Cesarean Delivery

Question: when can i start exercising after a cesarean delivery? It is just a month after my cesarean delivery..

Answer: Three months of rest is good if you had vertical around two months if it is horizontal section. In any case you can walk around for 10 to 15 minutes twice a day from now on. After suggested period when you do yoga or other exercises take care to see that there is no pain. If any pain is there stop that exercise and consult a yoga teacher for further guidance.

Question: Does the third delivery must be cesarean if the first two were? My friend had 2 cesarean deliveries, the last one was 10 years ago. With the third one coming, does it have to be cesarean as well, or it can be natural way? She prefrers cesarean, will Medicaid covers cesarean in this case?

Answer: It can be natural if her scar where she got her first to are horizontal, if they are vertical then no she can not do natural because the scar with bust open during delivery. Medicad will cover it.

Question: Can you have more than 1 Cesarean delivery in 1 years time? I had a cesarean in july 2002, October 2005, August 2007 and found out Im pregnant again. What can happen?

Answer: You are well healed. Nothing to be concerned about. No more risk than if you had your first C-section 3 yrs ago. You will most likely have to have a repeat C-section since alot of facilities are no longer allowing VBAC. Vaginal Birth After C-section. As I look @ your question closer this is your 4th C-section and probably your last. Uterine scar will be thin. Don't loose any sleep. Good luck. Rick MD.

Question: What are the nursing management after a cesarean delivery? ...what are the possible nurse's responsibility after post-op c-section delivery... im desperate,, help!

Answer: I don't understand what you are asking exactly. Is this a homework assignment, general interest or are you having a c-section? The L&D nurse assists the doctors and anesthesiologist in the O.R., usually they scrub and prep the pt for surgery as well but sometimes the OR tech do that. They help count the instruments afterwards and do paperwork. The patient is sewn up by the doctors and the L&D nurse takes pt to recovery area for a few hours and monitors their vitals and general condition, administering meds and fluids as necessary (and paperwork of course) I take care of moms after c-sections every day at work. Generally the mom is recovered for two hours in the O.R. until she is stable, then brought to postpartum where she is reunited with the baby (baby is bathed and assessed in the nursery). Mom has an IV running with fluids containing pitocin to help uterus contract, a foley catheter in to drain urine from the bladder, a pad applied to catch blood. It is the nurse's job to: take vitals every half hour for first hour, then every two hours for four hours, then every four hours, give antibiotics if prescribed, change and maintain IV site/dressing/bags/tubings, assess the patient, make sure abdominal incision is dry, approximated, dressing is dry, treat patient with pain meds, antinausea medications, assist with breastfeeding, listen for bowel sounds, empty the catheter, chart accurate intake/output, change patient's bloody pad in bed when she cannot walk yet, ambulate patient within 12 hrs after delivery (minimum), discontinue IV fluids when tolerating oral fluids, discontinue catheter at 18-24, assist patient to breastfeed, assist patient to the bathroom, familiarize patient with hospital policies/procedures, basic infant care and feeding, self care, post-surgical care instructions, what to expect re: recovery (gas pains, incisional pain, four day hospital stay, don't drive for two weeks, no heavy lifting, appt with provider at 2 wks and 6 wk mark) And this is assuming everything is going well. Things go wrong too: pt has pain control issues, very nauseated, is bleeding or hemorrhaging, infected incision, bowel obstruction, abdominal distension. trouble breastfeeding, mom may be a gestational diabetic and need blood sugars drawn, she may have PIH and be on mag sulfate so that needs to be hung and calibrated and now I need to pad the side rails in case of seizures, draw PIH and mag levels, assess reflexes and protein in urine. I may need to call the doctor if there are problems except it's the middle of the night and he's asleep or she's doing a delivery...so I call again. I make referrals to lactation if you have issues I can't solve, referrals to social services if there are issues with depression, anxiety or anger issues, referrals to a dietician if you are overweight, underweight, under 16 yrs old or diabetic. And of course I have to take care of the baby too because mom can't get out of bed for awhile and the new dads aren't too much help and need a lot of assistance. Sometimes babies have trouble breathing, or become jaundiced or septic. And oh, I must do their vitals every four hours and make sure you are feeding them and changing their diapers. Oh - and I have three other moms and three other babies just like you to take care of too, plus reams of paperwork and computer charting. And you ALL need help breastfeeding your babies every three hours except there is four of you and you all breastfeed at different times so basically someone is always calling for help latching the baby! Also people call for water, juice, help changing diapers, extra blankets and so on. I must have all my charting complete, all the i's dotted and t's crossed by 6am before the doctors start rounding or they hunt me down bellowing "where is my chart? where are my vitals? where is my I&O? I must have all labs reviewed, make sure the CNA charted your vitals, I&O (or that's my fault too) read through the previous nurse's and doctor's notes and each patient's history in case I missed an order or they forgot to tell me something. If I miss something, it's ALWAYS the nurse's fault. Doctor's like to come in a 7am (just when it's time to go home) to do a circumcision, now I must set up and assist with that too. Then I have to give my last minute pain meds and bed checks, then give report to the oncoming nurse but invariably people will call at 7am when I'm in the middle of report complaining they didn't get what they ordered on their tray! Did that answer your questions?

Question: How can i get a flat belly after cesarean delivery or normal delivery? i'm 6 months pregnant.

Answer: If a cesarean delivery, pls dont exercise until after 6mths. Because your stitches, though look ok on surface, would not be heal yet. For normal delivery, well, you may start your exercise almost immediately, that is if you're fit enough. To have flat belly, you may also wear hospital girdle for tummy. It helped me alot, really.

Question: would you choose to have a cesarean delivery if you could? If you could choose how your baby was born, would you make the decision to just go under the knife for the sake of vanity? Many movie stars are and they give reasons such as not wanting spread hips, vaginal problems, pain of vaginal birth.... Women, what's your take on this?

Answer: I believe c-sections are for emergencies only. I think it is sick and selfish to have a c-section for vanity purposes. Both my children were drug free vaginal deliveries. And I was never concerned about how my hips would spread or vaginal problems etc. I was just excited about having a baby. I dont see why someone would choose to have their stomachs cut open and be left with scars and a long recovery/ healing time. It just makes me sick when I hear of women doing that. Why would you do that to yourself?

Question: How many women undergo VBAC (vaginal birth after cesarean delivery)?

Answer: My first two births were vaginal, but with my third pregnancy I was carrying triplets, so my doctor and I decided that a cesarean would be best for all involved. With my last pregnancy, I was once again carrying a single baby and I was able to successfully give birth to a healthy baby girl (on August 6th, 2009) through vaginal delivery. Everything worked well because luckily I didn't have much scar tissue from my previous cesarean.

Question: Should my wife go in for an early cesarean operation done to complete the pregnancy delivery.? Hi My wife is 8 months and 19 days into her pregnancy and she has been provided Sept 15th as the due date. Every now and then she gets very uncomfortable and we decide to get a cesarean operation done to complete the delivery. She gets pain in the back and the doctor also says that the baby is in the perfect position for delivery and is very healthy. Any suggestions? I am confused.

Answer: Sounds normal for late pregnancy. Why is she having a C-Section? You DO know that is MaJOR surgery?! About 98% of women CAN deliver a baby vaginally. That leaves only 2% that NEED an intervention!

Question: Is it possible for women who had cesarean operation twice then eventually have a normal delivery? My mom had cesarean operation thrice. Now she's 9-months pregnant. She's asking me if it's possible if there's a possibility for her to have a normal (vaginal) delivery this time.

Answer: I believe it is possible...although most women opt out of it!!

Question: Can you lose the mucus plug AFTER a cesarean delivery? I had a c-section 2 months ago. My cervix had not dialated, the baby hadn't dropped, and I was only a little bit thinned out, but my blood pressure was going up so the doctor decided to go ahead with the cesarean. My fiance and I just had sex for the first time last night and I know it sounds weird, but tonight I swear I lost my plug! Is that possible? It was exactly like I have heard it described, kinda pinkish, orangish and just plain gross! Could that be it? Or is there something else going on entirely? I do feel a little silly

Answer: Ask your doctor, but is is possible, your cervix changes with pregnancy so it could have came out as your cervix returned to normal.