Dr. Shalini Kapoor Kad
March 30, 2010
A homoeopathic paediatrician, a counselling expert and a freelance writer are a few words to describe my profession. My sole aim is to put forth practical piece of information that guides every one right in the direction, blending the medicos to a layman with a simple gesture to make the medical things a little less convoluted and comprehendible.
A caesarean section is an operative procedure adopted to bring in a life where the mother fails to do so naturally. Here the foetus is pulled out with the help of an incision (surgical cut) in the abdominal and the uterine wall different from the natural course via the vaginal opening after the completion of the 28th week of gestation at least. The percentage of mothers going under the knife is increasing day by day probably because of a better technology to monitor each step of the developing child and related difficulties.
The conditions that indicate the operative measure are divided in to two groups absolute and relative as per the medicos.
These causes include those where the chances of a normal delivery are next to impossible and the caesarean is inevitable.
- A severely contracted pelvis leaving no room for the baby to move forward is a serious issue as the contractions cannot move the bony structures and the foetus need to move out in some other direction
- Cervical fibroids, these are massy structures near the vaginal opening putting pressure on the foetal head and making the normal scenario a very troublesome one.
- An undeveloped vagina, here the path in itself is not developed to endure all the procedures forcing a gynaecologist to head a different way
- Cancer of the cervix, as mentioned above cervix being in close proximity to the vagina can cause interference and its carcinoma will too hinder the delivery process.
These include cases where a vaginal delivery can be done but is seemingly complicated and can put at risk the two involved lives of the mother and the infant.
- Pelvic disproportions: a condition where there are bony defects or contractions hindering the normal course and May possibly lead to foetal distress on attempting the natural delivery. This is the commonest cause to head towards the operative section.
- Previous uterine scar: here the mother may present with a positive history of uterine manipulation and should be dealt wisely. A positive history of a caesarean section is an indication for the subsequent ones as well
- Prominent foetal difficulties at the beginning: if the first stage of a labour presents with foetal distress then caesarean is to be adopted without a delay. this condition is most common to arise in cases where the baby is a retard, mother is suffering high blood pressure or post maturity, the period of gestation has exceed the normal limits.
- Abnormal contractions: the mother here is not able to direct the contractions in a specified direction and need the surgical aid to combat.
- Bleeding before delivery: case where the cord connecting the mother and the child is next to the vaginal opening leading to an obstructed flow during the delivery call for operation.
- Foetal mal presentations: when the baby lies in an abnormal fashion with the sac.
- History of miscarriages
- Hypertensive, diabetic, heart patient mother is a suggestive towards the caesarean
- Elderly mother: this is the case mostly in the first timers knocking late towards pregnancy. Females aged above 35 with first pregnancy are to be directed for a surgical procedure.
Many a times the operation can be known before hand or else have to be decided in emergency to resolve issues. The above tabulate major aspects though a gynaecologist should be brainstormed throughout the nine months to leave out no loopholes what so ever and move with ease during the rough painful phase of delivery.