Cesarıan Sectıon

What is Cesarean Birth?

Cesarean birth is the surgical delivery of a baby from the mother’s womb. This procedure involves making incisions in the abdominal and uterine walls. Cesarean birth is preferred in cases where normal vaginal delivery is not possible or poses risks to the health of the mother and baby. Factors that may necessitate a cesarean birth include the baby being in a breech position, placenta previa (when the placenta covers the cervix), a narrow birth canal, or maternal health conditions such as high blood pressure or diabetes.

It can be planned or emergency-based. A planned cesarean birth is scheduled in advance due to specific health conditions or previous birth history. An emergency cesarean birth is required due to complications that arise during labor. These complications may include sudden drops in the baby’s heart rate, prolonged labor, or serious maternal health issues.

Compared to vaginal birth, a cesarean birth is more complex, and the recovery period is longer. Post-surgery, mothers typically stay in the hospital longer and require careful monitoring for infections, bleeding, and other surgical complications. However, it is a commonly performed and safe operation in modern medicine that can save the lives of both the mother and baby.

When is a Cesarean Birth Preferred?

• It may be preferred due to complications during delivery or other medical indications.
• If the cervix does not dilate despite strong contractions, a cesarean birth is the best option.
• If the baby shows signs of distress, such as abnormal heart rate or oxygen deprivation, a cesarean birth is performed.
• The baby’s distress may lead to oxygen deprivation, making cesarean birth a safer alternative.
• If the baby is in an abnormal position (not suitable for natural delivery), cesarean birth is recommended.
• In multiple pregnancies (twins, triplets), cesarean birth is a reliable option due to potential complications in positioning.
• If the mother has placenta-related conditions, a cesarean birth ensures the safety of both mother and baby.

Additionally, personal health conditions such as umbilical cord problems, a narrow birth canal, or a history of previous cesarean births make cesarean birth a preferable and medically necessary option.

How is a Cesarean Birth Performed?

Before the procedure, the mother is given epidural or spinal anesthesia to numb the lower body. This allows the mother to remain awake during delivery without feeling pain. General anesthesia is rarely used.

Once anesthesia takes effect, the surgeon makes a horizontal incision in the abdomen, usually along the bikini line. After cutting through the skin and underlying tissues, the abdominal wall and muscles are opened, and finally, the uterus is incised. The baby is then gently removed from the amniotic sac, similar to passing through the birth canal.

After the baby is delivered, the umbilical cord is cut, and medical staff examine the baby. The placenta is then removed from the uterus. The surgeon carefully stitches the uterus and abdominal layers, typically using absorbable sutures that dissolve over time. The mother is then moved to a recovery room to begin the post-surgical healing process.

Recovery from a cesarean birth takes longer than vaginal birth. Mothers remain in the hospital for monitoring and pain management. The healing process includes managing pain, reducing infection risks with antibiotics, and gradually resuming movement.

What Are the Risks of Cesarean Birth?

Although it is a safe option when necessary, cesarean birth carries risks like any surgical procedure. The primary risk is infection, which can occur at the incision site or within the uterus. Proper post-surgical hygiene and adherence to medical guidelines are crucial.

Another potential complication is excessive bleeding. While cesarean birth generally involves less blood loss than vaginal birth, in some cases, a blood transfusion may be necessary.

There are also anesthesia-related risks. Spinal or epidural anesthesia complications, though rare, may include headaches, low blood pressure, or neurological issues. If general anesthesia is used, the mother’s heart and respiratory functions must be closely monitored.

For babies, potential risks include fluid retention in the lungs since they do not pass through the birth canal, which may cause respiratory issues. Additionally, if the cesarean birth is performed too early due to miscalculated dates, the baby may be premature.

Future pregnancies may also face complications. Scarring on the uterus from a cesarean birth can increase the risk of uterine rupture in subsequent pregnancies. Conditions such as placenta previa (when the placenta covers the cervix) or placenta accreta (when the placenta abnormally attaches to the uterine wall) are more likely.

Who Can Have a Cesarean Birth?

Cesarean birth is preferred when vaginal delivery is not medically advisable. This includes cases where the baby is breech, too large for the birth canal, or positioned abnormally.

Maternal health issues such as active genital herpes, heart disease, or high blood pressure (preeclampsia) may also require a cesarean birth.

Placental issues like placenta previa or placenta accreta may necessitate cesarean birth, as well as multiple pregnancies where positioning complications are common.

Who Should Avoid Cesarean Birth?

Elective cesarean birth without medical necessity is generally discouraged due to surgical risks and complications. When there are no maternal or fetal health concerns, vaginal birth is typically preferred.

Some conditions, such as blood clotting disorders or severe allergic reactions to anesthesia, may prevent a cesarean birth due to excessive bleeding risks. If the mother has an active infection at the surgical site, a cesarean birth may also be inadvisable.

How Long Does Cesarean Recovery Take?

Pain after cesarean birth typically lasts a few days, peaking within the first 24-48 hours. Pain management includes prescribed medication, avoiding heavy lifting, and following doctor’s advice.

Healing usually takes four to six weeks. Any unusual symptoms like excessive pain or bleeding should be reported to a doctor immediately.

When Can You Shower After a Cesarean Birth?

It is generally safe to shower within 24-48 hours post-surgery. However, direct water pressure on the incision should be avoided, and gentle drying is recommended.

How Long Does a Cesarean Scar Take to Heal?

The scar typically fades within several months to a year. Proper wound care, good nutrition, and avoiding sun exposure help in scar healing.

Cesarean Birth Costs in Istanbul 2025

Cesarean birth costs in Istanbul vary depending on additional services and hospital choices. For 2025 pricing information, please contact us.