Thanks to technology and the internet, there’s a wealth of information available to mums-to-be regarding birth and labour – but when it comes to caesarean sections, getting the facts can be a little more difficult. And, when you’ve never experienced the procedure before, it can be a daunting prospect. It’s important to know what to expect when having a caesarean so you can fully prepare for your recovery following surgery.
A caesarean section, also known as a caesar or c-section, is an operation to deliver your baby through an abdominal incision.
Caesareans account for about one in every four births in Australia and are either planned in advance as elective surgery or performed as an emergency if a serious complication develops during labour.
A caesarean may be performed under either general or local anaesthesia (spinal or epidural), however the former is usually reserved for emergencies.
Your obstetrician will make an incision in your abdomen, followed by the uterus.
With local anaesthesia you might feel some tugging or pulling but it won’t be painful. You may also hear some strange sounds such as amniotic fluid being suction out of the uterus or clicks as the surgical instruments are used.
Your baby will be lifted through the incision and you’ll be able to see him or her very soon after delivery. If you can’t hold your baby, your support baby will be able to.
After the placenta is delivered the layers of muscle, fat and skin will be stitched back together and a dressing will be applied over the wound. The entire process usually takes between 20 and 45 minutes.
Immediately after surgery you’ll be taken to the recovery room for observation while the anaesthetic wears off. You might have cramps and feel nauseated and your legs will feel numb for a few hours.
A nurse will monitor your blood pressure, heart rate and temperature and the firmness of the uterus, vaginal bleeding and the incision will also be checked. The skin around the incision will often be bruised but pain relief will be available if you need it – make sure you tell your midwife or doctor if you do.
You’ll usually be encouraged to walk without assistance about four to eight hours after surgery. You may also receive an injection to prevent blood clots as well as antibiotics to prevent infection.
Your catheter will stay in until the anaesthetic has worn off and you have normal sensation in your legs to walk safely to the toilet. This may not be until the following day.
Bowel movements might be difficult, so drink plenty of water and eat high-fibre food once you’re able to.
Absorbable stitches are used for any incisions made beneath the skin and are often used on your outer abdomen as well. However if non-absorbable stitches are used, they’ll need to be removed around seven days following surgery.
When your dressing is taken off, you’ll need to keep the wound clean and dry – this will help it heal more quickly as well as reduce the risk of infection.
You’ll most likely stay in hospital for up to six days following your caesarean and you’ll be prescribed pain relief to take home with you.
For many women, having a caesarean is a positive experience, however some might feel sad or disappointed and it’s important to talk through these feelings.
Looking after a new baby is difficult for all new mums, but it can be even harder when you’re recovering a caesar, which is major surgery.
Take the time you need to recover, seek and accept help and remember to talk to family, friends, doctors or midwives if you are feeling low.
Alternatively, you can call PANDA (Post and Antenatal Depression Association) National Perinatal Depression Helpline on 1300 726 306.