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Having a planned caesarean section

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Planned Caesarean Section at St Michael's Hospital

Introduction

St Michael's Hospital in the United Kingdom offers a comprehensive planned caesarean section service, tailored to ensure the health and well-being of both mother and baby. Opting for a planned caesarean can provide peace of mind for those who have medical conditions or specific preferences regarding the birthing process.

Preparation and Pre-operative Care

Prior to your caesarean section, you will have a detailed consultation with your obstetrician and anaesthetist at St Michael's Hospital. This is to discuss your medical history, the procedure itself, and any questions or concerns you may have. You will also undergo pre-operative tests, such as blood tests and possibly an ultrasound, to ensure you are in optimal health for the surgery. It's important to follow all pre-operative instructions, including fasting guidelines and any medication adjustments.

The Procedure

A planned caesarean section at St Michael's Hospital typically begins with the administration of anaesthesia, most commonly an epidural or spinal block, to ensure you are comfortable and pain-free during the procedure. The surgical team will make a horizontal incision in the lower abdomen and uterus to safely deliver your baby. The entire process usually takes about 45 minutes to an hour, and you will be awake and able to see your baby immediately after birth, barring any complications.

Post-operative Care and Recovery

After delivery, you and your baby will be moved to the recovery area where medical staff will monitor your condition closely. Pain relief will be provided as needed, and you'll also receive instructions on caring for your incision. It's important to take it easy and avoid strenuous activities during the initial recovery period. The average hospital stay after a planned caesarean at St Michael's is about 2-4 days, depending on your individual recovery progress.

Support and Follow-up

St Michael's Hospital ensures that comprehensive post-operative support is available to all mothers who undergo a planned caesarean section. This includes follow-up appointments to monitor healing, support with breastfeeding, and access to counselling services if needed. The experienced staff at St Michael’s are committed to providing compassionate care and support throughout your recovery journey.

Frequently Asked Questions

What is a planned caesarean section?

A planned caesarean section, also known as an elective caesarean, is a pre-arranged surgical procedure where a baby is delivered through an incision made in the mother's abdomen and uterus.

Why might a planned caesarean be recommended?

A planned caesarean may be recommended for various medical reasons, including multiple pregnancies, breech baby, placenta previa, previous caesarean delivery, or certain maternal health conditions.

How do I prepare for my planned caesarean at St Michael's Hospital?

Your healthcare team will provide specific instructions on how to prepare, which may include fasting from midnight before the surgery, attending a pre-operative assessment, and arranging for post-operative support.

What can I expect on the day of my caesarean?

On the day of your caesarean, you will need to arrive at the hospital at the scheduled time. You will be admitted, given a hospital gown, and have your vital signs checked before being taken to the operating theatre.

Can my partner be present during the caesarean?

Yes, at St Michael's Hospital, your partner or a birth companion can usually be present during the procedure, unless there are specific medical reasons why this is not possible.

What type of anaesthesia will be used?

Most planned caesareans are performed under regional anaesthesia such as a spinal or epidural block, which numbs the lower part of your body while you remain awake. General anaesthesia is used in rare cases.

How long does the caesarean procedure take?

The procedure itself typically takes about 45-60 minutes, although the entire process, including anaesthesia administration and post-operative care, will take longer.

Will I feel any pain during the caesarean?

You should not feel pain during the procedure due to the anaesthesia. However, you may feel sensations of pressure or pulling.

What happens immediately after the birth?

After the birth, your baby will be checked by a paediatrician and you will both be monitored in the recovery room. Skin-to-skin contact and breastfeeding are encouraged as soon as possible.

How long will I stay in the hospital after a caesarean?

Typically, you can expect to stay in the hospital for around 2-4 days after the caesarean, depending on your and your baby's health.

How should I care for my caesarean wound?

Keep the wound clean and dry, follow your doctor's instructions on wound care, avoid lifting heavy objects, and watch for signs of infection such as redness, swelling, or discharge.

When can I resume normal activities after a caesarean?

Recovery times vary, but you should avoid strenuous activities and heavy lifting for about 6 weeks. Gentle activities like walking are encouraged to aid recovery.

What are the risks associated with a caesarean section?

Risks can include infection, blood clots, bleeding, and reactions to anaesthesia. Your healthcare provider will discuss these risks with you in detail.

Can I have a vaginal birth in the future after a caesarean?

Many women can have a vaginal birth after a caesarean (VBAC), but this depends on individual circumstances. Your healthcare provider will discuss your options with you.

Who should I contact if I have concerns after my discharge?

You can contact your midwife, GP, or the maternity unit at St Michael's Hospital if you have any concerns or questions after your discharge.

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