by Sujatha Nanjundeshwara | 11 JAN 2018
Caesarean births or C-Sections are on the rise across the world.
In 2015, every one in three births happened by C-Section in the US. According to reports, for the year 2012 alone, the C-Section delivery statistics stood as high 50% for some states in India! This figure would undoubtedly be much higher now.
The reasons for this rise can range anywhere from physicians wanting to relieve baby distress, to women who want to avoid labor pain and even to those who want to choose their own date and time for delivery. However, if a woman wishes t have more than one baby, then she needs to think twice before giving birth via C-Section and here’s why:
Delivery risks increase :
With each C-section, the rate of difficult delivery increases to as much as 5.1%. The surgery itself could take long, since the surgeon might need to cut through many adhesions, also the amount of scar tissue a woman gets any also increase. The lining of the uterus getting inflamed is another possibility.
Additional surgeries may be necessary :
Adhesions from previous deliveries can stick to organs and call for more surgeries including bowel surgery, hysterectomy, cleaning out an infection or even to stop excessive bleeding.
Longer recovery cycles :
With each C-Section the body might take that much longer to heal. In fact it would be no surprise, if you take more time to get back on your feet than from the previous one.
Bladder injuries risks :
Adhesions can bind the bladder to the uterus and cause bladder injuries as well as small bowel obstruction with repeated C-sections. However, bladder injuries are easier to fix than other risks.
Blood clots issues :
This single issue is tagged as the single cause of death among women in the developed countries. Blood clots can develop in the mother’s legs and pelvic area and if they break, they can travel to the lungs, called pulmonary embolism. Blood clots can cause swelling and pain in the legs and if detected early can be treated with blood thinners.
Placental risks :
The placenta might grow in the lower part of the uterus instead of the upper ( called Placenta Previa) or the placenta might even get embedded into the wall of the uterus itself (called placenta accreta). These conditions are most likely when the uterus has been damaged probably from a previous C-Section.
Post caesarean infections :
Women may suffer from endometritis that is bacteria spreading to the uterus from the vagina. They may also develop infections at the site of the incision itself.
Risks to baby’s health :
With multiple C-Sections, the baby might get injured from surgery tools or suffer from breathing problems. In fact, one study has found that babies delivered by repeated C-sections may require care at the neonatal intensive care units.
In such a scenario, ADIVA Hospital Green Park, New Delhi, proved to be a lifesaver when an expert team of doctors led by the experienced and established Senior Consultant Gynecologist Dr Sula Ray Prasad, performed a highly risky 4 th Lower Segment Caesarean section (LSCS) successfully on a 34 weeks pregnant, diabetic lady from the Middle East and helped deliver a baby girl.
The patient had been undergoing treatment from Dr Sula Ray Prasad since 2010, when she had first come to India for infertility treatment and conceived her first baby, which was delivered by C-Section in 2011, but the newborn passed away. The patient then underwent multiple caesarean sections under the guidance of Dr Sula Ray Prasad in 2013, 2015 and the most recent one in 2017.
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