For moms having a cesarean delivery, ERAS often means that you'll get oral medications right before your surgery, and long-lasting painkillers in your spinal anesthetic so you have less need for powerful narcotics after surgery.
You may be offered non-narcotic pain control methods such as lidocaine patches above your incision and scheduled dosing of ibuprofen and acetaminophen around the clock. You'll be encouraged to get out of bed and try walking within six to eight hours of delivery. Overall, c-sections are very safe. But a c-section is major abdominal surgery, so it's more likely to cause complications for you and your baby than vaginal birth and to have implications for future pregnancies.
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When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing.
Learn more about our editorial and medical review policies. Vaginal birth after cesarean delivery. The American College of Obstetricians and Gynecologists. Cesarean birth. Medically indicated late-preterm and early-term deliveries. March of Dimes. Having a c-section. Going home after a c-section. National Library of Medicine. Join now to personalize. Photo credit: Jonathan Dimes for BabyCenter. What is a c-section? How long does a c-section take?
C-section procedure: What happens during a c section? Reasons for a scheduled c-section Reasons for an emergency c-section Elective c-section What is a gentle c-section? What is ERAS protocol? C-section risks. C-sections are very common. About 32 percent of births in America are through cesarean delivery.
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Hamed Al-Taher Obstetrician and gynaecologist. Being fearful of childbirth is completely understandable, especially later on in your pregnancy , when your due date looms large.
Your fears may have been made worse by listening to friends' birth stories, or by watching dramatic and graphic births on television. Perhaps you're thinking ahead and are worried about how giving birth will affect your pelvic floor and your sex life.
Maybe a previous traumatic birth is what's worrying you, because you don't want to repeat the experience. Bear in mind that if your last birth was with forceps or ventouse, you're much more likely to have a straightforward birth this time.
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We use your health information to make our site even more helpful. Pregnant women who ask for a Caesarean delivery should be allowed to have the operation, even if there is no medical need, according to new guidelines for England and Wales.
Ultimately, however, the decision would be made by the mother-to-be, it said. NICE said this was "a very long way" from offering all women surgery. The last set of NICE guidelines, which were published in , clearly stated that "maternal request is not on its own an indication for Caesarean section" and that clinicians could decline the procedure "in the absence of an identifiable reason".
The rules on requesting a C-section have been revised. Clinicians say this is to bring the instructions into line with what is already taking place in hospitals. The guidelines say that women requesting a C-section because of anxiety should be offered mental health support. Nina Khazaezadeh, a consultant midwife at St Thomas' Hospital, says she often meets patients who want a Caesarean due to a "perceived lack of control, fears of inadequate care provision and lack of support during labour and delivery".
The updated guidelines state that if such women still wanted a C-section, they should get one. Women with no medical need can also ask for a Caesarean section. The guidance states that they should be told of the risks and discuss their request with a clinician, but their request cannot be denied. Malcolm Griffiths, a consultant obstetrician and gynaecologist who led the development of the guidelines, said: "Caesarean section is a major operation, it's about as major as a hysterectomy.
Being HIV positive will no longer be treated as grounds for an automatic C-section. Improvements in anti-retroviral therapies mean it is now safe for some woman with HIV to deliver vaginally.
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