Surgery: Archives

Contraception January 12, 2021

Types Of Contraception To Prevent Pregnancy

Birth control or contraception is a technique used to prevent pregnancy. In simple terms, it helps in preventing a man’s sperm from reaching a woman’s egg by keeping them apart to prevent ovulation (egg formation). And, if you are considering using birth control (contraception), then it is paramount to have a detailed understanding of various methods available to pick the right one for you. The decision of which method of birth control to opt for is extremely personal and there is nothing called as best choice which is safest for all women or couples. Any woman should sensibly evaluate the risks and benefits, along with the effectiveness of each method before picking on a birth control method. Also, simultaneously consider protection from the risk of HIV and certain STDs (Sexually Transmitted Disease). A clear and open discussion with your health care professional can help in this decision process.

Let us now dive deeper into understanding various methods of birth control and their effectiveness.

There are two basic categories of birth control methods: Reversible and Permanent.

Reversible methods are the methods used when a woman chooses to temporarily avoid pregnancy. These are usually suggested by the doctor when a woman has plans to get pregnant in the future. Permanent methods are the methods that involve sterilization that prevents pregnancy permanently. A woman may decide to choose these methods when she is very sure of giving no birth to children henceforth.

Reversible Methods

1. Intrauterine Contraception: An intrauterine device (IUD) is a tiny T-shaped device that your doctor inserts into your uterus. The device contains copper or synthetic progesterone that prevents pregnancy. A progesterone IUD can remain in place up for several years and is 99% effective. IUDs do not prevent sexually transmitted diseases (STDs).

2. Hormonal Method: Basic hormonal methods includes implants, injections, contraceptive pills, patches, and the hormonal vaginal contraceptive ring.

– Implant: It consists of a single, thin rod that is inserted under the skin of a women’s upper arm which releases progestin into the body for over 3 years.

– Injection: Shots of the hormone progestin are given to Women every 3 months in the buttocks or arm.

– Contraceptive pills: These oral contraceptives contain the hormones estrogen and progestin. Prescribed by a doctor, this pill is taken at the same time every day. There are more than a few types of oral contraceptives available in the market and a health care provider helps to determine which type best meets a woman’s needs.

– Patch: A thin, plastic patch is placed on the buttocks, lower abdomen, or any side of the arm. That patch is responsible for releasing hormones through the skin into the bloodstream. A new patch is applied once a week for 3 weeks, and no patch is used on the fourth week to enable menstruation.

– Hormonal vaginal contraceptive ring: This thin, flexible ring (approx. 2 inches in diameter) is inserted into the vagina, where it releases hormones for 3 weeks. It delivers a combination of Ethinyl estradiol and a progestin. This method may not be recommended for women with certain health conditions like high blood pressure, heart disease, or certain types of cancer.

3. Barrier Methods: This approach consists of male condoms, female condoms, diaphragms or cervical caps, and spermicides in various forms including gels, foam, or tablets.

– Male condoms: This condom is a thin sheath that covers the penis to collect sperm and prevent it from entering the woman’s body. Male condoms are generally made of latex or polyurethane.

– Female condoms: Female condoms (also known as internal condoms) are thin, flexible plastic pouches that are inserted into the vagina before having sex. They also protect against unintended pregnancy and sexually transmitted infections (STIs).

– Diaphragms or Cervical caps: These are shallow, flexible cup made of latex or soft rubber that is inserted into the vagina before intercourse, blocking sperm from entering the uterus.

– Spermicides: They aim at killing the sperm cells. Usually applied within 1 hr of intercourse, spermicides come in several forms such as gel, foam, film, or a tablet. They are usually placed for 6-8 hours after the intercourse to rule out any possible pregnancy.

4. Fertility Awareness: This is another way to avoid pregnancy. Here you need to understand your fertility pattern and avoid sex on those days when you are fertile or use any other barrier method instead. This approach of birth control usually sees 75% and 96% effectiveness.

Permanent Methods

1. Female Sterilization – Tubal Ligation

In this method, a woman’s fallopian tubes are tied or closed so that the sperm cells don’t come in contact with the eggs. This procedure is effective and can be performed at a hospital or an outpatient center under the guidance of a doctor.

2. Male Sterilization – Vasectomy

This procedure prevents sperm from mixing with semen during ejaculation. This surgical approach blocks the path between testes and the urethra. The sperm doesn’t leave the testes and fails to reach the egg. It is observed that in some cases it can take as long as up to 3 months to see the full effectiveness of the procedure.

Talk to your doctor about the type of birth control method you choose and understand all the pros and cons in detail. There is no one standard procedure that is considered the best for all and hence it is important to consider your and your family’s needs to make the right choice.\

C-Section/Caesarean January 12, 2021

7 Effective Tips To Reduce Belly After A Caesarean Delivery

If you are reading this, chances are that you might have undergone a Caesarean Section or caesarean delivery and are looking forward to getting rid of the belly fat ASAP. Well, there is news for you. It’s going to take time. It cannot happen overnight. Your body has just produced another human being inside you and carried it for 9 months. That’s a lot to shed when it comes to reducing belly after a Caesarean Section.

If we do a comparison between Normal Delivery and Caesarean, Caesarean Delivery can be quite an experience on the body. They cause a major impact on your muscles in the abdominal area and the floor of the pelvis. Also, the body loses major quantities of blood during a Caesarean Delivery. During this process, you will gain lots of fat and accumulate a large quantity of fat in the abdomen area.

Now, this doesn’t mean that getting back in shape isn’t possible. There are a few things that you need to keep in mind if you are looking to do so after a C-Section delivery.

1) Be patient: As soon as your baby is born, your hormones begin to alter, contracting your uterus. It requires at least 6 to 8 weeks for your uterus to take its original size. So, take all the time to nurture your body and give time to heal and let it come back in its original form. After all, patience is the key post a normal delivery or a Caesarean Section.

2) Consult your doctor first: If you are firm on your decision of losing your belly fat, firstly consult your doctor before initiating any remedy. As per evidence, it is recommended to wait for at least 8 weeks to start any exercise or diet alterations. As eager as you might be to lose the weight right away, this will only cause complications if you rush into it and without a doctor’s advice. So, avoid home remedies post a Caesarean Section.

3) Prefer breastfeeding your baby: Breastfeeding will cause you to automatically get rid of excess weight after delivery, be it Normal or a Caesarean Delivery. The process involves burning calories i. e. around 250 to 500 calories/ day. Also, breastfeeding contracts the body which also involved shrinking the uterus to some extent.

4) Avoiding consuming processed foods: After caesarean deliveries, it is best to not consume processed foods like chips, fried foods, baked items etc. Because when you consume processed food, it not only affects your body but also your baby’s diet especially if you are beast-feeding. If you constantly keep consuming junk food post-Caesarean Delivery, you ingest chemicals in your body which is harmful to both – you and your child.

5) Prefer eating whole foods: Wondering what to consume if not junk? Well, the answer is pretty simple – WHOLESOME FOOD! Pulses, grains, fruits, vegetables, nuts etc. are considered best after a normal or a Caesarean Section. This provides you with the nutrition that you and your baby require. You both benefit from it. You feel good, you feel active and full, your baby is growing healthy and you are on a way to a healthy life after a Caesarean Delivery or a normal delivery.

6) Initiate walking to lose weight: A simpler form of exercise which is best for normal delivery or caesarean is walking. It doesn’t exert any pressure on your body after a Caesarean Delivery. It is easy and highly recommended because it keeps your heart pumping and keeps the blood circulation good. You can always step out with your friends and family to get some fresh air and take some time off from the routine. It also helps you reduce the belly fat and helps you get back to a good shape slowly if done steadily.

7) Opt for mild Exercises: Before you start this, it is recommended to wait for 6-8 weeks post a Caesarean Delivery. You can start with basic yoga and exercises – sphinx pose or a bridge pose which will help strengthen your pelvic muscles. It is best to do it under expert guidance to get the form correct and avoid any injury.

Piles January 11, 2021

LIVE session on World Piles Day with Dr. Pravin Gore

Piles are very common but not something you’ll want to talk to your friends or loved ones about. Many people are ashamed of having enlarged piles. They don’t like to discuss symptoms and might be reluctant to go to the doctor. Some might be afraid of having a physical examination or finding out that they have a serious illness. But seeing a doctor about your symptoms is important if you want to have the right treatment.

Today, open access to biomedical information on the internet or social media has created new opportunities for doctors and patients, but much of the information is subject to manipulation because the ordinary conventions of context and the reliability of provenance are constantly in question. Alike other medical information, Piles too have much content online. But the question is “Is it reliable?” To uncloud this confusion, on #WorldPilesDay we invited the renowned Proctologist and Lap. Colorectal Surgeon, Dr. Pravin Gore, with 21 years of experience to share his knowledge about piles and their treatment. Dr. Pravin Gore is currently practicing in Mumbai and is associated with eminent hospitals like Apollo spectra, Bhatia, Wockhardt etc. He has vast experience in laparoscopic surgeries related to problems in the colon, rectum, anus and other parts of the lower abdomen.

During his LIVE session with us on our Facebook page, Dr. Pravin Gore shared information on the following topics;

What is Piles?

Piles, also known as haemorrhoids are swollen and inflamed veins in the rectum and anus (canal through which we pass stools) that cause discomfort and bleeding. The size of piles can vary from person to person, and they are found inside (Internal Piles) or outside (External Piles) the anus. Usually, internal piles are in the range of 2 cm – 4 cm above the opening of the anus, whereas external piles appear on the outside boundaries of the anus.

Symptoms and Causes of Piles

In most cases, the symptoms of piles are not serious. One of the most common symptoms of piles is bleeding post passing stools. Sometime you will notice no symptoms or signs at all. Nonetheless, a piles patient may experience:

A hard and painful mass which is present around the anus.
Feeling of bowels being full, even after passing of stools.
Noticing bright red blood after passing stools, on the toilet paper or toilet pan.
Itching and inflammation of the anal area.
Pain while passing stools.

Usually, piles are caused by increased pressure in the lower rectum. Also, sometimes piles tend to develop for no apparent cause but there are specific circumstances that may certainly increase the chances of one developing piles such as:

Chronic constipation
Chronic diarrhoea
Lifting heavyweights
Pregnancy
Straining when passing a stool
Cancer in the colon

How to prevent piles?

Fortunately, there are numerous precautions to prevent piles from interfering with your daily life.

Fibre-rich diet
Drink plenty of water
Regular exercise
Avoid frequent use of laxatives
Don’t hold your bowel movements
Avoid straining

How much time does it take to cure piles?

Usually, small piles may clear up without any treatment within a few days (7-10 days) and you will be able to resume most activities right away. However, large or external piles may take longer to heal depending upon the treatment.

What are the treatment options available for Piles?

If detected at an early stage, piles can be treated with just medication and lifestyle changes such as consumption of high-fibre diet to prevent constipation, taking OTC (Over-the-counter) medicines such as creams (Hydrocortisone – a medication used to treat swelling, redness and itching), painkillers, etc.

If there’s no improvement to your piles after home treatments and medications, you may require other minimally invasive procedure such as:

Coagulation (infrared or laser): This treatment is for internal piles. The technique uses infrared light or laser to harden and shrivel the internal piles.

Other surgical treatment options include:

Haemorrhoidectomy: Haemorrhoidectomy refers to the surgical removal of internal or external piles. This procedure is considered to be the most effective way to treat severe or recurring piles.

In this method, piles are diagnosed and removed using a sharp instrument or laser and the wounds are then closed by stitching.

Stapling: This method is an alternative to haemorrhoidectomy and is also used for prolapsed piles. The procedure includes stapling the last section, anal canal of the large intestine, which reduces blood supply to the piles and causes them to slowly shrink. It also lowers the likelihood of haemorrhoids prolapsing. According to Dr. Pravin Gore, Meril’s MIRUS Hemorrhoids Stapler offers better security and superior haemostasis which delivers optimum excision of prolapsed haemorrhoidal tissue. Stapling generally involves less pain than the other procedure and allows an earlier return to your regular activities.

Other treatment options include band litigation, Haemorrhoid artery litigation & Sclerotherapy.

What are the chances of Piles relapsing after the surgery?

There are no chances of piles relapsing after the surgery if the piles are removed from the anal canal, but when the piles are just sealed with other treatment options, then there are 10% chances of relapsing. However, the reoccurrence of piles can also be well managed by avoiding constipation and straining while having bowel movements.

What is the difference between piles, fissures, and fistula?

Piles are mainly the swollen blood vessels in the anal canal, which occurs due to chronic constipation while fissures are kind of the cracks found in the skin of the anal canal and fistulas are the small opening in the anal canal, it is kind of cavity filled with pus.

Opting for the right treatment option completely depends on the severity of the condition and should be considered after consulting with your doctor. Summing up, if anyone is suffering from piles or has bleeding or pain from their anal canal should visit their doctor immediately. Because delay in the treatment can make the condition worse.

Heart Attack January 4, 2021

Heart Attack: Causes, Symptoms, Treatments and more

Overview

We have all heard about a loved one or a friend suffering from a sudden cardiac arrest, commonly known as a heart attack. But what exactly is a heart attack and how does it affect people? The answers to the questions are things that everyone needs to know about.

What is a heart attack?

Cardiovascular diseases (CVDs) also called Heart diseases are a group of disorders of the heart and blood vessels. The root causes of cardiovascular diseases is atherosclerosis (blockages in coronary arteries), a process mainly governed by lifestyle factors.

A heart attack also called a myocardial infarction occurs when the flow of the blood towards the heart is blocked, mostly due to the accumulation of fat, cholesterol, or other substances. This build-up results in the formation of plaque in the coronary arteries, ones that feed the heart. The plaque can form a blood clot which leads to interrupted blood flow thus damaging the heart muscles. This eventually leads to a heart attack.

How do you spot an oncoming heart attack?

A heart attack can be fatal depending on the severity of the attack. Heart attack symptoms can vary from person to person ranging from mild to severe. Some people may get a sudden heart attack whereas some may experience symptoms a few days or months in advance. Continuous and recurring chest-pain is the most recognizable symptom, and it is advised to seek medical assistance if the pain persists over a long duration. But there are a few symptoms that are easy to spot. These include:

Feeling of tightening, pressure, and pain in the chest
Difficulty in breathing
Fatigue
Cold Sweat
Abdominal problems- indigestion, heartburn or stomach pain
Nausea
Dizziness

Other than this, the heart attack symptoms in men specifically include chest pain, chest discomfort or pressure, or shortness of breath. The heart attack symptoms in women include pressure or squeezing in the center of the chest, shortness of breath, and nausea.

What are the factors that cause a heart attack?

So far, we have learned how to spot a heart attack. But, it is essential to know the factors that lead up to it.

The main heart attack cause is the blockage of coronary arteries that result in a build-up of fatty substances. This forms plaque that may rupture and spills substances like cholesterol in the bloodstream, hampering the flow of the blood. A clot forms at the place of the rupture that blocks the blood flow in the coronary arteries making it impossible for the oxygen and nutrients to reach the heart. This condition is also called Ischemia. Such coronary artery disease causes heart failures.

There are two types of blockage/heart attacks you must know:

Partial Blockage- NSTEMI (non-ST elevation myocardial infarction): A less serious form of heart attack, the coronary arteries are partially or temporarily blocked. Proper medication and evaluation are required to diagnose this condition.
Complete blockage- STEMI (ST-elevation myocardial infarction): This is a form of heart attack that completely blocks the coronary artery resulting in a large part of heart muscle deprived of blood flow.

Am I at risk of getting a heart attack?

People of a certain age group and pre-existing conditions are at a higher risk of falling prey to a heart attack. These include:

Age: Women above the age of 55 and men above the age of 45 are more prone to a heart attack as compared to younger people.
Blood Pressure: High blood pressure damage your arteries increasing the change of blood pressure. Pre-existing conditions like obesity, diabetes, or cholesterol can worsen the situation and make you more likely to have a heart attack.
High Cholesterol levels or Triglyceride levels: There is an increased risk of heart attack if your body has high levels of low-density lipoprotein (LDL) cholesterol or high levels of triglycerides (a type of blood fat).
Diabetes: If your body is unable to produce insulin- the hormone secreted by the pancreas results in increased blood sugar levels in the body which in turn causes the risk of a heart attack.
Family history: If you have a family history of heart attacks, it increases the risk of heart disease.
Preeclampsia: A heart attack symptom in women is preeclampsia- a risk condition that causes high blood pressure in women during pregnancy. If any woman has a history of this condition, she is prone to heart attacks for a lifetime.
Other risk factors to consider: decreased physical activity, obesity, tobacco consumption, drugs, stress.

How do the doctors diagnose a heart attack?

If you are showing any heart attack symptoms you should be immediately admitted to a hospital. Firstly, your blood pressure, temperature, and pulse will be checked followed by you getting admitted to a heart-care unit. You will be connected to a heart monitor to diagnose your condition. There are varied tests done for diagnosis:

ECG (Electrocardiogram): A process done within the initial minutes of admitting the patient, an ECG test measures the electrical activity of your heart. It is a painless test that involves flat metal discs also called electrodes attached to your chest, arms, and legs. These electrodes have wires that are connected to the ECG machine that display the electrical impulses on the monitor or gets printed on the paper. This helps the doctor to know whether you are going through a heart attack.
Other tests are done for the diagnosis of a Heart attack: Blood tests to check leakage of proteins in your blood, chest x-ray, Echocardiogram (graphic outline of heart’s movement), Coronary angiography (detection of blockages in the coronary arteries), MRI (Magnetic Resonance Imaging), etc.

What happens to a person during a heart attack?

Various complications can occur from a heart attack. Some people may experience a mild heart attack with no serious complications. Some may experience a major heart attack with varied grave complications. Following are some of the other complications that are commonly faced by people:

Arrhythmia: This includes irregular or abnormal heartbeats- beating too quickly, beating too slowly, or beating irregularly. A heart attack damages the heart muscles disrupting the electrical circuits that control the heart leading to Arrhythmia. Some arrhythmia causes mild symptoms such as dizziness, palpitations, or chest pain. However, some arrhythmia can be life-threatening and can result in death.
Heart Failure: When your heart is not able to pump blood to your body effectively, it results in heart failure. There are times when a heart attack damages heart tissues extensively leading to the inefficient working of muscles. The intensity of the condition depends on the situation and can be treated with proper medications or surgery.
Cardiac Shock: A cardiogenic shock leads to a sudden stopping of the heart without any warning. If the heart attack causes extreme damage to the heart muscles, your heart can no longer pump enough blood required for the functioning of the body, as a result causing this complication.
Heart Rupture: A serious complication – heart rupture refers to the splitting or rupturing of the heart’s muscles or walls. Usually, open-heart surgery is recommended.

What are the treatments involved?

The heart attack pain can become worse sometimes. Depending upon the situation, medical or surgical treatment is suggested by the doctor. A few treatments are as follows:

Oxygen Therapy: Oxygen therapy is kind of a treatment where extra oxygen is supplied to the body via nasal cannula, face mask, or a small tube inserted into your windpipe. This helps the body to work well.
Medicines such as Beta-blockers, ACE inhibitors, Anticlotting medicines, Aspirin, etc. are given to maintain heart health or to reduce the risk of another heart attack. They are often prescribed to prevent first or recurrent stroke.
Thrombolytics: These drugs, also called clot busters, help dissolve a blood clot that’s blocking blood flow to your heart. The earlier you receive a thrombolytic drug after a heart attack, the greater the chance you’ll survive and have less heart damage.
PCI – Primary Percutaneous Coronary Intervention: Also known as coronary angioplasty and stenting, in this treatment, the doctors insert a long, thin tube or catheter via an artery in your groin or wrist to widen the blocked coronary artery.

Coronary Artery Bypass Surgery: This surgery is mostly done in emergencies, at the time of heart attack. The bypass surgery involves taking a blood vessel from another part of the body and attaching it to a place beyond a blocked coronary artery to improve the blood flow.

How do I stay clear of a heart attack?

Prevention is always better than cure. Take preventive steps to avoid having a heart attack or even another heart attack. Resorting to a healthy lifestyle is a paramount heart attack prevention measure to avoid heart attack as well as its complications.

A healthy, balanced diet and lifestyle: Improve the health of your heart by maintaining a healthy weight, avoid smoking and drinking, exercise regularly. Managing stress by indulging in yoga and focusing on yourself helps in heart attack prevention. Control conditions like high blood pressure, diabetes, and cholesterol by consulting a doctor.
Medical Monitoring: Consult a doctor and monitor your heart condition regularly especially if you have pre-existing conditions like high blood pressure or high levels of cholesterol. Take medications that can reduce the risk of heart attack and help your heart to work efficiently.

Post-Surgery care

After a heart attack, the condition of the heart tissues and muscles continuously deteriorate. Hence, it is very important to undergo immediate heart attack treatment.

The doctor will assess your situation and recommend the medications. You must stick to the routine set by your doctor so that you can steer clear of relapse or any additional complications.

To conclude, a heart attack can be a traumatic experience, but if you maintain a balanced lifestyle and keep an eye out for symptoms, you can stay clear of it. If a person does show the signs that they are getting a heart attack, it is important to immediately reach out to a doctor and seek medical assistance. Even if it isn’t a heart attack, it is always best to be completely sure and safe!

C-Section/Caesarean December 22, 2020

C-Section (Caesarean Section): Overview, Purpose & Risks

Childbirth is a miracle that everyone looks forward to. But sometimes, complications may arise and in place of normal delivery, a woman may need to opt for a Caesarean delivery. Caesarean delivery or C-Section is a delivery operation where a surgical cut is made in the mother’s abdomen and uterus.

The decision to undertake a C-Section delivery depends on the doctor. If a medical professional feels it’s safer for the mother to undergo a caesarean surgery over normal vaginal delivery. Caesarean delivery is avoided before 39 weeks of pregnancy for the child to have proper time to develop in the womb. But, in some acute cases, complications may arise and caesarean delivery will need to be performed before the 39 weeks. This is why pregnant women must undergo prenatal care when they’re pregnant so that the doctors can spot any complications beforehand.

In this surgical delivery, a cut is made in the skin and into the uterus at the lower portion of the abdomen of the mother. However, the cut in the skin and mostly, a transverse uterine cut is preferred in the majority of cases, due to good healing outcomes and also less bleeding. Also, it raises future chances for a vaginal birth. However, the type of cuts depends on the mother’s and the fetus’s conditions.

C-section delivery depends on case to case. As such, the doctor will decide whether to go for a horizontal cut, known as a transverse cut or opt for a vertical cut. In a transverse uterine cut, the surgeon makes an incision across the lower part of the uterus. Since these muscles do not contract during labor it is unlikely to tear. In a vertical cut, the doctor will make the incision that extends from the belly button to the pubic hairline.

In most cases, a transverse uterine cut is preferred because it leads to good healing outcomes and also lesser bleeding. It also raises the chances of normal vaginal birth in the future. But, the decision to do so will be in the hands of your doctor, as they know what is the safest option to undertake.

Now that we have a bit of a background on C-Section delivery, let’s see it’s different types.

Types of C-section

1)Planned C-section

As the name implies, a planned C-Section is one where the mother knows well in advance that her baby will be delivered via cesarean delivery on a particular date and likely won’t even go into labor. During a planned c-section, the doctor will take 10 to 15 minutes for making the incision and delivering the baby. Throughout the pregnancy, the mother can be better prepared for what is to come.

2) Emergency C-section

Unlike a planned delivery surgery, an emergency C-section will be a decision that is made by the doctor on the spot. If complications occur during the delivery, the doctor will opt for this surgical procedure. During an emergency C-Section, the baby will be delivered in about 2 minutes from the time the doctor makes an incision in the mother’s uterus.

This brings us to the most important question – Why does a woman need to undergo caesarean surgery?

Typically, a caesarean delivery is performed when complications from pregnancy make natural vaginal birth difficult or put the child or mother at risk. Sometimes caesarean delivery is planned or scheduled early in the pregnancy, but they are most often performed because of problems during labor.

Several conditions make a caesarean delivery a safer choice to deliver a healthy baby. These include:

A tangled umbilical cord: The umbilical cord, which connects the fetus to the uterus, may get pinched, or the fetus may have an abnormal heart rate.

Size of the head: A baby’s head can sometimes be too big for the birth canal or the baby may too large to travel through the cervix. At such times, a C-Section is needed.

Lack of contractions: At times, contractions may not open the cervix enough for the baby to move into the vagina for delivery. When this happens, the doctor may choose to make a surgical incision.

Multiple gestations: When a woman is pregnant with twins or triplets, she may need to deliver via a C-section delivery

Previous caesarean delivery: In this case, the doctor may recommend a repeat caesarean delivery to avoid further complications.

Position of Foetus: The fetus is in the breech or transverse position. During these conditions, C-section might be the safest way to deliver a baby

Pre-existing conditions: If the mother has active genital herpes that could be transmitted to the baby, then the doctor may choose to go for a C-Section.

Early pregnancy complications

However, a cesarean delivery is an intensive procedure that requires a longer healing process than a vaginal delivery. Only opt for a CDMR (Cesarean Delivery on Maternal Request) once a doctor provides a clear picture of the risks and side effects associated with the procedure.

What are the risks and side effects of caesarean delivery?

Caesarean deliveries are becoming a more common delivery type worldwide, but it’s still a major surgery that carries risks for both mother and child. Vaginal birth remains the preferred method for the lowest risk of complications. The risks of caesarean delivery include:

Bleeding: It can lead to a blood transfusion or having the womb removed.
Abnormal placental separation: Especially if a prior caesarean delivery has taken place.
Bladder or bowel injury can occur during caesarean delivery.
Uterine infection: You might be at risk of developing an infection of the lining of the uterus because of a C-Section.
Surgical wound infection: The mother might be at an increased risk of an incision infection post a caesarean delivery.
Problems in passing urine after having a cesarean delivery.
Delayed resumption of regular bowel function.
Blood clot formation: Having a c-section might increase the risk of developing a blood clot inside a deep vein.

Not just the mother, even the infant can have complications. These include:

Surgical injury: A cut to the baby’s skin, caused during surgery. Most often, this is minor and heals quickly.
A higher risk of admission to the neonatal unit(an intensive care unit (ICU) specializing in the care of ill or premature new-born infants)

Breathing problems – This is more common if the C-section is performed before 39 weeks of pregnancy. Most breathing problems get better after a few days but some babies need to go into the neonatal unit.

So, should you be worried if you have undergone a C-Section?

Pregnancy in itself is a beautiful and memorable process. But for many women, especially those who are delivering for the first time, it may be a bit intimidating. So, if you have to undergo a C-Section, there isn’t much to be scared of. Both planned and emergency caesarean surgeries carry a certain amount of risk, but if you follow the advice of your doctor, many of these risks can be controlled and you will be able to enjoy the miracle of childbirth once the said risk passes.