Can you choose to have c section

Caesarean section - NHS

A caesarean section, or C-section, is an operation to deliver your baby through a cut made in your tummy and womb.

The cut is usually made across your tummy, just below your bikini line.

A caesarean is a major operation that carries a number of risks, so it's usually only done if it's the safest option for you and your baby.

Around 1 in 4 pregnant women in the UK has a caesarean birth.

Why caesareans are carried out

A caesarean may be recommended as a planned (elective) procedure or done in an emergency if it's thought a vaginal birth is too risky.

Planned caesareans are usually done from the 39th week of pregnancy.

A caesarean may be carried out because:

your baby is in the breech position (feet first) and your doctor or midwife has been unable to turn them by applying gentle pressure to your tummy, or you'd prefer they did not try this
you have a low-lying placenta (placenta praevia)
you have pregnancy-related high blood pressure (pre-eclampsia)
you have certain infections, such as a first genital herpes infection occurring late in pregnancy or untreated HIV
your baby is not getting enough oxygen and nutrients – sometimes this may mean the baby needs to be delivered immediately
your labour is not progressing or there's excessive vaginal bleeding

If there's time to plan the procedure, your midwife or doctor will discuss the benefits and risks of a caesarean compared with a vaginal birth.

Asking for a caesarean

Some women choose to have a caesarean for non-medical reasons.

If you ask your midwife or doctor for a caesarean when there are not medical reasons, they'll explain the overall benefits and risks of a caesarean to you and your baby compared with a vaginal birth.

If you're anxious about giving birth, you should be offered the chance to discuss your anxiety with a healthcare professional who can offer support during your pregnancy and labour.

If after discussing all the risks and hearing about all the support on offer you still feel that a vaginal birth is not an acceptable option, you should be offered a planned caesarean. If your doctor is unwilling to perform the operation, they should refer you to a doctor who will.

What happens during a caesarean

Most caesareans are carried out under spinal or epidural anaesthetic.

This mean you'll be awake, but the lower part of your body is numbed so you will not feel any pain.

During the procedure:

a screen is placed across your body so you cannot see what's being done – the doctors and nurses will let you know what's happening
a cut about 10 to 20cm long will usually be made across your lower tummy and womb so your baby can be delivered
you may feel some tugging and pulling during the procedure
you and your birth partner will be able to see and hold your baby as soon as they have been delivered if they're well – a baby born by emergency caesarean because of foetal distress may be taken straight to a paediatrician for resuscitation

The whole operation normally takes about 40 to 50 minutes.

Occasionally, a general anaesthetic (where you're asleep) may be used, particularly if the baby needs to be delivered more quickly.

Find out more about how a caesarean is carried out

Recovering from a caesarean

Recovering from a caesarean usually takes longer than recovering from a vaginal delivery.

The average stay in hospital after a caesarean is around 3 or 4 days, compared with an average of 1 or 2 days for a vaginal birth.

You may experience some discomfort in your tummy for the first few days. You'll be offered painkillers to help with this.

When you go home, you'll need to take things easy at first. You may need to avoid some activities, such as driving, until you have had your postnatal check-up with the doctor at 6 weeks.

The wound in your tummy will eventually form a scar. This may be obvious at first, but it should fade with time and will often be hidden in your pubic hair.

Find out more about recovering from a caesarean

Risks of a caesarean

A caesarean is generally a very safe procedure, but like any type of surgery it carries a certain amount of risk.

It's important to be aware of the possible complications, particularly if you're considering having a caesarean for non-medical reasons.

Possible complications include:

infection of the wound or womb lining
blood clots
excessive bleeding
damage to nearby areas, such as the bladder or the tubes that connect the kidneys and bladder
temporary breathing difficulties in your baby
accidentally cutting your baby when your womb is opened

Find out more about the risks of a caesarean

Future pregnancies after a caesarean

If you have a baby by caesarean, it does not necessarily mean that any babies you have in the future will also have to be delivered this way.

Most women who have had a caesarean section can safely have a vaginal delivery for their next baby, known as vaginal birth after caesarean (VBAC).

But you may need some extra monitoring during labour just to make sure everything is progressing well.

Some women may be advised to have another caesarean if they have another baby.

This depends on whether a caesarean is still the safest option for them and their baby.

For more information, the Royal College of Obstetricians and Gynaecologists has a leaflet on birth options after previous caesarean section (PDF, 357kb).

Page last reviewed: 27 June 2019
Next review due: 27 June 2022

Is a Planned C-Section Right for Me?

Series Cesarean Section (C-Section)

Written by Joanne Barker

A woman may want a planned cesarean section to give birth for many reasons. For some, it's the best choice. But C-sections have risks of their own.

As long as there's no emergency, don't let yourself be rushed. Take the time to make a decision that feels right to you, for now as well as for your future.

Why You Might Have a C-Section

Sometimes a doctor will switch to this surgical procedure after a woman has started labor and then has problems.

Planned C-sections are different. Your doctor or midwife has found a medical reason for you to have one, but it's not an emergency. Two examples are that you've had a previous C-section and that you have a baby who's facing the wrong way. You and your doctor may even decide later that a vaginal birth is a better choice.

Some healthy women want the surgery so they can pick their delivery date or avoid a vaginal delivery. Those aren't medical reasons, and their doctors may disagree with that choice.

Experts from the American College of Obstetrics and Gynecology don't recommend these elective C-sections. They say you definitely shouldn't have one before 39 weeks. And they strongly discourage it if you want more children.

How It Affects the Birth

While C-sections are generally very safe, they're still major surgeries. Your recovery time will be longer than with a normal vaginal delivery, both in the hospital and afterward. And they carry risks for you and the baby.

You have a greater chance of:

Heavy bleeding
Blood clots
Infection
Injury to other organs

Some women will need a blood transfusion.

Babies delivered by C-section are more likely to have breathing problems after birth. When they do, they may need to spend time in the neonatal intensive care unit, usually for a few days.

Impacts Later in Life

Each C-section tends to be more difficult than the one before. If you're planning to have another baby, and particularly if you want a large family, talk with your doctor about how the procedure could affect your plans.

It could complicate future pregnancies. The placenta might not attach to your uterus the right way. This means you would have a greater chance for bleeding and could need a hysterectomy. The scar in your uterus could split open.

Depending on why you had a C-section and how it went, you may be able to give birth vaginally later. But if you've had more than one of these surgeries, vaginal birth may not be an option.

Kids born by C-section may be more prone to have asthma, diabetes, allergies, and obesity when they grow up.

What to Consider

Talk to your doctor or midwife about why they think you should have a C-section. If the baby's size is the reason, ask how accurate the weight estimates are. Find out if you have any other options to address their concern.

Will you be able to wait until 39 or 40 weeks, as the American College of Obstetrics and Gynecology recommends?

Make sure you understand what harm could come to you and your infant if you don't have a C-section.

If having more children is important to you, find out if you'll need the procedure for future deliveries.

Think about whether or not the benefits of this surgery clearly outweigh the risks. It's OK to get a second opinion to help you decide.

What are sections in the message editor?

Sections is a handy tool that allows you to create and edit the layout of your message. They represent an empty space that can be filled with different types of blocks - images, buttons, text, etc. Each message contains the following parts:

Header - here is the logo and a link to view the newsletter online, both options can be disabled. You cannot add items to this section. nine0008
Content is where your sections and base units fit.
Footer - includes a link to unsubscribe and change the subscriber's data, as well as a mailing address.

Sections make it easy to create newsletters with an attractive design and a variety of well-organized content.

In addition, sections ensure that content is properly separated in the mobile version as well as in different email clients.

Sections allow you to save newsletter segments as snippets for further use using function My blocks are , which allows you to speed up the process of creating messages. You can save the welcome part of the message or the signature, and then simply transfer it to your mailing list without wasting elements and time.

What types of sections can I use?

We have prepared many section templates for you to use. They come in the form of one, two, three or four columns.

Each column can contain blocks of different types to serve the reader with different content. With their help, you can easily present your products or news. Single-column sections are great for text or images that need to fit the width of the post, while multi-column sections allow text and images to be placed side by side in neatly organized boxes. nine0003

Combining sections allows you to structure your message. If you want to show products below a photo, first add a one column section (for the main photo), then a two, three or four column section where you will add product related content (image, description, button).

Note : The columns within the section determine the width of the elements added to the column. If you decide to reduce the number of columns in a section, we will remove the columns on the right side. nine0003

How to add sections?

To add sections to a message:

Open the Layout tab in the editor.
Expand menu Section .
Select the section type you want to use.
Drag it to the editor field.

Sections can be added above and below existing sections.

How to add content to sections?

Open tab Layout in the editor.
Open Base units .
Select the blocks you want to use and drag them into the editor field. We'll show you the available places to place the block by using Drag Here and highlighting the block.

You can place multiple blocks of content inside a section by simply dragging the elements inside the section and selecting their position. Blocks will stack on top of each other inside a section or column. nine0003

How do I move, save, duplicate or delete a section?

When you click or hover over a section, you see a toolbar in the top right corner that allows you to:

Move section . Hold the first icon and move the section.
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Duplicate section with the third icon. The copy will always be placed below the current section.
Delete section using the trash can icon.

How to style a section?

Styling allows you to give each section a unique design. You can also style each individual base unit to achieve an eye-catching message design.

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Note : increasing the padding and border will reduce the size of the content within the section.

Which sports section to send the child to

March 13, 2017 A life Sports and fitness

Many parents want their children to develop diversified, achieve outstanding success and be healthy, so they send them to sports clubs. But the choice must be approached wisely. nine0003

Your child is old enough and you are wondering what to do in your free time. Usually, parents enroll their children in developmental circles, in a music school or in language courses. But often the choice falls on the sports sections.

Why do we send children to sports clubs

Partly because everyone does it. In addition, we want only the best for our children. To keep them healthy, active and keeping up with their peers, we help them discover sports. nine0003

Doctors, teachers, friends often recommend sports clubs. Nobody argues that it is useful and interesting if they are chosen correctly.

Which sports section to choose for the child

Often we send the child to the section, which is located near the house. This is a completely understandable decision, because it will be much more convenient for him to get to class. But location is not the most important factor when choosing a section. If the child does not like it, then it is unlikely to bring any benefit. nine0003

When choosing a section, first of all think about what the child will get from it.

Karate

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Children aged 5-6 are often sent to karate. Karate for children is not only health-improving training, but also self-defense skills, the ability to find a solution in stressful situations, strong character, and the will to win.

In karate classes your child will be brought up in the spirit of Japanese warriors. He will be taught not to get into a fight, to avoid the use of force in conflicts, to respect elders, to appreciate what he has, and to honor his family. You can not be afraid that due to training, the child will become more aggressive or angry. On the contrary, he will be taught to direct energy in the right direction and manage emotions. nine0003

The disadvantages include the low effectiveness of such training for self-defense. Non-contact combat is safe during training, but it does not prepare for a real fight. However, here the result depends both on the nature of the child and on the coach to whom he gets.

Judo

Judo is not only a martial art, but also a philosophy that originated in Japan. It has all the advantages of karate, but for self-defense it will be more effective.

A child engaged in non-contact karate fighting is afraid to hit a bully. But a small judoist can throw an opponent over the hip, free himself from grips and stand up for himself in a fight or brawl. The school bullies won't hurt him for sure. nine0003

Gymnastics

One of the most popular sections for children of all ages. Gymnastics strengthens the growing body and immunity of the child, normalizes weight, develops strength, agility, plasticity, endurance, evens posture and gradually solves the problem of flat feet.

In gymnastics, the child not only learns to achieve individual success and set personal records, but also to interact with teammates.

Different areas of gymnastics make it possible to choose what the child really likes, and the specifics of training allow you to switch after some time to other sections where plasticity and dexterity are in demand. nine0003

Dancing

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Ballroom, oriental, folk, modern - both boys and girls can find something of their own. Plasticity, dexterity, strength, endurance - that's what dancing will bring to your children. Perhaps these skills will be useful to the child in the future or will push him to take up dancing professionally.

Football

You can safely send both boys and girls to football lessons. It strengthens physical strength and endurance, helps the child become an authority among peers in games, develops teamwork skills. nine0003

Little players who have perseverance and talent have every chance to break into professional sports. Football is an outdoor activity, so the healing effect of training is undeniable.

Cycling

Cycling is not for everyone. These are intensive endurance workouts that involve constantly overcoming distances of various difficulty levels and require a certain type of character. Cycling develops endurance, improves heart function, develops muscles. nine0003

If you want your child to become hardy, stubborn in achieving his goals and setting records, and adhere to a healthy lifestyle, then offer him cycling.

Water sports

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After visiting the pool, the child will understand if it is his. When he learns to swim, you can choose what to do next: water polo, diving, diving or synchronized swimming. Swimming develops all muscle groups, strengthens the immune system, hardens, helps to develop physically harmoniously. A huge plus of swimming is that it aligns your posture, and this is true for almost all children, because they spend a lot of time in a sitting position. nine0003

But you have to learn how to float first, and this takes a different amount of time for everyone, depending on the intensity of training. Perhaps during training, the child will hate water and activities. But when he swims without the help of a coach, he will realize that all the efforts were worth the result.