Before we get started, if you haven’t had your surgery yet, grab my cesarean tips right here:

Scar Mobilization

The thing I see most often (especially in people who’ve had multiple cesareans) is a LOT of scar tissue. I imagine that can make it difficult to move — and heal.

It isn’t to be started until AFTER your six week check-up with your provider, but after that you’re just moving the skin and the scar so that that tissues stays more mobile and doesn’t allow as much scar tissue to build up. I thought this article from My Expert Midwife was super helpful about it.

Obviously, ask your provider about doing it before you start — but I think it could be really helpful, and I don’t see a lot of people talking about it.

If you feel like your body just isn’t healing as well as you’d like, or you’re not able to move like you did before I think it’s smart to ask for a physical therapy consult. In just a few visits they can give you some exercises (like that mobilization) to help your core and pelvic floor!

Want more tips about physical therapy check out these articles:

• Let’s talk pelvic floor physical therapy
• Should You Pee in the Shower with Physical Therapist Ashlie Crewe
• What To Do If You’re Miserable At The End Of Your Pregnancy
• 6 Easy Ways To Get Relief From Hip Pain During Pregnancy
• Symphysis Pubis Dysfunction with Physical Therapist Ashlie Crewe

This article may contain affiliate links where I earn a small commission your purchase at no cost to you. Feel free to check my disclosure and terms for more info!

Cold

This one is for soon after surgery — when that incision is painful.

I have had multiple people tell me how great a cold pack on the scar felt great. You can even grab some easy ones for home right here (and reusable ones here).

You can always ask the hospital for a cold pack to put on there. You’ll want to be SURE to put something between the cold pack and your skin (don’t place it directly on your skin) so ask your nurse for help.

Often, we’re so busy putting cold packs on vaginal deliveries they may forget one for you — but it can help!

Sometimes light heat (I love a microwavable pack) can feel nice too).

You might be wondering which is better, and in general I think whichever one feels better for YOU is best.

Note: Only have these packs on for 20 minutes at a time and then remove — I’d only have it on a few times/day. It’s important that your scar not be covered too often — it needs the air to help it to dry! Ask your provider if you have any questions, or want to do it more frequently.

It is NOT good for your scar to be in a warm, moist environment frequently…..

Gum

One of the harder parts of your cesarean recovery is getting you bowels up and running. You may be taking some extra narcotics which can also slow things down.

Chewing on gum can help your intestines get going because your extra saliva tells them to get a move-on.

While we USED to only allow you to eat clear liquids in the hospital until your bowels were moving (not so much anymore) I would encourage you to eat lightly until you feel like your bowels and stomach are moving a little more regularly.

Nurses are the ones who see these bowel issues frequently, which is why you want to get prepped for a cesarean with a nurse, for sure!

Up & Walking

I know a lot of patients find it crazy how soon we have you up and walking after your cesarean. Most hospitals remove that catheter from 4-12 hours after delivery and want you up walking at that point.

It seems counter-intuitive because walking won’t feel great – but it WILL help your body heal better. So, get up and walk. Ask for pain meds if you need them, but getting up to move will be in your best interest.

A little-known complaint after a cesarean is shoulder pain (talk all about why in here), but movement helps even that — as it will help your body to absorb the extra air in that area.

I’m NOT saying to over-do it — but I AM saying to move. The baby bassinet can be a nice “walker” as you get going too.

If you have ANY issues moving, ask your nurse — she will likely have some tips to make it easier (easier ways to get out of bed, or lift your knees, etc).

High-Waisted Undies

Your scar will be right at the “bikini” line which is often where underwear slices into you. SO, make SURE you get some high waisted undies — like these.

While we’re at it, most people prefer a “gown” or “housecoat” to recover in vs pants (although some people like pants too — so try what works for you). I have a bunch of tips in my postpartum pajamas post on what to wear — so be sure to check that post out.

Binder

A lot of people love a binder (sort of like a girdle) that holds things in the first time you get up after the cesarean.

I would encourage you to NOT get reliant on it though. I love it for the first few days — but you abs need to start taking over the heavy lifting soon so you can get on the road to recovery.

I’ve also had patients hate them — they made them too hot and they were annoyed by them. I know a lot of people think they’re amazing, but I think it’s important to know both sides on that one.

Once again — lots of experience with a LOT of patients is always the key to getting prepared!

Bonus for Pushers

Did you push before they had you have a c-section? In that case your “downtown” could still be swollen — so be sure to check out my article on taking care of your bottom for more tips for THAT area. Also hugs to you, that is NOT a fun recovery — you are doing a great job!

There is a LOT to recovering for a c-section and it is best learned by someone who has a LOT of experience with a lot of different moms recovering from a cesarean. Getting prepped for it all in advance is one of the smartest things you can do. Come join me in The Online Prenatal Class for Couples — your all-in-one stop for getting prepared for the rest of pregnancy, labor, birth and life after baby!

If you want info JUST on C-sections I did take out the cesarean section chapter out of my class (sadly, it doesn’t have information on recovery though — that comes in other chapters — which is why I recommend the full class).

The post C-Section Recovery: Tips You’ll Need appeared first on The Pregnancy Nurse®.

Reminder of terminology.

• VBAC= Vaginal Birth After Cesarean (what you are if you have a vaginal birth)
• TOLAC = Trial Of Labor After Cesarean (what you are when you’re attempting it)

Before we get started, if you’re trying for a VBAC having a birth plan is SO important. Mostly because you’ll be able to think about what you really WANT and what lines you don’t really want to cross…. Grab my little birth plan helper here:

I must admit I’m a HUGE VBAC fan! I feel so triumphant when it happens. I, personally, believe every pregnant woman with a previous cesarean should consider it, but I know it’s not for everyone — so keep in close contact with your provider.

Ok, let’s jump into the three things I think ANY TOLAC patient needs to do:

Discuss With Your Provider

There are a LOT of things to talk about with your provider:

• How comfortable they are with TOLAC’s in general
• How comfortable they are with YOUR TOLAC (you may have reasons it shouldn’t be attempted)
• Bring them up to speed in detail as to why you had a C-section last time
• Ask them what barriers you might have to a VBAC this time
• If they would recommend you TOLAC.

Remember, it is your provider’s job to tell you the risks of what you’re considering. However, if your provider absolutely does NOT recommend VBAC’s in any case, it might be a good time to switch providers (if that is important to you).

However, most providers SHOULD be offering a TOLAC (in most, but not all instances). Here is ACOG’s stance on VBACS. In the US, ACOG rules what doctors are to do in situations, so reading through that page — that should align with what your provider tells you.

Your previous type of incision ON YOUR UTERUS is VERY important. While your incision on your skin may go horizontal, if you have a vertical incision on your uterus (most often used in other countries or in a true emergency in the US) is extremely high risk to labor with. It has the highest chance of uterine rupture.

Other cesarean questions — check out this article:

• What To Wear For A Cesarean Section
• How To Prepare For Your C-Section (Cesarean Section)
• C-Section Scar Pain During Early Pregnancy
• 16 C-Section Facts For A Better Birth!
• Cesarean Section Anesthesia

Chances of Happening Again

Ok, so you’ve talked with your provider about your previous birth. The big question is, what are the chances of it happening again? Let me give you some scenarios:

Last baby was breech, but this baby is head down…. that’s probably the BIGGEST case of being fine to try a VBAC. Check out my post on getting baby to flip if you have questions about that.

Last baby was mal-positioned — sometimes we can tell baby just came into the birth canal oddly (we call it wonky) where it’s head just didn’t flex right and they’re sort of coming into it with their head cocked. If this baby descends properly you’re very likely to have a VBAC. However, there’s still the chance that something in your uterus made them descend “wonky” and we won’t know until we try.

You had some illness and ended up needing a section — let’s say you had serious preeclampsia, but are free of it this time (that can happen). Or, you had a serious flu, or something really wrong. This time, with new conditions you’d be much more likely to try for a vaginal birth.

Baby didn’t tolerate labor (often called fetal intolerance to labor)– maybe baby had a cord wrapped around them, or some other issue, but just didn’t tolerate labor (their heart rate kept dropping). This baby might be different, you never know!

Baby never descended into the birth canal (often called failure to progress or failure to descend)– if baby is of a similar size there’s a chance this baby also won’t descend. You may have a narrow pelvis or some other issue with your uterus that doesn’t allow baby into the birth canal.

Of course, there’s LOTS of reasons why a cesarean happens — but these are some of the reasons they happen…. hopefully it gives you an idea of what we’re looking at.

You’re always going to have an “ear to the ground” seeing if what happened last time is going to happen again – -be it preeclampsia or baby not progressing right. It’s smart to do that! Doesn’t mean you have to act right away, but you sometimes do know the end of the story….

Understanding how labor normally progresses is REALLY important in this case. I recommend this to learn more about labor and what to expect this time (because it may be QUITE different):

Quick note: I think you need a FULL class vs just a VBAC class, so get prepared no matter what happens….

Remember the Golden Rule of VBAC:

There are two parts to the rule:

Your provider can not MAKE you have a C-section
You can not MAKE your provider induce you.

I think that remembering both of these reminds you what each of you can do in these situations.

I often hear providers say they “won’t let you have a VBAC” and that just isn’t true at all. Even with a vertical scar, you have the right to labor on your own (but you can’t make them induce you). I talked with a friend about this in here.

I just hope you consider the risks and benefits…..

Many induction agents can’t be given with previous cesarean histories (especially a vertical scar) or the providers could lose their license.

But ultimately it does boil down to this:

What’s the main risk of a VBAC?

Uterine rupture is the big one. This is where your uterus breaks open on your previous scar line and the contents spill into the abdominal cavity.

This could have serious consequences for both you and baby, including:

• Baby dying (obviously, them floating in your abdominal cavity isn’t ideal)
• Hysterectomy for mom
• Extreme blood loss both mom and/or baby
• Death for mom

However, in the hospital with a TOLAC induction we watch VERY carefully. You’re considered high risk when you’re a TOLAC and your nurse will be monitoring the strength of contractions, and how baby is tolerating them.

We are trained to act very quickly. We do uterine rupture scenarios (similar to how you practice CPR on dummies) to make sure we can act quickly to save lives. However, that isn’t always enough.

And, fun fact, there is still a chance of uterine rupture in any birth. It is increased when there is an induction, but there is a chance of a uterine rupture in regular labor as well.

Facts on uterine rupture (sources here & here)

• The rate of uterine rupture is thought to be approximately 1% for women with one previous cesarean delivery
• 3.9% for those with greater than one previous cesarean delivery.
• The chance of a uterine rupture without a previous caesarean is thought to one rupture per 10,000 to 25,000 deliveries (so, clearly much more rare)
• However, this study showed 0.18% chance of uterine rupture with spontaenous labor, 0.34% chance with labor augmentation (where we add pitocin once you’re already in labor to help it progress), and 0.45% with an induction.

So, there clearly aren’t a lot of firm answers — we do know the risk is low, but increased a bit when induction agents are used.

What do YOU need to do with a TOLAC?

The first thing you need to do is to get a great prenatal class.

There is a good chance you will be faced with a lot of choices and decisions (and possibly some pressure if your provider is like that). You need to know how to learn risk, benefits, and then make choices yourself.

I recommend this one, it will get you prepared for ALL of that, plus pain management, and even cesareans if it comes to that. I encourage you to get prepared for ALL of that (which is where I think a lot of VBAC classes fail).

Having a professional remind you time, and time again that the choices are up to you really helps your confidence — and that class will do JUST that.

The second thing is to prioritize movement.

Remember how I mentioned above that sometimes baby gets “wonky” in the pelvis, and that can come (and not ALWAYS — so no reason to blame yourself) from remaining in one position too much in labor.

Movement is a KEY to labor, and the good news is that it can be used at home, in the hospital, and even if you have an epidural. You just need to make sure that you prioritize it.

I have some labor movement cards in here, I also have partner tips that helps them prioritize your movement both at home and at the hospital.

You’re going to want to either be sleeping (true sleep, not “resting your eyes”) or moving for most of your labor. It can really make things happen. But, pain, fear, and anxiety can leave you just in the fetal position, so I am to empower you to feel confident and MOVE.

Your partner can truly be the KEY To that, which is why I think birth prep is for a COUPLE.

While we all know that mother nature does have the ultimate control of our birth, there is a LOT you can do to influence it, and at least feel confident in your choices as you move forward.

The other good news, it’s always possible to change your mind. If you start the TOLAC process and it’s just not working, you can always choose a cesarean. It’s always up to you! That’s a good feeling.

Come join me in The Online Prenatal Class for Couples, where — in just a few hours — we can get you prepared for ALL types of births. I can’t wait to see you in there!

Would you rather do a vibe check and see if we’re a good fit, check out my free pro tips. They’re your first step toward getting in the driver’s seat of your birth.

The post Considering a VBAC: What to do appeared first on The Pregnancy Nurse®.

BUT before we get too far into this — grab my best c-section tips right here:

Note: I do hear that some hospitals do this differently. I’ve worked at 3 hospitals and seen numerous labor nurses discuss this on different platforms — so, I’m just giving you the info I know. HOWEVER if you have a planned c-section and you’re wanting to wear your own things into the operating room (called the OR) it doesn’t hurt to give them a call and ask. You won’t be bothering them, they’re happy to share as they know you’re nervous about it.

Bonus tips on if you go on a hospital tour and can ask these types of questions in person — but I know that’s not always an option.

One of the hospitals I worked at actually had a pamphlet that providers gave to patients (or, we’d give them out on our tour) who were scheduled for a cesarean just on what to expect at it — it was super helpful. SO, just ask. We really do want you comfortable.

AND if you REALLY want to be prepared for a C-section I recommend this.

What to Wear in a C-Section

First off, you have to realize that there are 3 distinct parts to your c-section:

• Pre-op, where you’ll hang out while you’re waiting for surgery
• The actual surgery
• Post-op (called PACU) where you’ll hang out after baby is born

While most people tend to wear the same thing for all 3, there is more leeway in pre-op and post-op as you’re not in the actual surgery.

The Main Concern of Clothes in Surgery

Metal.

And, why is that?

(this next paragraph isn’t for the faint of heart — so if you’re not feeling “sturdy” enough to read it feel free to skip it — but I do want to give you the reason)

During most surgeries (especially in cesareans) they use something called cautery. That takes electricity and burns the ends of any open blood vessels to stop bleeding. The tip of the instrument is placed on the vessel, and then we place a “grounding pad” on you that allows the electricity to flow out of you. During this time if it comes into contact with metal that is next to your skin it could cause burns.

Because of the possible chances of burns, we try to remove any metal in contact with your skin — that includes:

• Metal snaps or clasps on items
• Underwires in bras (although most are contained and not touching the skin)
• Jewelry including rings and piercings

I have seen people who are unable to remove rings have them covered in paper tape or something like that — but they prefer they’re not on you.

Some new grounding devices say jewelry does not need to be removed, but in my experience it is up to anesthesia what they will let you wear/not wear and they vary by person. So, in general (and for your safety) you need to plan on no metal in the OR.

While we’re here — here’s a few posts that might help you out at this stage:

• Do You Wear A Bra During Labor?
• Tips if you can’t get your ring off
• Your Guide On What To Wear In Labor & Delivery And Your Hospital Stay

So, what should you wear?

If you want a bra (and I will say the vast majority of people do not) make sure it’s a sports bra type without clasps or any issues that could impede you. We’ll talk more about this in a minute though — so keep reading!

Personally, I would wear the hospital gown for a variety of reasons:

In the OR we spend a lot of time cleaning the surgery site — and gowns can get the cleaning solution we use on your skin on it. This can be even worse than blood to get out of a garment… Think Iodine or something along those lines.

Here’s another paragraph you might not want to read — but it’s the truth (and not as gory as the one above):

In the OR you’re basically naked once we get going. We lift that gown up to just under your breasts. It’s important that your entire abdomen is cleaned well with the solution and nothing is on it. At this point in time your spinal (or you’ll have general — more on c-section anesthesia here) will have kicked in and you’ll be VERY numb. You won’t really have any feeling below your breasts anyway….

So, what you wear may not matter as much.

Also, snaps are VERY important in surgery. I know this sounds dumb, but needing to thread lines through a shirt or even your bra becomes tedious and it takes up time that we might need to do otherwise.

The hospital gowns have the snaps, and sometimes even a pocket up top that anesthesia uses to hold things (like a syringe they’re going to use next). The snaps are plastic, so we’re assured there will be no issues with that.

Also, snaps allow us to undo the gown for you to do skin to skin if you’re up for that (but I find a lot of moms aren’t super into it — so just go with how you feel).

FYI we do try to keep you as covered as possible as long as we can. BUT, once the spinal is in we have a job to do and the gown has to be lifted in order for us to do it.

This post may contain affiliate links where I earn a small commission your purchase at no cost to you. Feel free to check my disclosure and terms for more info!

What to wear if you DON’T want to wear the hospital gown?

If you don’t want to wear the hospital gown, check with your facility. I’ve heard some require you to wear theirs due to the nature of surgery.

BUT if you can wear your own:

• This one seems like a great, cheap option you won’t mind throwing away if it gets dirty.
• While these are a bit more expensive I’ve seen them and can vouch that they’re great.
• There are other more expensive gowns that could also be nice. If you feel like it’s worth it than just proceed with the awareness it could get VERY dirty. You may prefer to have it on postpartum….

I would also really consider what you want to wear AFTER your surgery. You’re likely going to be at the hospital longer, and once you’re getting up I think that your own clothes/gown can make you feel SO much better in the hospital (more human, than a patient).

Check out my post on postpartum pajamas that has some great options!

Pro Tip: You’ll likely have your IV in for about 24 hours (possibly more) after the surgery, so something with snaps is still REALLY helpful for everyone involved, but it can be navigated otherwise.

Can I Wear Underwear During my Cesarean?

The bad news, no.

We need access to that area to put in your catheter (and it is REALLY hard to try to take your underwear off after you’ve had your spinal put in — it could hurt you or the nurse doing it). We sometimes also need access to that area to possibly push baby’s head up, or place medications if you’re having bleeding issues.

Also, we clean that entire area as we prep for the surgery, so another reason it needs to be off.

So, no undies during the surgery

That doesn’t mean you can’t wear them in pre-op. We normally aren’t doing exams (unless you’re in labor and that’s a whole other bag of chips). We also try to put underwear on you fairly soon after your spinal wears off to hold pads in place.

I have definitely had patients ask to keep underwear on until we are going to the operating room, and I was happy to comply (a few we forgot and then I took them off before they go their spinal done).

Can a Wear a Bra During a C-section?

You likely can — but it needs to not have any metal in it. I’d recommend a sports bra if you’re really married to this idea. Be aware that some hospitals may have a STRICT rule of no bra’s in the OR though. So, always best to check in (and be as kind as possible) in advance.

The bad news is that a lack of clasps means that it can be hard to latch baby on afterwards if you have a sports bra on.

If at ALL possible I’d say to go without it — it will be easier for you and the staff, but if you REALLY want it on make sure you have one without metal.

I think there are nursing bras with plastic clasps, and that would be a good option as well. I think these would actually be a great option if you’d like to have it when you’re there. This is what Amazon has for nursing bras with plastic clasps.

Please remember that anything you wear into the OR does have the chance of needing to be cut off if we’re in a bind. It’s SUPER rare, I’ve only done it a couple of times (and I felt awful) but it does happen….

What will I wear if it’s an emergency C-section?

In general still the same. Anesthesia might be as picky about getting your bra/jewelry off (they may also tape it as we’re preparing the room if it can’t come off easily).

We’re even less careful about garments when it’s an emergency and there is a really good chance they’ll get dirty with cleaning solution or other fluids during the surgery though. So, just FYI.

What else will I wear during a C-section?

Great question — you’ll normally also have on:

• Some grippy socks to keep your feet warm (feel free to wear your own but these may also get VERY dirty when you get up the first time)
• A thin bonnet hat to keep your hair out of your face/sterile field
• Some “booties” that pump-up to keep blood clots at bay
• And obviously, the hospital gown.

I usually gave my patients the option to either ride the gurney back or to walk to the OR. Probably depends on how far away you are from the surgery.

If there’s something you’d like, or would prefer not to do you can always ask. While some things are done in a very specific way for safety. Some have a lot of leeway in them and we want you to have as much control over it as you’d like.

I think that’s one of the most important things to know about cesarean sections. It IS major surgery and there are things we do in the OR that are for safety. Things like counting — you’ll hear LOTS of counting, and the room temperature. It’s all for safety.

BUT we can play music, or get you a warm blanket (and sometimes even warm IV solution) if you’re cold. We really can work AROUND the things that are there for safety.

Remember, that our routine allows us to provide a great cushion of safety for both you and your baby. It is why, in general, a C-section is very safe to do. We do a LOT of them, and are very prepared to help you all out!

I’m really glad you’re here learning about c-sections with me. But this is just the tip of the iceburg. If you’re planning on a C-section (or are even just aware it’s a good option for you) I think taking a prenatal class that covers c-sections is imperative. I recommend this one. It’s for both of you and I think you’ll both feel so much more comfortable having some knowledge on the subject.

If you want JUST info on C-sections (if you feel like you’re already a labor pro) — check this out. It’s JUST the C-section chapter from my class.

What should my partner wear in the surgery?

They will wear the clothes they came to the hospital on, with a “bunny suit” on over them — or some paper scrubs. I recommend them wearing something light and thin, so they’re not super hot or constrictive as they’re in there.

They’ll also wear a hat, a mask, and some shoe covers. We basically want all of their germs to stay with them, so they’ll be all covered — same for the staff as well. We’ll have hats, masks and boot covers on as well.

So, hopefully that answered any questions you have about what to wear in a C-section. Please do get prepared for the WHOLE thing. People love that section of The Online Prenatal Class for Couples, and I also have postpartum tips for C-sections in my postpartum chapters as well. Recovery is a whole other part of this process — so being prepared for that can help a lot too!

And if you’d like to a “vibe check” on me — grab my insider tips, where I give you some of my BEST tips for labor (great for both c-section and vaginal births).

The post What to Wear For a Cesarean Section appeared first on The Pregnancy Nurse®.

Quick reminder that about 1 in 3 people ends-up having a c-section in the united states.  While it’s REALLY important to talk through the reasons with your provider before making the choice it’s best for you (we talk a LOT about that in here) in this article we’re just going to talk about preparing for the actual procedure. I have a few tips I can send you via email as well.

Mentally Preparing for a C-section

Most people that come into labor and delivery have not had surgery, let alone major abdominal surgery like a C-section.  I think it’s really important for you mentally prepare that it’s an option.  I 100% recommend taking The Online Prenatal Class for Couples where we talk about both vaginal and cesarean deliveries.  But we’ll also go through the admission process (same for both) and tips for managing your life postpartum (including great postpartum tips).

I think being aware of what’s going to happen can be SO helpful.  For instance did you know?:

• It’s likely going to be cold in the room, but you can ask them for things to help make you warmer (it’s to help reduce the risk of an infection)
• There will be a LOT of counting going on
• Your partner will probably be in the surgery in a special spot next to you (important that they are prepared too)
• You will have a catheter (that will removed a bit after the surgery once you can get up and pee)
• You will deliver in an operating room, not a delivery room (this makes sense but a lot of people are surprised by it).
• You will likely go to a recovery room after delivery where there may be special rules due to you just having had surgery and keep you safe (including how many people can come see you).

I could go on and on about who’s in the room, and how long it takes — but knowing those things is SO helpful. That’s why this is helpful.

If you’re JUST having a c-section and ONLY want to know about the c-section procedure (and a few tips in particular for postpartum as a c-section patient) you can also check out C-sections made easy.  It’s JUST C-section info — you might prefer that…. but I’d still recommend the full class as there’s lots more info about everything in there.

I think it’s really clear to understand that most people bring some fear into the surgery room — and that’s totally normal and OK.  Just knowing what’s going to occur in there will help a LOT!

C-Section Birth Plan

The good news is that you can still make a birth plan, and a lot of it is very similar to a vaginal delivery.  Of course, I prefer to call these childbirth preferences — but if you’d like to do skin-to-skin as soon as possible your team can still try to make this happen.  Grab my free birth plan printable (and helpful video) here:

Now, beyond the actual procedure — there are a few other things to prepare for:

What is the best last meal to eat before a C-Section?

My vote is something you love, but not too heavy (or don’t eat a ton).  You’re likely to be a bit nervous, and possibly not sleep very well.  Most providers don’t want you to eat anything 8-12 hours prior to your surgery.  For most people that means the last meal is the night before.  You may be able to drink clear liquids after that — but check with your provider.

There’s no real reason to eat something special — but I think eat something that will make you happy.  This is one of the last meals you’ll eat without a little person to tend to!

What happens if you eat before a C-section?

So, let’s pretend your provider said NOT to eat 8 hours before the surgery, but you do.

First off, it’s SO important to be honest when they ask you when you last ate.  It is really important for anesthesia to know what’s in your stomach before the surgery for a variety of reasons.

The biggest reason is that if you were to throw-up we don’t want food going into your lungs.

They may end up postponing it if it is an issue.

That being said we do surgery on people all the time who have recently eaten, we just prefer not to (and it increases your risk). 

Preoperative Preparation for a Cesarean Section

It seems like most people aren’t told to do anything.  No, you don’t need to shave (we make sure that area is clear before the procedure, and we actually only need the very top part of pubic hair shaved to say out of the incision site).

Some people are given a special soap and told to shower with it prior to coming in.

But, that’s about it.

Pro Tip:  Worried about how nervous you’ll be?  You can always ask your provider for something to help you sleep before.  See what they say!

How to prepare for C-section Recovery

It’s smart to think about how your body will be after the surgery.  You’ll want to be very tender with your abdomen.  I go into more tips in here, but here are a few you’ll want to watch for:

Plan on high-waisted, or no-waisted items.  Your surgical scar will be right where your body naturally bends.  It’s called a bikini line scar.  So, you won’t want your underwear coming right in that area — so getting some high waisted panties, leggings, etc.  People also LOVE to wear dresses.  They sometimes look a bit nicer and put NO pressure in that area.

Your breastfeeding journey may be a little different.  They say that sometimes your milk takes longer to come in if you have a c-section vs a vaginal delivery.  It can be a good idea to take a breastfeeding class (this one includes one in the bundle) and have some good resources where you could get a consult if necessary.

You’ll still bleed — a lot of people are caught off-guard by this.  The bleeding actually comes from where your placenta detaches (which happens in both a vaginal and a c-section birth).  So, you’ll still need all the pads, etc. Grab my postpartum checklist here:

I think it’s important to know that you’ll do SO much better if you move — even if it hurts a LOT.  Yes, you’ll be slow — but the more you move the better you’re going to feel.  So, mentally preparing for being strong and doing things that will help you long term (even if they’re not fun right now).

I would also recommend knowing what things to watch for postpartum.  You may be at a higher risk for things like blood clots, heart or blood pressure issues and there are true standards of when you should go straight to the ER if you’re seeing something or if it can wait for a phone call to your provider.  I talk more about those in my free class Postpartum Care Made Easy.

How to prepare for a planned C-section

If you KNOW you’re going to have a c-section, you want to be sure to be prepared (this class is awesome for these people).  Ask your provider if they have any information about how cesareans work at your hospital, or what to expect during your hospital stay (our hospital had a pamphlet for c-section moms to help them understand the process a bit more).

It can be tempting to think you JUST want to prepare for a c-section but knowing the admission process, plus more about postpartum is a big win. If it’s at all possible I recommend this full prenatal class instead of just the c-section targeted class).

How to prepare for an urgent/emergency C-section?

This one’s a bit trickier, because as I said — 1/3 of patients end-up having a c-section.  Again, I think ALL couples should prepare for all aspects of birth, so they are prepared for what ends-up happening in their case.

All pregnant couples should accept that a c-section could be in their future and while all attempts to avoid it should be taken, it may be your best option.  Accepting the fact that they are a miracle that can save you or your baby’s is a good reminder that they are a GOOD thing when used right.

I’d also recommend getting very comfortable talking with your provider about why they are recommending something (a c-section in this case) and if you have other options, or can wait.  That way you can be clear that YOU are making the right choice.  This is NOT your doctor’s choice, it’s your choice.

However,  if it is an actual emergency, hopefully you’ve picked a provider that you believe will make the best choice in that situation.  The good news is that true emergencies in L&D are pretty rare.  And the choices are really clear-cut to your entire team if it happens.  FYI, most likely if it’s a true emergency you’ll have general anesthesia instead of a spinal — so things are different.

I LOVE that you’re getting prepared. That’s a total win because so many people just stick their head in the sand on this one. I even have a lot that just skip that chapter in the prenatal class (even though I really stress that EVERY ONE should watch that lesson). So — you’re one smart cookie and I hope you have a GREAT delivery.

Come join me in The Online Prenatal Class for Couples for the BEST delivery. I can’t wait to join you in there!

Don’t want a full class, come join me C-sections Made Easy!

The post How to Prepare for Your C-Section (Cesarean Section) appeared first on The Pregnancy Nurse®.

But first, how do I know all of this? Hi — I’m Hilary — The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind Pulling Curls and The Online Prenatal Class for Couples. ​ I had LOTS of previous cesarean moms as patients who have had this concern. I also know what is important to watch for — so let’s talk about it!

And — while you’re here grab my best tips for c-sections right here:

Of course, any information on this site is purely informational. Please talk with your provider about your specific circumstances including how your last caesarean was performed, and where the placenta for this baby is on your uterine wall. If you have any other symptoms like severe pain, or vaginal bleeding you need to be seen RIGHT away. If the uterus were to rupture at the site of the previous scar you’d most likely have severe pain, as well as bleeding. Not jut an “ache” or “stretching” felt.

TRIGGER WARNING: Remember that your stress affects the baby as well. This article may be more than you want, and the best option may be to just talk with your provider about it at your next appointment if the pain isn’t a lot. But, because you have had previous cesarean deliveries there is more risk to this pregnancy. I will speak to those risks (although small) in this article.

What could be causing the C-section scar pain?

So, it’s important to know a bit about how your body heals when you have a cesrean. First off, everyone’s healing is very different, but many people end-up getting what’s called “scar tissue” in the area around where their incision heals. For most of our injuries that we can heal, it’s just where the wound heals. BUT with surgery that healing sometimes causes what’s called ahesions, where it creates scar tissue in the muscles and things around the uterus in addition to healing the cut into your uterus.

Now, the amount of scar tissues and adhesions that form really varies person to person. We can see this in the OR during subsequent cesareans, where some healed up great, and some have a lot of scar tissue to work around to get the baby out.

I sort of envision it that we used a bunch of glue to fix your uterus (think of a child fixing a broken item). And in doing that, it sort of gets on the other areas of your body. SO, as your uterus starts to grow and stretch of course that glue has adjust and that can cause some incision pain.

Luckily, most of that scar tissue will bend and stretch better than Elmer’s glue.

You may be thinking that the baby is still SO small in your first trimester, but adding anything into your uterus will make that grow and stretch. And yes, this stretching may continue throughout your pregnancy. Most people find that there’s a few days where the pain is more frequent/intense that they’d prefer, an then it abates for a bit. Then, as baby grows a bit more (or changes position) they may get it back for a bit.

Another reason for C-section scar pain in early pregnancy is related to the hormones your body produces while pregnant. During early pregnancy, progesterone and estrogen levels rise dramatically as your body prepares to nourish and sustain a growing baby. This hormonal surge can cause the abdominal muscles around the c section scar to relax and stretch, and changes in the uterine tissues which can result in pain in the area.

The growth of the placenta can cause some of this pain (and there can be complications if the placenta grows into your incision — called placenta acreta). If the baby implants right at your scar area, it will be more problematic, than if implantation happens elsewhere. See the section below about cesarean scar pregnancies for more info on this.

Additionally, the extra weight and pressure that your uterus puts on the scar can cause additional discomfort. In some cases, if the c section was performed many years ago, it may be possible that the scar itself is causing irritation or infection.

Remember that during a cesarean section there are several incisions are made in the different layers that will need to grow and expand with your growing belly. This includes your skin, the fat layer and then again on the uterus. So, you may have issues with all of those layers expanding.

And, if you’ve had multiple cesarean sections that scar tissue can be compounded.

Remember, it is normal in women who have not had a previous cesarean to also feel growing and stretching involving their abdominal muscles, skin, uterus and ligaments as the baby grows. Yours will just be more never-wracking because of your previous surgery.

Pro Tip: It may help you to figure out where the pain is coming from. Is it just your skin stretching (feels very superficial) or does it feel deeper — which could be more problematic. When we ask patients to describe their pain, it helps us figure out where it is coming from — and you can do this at home too.

What is a Cesarean Scar Pregnancy

{Trigger warning — if you have concerns how learning more about bad things that COULD happen — I’d skip this paragraph — you can head right on down to the next heading}

It is when the fetus implants where the previous caesarean section scar is. It actually doesn’t happen all that frequently, but it can be really problematic. In fact, it’s treated similar to an ectopic pregnancy where the fetus implants outside the uterus (often in the fallopian tube, cervix or in the abdominal cavity) — many people call it a cesarean scar ectopic pregnancy. This article has some good information on what they are and the problems associated with it.

As you can imagine, that cut tissue isn’t a great place for a placenta to grow and nourish your growing baby.

The bad news is that it can be a big issue but can lead to maternal or fetal morbidity. This is why it’s important to talk with your provider about it early in each pregnancy. They can order an ultrasound to be done to see where baby is at in your uterus (and if you’ve already had an ultrasound this would hopefully not be an issue). Early diagnosis of this issue is the key for everyone’s safety, and provide the best treatment options.

Most often these babies can’t continue to grow for various reasons and they recommend termination. You can read more about it here.

Babies & pregnancy after a cesarean can be extra scary. You may not have had a great experience last time either. Come join me in The Online Prenatal Class for Couples where you can get prepared for your next delivery (and hopefully love that one even more).

How to tell if it’s just normal discomfort or something more serious?

I would talk with your provider at your VERY first appointment about what you should be watching out for in relation to your previous surgery. This would be extra important if that surgery was fairly recent (like, you got pregnant soon after your last baby).

If you are feeling discomfort in your c section scar and believe it to be something more than normal pregnancy-related aches and pains, then it is important to reach out to your healthcare provider for further evaluation. It may be helpful for them to perform an ultrasound scan or pelvic exam to make sure the pain isn’t being caused by a complication.

While it is extremely unlikely, there is always the chance of uterine rupture (where your uterus breaks open). The way they sew-up the uterus (especially if your surgery was done in the US) is meant to hold and heal well for subsequent pregnancies, and this is very rare during pregnancy.

Also, if you’re early in pregnancy the risk of this is VERY small (the risk grows are your uterus/belly grows — or, as you go into labor). There are case reports of his happening spontaneously at home, but they are rare.

But, because it IS a risk you want to talk with your provider about what you should watch out for.

What you can do to ease the pain?

Heads up! There may be affiliate links in here – I might earn a smidge with your click. No cost to you, just good vibes! Check my boring stuff for deets.

Obviously, talk with your doctor or midwife about it. BUT, If your pain is determined to be normal pregnancy-related discomfort (as some scar pain is normal), then there are several steps you can take to alleviate the discomfort.

The first step is to make sure you are getting enough rest and avoiding any strenuous activities that may cause further strain on the area. Think back on your day and think if there was something you did that triggered it. If so, be mindful that activity might want to be avoided for the next few weeks (and I’d mention that to your provider as well).

Additionally, applying a warm compress, or a microwaveable heat pack. over the c section scar can help relax the muscles and reduce pain. Remember I said WARM not hot. A warm bath could maybe help. The crazy thing with this type of pain is that once you feel it, ALL those muscles around it like to tense up, so in addition to the scar stretching you’re also trying to just help that zone relax a bit.

For the most part you don’t want to LAY a heating pad over your belly during pregnancy (that article I linked to about it will help) but using it just over the scar for a short period of time (especially during early pregnancy where baby is so well insulated) should be alright (but check with your provider). Something like this could easy just go along the scar line (rather than your whole belly). I’ve made my own heat packs using just a dish towel and some rice.

Some light massage of the are may help as well to help those tissues chilll-out a bit.

When to go see a doctor about the pain?

As I said, I’d recommend talking to your provider at your next appointment about what you’re feeling (and I recommend making a note in your phone or in your planner so you don’t forget).

If the pain is a lot I’d call them with that information right away. You’d just rather stay on the safe side.

Additionally, if the pain is accompanied by bleeding or other symptoms like fever, lower back pain, or abdominal cramping then you should get evaluated right away as it may be an indication of a serious complication.

In conclusion, c section scar pain in early pregnancy is usually normal and can typically be managed with at-home remedies. However, if the discomfort persists or is accompanied by other symptoms then it is important to reach out to your healthcare provider for further evaluation. I know it’s easy to freak out that something is going wrong, but most often it’s just stretching.

Ok, I’m so excited for you to have another baby — but you may have a lot of previous trauma coming up from your previous cesarean. Come join me in The Online Prenatal Class for Couples where we talk all about different interventions the hospital may do to help you feel very comfortable with all of that before your next delivery (be it another c-section or a VBAC/TOLAC).

And, if you’re not quite sure you’re ready for that whole thing, check out my free prenatal class. It’s your first step toward getting in the driver’s seat of your birth.

The post C-Section Scar Pain During Early Pregnancy appeared first on The Pregnancy Nurse®.

First off, I want to remind you to be sure to take cesarean advice from someone who’s seen a lot (and a lot of recoveries). This can be villianized very quickly online — and it doesn’t need to be that way.

If there’s a chance of a c-section in your future — I totally recommend getting a birth class that covers it from beginning to end, so you know what to expect (and also prepares your partner). The Online Prenatal Class for Couples has an entire chapter on Cesarean Birth that so many patients absolutely love. It only takes a few hours, so you can get started today!

At the very least — grab my cesarean prep pack:

Ok, let’s jump in:

C-section Facts

1. They prefer to do a spinal over general anesthesia

A lot of people who are planning on a cesarean section want to be “put to sleep” and not be awake during the surgery.

However, they much prefer to use spinal anesthesia vs general (which is where they put you to sleep) for a variety of reasons, but the main ones are:

• Better, longer pain relief
• Safer for baby (some of the general anesthesia may get to the baby)
• Less risks involved with spinal anesthesia

I have a whole post on my sister site on c-section anesthesia that might interest you.

Want to know more about pain mangement — check out these posts:

• Why Labor Pain Can Feel So Different For Each Person
• 4 Things to Know About Birth Pains
• Do You Need a Birth Class if You Plan to Get an Epidural
• Epidurals During Pregnancy & Labor

2. They Make Sure You’re Numb First

Before the surgery is started they almost always check to make sure you are numb. The only times they wouldn’t is if baby is dying and they believe those few seconds can mean a life-long difference.

They do this by pinching your skin with surgical instruments. They may or may not ask you if you feel anything when they do it.

This doesn’t prevent you from feeling pushing and pulling during the procedure. Sometimes people think they aren’t numb as they feel the tugging when the baby comes out, but that type of feeling is very normal.

We chat about all this in my recent podcast on labor supplies:

3. You get a catheter

Catheters are part of a cesarean section. The good news is that most doctors/facilities put them in once you’re nice and numb with the spinal, so you don’t feel anything.

Check out my post on foley catheters for more information on them (plus a video on how they are inserted).

4. The room is cold

The rooms are kept fairly cold for surgery… for a few reason:

• Less bacterial growth at lower temperatures (humidity is important in those rooms as well).
• The doctors have several layers on during the surgery and we don’t need them sweating into your incision.
• When the surgical lights are turned on it usually heats up

Just don’t be surprised that it is cold back there. Be sure to ask for a warm blanket if you are cold. They should be able to get you one.

Pro Tip: They can also sometimes give you warm IV fluids if you’re really cold and that can help warm up your body.

5. There is a LOT of counting

Before your surgery the staff is required to count every sponge, every instrument, every needle etc.

This is so we can count them after (and during) the surgery to make sure nothing is left behind — so the counting is very normal and important.

Pro Tip: While you can have some say in your surgery it is also really important that the staff does things the same way each time to help keep you safe. Counting is one of those VERY important things.

6. They should still do delayed cord clamping

Delayed cord clamping is now a standard of care in both vaginal and cesarean birth. They will keep the baby on the sterile field and dry them off for 30-60 seconds before they cut the cord.

However, if baby is having an issues they will clamp it earlier and take baby to the nursery.

Babies born cesarean do have some higher risks during their transition period to air, so most often a pediatrician or a neonatologist will be in the room for the baby’s delivery (and then leave once baby is OK).

7. You may feel a lot of pressure right before baby comes out

The don’t cut the area where the baby comes out very large (see #11) due to a variety of reasons, but one of the main ones is it helps squeeze out baby’s lungs as it comes through that small opening.

However, to get baby through that smaller opening the assisting doctor often applies a lot of pressure on the top of your uterus to get baby out. It can be hard to breathe sometimes during this time.

Hopefully anesthesia will warn you that it is coming so you’re aware it is all normal (a lot of people worry their spinal is wearing off, but that isn’t the case at all).

8. Baby can stay in the room with you

It depends on your facility, but many let baby (and your partner) stay in the room with you after birth (as long as everything is going OK). That means you get to hold/see baby while they are finishing up the surgery.

During this time you can attempt skin to skin (or dad can). Some moms may even try to breastfeed (depends on anesthesia I find). However, many find that they are happiest looking at the baby as dad holds it. You are still having major surgery — so make sure you are catering to your own needs rather than what you think you “should” do during this time.

9. You go to a PACU after delivery

After delivery you may go to a different room. It is important that as the spinal anesthesia (or general) is wearing off that we monitor your heart rhythm, oxygen status and any bleeding.

Your nurse will also likely be close for at least the first hour or two because of your risk for problems. She will be monitoring a lot of things during this time (and also doing a lot of charting).

10. There are lots of ways to deal with your pain

A lot of times we think just about pain medication after a surgery but there are a LOT of ways you can deal with your pain (without using narcotics), like:

• Chewing gum to help your bowels move
• Using simethicone to handle your gas (which can be painful)
• Using a binder to help your uterus not “wobble” as much
• Essential oils can sometimes help as well

We are finding that narcotics use can have a lot of negative side effects — so, we are trying to use them as little as possible.

It is always a fine line between trying to make patients comfortable enough to move and heal vs traveling the line of addiction to them. So, we’re trying to be inventive in that process.

11. Your incision may be open to the air

You may plan on the incision being covered with a bandage, but many providers leave it “open to air” meaning you can see/feel it right after birth.

However, some do cover it – just depends.

Most often your incision is closed by a few ways:

• Staples (these aren’t as gross as they sound, and they take them out most often before you go home)
• Stitches — these should likely dissolve on their own.
• Dermabond — this is like medical super glue that can close an incision
• Steri Strips — These look like paper tape that cover the incision. The edges will slowly pull up until it falls off (feel free to cut off the end that has pulled up, just be careful to not cut yourself).

12. Your scar isn’t very big

Your scar will likely be in the natural fold between your belly and your pelvis. That means it’s mostly hidden and can be hidden when wearing a bikini as well.

It also isn’t as big as you imagine. Just 4-6 inches.

13. The whole thing takes about an hour.

From when you get in the room, til’ you’re wheeled out NORMALLY takes just over an hour. There are several things that could delay it to closer to 90 minutes:

• Difficulty placing anesthesia
• Any issues with supplies/staffing
• Any doctor being late
• Previous caesarean sections often take longer due to scar tissue.

14. We will still push on your belly afterwards

A lot of you may have heard how we push on your baby once you have your baby.

This is to make sure that your uterus is contracting back down on itself and you’re not bleeding.

Honestly, it’s EXTRA important with a cesarean (also because you might not feel a gush of blood due to anesthesia) — so, even though you’ve just had surgery we will push down a bit on your uterus to make sure it feels firm.

It sucks, and we’re sorry about it. But it’s quick — and important.

16. You’ll get up to walk in a few hours

Depending on your hospital, and how the anesthesia wears off, you may be encouraged to get up and walk 4-12 hours after birth. It seems VERY fast to a lot of people, but I can guarantee that the more you walk the better you’re going to feel. Getting your body moving is healing (it just doesn’t feel like that at first).

Pro Tip: This is a good time to get a pain pill on board in advance.

15. It is still birth.

I don’t know who ‘s pretending this isn’t birth, but it totally is. It’s amazing and can be wonderful as well.

Don’t let someone tell you that a caesarean can’t be as magical as a vaginal birth, because it ABSOLUTELY can be. Just go into it informed on what can/will/could happen and I think you’ll have a great time.

And yes, I said informed — so, please do take The Online Pranatal Class for Couples so you really can have that great birth you’re hoping for. Whether it’s vaginal OR cesarean.

Want to do a vibe check before diving into the whole thing with me? — check out my free labor pro tips. It’s your first step toward getting in the driver’s seat of your birth.

The post 16 C-Section Facts For a Better Birth! appeared first on The Pregnancy Nurse®.

As always, if you are planning on a cesarean section, or your doctor has mentioned it could be likely. I would recommend talking to them about what your anesthesia choices are. They know you and your specific circumstances.

And, because I believe you should always check sources. Hi, my name is Hilary Erickson — I’m The Pregnancy Nurse. I’ve been an RN since 1998, and I have 20 years of labor and delivery experience. I have been in thousands of cesarean sections at multiple locations and with lots of different kinds of moms, so I think I’ll have a good viewpoint for you on this topic.

What is Anesthesia?

Anesthesia is basically a way for you to not feel things when you’re having surgery. There area few types:

General Anesthesia

This is when you are entirely put to sleep during a procedure. General meaning your entire body is asleep using general anesthetic.

Regional Anesthesia

This is when just an area of your body is numbed for a procedure. Most often this is done through an epidural or a nerve block. In a cesarean section it is done with a spinal block (in labor it would be epidural anesthesia — and we’ll chat about the differences).

Local Anesthesia

This is when they just numb the specific area that could cause pain. Most people know this from the dental office, or if they have stitches and they numb that area with an injection.

As an FYI I do have an entire chapter on cesarean sections in my best-selling Online Prenatal Class for Couples. So many families are super grateful for that section that walks you through the entire procedure, and what to expect.

I also have a portion about what is different with a cesarean birth after delivery. I love what Emily had to say:

These classes were everything I wanted and more!!! The lessons were short and sweet without skimming on information. It was great for my husband too, because it wasn’t all about Me and the Baby, and he finally felt involved.

Emily M — read more reviews here.

Who provides Anesthesia?

Anesthesia must be provided by either an Anesthesiologist or a nurse anesthetists (this is basically a nurse practitioner who went to specific schooling providing anesthesia — states vary in how they allow them to practice).

Cesarean Section Anesthesia

With a caesarian section they can use all three methods. It will be up to your provider to give you the risks and the benefits of all the methods, these are just the most common (but they may vary depending on you and your circumstances). And these methods area also used in other surgical procedures in the operating room (knee replacements, etc).

General Anesthesia for a Cesarean Section

You will be entirely out for the procedure. You will not remember anything from the beginning of it til’ we wake you up after it is completed.

Pro Tip: check out my post with 15 awesome c-section facts for your educational perusal too!

Risks of General Anesthesia in a Cesarean Section

The saddest thing, although not really a “risk” per se — is that you won’t remember your baby’s delivery. Because you will be “out” the whole time you will meet your baby for the first time in the post-anesthesia-care-unit where you are tired, groggy and likely hurting.

The other risk may vary by hospital, but because general anesthesia is a much more intensive procedure that takes more attention for the anesthesiologist (and frankly, it is hard to look at) — your 2nd person is not allowed into the OR. However, if this is the case your baby can be taken to them upon delivery so they can do skin to skin (and make sure they take LOTS of pictures for you). Some hospitals may allow them in the room, but any that I’ve worked at, or heard of — did not.

But, along the lines of the baby — one of the largest problems with general anesthesia for cesarean section is that the medications given to you do pass to the baby (which could make them sleepy, less likely to cry and expel the amniotic fluid from their lungs). That means once they put you under the physicians are quick to get the baby out, so they get as little medication as possible.

I have always HEARD this to be true (and seen it for myself) but I did read this article that said there was not significant difference for the baby. So, that may not actually be true. I think the risks are mitigated because they physicians work to get the baby out very quickly when general anesthesia is used.

There are always risks involved in all the medications that they use for general anesthesia. It can take days/weeks for those medications to leave your system I have been told by moms.

There is also the risk of intubation where they could chip a tooth (unlikely) and you will likely have a sore throat from it.

The other risk is that is just isn’t as good of pain relief. You don’t have any residual pain mangement left as you’ll see in “regional anesthesia”. That is mostly why we don’t like this method as much.

Benefits of General Anesthesia in a Cesarean Section

A lot of women ask for this method because they do not want to even think about the surgery happening, the idea of it gives them anxiety. So, one benefit is that you don’t have any anxiety of the procedure.

The other benefit is that it can be done quickly. Use of general anesthesia is mainly what we use when the surgery must happen immediately due to an emergency situations (you’ll find people often say their baby was delivered as an emergency, but unless they were put under general anesthesia it likely wasn’t a “true emergency”).

Conditions like this might be:

• Baby’s heart rate has some serious issues and isn’t recovering
• There is an abruption of the placenta and both mom and baby are bleeding a lot
• The birth of your baby will save your’s or your baby’s life.

It can also happen due to other medical conditions (especially big back issues in the area they normally use).

As you can imagine, anesthesiologists are trained to get people under anesthesia very quickly — which is important when seconds matter to you or your baby’s life.

Regional Anesthesia for a Cesarean Section

This is the most often used method for anesthesia for pregnant women during a cesarean deliveries. It can be given as spinal anesthesia, or — if you already have an epidural infusing (and working) they can add extra epidural anesthetics to that to numb you up more than they would for a vaginal delivery.

Risks of Regional Anesthesia in a Cesarean Section

There is always the risk of placement going wrong (most often that results in a spinal headache), or infection at the site of the placement (as they will break the skin).

There could be the risk that it won’t work or they are unable to place it (this can happen for a variety of reasons) — but if it doesn’t work they can always put you under general anesthesia if they are unable to try again.

It is also possible that you will feel “some” of the pain during the surgery. If this happens, your anesthesiologist is on hand to provider more pain relief and other methods to help you tolerate the surgery

There is also a chance that your blood pressure could drop. But they have medications, and fluids on hand to help with this in the operating room.

Benefits of Regional Anesthesia in a Cesarean Section

The two main benefits are:

1. You are awake for the delivery of your child. While the idea of being awake during major surgery does sound daunting, most women don’t find it too horrible as baby is usually out fairly quickly and their partner can be with them as they see the baby for the first time and often get to hold them.
2. You have greater pain relief following delivery. It takes almost 24 hours for that to entirely wear off (and the pain management centers around your surgical area so that’s extra handy). That means you have to take less pain pills and often have a better recovery overall.

Also, the regional anesthesia is not passed through the placenta to baby. Although baby does have more risks during a cesarean delivery in general, they won’t have the added risk of general anesthesia in their system as well.

If you’re wondering how epidural anesthetics are placed (this is also the same procedure for a spinal, up until they introduce the epidural catheter) I have a video where I show me putting one in on a doll:

Local Anesthesia for Cesarean Section

This would be where they just numb the skin.

I have seen this and I wouldn’t recommend it. I think it would only happen if anesthesia wasn’t available and the physician believed baby had too much risk staying inside at that time. I won’t go into the risks and the benefits of this as it would only be for extreme circumstances.

What Anesthesia is most often used for a Cesarean Section?

If you come in for a scheduled cesarean section you will likely be encouraged to have a spinal black placed. Due to its lower risks to you and the baby, along with being able to see the delivery and residual pain mangement — it is the best way.

If you already have an epidural infusing they would just dose that up.

That all being said — what you are interested in is what will be used for YOUR Cesarean and you won’t actually know that until it happens. But, hopefully this gave you some idea of what to expect for your upcoming surgery.

I hope you’ll join me in my online prenatal class to get prepared for your whole delivery. Be sure to check out the reviews if you have questions!

The post Cesarean Section Anesthesia appeared first on The Pregnancy Nurse®.