My doctor was not eager to do a C-section. As many of you know, there can be serious consequences to having a section, including the risk that every pregnancy thereafter may have to end in a slightly early birth. When it was obvious I was going into labor, my doctor asked me what I wanted to do: a vaginal birth, or a C-section? He was leaning toward a vaginal birth. However, I knew from previous conversations with doctors that a C-section would up Anastasia's chances of survival.

If you are scheduled for a c-section, plan to call L&D around 0500 the morning of your operation. This phone call is to ensure the plan is still for you to have c-section and make sure we have an operating room open. You will want to arrive to the L&D unit at 0530 the morning of your c-section. Also, you will want to take a shower/bath before coming and will not want to eat or drink anything after midnight.

This is a great question - and in the United States there are two major camps right now with very different answers. On one side are proponents of Vaginal Birth After Cesarean (usually abbreviated VBAC and pronounced vee-back). On the other are those who feel that the risks are too high and that an elective or scheduled c-section is the best option for a mother who had already undergone the procedure in the past. The risk to which they refer is uterine rupture. Both sides have studies.

elective c-section is a cesarean which is performed at the request of the mother without any medical need. Usually scheduled to precede the mother going into labor, a date is selected and an operating room reserved for the cesarean delivery of a child. While many women with specific health issues or prior cesarean sections have long scheduled c-sections, elective c-sections have become more common in recent years.

Before a C-section, the mother gets medicine (either epidural or spinal anesthesia) to numb her belly and legs. A nurse may put a tiny needle called an IV in one of the mother's veins to give her a sedative to help her relax. Fast-acting general anesthesia, which makes the mother sleep during the surgery, is only used in an emergency. Once the anesthesia is working, the doctor makes the incision. Usually it is made low across the belly, just above the pubic hair line.

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Most pregnant women have their babies vaginally. Still, the rate of babies born by cesarean section (C-section) in the United States is on the rise. According to the National Center for Health Statistics, 1 in 3 babies in the United States is delivered by cesarean section. Many experts think that up to half of all C-sections are unnecessary. Please see the C-section link for additional information.

The new mom recovering from a c-section is recovering from major abdominal surgery. Stairs are often very challenging if not altogether 'banned'. Create a space in the main area of your home for the mom to nest. In my house it was our lay-z-boy in the living room. A table should be nearby and sturdy enough to hold a few books, a telephone (whose ringer can be turned off), a big glass of water and a small plate of snacks.

Dr. Spence's patients frequently ask this question. In a c-section muscles are cut and in a tummy tuck the muscles of the abdomen are not cut, but they are tightened. This does produce some discomfort, but of a slightly different nature.

We screen all patients to ensure that we perform only safe, low-risk deliveries. If any laboring patient seems to be having difficulty early on, or if there is any suspicion that there might be a complication, we medevac the patient to our referral hospital in Anchorage.

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A C-section may be planned or unplanned. In most cases, doctors do cesarean sections because of problems that arise during labor. Reasons you might need an unplanned C-section include: When doctors know about a problem ahead of time, they may schedule a C-section. Reasons you might have a planned C-section include: You had a C-section before, and you have the same problems this time or your doctor thinks labor might cause your scar to tear (uterine rupture).

Most mothers and babies do well after C-section. But it is major surgery, so it carries more risk than a normal vaginal delivery. Some possible risks of C-section include: If she gets pregnant again, a woman with a C-section scar has a small risk of the scar tearing open during labor (uterine rupture). She also has a slightly higher risk of a problem with the placenta, such as placenta previa.

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During a cesarean section (c-section), the doctor makes a cut in the mother's abdomen and uterus and removes the baby. So, the baby is delivered through surgery instead of coming out of the vagina.

Yes. As long as there is no medical reason that the midwife needs to retain your placenta, we can collect your cord blood if you are having an elective or emergency caesarean.

Yes, but I prefer to take the photos during your stay on the Maternity Unit 2-3 days later. Call and let me know when you've delivered and we'll arrange a time to get together.

A C-section should not be used to prevent early-onset group B strep infection in infants. To learn more about C-sections and group B strep prevention, please review this section of the revised group B strep guidelines. If you need to have a C-section for other reasons, and you are group B strep positive, you will not need antibiotics for group B strep only, unless you begin labor or your water breaks before the surgery begins.

Our c-section rate is very low, about 4-7%. Most birth centers have c-section rates of less than 12%. The national average is over 26%, and some hospitals in the area have c-section rates as high as 45-75%. We believe that pregnancy is normal and that your body knows how to give birth. Your age and number of prior pregnancies do not matter to us, as long as you are healthy.

There is no consensus on minimum platelet counts for different medical procedures. While many physicians consider a platelet count above 50,000 ppm to be safe for a C-section, higher counts are usually recommended for episiotomy and epidural anesthesia. A platelet count between 50,000 ppm and 80,000 ppm is recommended by most physicians for episiotomy and 80,000 ppm to 100,000 ppm for epidural anesthesia.