Gynecology & Obstetrics

C-Section (Caesarean Delivery)

Birth through a low cut in the abdomen and uterus, planned ahead or done during labour, when a vaginal birth isn't the safer route for you or your baby.

C-Section (Caesarean Delivery) at Prakash Hospital, Gynecology & Obstetrics
Surgery duration
About 45 to 60 minutes
Anaesthesia
Spinal, occasionally general
Hospital stay
2 to 4 days
Recovery
About 6 weeks

Overview

Sometimes the birth plan changes weeks ahead, when a scan shows the baby is bottom-down or the placenta is lying over the cervix. Sometimes it changes halfway through labour, when the baby's heartbeat dips or labour stops moving. Either way, a caesarean is how a great many healthy babies arrive.

In a caesarean section (C-section), your obstetrician delivers the baby through a cut in the lower abdomen and the uterus. Most are done under spinal anaesthesia, so you're awake to hear your baby's first cry but feel no pain. The skin cut is usually horizontal, just above the pubic hairline. The cut on the uterus is made low down and side to side, because that heals strongest and keeps a vaginal birth possible next time.

It is major abdominal surgery. Recovery takes longer than after a vaginal birth, and each caesarean leaves scar tissue that makes later pregnancies a little more complicated. When there's a clear reason for it, though, it can be the safest way for both of you.

Prakash Hospital's gynaecology and obstetrics department has a fully staffed labour and delivery ward for normal and high-risk pregnancies. Obstetricians work alongside anaesthesiologists, and neonatologists attend high-risk deliveries. If your baby needs special care, our paediatric team runs a NICU with round-the-clock monitoring.

Why it's done

A caesarean is planned when a problem is known in advance, and done as an emergency when one appears in labour.

  • Two or more previous caesareans, or one with a vertical cut on the uterus
  • A breech (bottom-first) or sideways baby near term that can't be turned
  • Placenta praevia, where the placenta covers the cervix, or a placenta growing too deeply into the uterine wall
  • Labour that stops progressing despite strong contractions
  • Signs of distress in the baby, or the umbilical cord slipping down ahead of the baby
  • Twins when the first baby isn't head-down
  • Severe pre-eclampsia, active genital herpes and some other medical conditions in the mother

Is it right for you?

Usually a good fit

  • A medical reason, known in advance, that makes vaginal birth riskier
  • Problems in labour, when delivering quickly is safer than waiting
  • A request after you've talked through the risks, especially when fear of childbirth is behind it

May not be suitable

  • A healthy pregnancy with a head-down baby, where a vaginal birth is usually safer and recovery quicker
  • A date before 39 weeks without a medical reason, because babies born earlier need breathing support more often
  • One previous low transverse caesarean and no other problems, where a VBAC is worth discussing first

Types and techniques

Planned or emergency

A planned (elective) caesarean is booked for a date, usually at or after 39 weeks, and you come in having fasted. An emergency caesarean is decided during labour or when a problem appears suddenly. When the mother or baby is in immediate danger, the aim is to deliver within about 30 minutes of the decision.

Spinal, epidural or general anaesthesia

Most caesareans use a spinal injection, which numbs you from the chest down within minutes, or a top-up of a labour epidural. General anaesthesia is kept for real emergencies or when a spinal isn't possible, for example with a bleeding disorder.

Tubes tied at the same time

If your family will be complete, the tubes can be tied during the caesarean through the same cut. Decide this calmly during pregnancy, not on the operating table. Read about tubal ligation.

Preparing for surgery

  • Blood group, haemoglobin and sugar tests, and a recent scan of the baby's position and the placenta
  • Iron tablets or an iron drip in the weeks before if you're anaemic, because some blood loss is unavoidable
  • For a planned caesarean, no food for 6 to 8 hours and only clear fluids until about 2 hours before, as the anaesthetist advises
  • If you have diabetes, your tablets or insulin are adjusted for the morning of surgery
  • Tell us about blood thinners such as aspirin or heparin injections, because their timing affects the spinal injection
  • If a particular date matters to your family, raise it early. Planned caesareans are rarely done before 39 weeks without a medical reason
  • Help at home for 2 to 3 weeks, and a Western-style toilet or commode seat, which is easier than squatting after surgery
  • Check your maternity cover and waiting period early, and whether your insurer is on our panel

The procedure, step by step

  1. 01

    Getting ready in theatre

    The anaesthetist gives the spinal injection in your lower back. Once you're numb, a catheter goes into your bladder and a screen is put up across your chest.

  2. 02

    Opening the abdomen

    The obstetrician makes a cut of about 10 to 15 cm just above the pubic hairline, then separates the muscles rather than cutting through them.

  3. 03

    Delivering the baby

    A low, side-to-side cut is made in the uterus and the baby is lifted out, usually within 5 to 10 minutes. You'll feel tugging but not pain. If all is well, your baby is brought to you for skin-to-skin contact.

  4. 04

    Placenta and stitching

    The placenta is removed, and the uterus and each layer of the abdomen are stitched. This takes longer than the birth, usually 30 to 45 minutes.

  5. 05

    The recovery room

    You're watched for an hour or two while the spinal wears off, with checks on bleeding and blood pressure. Most mothers can start breastfeeding here.

Benefits and risks

Benefits

  • A controlled, timed birth when labour would be risky for you or your baby
  • A fast delivery when the baby shows signs of distress in labour
  • You're usually awake to see and hold your baby straight away
  • No tearing of the perineum
  • Your tubes can be tied in the same operation if your family is complete

Possible risks

  • Infection of the wound or the lining of the uterus, in roughly 6 in 100 women, usually treated with antibiotics
  • Heavy bleeding that may need a transfusion. Very rarely, under 1 in 100, the uterus has to be removed to stop it
  • Blood clots in the legs or lungs, which is why early walking and sometimes blood-thinning injections are advised
  • Injury to the bladder, about 1 in 1000, or more rarely the bowel
  • For the baby, a small skin nick in about 2 in 100, and more breathing difficulty than after a vaginal birth
  • In later pregnancies, a higher chance of the placenta lying low or growing into the scar (placenta accreta), and of the scar opening in labour

Recovery timeline

You'll be recovering from surgery while looking after a newborn, so accept every offer of help. Most women feel much better by two weeks and close to normal by six.

  1. 01

    Day 0 to 1

    Feeling returns to your legs within a few hours, and light food is usually allowed the same day or the next. The catheter comes out after 12 to 24 hours, and a nurse helps you walk, which eases wind pain and lowers the risk of clots.

  2. 02

    Days 2 to 4, in hospital

    Painkillers that are safe with breastfeeding keep you comfortable. Hold a pillow against the wound when you cough or laugh.

  3. 03

    Weeks 1 to 2

    Bathe normally, pat the wound dry and wear loose cotton clothes. Stitches that don't dissolve come out at around 7 to 10 days. Eat dal, curd, eggs or paneer and vegetables, and drink plenty of water so you don't strain. Our post-surgery diet chart has meal ideas.

  4. 04

    Weeks 2 to 6 and beyond

    Lift nothing heavier than your baby, and leave water buckets and floor mopping to others. Bleeding fades over 4 to 6 weeks. Your 6-week check covers the wound, blood pressure, mood and contraception.

When to call your doctor

  • Redness, swelling, pus or a bad smell from the wound, or the wound opening
  • Fever or chills
  • Bleeding heavier than a period, large clots or a smelly discharge
  • Pain, swelling or redness in a calf, chest pain or breathlessness
  • A severe headache, blurred vision or swelling of the face, which can be late pre-eclampsia
  • Burning when passing urine, or being unable to pass it

Call us on +91-8826000033 or come straight to our 24/7 emergency department.

Alternatives to surgery

Vaginal birth or VBAC

Without a medical reason for a caesarean, a normal delivery is usually safer and recovery quicker, and after one caesarean it's often still possible.

Turning a breech baby

At about 36 to 37 weeks, an obstetrician can try to turn a breech baby head-down by pressing on your abdomen (external cephalic version). About half of these attempts succeed.

Assisted vaginal birth

If the baby's head is already low in the pelvis at the end of labour, forceps or a vacuum cup can be quicker and safer than a caesarean.

Talk to our Gynecology & Obstetrics team

Ask about your options, the cost and your insurance before you decide. See the insurance and TPA panels we work with.

This page explains C-Section (Caesarean Delivery) in general terms. Your own plan depends on your health, your test results and your doctor's advice. Please read our medical disclaimer.

Your care team

C-Section (Caesarean Delivery) is led by our Gynecology & Obstetrics team, with other departments stepping in at each stage of your care.

Gynecology Department
Leads your treatment

Gynecology Department

At Prakash Hospital, our Obstetrics and Gynecology Department provides expert care for women at every life stage — from prenatal care and childbirth to gynecological health and menopause management.

What the department treats

High-Risk Pregnancy Care

Laparoscopic Surgery

PCOS Management

Infertility Treatment

Prenatal and Postnatal Care

Menopause Management

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Frequently Asked Questions

Answers to common questions about C-Section (Caesarean Delivery) at Prakash Hospital, Noida.

Will I feel pain during a caesarean?

With a spinal you feel pressure and tugging but no pain. Tell the anaesthetist straight away if anything feels sharp. The wound stays sore for a week or two afterwards.

Can I breastfeed after a caesarean?

Yes, usually in the recovery room or within a few hours. Feeding lying on your side, or with the baby tucked under your arm, keeps weight off the wound.

How long should I wait before my next pregnancy?

Ideally at least 18 months between the caesarean and the next birth, because a shorter gap raises the chance of the scar opening in labour. A copper-T can be fitted during the caesarean or at your 6-week check.

Once I've had a caesarean, will every delivery be a caesarean?

No. After one caesarean with a low transverse cut, many women can try for a vaginal birth. After two or more, a planned caesarean is usually advised, and the risk of placenta problems rises with each one.

When can I drive or ride a scooter?

Drive a car once you can brake hard and turn to look behind without pain, usually around 6 weeks. Avoid riding or sitting pillion on a two-wheeler for about 6 weeks too, because the jolts and the effort of balancing pull on the wound.

Is a caesarean covered by insurance?

Policies with maternity cover usually pay for both normal and caesarean deliveries, often after a waiting period and up to a set limit. We offer cashless admission for deliveries with most insurers, so check your policy early in pregnancy.

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