For a planned C-section, you may have a choice of anesthetic, although you should be aware that a spinal block or epidural are generally considered the safest options for both you and your baby. In an emergency or when bleeding occurs, general anesthesia may be necessary.
Under most circumstances, undergoing a c-section via Spinal Anesthesia or Epidural Anesthesia (rather than General Anesthesia) is preferred since it involves less risk and has the advantage of allowing you to be awake during your baby's birth.
Most women are awake and simply numbed from the waist down using regional anesthesia (an epidural and/or a spinal block) during a C-section. That way, they are awake to see and hear their baby being born.
Unnecessary general anesthesia for cesarean delivery is associated with maternal complications, including serious anesthesia-related complications, surgical site infection, and venous thromboembolic events.
The typical C-section takes about 45 minutes from start to finish. After your provider delivers your baby, they'll stitch your uterus and close the incision in your abdomen. Different types of emergencies can arise during a delivery.
If you have had a general anaesthetic, you will stay in the recovery room until you wake up, usually in about 30 to 60 minutes. You will be able to see your baby when you wake up. Your baby may be allowed to stay with you unless the team is worried about your health or the baby's health.
The Night Before Your C-section
You will not be allowed to eat, drink or smoke after midnight. This includes candy, gum and water. Try to get a good night's sleep. You may brush your teeth in the morning.
Even though labor and vaginal birth can be hard work, they are generally easier on a woman's body than a cesarean. Recovery after vaginal birth is usually shorter and less painful than after a C-section, and allows the woman to spend more time with her baby.
C-section vs vaginal delivery: which is more painful? Without the use of some type of anesthesia or pain relief, we'll agree c-section births are a lot more painful than vaginal delivery. It's believed the very first c-sections were done on women who died during childbirth.
Cesarean Section Preparation and Anesthesia
Sometimes, your arms will be strapped down in a T-position away from your sides. This is done to prevent you from accidentally interfering with the surgery. You may also have a catheter placed.
What is the Golden Hour? After the birth of the baby, both vaginal and c-section birth, the Golden hour consists of uninterrupted and immediate skin to skin contact, limited interventions that are not necessary, if possible and desired having delayed cord clamping, and having the first feeding of baby completed.
It's important to get out of bed and walk around within 24 hours after surgery. This can help ease gas pains, help you have a bowel movement, and prevent blood clots.
Shower and bath: The incision is water-tight within 24 hours after surgery. The bandage should be removed one day after surgery, and the incision should remain uncovered. Your first shower can be 24 hours after surgery.
Most C-sections are done under regional anesthesia, which numbs only the lower part of your body. This allows you to be awake during the procedure. Common choices include a spinal block and an epidural block.
Bring music, books, inspirational photos etc to help you feel calm as you wait. You might even say a few words to baby as you prepare to meet him. If your cesarean is not planned or perhaps it was your greatest fear or worry, ask for a couple of minutes to adjust to this new reality before the birth.
The average hospital stay after a C-section is 2 to 4 days, and keep in mind recovery often takes longer than it would from a vaginal birth. Walking after the C-section is important to speed recovery and pain medication may be supplied too as recovery takes place.
What is the best thing to wear after a C-section? Wear comfortable clothes that won't put too much pressure on your incision site, such as loose-fitting sweats, loose dresses, and oversized pajamas.
After a C-section, she recommends women take eight weeks off and to avoid heavy activity to prevent complications. “A lot of women still have significant pain at two weeks after,” she said.
The first day after a C-section is often the hardest, and moving around may hurt. Take any prescribed pain medication on schedule, and time your trips to the bathroom or around the room to coincide with when the pain medicine kicks in, suggests Dr. Woeber.
When can I go home after a c-section? You will usually stay in hospital for 2-4 days after your c-section. If you and your baby are well, and you have someone to help you at home, you may be able to go home after 24 hours.
Sleepy baby
Babies born by caesarean section may be a little sleepy. They may need some extra encouragement to stay alert during the first few feeds. Skin-to-skin contact will encourage them to latch and feed more often.
Try to avoid constipation and straining with bowel movements. You may want to take a fibre every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.
This type of pain may be caused by damaged nerve endings in and around the surgical incisions. Whether you are an expecting mother or have already given birth to your new baby, we understand that experiencing constant pain after your C-section can certainly take you away from precious moments with your child.