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Caesarean

Caesarean section
Intervention
Cesarian the moment of birth3.jpg
A team performing a Caesarean section
Synonyms C-section, caesarean delivery
ICD-10-PCS 10D00Z0
ICD-9-CM 74
MeSH D002585
MedlinePlus 002911
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Caesarean section, also known as C-section or caesarean delivery, is the use of surgery to deliver one or more babies. A caesarean section is often performed when a vaginal delivery would put the baby or mother at risk. This may include obstructed labour, twin pregnancy, high blood pressure in the mother, breech birth, problems with the placenta, umbilical cord or shape of the pelvis, and previous C-section. A trial of vaginal birth in some of these situations, including after C-section, may be possible. Some C-sections are also performed upon request. The World Health Organization recommends that they should be done based on medical need and in many cases they are lifesaving for the mother and baby.

A C-section typically takes 45 minutes to an hour. It may be done with a spinal block such that the woman is awake or under general anesthesia. A urinary catheter is used to drain the bladder and the skin of the abdomen is then cleaned with an antiseptic. An incision of about 15 cm (6 inches) is then typically made through the mother's lower abdomen. The uterus is then opened with a second incision and the baby delivered. The incisions are then stitched closed. A woman can typically begin breastfeeding as soon as she is awake and out of the operating room. Often a number of days are required in hospital to recover sufficiently to return home.


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