infants can be due to genetic differences when the fetus matures in the uterine [ 7 , 11 ].
Black and Asian infants have mostly shown meconium-stained amniotic fluid, indicating prematurity [ 11 ]. On the other hand, a multicentre clinical trial in Denmark showed that NICU admission was higher in scheduled cesarean delivery at 38 gestational weeks than those born at 39 gestational weeks,even though the difference was not significant [ 5 ]. It can be concluded that race alone cannot determine neonatal complications at different pregnancy ages.
The difference of these studies conducted in the Caucasian and Asian communities in terms of the gestational age at the time of scheduled cesarean delivery can be due to differences in the sample size, failure to control confounding variables, or race. NICU admissions may lead to a large financial burden. Christopher J.
Robinson et al. However, the likelihood of emergency cesarean delivery and its maternal complications should also be taken into account. As suggested by some studies, the mean gestational age in Asian and black populations is less than the whites, which can be due to fetal prematurity [ 11 ].
Emergency cesarean can be followed by complications for mothers and infants [ 13 ]. Thus, in our study, we cannot draw a definite conclusion that delivery should be performed after 39 gestational weeks. Further studies are required to compare the rate and complications of emergency and scheduled cesarean delivery in Iranian population at 38 and 39 gestational weeks. One of the concerns that causes scheduled cesarean delivery at 38 gestational weeks is prevention of unexpected fetal death. In this study, we did not have any cases of stillbirth.
The risk of unexplained stillbirth at 38 gestational weeks was reported to be about 0. To measure the prevalence of 0. Therefore, a small size of the sample may be the reason. In this study, the most common causes of cesarean delivery in the two groups were a previous history of CS and maternal request.
However, the frequency of repeated cesarean delivery was higher at 38—39 gestational weeks than its frequency after 39 gestational weeks.
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