A Dramatic C-section
She was two weeks over due, when one morning I woke up to a wet bed. I thought to myself, you are too old to wet the bed. Then reality seeped in and I realized that my water broke. I exited the studio apartment and hailed a cab. Unprepared for hospital stay, I only took a towel, which I placed under me, as the sympathetic cab driver drove me to the emergency room. I had the baby that day, cesarean style.
The Birth Experience
She was breeched, her butt was at the exit canal. She too was reluctant. She knew I did not want her, the constant crying throughout the pregnancy was a give a way. Since, she was breeched, the doctor said the best option is a cesarean. I knew nothing about best birth options. I knew the contraction was painful and I wanted it to stop. The pain was crippling, and I wanted that baby out of me. It was past 9 months and I was tired, so I agreed.
A Difficult Delivery
I did not know it then but, the cesarean was indeed the best option for me. I have a low threshold for pain and natural child birth would be too much to endure. The pregnancy was difficult and to go through the painful process of child birth would have possibly killed me.
A Decision To Have Surgery
The doctor said he will numb my spine, and I will feel nothing at the lower portion of my body. The lower area of my abdomen was cut and the child was born. The umbilical cord was cut and I was free of the feeding fetus. There was the baby crying and I don’t remember if I asked to see her or if the nurse decided I should see her. At any case, it hit me right before I saw her, my paranoia of having a deformed baby might be realized. Instead she had her ten fingers and toes.
Some Medical Explanations
Cesarean delivery is a last resort for many obstetrician. Only 30% of expected mothers have cesarean birth. This surgical procedure is done when mother and baby are at risk. The high risk surgery begins with an outward incision of the uterus. Every precaution is taken in this delivery. This type of delivery, even in the 21st century, has a higher death risk than normal delivery. There are 4 major factors that motivates the decision for a C-section:
- Second cesarean delivery
- Laborious delivery
- Breech fetus
- Fetus heart rate
The first cesarean is a predisposition for abnormal delivery, the vaginal canal is weaker and hence at risk. Interestingly, the cutting of the uterus can be done in two ways: vertically or diagonally. The direction of the incision depends on the position of the fetus. The vertical incision is called a “Classic” cut and results in a greater blood loss. The diagonal incision is called “Lower segment” cut. This cut is also known as the “bikini cut”, it too results in a great amount of blood loss.
Other abnormal births can come about during delivery. Birth complications sometimes occur when mother and fetus require assistance. The stress level and the varying delivery stages predicts the type of intervention. When mother has run out of energy and can no longer push, doctors frequently use a “vacuum extractor” to deliver the baby.
If mother’s birth canal does not expand enough for baby she is given anesthetic and then is cut to create a path for the baby. This incision is called “episiotomy” and causes complications if the incision extends too close to the rectum.
Natural vs C-section
Medical experts assert, natural child birth is best for mother and baby. C-section is a viable option but generally “vaginal” birth is the delivery of choice. During natural or vaginal delivery anesthesia is frequently administered to patients upon request. Once the fetal head is toward to vaginal canal, the patient has three possible opportunities in the administration of anesthesia. The first is local anesthesia and is inserted in the placenta at a critical period of the delivery so as to do no harm. The second, regional anesthesia can be injected via the epidural or spinal area. The third, general anesthesia is mainly used for cesarean delivery. General anesthesia has adverse effects on both mother and fetus.
Giving birth is not easy, kudos to all the women who did natural child birth