How a Cesarean Section Is Done
Surgery preparation
Most
cesarean sections are performed with
epidural or
spinal anesthesia, used to numb sensation in the
abdominal area. Only in an emergency situation or when an epidural or spinal
anesthesia cannot be used or is a problem would fast-acting
general anesthesia be used to make you unconscious for
a cesarean birth.
The hospital may send you instructions on how to
get ready for your surgery, or a nurse may call you with instructions before
your surgery.
In preparation for a cesarean section, your arms are
secured to the table for your safety, and a curtain is hung across your chest.
A tiny
intravenous (IV) tube is placed in your arm or hand;
you may be given a
sedative through the IV to help you relax. A
catheter is inserted into your
bladder to allow you to pass urine during and after
the surgery. Your upper pubic area may be shaved, and the abdomen and pubic
area are washed with an antibacterial solution. The incision site may be
covered with an adhesive plastic sheet, or drape, to protect the surgical
area.
Before, during, and after a cesarean section, your blood
pressure, heart rate, heart rhythm, and blood oxygen level are closely
monitored. You will also be given a dose of antibiotics to prevent infection
after delivery.
Cesarean procedure and delivery
Once the
anesthesia is working, a doctor makes the cesarean incision through your lower
abdomen and
uterus. See a picture of
cesarean
section incisions
. You may notice an intense feeling of pressure or
pulling as the baby is delivered. After delivering your newborn through the
incision, the doctor then removes the
placenta and closes the uterus and incision with
layers of stitches.
Right after surgery, you will be taken to a recovery
area where nurses will care for and observe you. You will stay in the recovery
area for 1 to 4 hours, and then you will be moved to a hospital room. In
addition to any special instructions from your doctor, your nurse will explain
information to help you in your recovery.