My friend's daughter-in-law just delivered a baby boy. I was surprised when they told me that her physician told her that they are planning to do a cesarean section on her. I asked her why? The answer I got was that since she was diagnosed with gestational diabetes she is considered as a candidate for a C-section. I didn't know whether being a diabetic qualifies for having C-section. So, I did some research on my own and this is what I gathered from several obstetricians that I met over here in India where I am staying.
Delivering a baby surgically is what is called 'cesarean section'. It involves making incisions to the mother's abdominal walls and uterus in order to take the baby out. Normally, vaginal birth is preferred by most people in order to reduce the complications of delivery. The advantages of vaginal delivery outweighs the advantages of the c-section. Invasive procedures are not involved so the mother and the baby can come home sooner. Recovery for the mother is quick since no stitches or chances of infection are involved. Since the mother is able to walk and do things normally she has chances of getting rid of the extra few pounds she put on during pregnancy. Mother can take care of the baby more efficiently.
C-sections are performed on mothers in emergency situations to save lives of both the babies and them. They are performed by the obstetricians who care for them. Whether a pregnant woman is up for a cesarean is mostly determined by the doctor depending on the conditions listed below:
a. The baby is in a breech or upside down position.
b. The baby is in transverse or side ways position in the womb.
c. The baby is suspected to have birth defects such as an enlarged head.
d. Mother has problems with her placenta (too low in the uterus -- placenta previa)
e. Mother has several medical conditions that include HIV, genital herpes, etc.
f. Mother has had previous delivery by C-section although there is no hard and fast rule she cannot deliver the baby by vaginal delivery.
g. Mothers with gestational diabetes are candidates for C-section if there is a delay in due dates.