C-section (uncomplicated) In The Operating Room

The cost of -section cost in the operating room in Pakistan ranges from 70,000 to 200,000 PKR. It generally depends on the hospital location and the gynecologist's experience.

Some of the major diagnoses that can lead to C-section in the operating room include;

• Failure to progress in labor

• Fetal distress

• Malpresentation (breech or abnormal position)

• Placenta previa

• Placental abruption

• Maternal health conditions 

• Previous C-section with no contraindications for a trial of labor

• Multiple pregnancies (twins, triplets)

• Certain fetal or maternal medical conditions

• Obstetric emergencies

What is the procedure for a C-section in the operating room? 

C-section in the operating room involves the following steps; 

• The patient is positioned on the operating table in a supine position. The surgical team performs surgical hand scrub, and dons sterile gloves and gowns.

• The patient's abdomen preps with an antiseptic solution. A sterile drape is placed over the abdomen, exposing the surgical site.

• Anesthesia administers (typically regional anesthesia).Transverse or vertical incision made in the lower abdomen. The surgeon cuts through tissue layers to reach the uterus.

• Uterine incision made (usually transverse in low-transverse C-section). The surgeon delivers the baby through a uterine incision. Umbilical cord clamped and cut.

• The surgeon closes the uterine incision with sutures or staples. Abdominal layers close with absorbable sutures or staples.

• The patient is transferred to the recovery area for post-operative monitoring.

• The surgical team ensures patient stability and provides post-operative care.

What are the risks and complications associated with C-sections in the operating room? 

C-section in the operating room is usually uncomplicated but it indicates some risks and minor complications such as; 

• Fever, redness, swelling, or discharge at the incision site.

• Minor bleeding or hemorrhage.

• Numbness or tingling around the incision site.

• Respiratory issues or difficulty breathing.

• Delayed healing.

• Risks of urinary tract infection.

• Reaction to anesthesia.

• Postpartum depression 

What to expect after a C-section (uncomplicated) in the operating room?

After a c-section in the ward, the patients may expect the following conditions such as; 

• Transfer to a recovery area for monitoring and initial post-operative care.

• Intravenous fluids and pain medications may be administered.

• The incision site will be checked for bleeding or signs of infection.

• Mild to moderate pain or discomfort at the incision site.

• Possible initiation of pain management techniques, such as oral pain medications or epidural catheter infusion.

• Regular monitoring of bowel movements and the return of normal digestion.

• Emotional adjustment, including fluctuating hormones and potential postpartum blues.