Caesarean section

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Caesarean sections can be planned or emergency. What is required of the doctor is to be on the toes and to act quickly when needed. In current era, Caesarean sections are recommended to be done as gentle procedure without undue pain to the patient and hence allowing baby to be born with minimal intervention. Dr. Riddhi Shah ensures Caesarean deliveries should be done for ethical reasons, she considers patient wishes and performs even complicated Caesarean sections gently with minimal blood loss. She is one of the best high risk Obstetric doctors in Ahmedabad.

What is a gentle Caesarean section?

Dr. Riddhi Shah performs a gentle Caesarean section. This means minimal handling to deliver the baby, only adequate required size of cut, no excessive instruments, no stretching of patient’s tummy muscles, no pushing on the top of the abdomen to deliver baby, no pulling or tugging to deliver baby, allowing baby to come out slowly in their own sac, allowing delayed cord clamping and cutting so baby can get maximum blood from the placenta, avoiding excessive blood loss, delivering placenta naturally without inserting hand in the uterus or any instruments inside the tummy or uterus. This caused less pain during and after the operation and leads to enhanced recovery. Her patients start drinking and eating early after the surgery. They are mobile usually on the same day. Breast feeding is started in the operation theatre itself even before the operation is completed. Early initiation of breast feeding leads to better latching by the baby onto the nipple. Minimal intervention Caesarean section can help recovery to be almost like a natural birth.

What to expect when having a Caesarean?

Caesarean sections can be planned or emergency. They are practically alike unless it is a dire emergency, or the baby is too low like in the last stage of labour.
If planned Caesaren section, you will arrive into the hospital only a couple of hours prior. You will be fasting for at least 6 hours prior. This does not affect the baby. You will be given a hospital gown to change into, and you will have the hair on the lower abdomen and bikini line clipped. You will receive an Enema which is a solution inserted into the back passage through a lubricated tube which helps empty the bowel contents.
You will see a doctor called the Anaesthetist. They will explain you the procedure and you can develop a rapport. They will put a intravenous line on your non dominant wrist to give fluids and attach an ECG machine and BP machine on your chest and other arm respectively. The anaesthetist make you sit up on the operation table and clean your back. Your back is uncovered for this, as you receive the anaesthetic drug by a needle in the spine muscles. It is given after local anaesthesia so you only feel one sharp needle first which is the numbing medicine. You need to sit very still without moving for a few minutes during this procedure.
After the anaesthesia, you can lie down, and you feel your legs have become numb and there may be tingling or hot and cold feeling in the legs. We check that you are unable to feel anything below the bellybutton before we start.
A urine catheter is then inserted in the bladder which you would not feel. This catheter is removed after the operation when you can move your legs.
You may feel a bit of stretching and pulling during the operation but no pain. The anaesthestist will be with you near your head throughout the procedure. You will be awake and you can hear and talk to your doctor as well.
The baby usually comes out in the first 10 minutes of the procedure and the rest of the closure takes longer.
Try to stay calm. It can be difficult to be stationary in a position with your arms extended and fixed, not knowing what is happening on the other side. We try to keep communicating during the procedure.

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