LETTER C- CAESAREAN SECTION CHILDBIRTH

Cesarean section or C-Section is an operation performed for childbirth. It is a surgical procedure whereby the baby is delivered through an incision on the abdominal & uterine wall rather than a vaginal route.

*When is it performed?

 -This method is used when there is difficulty in childbirth through the vagina.

-When mother is carrying more than one baby like twins or triplets .

-The health of the baby is in danger and vaginal delivery hampers fetal heart rate.

 -It could also be because of an deviated fetal position like Breach position.

-When the mother is physically unable to push the baby out of the uterus .

-Sometimes mother voluntarily opts for this if fear of life and pain tolerance troubles.

*How is it performed?

In a language simple to understand-

-First :Anesthesia is given – this numbs out the sensation.

General, epidural or spinal anesthesia is preferred .

-Second: An Incision is made- on the lower abdomen (Pfannenstiel incision commonly used). A cut is made through the uterus and amniotic sac. 

-Third: The child is then removed from the opening. The umbilical cord is then cut and cleaned.

-Fourth: The next step involves cleaning the baby’s nose and mouth from all fluids.

-Fifth: Baby is then examined for proper breathing rate, heart rate and other vitals. Mother is also kept under observation.

*What are Points to note after C-section?

Longer recovery is associated with C-section, sometimes even several weeks. The stitches need time to heal and pelvic muscles which were stretched during pregnancy also require care for proper recovery.

*What are the Potential Problems faced Due To C-section?

-Post-surgical pain.

-Risk of adhesion formation at the incision site .

-Risk of vascular complications .

-Faulty posture.

-Pelvic floor dysfunction.

-Abdominal weakness.

*What are the drug-free ways to solve these impairments?

Physiotherapy provides a complete solution to these issues without the use of drugs/medicines.

-Postnatal TENS and IR electrical modalities provide significant pain relief and help in the healing of the stitches respectively.

-Incision care techniques- Appropriate methods of turning, sitting and performing all everyday tasks that prevent tension on sutures.

-Appropriate Breathing instructions, the right method of coughing and huffing.

-Active leg exercises. Early ambulation

-Gentle abdominal exercise with incision support. Scar mobilization Techniques.

-Positioning instruction, massage, and supportive exercises.

-Posture instruction, particularly regarding child care

-Body mechanics instruction.

-Pelvic floor exercises. Education regarding risk factors and types of pelvic floor dysfunction.

-Muscle strengthening exercises.

*Suggested Activities for C-section patients:

-Ankle pumping activities &early ambulation to prevent venous stasis.

-Deep diaphragmatic breathing.

-Begin exercises that prevent respiratory and circulatory problems.

Pelvic floor exercise protocol including Kegels.

-Abdominal exercises with slow progression.

-A complete assessment is a must before resuming vigorous exercises/ tasks. Generally takes up to 6-8 weeks.

 The most important point is to celebrate childbirth and not worry about the method! However, if a C-section is performed then taking timely help will make the baby care period a pain-free and enjoyable one! After all the good health of both mother and child is of prime importance.

Expert Physiotherapists are upgraded with all latest techniques and methods that make pregnancy (Prenatal) and the time after that (Antenatal) a stress-free period .