The Potential Risks of Birth by Cesarean Section

 

C-Section (cesarean section) CHI Health

Video taken from the channel: CHI Health


 

Cesarean Section For Complicated or High Risk Births

Video taken from the channel: BroadcastMed Network


 

C-Section Health Dangers

Video taken from the channel: CBS News


 

What happens in a cesarean section, or cesarean delivery?

Video taken from the channel: UCHealth


 

Risks of Repeat C-Section

Video taken from the channel: Wesley Davis, M.D.


 

Risks and benefits of VBAC and planned caesarean section

Video taken from the channel: University College London Hospitals NHS Foundation Trust


 

C-Section Risks for Mother & Baby

Video taken from the channel: All Health TV


The possible C-section risks for the mother include: Mothers who undergo C-section need to stay at the hospital for a longer time period. The recovery time becomes longer. In some cases, it may be up to two months. The risk of C-section complications becomes high.

There is a high risk of pain at the. Risks associated with a C-section rise when the mother has COVID-19, he added. The study found that women who had a C-section were more likely to wind up in the intensive care unit themselves.

They. surgical injury to other organs. adhesions, hernia, and other complications of abdominal surgery. You and your doctor will discuss your birthing options before your due date. Your doctor will also. “As the cesarean rate went up from 1995 to 2007, we didn’t see a decrease in neonatal mortality in our country related to cesarean birth,” says Aaron B.

A caesarean section is associated with risks of postoperative adhesions, incisional hernias (which may require surgical correction), and wound infections. If a caesarean is performed in an emergency, the risk of the surgery may be increased due to a number of factors. The patient’s stomach may not be empty, increasing the risk of anaesthesia. The risks of cesarean section are low but real. The operation constitutes major surgery.

Compared with the risks of normal vaginal delivery, it is more dangerous for the mother. The risk of complications—such as infection, hemorrhage, blood clots, and injury to. A caesarean carries a risk of adhesions as you heal.

Adhesions are bands of scar tissue that can make organs in your tummy stick to each other, or to the inside wall of your tummy. It’s hard to say exactly how many women are affected by adhesions after a c. In that situation, the risk of C-section is less than the risk of normal delivery.

The risk of fetal death or rupture of tissues from labor is more than cesarean risks during dystocia. A hypotonic uterus dysfunction can also pose such a risk. It could be that the fetal heartbeat is dropping below the lower limit. Uterine rupture is rare, happening in less than 1% of women who attempt a trial of labor after cesarean. However, uterine rupture is life-threatening for you and your baby.

During a uterine rupture, the cesarean scar on the uterus breaks open. An emergency C-section is needed to prevent life-threatening complications. The prevalence of maternal mortality and maternal morbidity is higher after CS than after vaginal birth.

CS is associated with an increased risk of uterine rupture, abnormal placentation, ectopic pregnancy, stillbirth, and preterm birth, and these risks increase in a dose–response manner.

List of related literature:

Complications of cesarean delivery include hemorrhage, infection, thromboembolism, ureteral and bladder injury, abdominal pain, and increased risk for abnormal placentation and uterine rupture in subsequent pregnancies (Box 26.3).11 Maternal morbidity and mortality vary widely from country to country (see Chapter 39).

“Chestnut's Obstetric Anesthesia E-Book” by David H. Chestnut, Cynthia A Wong, Lawrence C Tsen, Warwick D Ngan Kee, Yaakov Beilin, Jill Mhyre, Brian T. Bateman, Naveen Nathan
from Chestnut’s Obstetric Anesthesia E-Book
by David H. Chestnut, Cynthia A Wong, et. al.
Elsevier Health Sciences, 2019

The long-term morbidity of elective cesarean section is primarily related to the risks associated with repeat cesarean sections and includes an increased risk of placenta previa, placenta accreta, and uterine dehiscence/rupture.

“Urogynecology and Reconstructive Pelvic Surgery E-Book” by Mark D. Walters, Mickey M. Karram
from Urogynecology and Reconstructive Pelvic Surgery E-Book
by Mark D. Walters, Mickey M. Karram
Elsevier Health Sciences, 2006

The increased risks of bleeding, infection, thromboembolism, and cost with cesarean section led to encouraging vaginal birth after a cesarean section (VBAC), with an increase in VBAC rate from 6.6% in 1985 to 30.3% in 1996.

“Anesthesia and Uncommon Diseases E-Book” by Lee A Fleisher
from Anesthesia and Uncommon Diseases E-Book
by Lee A Fleisher
Elsevier Health Sciences, 2012

The overall risk of maternal death is less than 4 in 100,000 for TOLAC and more than 13 in 100,000 for repeat cesarean.21 Weighing the benefits and risks of a VBAC against those of a repeat cesarean can be challenging, and it’s best to closely consult with your caregiver to better understand your options.

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

Cesarean delivery also imparts added risks for infants of future pregnancies, including fetal death resulting from antepartum rupture of uterine incisions and neonatal respiratory disease associated with subsequent elective cesarean delivery.229

“Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice E-Book” by Robert Resnik, Robert K. Creasy, Jay D. Iams, Charles J. Lockwood, Thomas Moore, Michael F Greene, Lesley Frazier
from Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice E-Book
by Robert Resnik, Robert K. Creasy, et. al.
Elsevier Health Sciences, 2008

The risk of significant extensions of the hysterotomy at the time of cesarean delivery are doubled with persistent OP.119 Fetal and newborn morbidity associated with persistent OP includes modest increases in lower Apgar scores, cord gas acidemia, meconium, birth trauma, and neonatal intensive care unit admission.

“Obstetrics: Normal and Problem Pregnancies E-Book” by Mark B Landon, Henry L Galan, Eric R. M. Jauniaux, Deborah A Driscoll, Vincenzo Berghella, William A Grobman, Sarah J Kilpatrick, Alison G Cahill
from Obstetrics: Normal and Problem Pregnancies E-Book
by Mark B Landon, Henry L Galan, et. al.
Elsevier Health Sciences, 2020

There are significant risks of maternal and newborn complications with cesarean birth (Kolas, Saugstad, Daltveit, Nilsen, & Olan, 2006; MacDorman, Declercq, Menacker, & Malloy, 2006; Sakala & Mayberry, 2006).

“Perinatal Nursing” by Kathleen Rice Simpson, Patricia A. Creehan, Association of Women's Health, Obstetric, and Neonatal Nurses
from Perinatal Nursing
by Kathleen Rice Simpson, Patricia A. Creehan, Association of Women’s Health, Obstetric, and Neonatal Nurses
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008

Compared to a vaginal birth, the risks to mother include increased risk of death, surgical injury, infection, postpartum depression, and hemorrhage, although these are rare.

“Human Physiology” by Wikibooks Contributors
from Human Physiology
by Wikibooks Contributors
Blacksleet River,

The risk of a deep venous thrombosis after cesarean delivery is three to five times greater than after vaginal delivery.137 The reactive thrombocytosis after cesarean birth, the impact of which is compounded by anemia, infection, and postpartum hemorrhage, further increases the risk.

“High Risk Pregnancy E-Book: Management Options Expert Consult” by David K. James, Philip J. Steer, Carl P. Weiner, Bernard Gonik
from High Risk Pregnancy E-Book: Management Options Expert Consult
by David K. James, Philip J. Steer, et. al.
Elsevier Health Sciences, 2010

The risk of increta is 10% to 25% in women with one previous cesarean section when the placenta is implanted over the scar and exceeds 50% in women with placenta previa and multiple cesarean deliveries (Table 55-2).

“Textbook of Diagnostic Sonography E-Book: 2-Volume Set” by Sandra L. Hagen-Ansert
from Textbook of Diagnostic Sonography E-Book: 2-Volume Set
by Sandra L. Hagen-Ansert
Elsevier Health Sciences, 2013

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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12 comments

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  • thanks for this video…I had a C-section with my first child because​ I was over due n wasn’t getting passage,I then had a failed induction which led to my emergency C-section…my son is now four years old… what is my chances of trying for a vbac….or should I have a planned C-section….I’m confused please advise me

  • Well I’ll be having my 7th c section October 1st 2020. Had 6 so far. Nov.2003,Dec2006,Feb2010,Feb2014,2× 2016 January and December. Had blood transfusions for #5 and scar tissue and a hernia repair on the lower right side by my c section scar. Also this will be my last and I am nervous.

  • My csection was a nightmare, my bladder was cut, and the next day I was loosing so much blood I had 9 blood transfusions, and was life flighted to a bigger hospital

  • I’m scared! I’m only 6 months postpartum and got pregnant again. I’m so worried that it’s to soon and they said they don’t do VBAC. Will I be okay since it’s so soon?

  • Thank you for the video. I know someone who nearly died and had to have hysterectomy because of undiagnosed bladder injury on her third csection. Im not happy that at this moment my only choice is repeat csection because baby is breech once again and no one does ecv where I am. And vbac Drs here are very rare hard to find.

  • Hi Dr,
    I had 2 c-section and pregnant on the 3rd. My first baby was emergency c-section bcoz the fluid around the baby was very little. The 2nd baby was not progressing after induced only 4 cm opening, which ends up with c-section bcoz the baby’s heart was low as they said and I believe if they could wait me I could have virginal delivery. Now I am afraid for the 3rd c-section and I don’t want to go hospital quickly so that I can Labour at home bcoz they will push me for the 3rd c-section.
    Please Dr any advise.

  • I’m now 13 weeks pregnant, but my daughter will be 5 in September. It’s been almost 5 years since my first daughter was born. Would these risks still apply to me?

  • I have a question I’m 31 weeks pregnant I had a csection 8 years ago. After my csection I’ve had problems with my bladder with urgency and constantly going to the bathroom I dont know if my bladder was damaged during the csection.i put off getting it checked out and now I regret it. I’m not sure if vbac or csection will be safer. If it will damage my bladder more.

  • Is that true that scanty amniotic fluid around the baby especially after the due date was reached without any signs of labor for the first time, all that can be considered a cause for c section??

  • Omg I’m having a repeat c section(#2 ) in 10 days and now I’m scared to death because I already had scar tissue with my first c section and I had never been cut there before����‍♀️why did I watch this

  • You should talk about what happens when vbac fails. Medical doctors don’t even call it vbac anymore. It’s tolac. Trial of labour after c section. You cannot be induced or given drugs to speed up labour. There is a chance of uterine rupture, you can die and so can the baby. Also you may need a hysterectomy and blood transfusion. If this happens to you and you are not in a hospital with doctors and an operating room available within minutes it’s fatal to both baby and mother. So sure if you want to try for a tolac go for it but know what could possibly happen. The risk may be low but it’s still there. You can’t tell someone with 100% certainty that it’s better for them to have a vbac over repeat c section. Anything can happen. There are risks to both.

  • Thank you! Great info. I’m pregnant with my 5th child, this will be my 5th c-section. All of my previous surgeries went great! I’m hoping for the same outcome this time.