Cesarean Section Pros and Cons

30 می 2015

Cesarean Section Pros

    • Planned cesarean sections (c-section) may be more convenient for women. Because the baby’s delivery date is usually scheduled ahead of time, mom may have less stress and anxiety about labor.
    • Women may feel more in control, because they know when their baby will be born and they can better plan for work leave, their baby’s nursery, etc.
    • You can avoid post term pregnancies with a planned c-section. Most c-sections are typically scheduled between 39 or 40 weeks of gestation.
    • When compared to a vaginal delivery and an unplanned c-section, scheduled cesareans have a reduced risk of postpartum hemorrhage. Uterine atony (the uterus does not contract normally after the baby and placenta are delivered), which is the most common cause of postpartum hemorrhage, is minimized in a planned c-section.
    • Compared to emergency c-sections, a planned cesarean has slightly lower risks of complications, including infection, accidental injury to abdominal organs, lacerations to the baby, and anesthesia-related problems.
    • If you have an STD or infection (such as herpes, HIV, hepatitis, and HPV), your risk of infecting your baby is greatly reduced with a cesarean section.
    • You are at lower risk of birth trauma that occurs in a vaginal birth, such as swelling or bruising.
  • You may be at decreased risk for pelvic floor injury. Women with planned cesareans have fewer cases of urinary incontinence (inability to hold urine) in the weeks following birth. However, the urinary continence two and five years after delivery was not different between the two groups.

Cesarean Section Cons

    • A c-section is a major abdominal surgery that comes with surgical risks and complications from anesthesia. Anesthesia side effects may include severe headache, nausea, and vomiting. Anesthesia may also affect the baby, causing him or her to be sluggish or inactive when born.
    • Women with planned cesarean sections have longer hospital stays and a longer postpartum recovery period than women with vaginal deliveries.
    • You are at an increased risk for serious health complications after a cesarean delivery. When compared to women with vaginal deliveries, women with planned cesarean deliveries are at a higher risk for:
    • Heart attacks
    • Wound hematoma – mass of clotted blood underneath the site of the c-section incision
    • Puerperal endometritis infection – inflammation of the tissue lining your uterus that is caused by a bacteria infection
    • Blood clots in the veins
    • Hemorrhage (bleeding) that requires a hysterectomy (surgical removal of the uterus)
    • Opening of the wound
    • Numbness or pain in the area around the scar
    • Postpartum infection
    • In a planned cesarean delivery, you face possible pre-term delivery if your estimated due date was not correct.
    • In a complicated c-section, you face a risk of the surgeon accidentally cutting your bowels or bladder.
    • You lose more blood in a cesarean section than a vaginal delivery. Two to three percent of women who undergo c-sections require a blood transfusion. You lose approximately 1,000 mL (or 1 liter) of blood with a c-section.
    • You may have decreased bowel function after a cesarean.
    • Respiratory problems are more common in babies delivered via c-section. Problems include transient tachypnea of the neonate (TTN) and respiratory distress syndrome.
    • Some research has indicated that the odds of neonatal death (your baby dies in the first 28 days of life) are higher in a planned c-section than with a vaginal birth.
    • If you plan on having a larger family, you may want to think twice about a planned cesarean section. After one or more c-sections, in future pregnancies, you are at increased risk for developing placenta previa (your placenta grows low in your uterus and covers either partially or fully the opening of the cervix) and placenta accreta (the placenta embeds itself too deeply into the wall of your uterus).
    • Having a previous cesarean increases your risk of uterine rupture (a tear in the wall of uterus, which commonly occurs at the site of the c-section incision).
    • Breastfeeding is more difficult after a cesarean delivery. Women are uncomfortable after surgery, and they do not have immediate contact with their baby.
    • Occasionally, your baby may be nicked or cut by the doctor’s scalpel during a cesarean section. Most often, these are very mild cuts.
    • C-section babies are at higher risk for persistent pulmonary hypertension.
    • Your baby faces a risk of having a lower Apgar score (a test that is designed to evaluate your baby’s physical condition immediately after delivery).
  • An elective cesarean is more expensive than a vaginal birth. Not all insurance carriers cover planned c-sections.

This article is originated from : www.womenshealthcaretopics.com