what are the risks of having a cesarean delivery??

Answer 1

The risks associated with cesarean delivery can be divided into those that are short term, those that are longer term, and those that present risks to future pregnancies. There are also risks to the newborn that need to be considered. Certainly, the clinical situation that gives rise to the cesarean delivery has a great impact on the risk of complications. A primary cesarean section performed for an average-weight woman who is not in labor confers a much lower risk of complications than an emergency cesarean section performed on an obese woman who has chorioamnionitis and has been in labor for hours.

Short-term Risks of Cesarean Delivery
Maternal Death
The risk of maternal death during childbirth is greater with cesarean delivery compared with vaginal delivery
Thromboembolism
One of the leading causes of maternal mortality related to cesarean delivery is deep vein thrombosis resulting in pulmonary embolism
Hemorrhage
Blood loss during a cesarean delivery is greater than during a vaginal delivery
Infection
Infection is one of the most common complications of cesarean delivery
Incidental Surgical Injuries
Bladder injuries are the most common injuries to surrounding structures occurring at the time of cesarean delivery
Extended Hospitalization
A woman who has had a cesarean delivery typically remains hospitalized longer than one who has had a vaginal delivery and has increased risk for readmission
Emergency Hysterectomy
The risk of the need for hysterectomy after or during a cesarean delivery is greater than after a vaginal delivery
Pain
Women who undergo cesarean delivery more commonly experience pain after delivery compared with those having vaginal deliveries
Poor Birth Experience
In a meta-analysis of 43 studies published between 1979 and 1993, DiMatteo and colleagues found that women who delivered healthy babies by cesarean section (both planned and unplanned) were more likely to report dissatisfaction with their birth experience compared with those who delivered vaginally.
Women who deliver by cesarean have less early contact with their newborns than those who deliver vaginally, and typically have to wait a significantly longer time before their first contact with their baby. Women who deliver by cesarean are more likely to cite a poorer score for their initial contact with their baby.


Long-term Risks of Cesarean Delivery
Readmission to the Hospital
In a study of more than 250,000 deliveries from Washington State, the rate of postpartum readmission to the hospital was significantly greater for those who delivered by cesarean delivery than for those who delivered vaginally
Pain
Women who undergo cesarean deliveries are more likely to report pain to be a problem in the first 2 months after delivery. A national survey of more than 1500 women who had delivered in the prior 24 months found that those who delivered by cesarean reported that incisional pain was a major problem 25% of the time, and a major or minor problem 83% of the time.[25] This was in contrast to the 12% of women who delivered vaginally
Adhesion Formation
Infertility/Subfertility An observational study of nearly 4000 women reported that women who had undergone cesarean delivery were more likely to be unable to conceive a pregnancy for more than 1 year

Risks for the Newborn of Cesarean Delivery
Neonatal Death.
a large observational study of more than 580,000 deliveries in California cesarean deliveries had a nearly 4-fold risk of dying before discharge compared with those delivered vaginally
Respiratory Difficulties.
Most well described are the respiratory difficulties encountered in newborns delivered at term. These respiratory difficulties, known as transient tachypnea of the newborn (TTN), probably result from a failure of the mechanisms to resorb fetal lung fluid that are typically triggered during vaginal birth.
Asthma.
Several studies have reported an association between cesarean delivery and the later development of asthma. One of these studies examined more than 40,000 children delivered by cesarean and found that those delivered either by cesarean were approximately 30% more likely than those delivered vaginally to have been admitted to the hospital for asthma during childhood. This increased risk of asthma may persist into adulthood
Iatrogenic Prematurity.
Also encountered more commonly with planned cesarean deliveries than those performed after the onset of labor is iatrogenic prematurity. This occurs occasionally even for babies thought to be full term
Trauma.
Babies delivered by cesarean are also at risk of trauma, most commonly as the result of surgical cuts, particularly during emergency deliveries.
Failure to Breastfeed.
A meta-analysis of 9 studies found that babies delivered by cesarean were less likely to be breastfed compared with those who were delivered vaginally

Risks of Cesarean Delivery to Future Pregnancies
all the risks of primary cesarean delivery are only increased for repeat cesareans, and increase even more with third, fourth, and higher-order cesarean deliveries.
Uterine Rupture
Abnormal Placentation.
Evidence continues to accumulate that a prior cesarean delivery increases the risk of abnormal placentation in future pregnancies
Hysterectomy.
The increased incidence of accreta in patients with prior cesarean deliveries translates to an increased risk of hemorrhage and increased risk of cesarean hysterectomy

Answer 2

Hi, I have had 2 C-sections, Risks include infection and small reopening at the site, but I am on the heavy side and I came through my C- sections like a champ, with little scarring, it is not as bad ad people make it out to be. There are also some of the same risks with having a child naturally. The library and this wonder thing called the Internet will help ease any fears and answer any questions. It's great that you want to be informed, but do not be afraid.

Answer 3

ok redpeach does know what they are talkin about because most doctors will not let you do a vaginal delivery if you have had a csection the reason being is cause there is alot of scare tissue and your uterus can rupture and you can possibly die.i have had two csections so far and im about to have my next one in april.yes it is painful..the risks are basically all that everyone else has told you.its a major surgery and you will not be able to do normal things for a while.my first one was more pianful then the 2nd.i think because i knew what to expect for the 2nd one.im not sure i can say i would rather have had a vaginal cause i have never experienced what that would feel like but all i know is i dont have to have my stuff stretched to the size of a watermelon and im ok with that and the fact that i dont have to feel pain till after is ok with me too.anyways its not so bad it does hurt though.

Answer 4

I've had one, and I must say it was the most difficult and painful part of my entire pregnancy. I had preecylmpsia and severe toximia, and had a lot of extra body fat.I went into premature labor at 32 weeks and they couldn't stop the contractions so they did an ER C-section. I barely remember much. I do know that I actually felt them poking around in me and it was sooo uncomfortable despite the epidural. I remember seeing my daughter for a split second before they took her, and after giving birth to her at 2, I didn't see her until the next morning, because of all the drugs wearing off. I hate that I didn't get to hold her immediately, but that's a risk with c-sections. Recovery was horrible. I passed out twice from the pain. I am pregnant with my second child. I am fearful of another c-section, but might have to have one.

Answer 5

As far as having VBAC, you can find doctors who will more and more. In some states, however it is not allowed (AZ). I had an unplanned C-section with my son and a planed one with my daughter.
As far as risks, they are the same as any other surgery. Anything from infection to death (not that it happens often, but it is possible). The recovery time is longer, especially if you go into labor first. But the most important thing is a healthy baby.

Answer 6

Your spouse's well being care provider could be responsive to greater advantageous than every physique i will think of that is on Yahoo solutions. There are too many aspects particular on your spouse and the toddler that purely the well being care provider could be responsive to. while you're worried proportion it with the well being care provider or look for a 2d opinion as quickly as conceivable.

Answer 7

Complications that can lead to hemorraghing and even death. I wished I'd had a choice when delivering my baby; plus the recovery time is awful. You can't move and in my case, it was even hard to breathe standing up for like two or three weeks. I couldn't turn on my side; only lay on my back.

Answer 8

here's the risk to the baby http://www.mothering.com/sections/news_bulletins/september2006.html#cesarean
Babies Delivered by C-Section More Likely to Die

Cesarean section was once a rare surgical procedure used exclusively in high-risk obstetric emergencies. It often delivered medically fragile babies who struggled to survive the complications of their births—and a higher neonatal mortality rate among c-section babies made a certain kind of sense. Today, however, c-section is no longer reserved for emergencies—in fact, its use is commonplace in healthy, low risk pregnancies and deliveries. New research of the current c-section paradigm reveals a startling fact: babies delivered via cesarean, to mothers at term with no medical risks or complications, nonetheless die in their first month of life at a rate more than two times that of their vaginally-born peers. Yes, you read that right—opting for an unnecessary c-section means more than doubling the likelihood of neonatal death. Researchers from the Centers for Disease Control and Prevention (CDC) analyzed over 5.7 million live births and nearly 12,000 infant deaths over a four-year period. They found the neonatal mortality rates to be 1.77 per 1,000 live births among infants delivered via c-section, compared with 0.62 per 1,000 live births in vaginal deliveries.

These findings, published in the August edition of Birth: Issues in Perinatal Care, are especially significant in light of the unprecedented and escalating number of c-section deliveries. In the US, the overall rate of cesarean delivery increased by 41% between 1996 and 2004, and the rate among women with no medical need for cesarean (at term, with no indicated medical risk factors or complications of labor and delivery) nearly doubled.

One reason the researchers cite for the higher death rate among c-section babies is that the process of labor and vaginal delivery helps prepare the baby for life outside of the womb. As well as squeezing fluid out of the lungs, it may promote the release of hormones that encourage healthy lung function, and prepare infants to breathe. Earlier studies have indicated that babies born by cesarean are more likely to experience breathing problems.

Answer 9

I had one back in September. You will have stomach tissue damage. It can take up to a year for this to fully go back to normal. If you like working out it will take time for you to do that. It is considered a major surgery. You probably won't be able to do much with your baby by yourself. Other then that I didn't have any complications.

Answer 10

the same risks as any other surgery. the recovery time is longer and most doctors will not deliver you vaginally after you have had a c-section.

Answer 11

redpeach_ doesn't know what they are taking about. Lots of women have had vbac's.
Vaginal Birth After Cesarean
http://www.childbirth.org/section/VBACindex.html
Cesarean
http://www.childbirth.org/section/risks.html