When do they schedule c section
C-sections - everything you need to know
Tommy's PregnancyHub
A caesarean section (c-section) may be planned or unplanned. Find out why you may need a c-section and what to do if you would like to have one.
A caesarean section (c-section) is an operation to deliver your baby. A doctor makes a cut just below your bikini line, through your abdomen and womb, and lifts your baby out through it.
You may have a planned (elective) c-section if you know you will need a c-section before you go into labour.
You may have an unplanned (emergency) c-section if this is the safest way to deliver your baby.
About 1 in 4 women who give birth in the UK have a c-section. Most of these are emergency c-sections.
What is a planned c-section?
Sometimes, a c-section may be safer for you or your baby than a vaginal birth. For example, your doctor or midwife may offer you a planned c-section if:
- there are problems with the placenta, such as a low-lying placenta (placenta praevia)
- your baby is lying in a difficult position for labour, such as bottom down (breech)
- you are expecting twins who share a placenta or if either baby is lying in a difficult position for labour
- you are expecting more than 2 babies.
If you have HIV or genital herpes, your doctor will explain your birth options. Some women may need a c-section to reduce the risk of passing the virus to the baby.
“Don’t be afraid to ask your consultant for more information. I wasn’t well informed about my placenta praevia and unfortunately was one of the small minority of women whose placenta haemorrhages. I felt this wasn’t clearly explained enough as a risk and I could have been better prepared.”
Emily
If you are offered a c-section because of medical reasons, it is your choice whether to have one or not. You do not have to have one if you don’t want one.
You may want to have a c-section, even if there’s no medical need. Read more about your options for giving birth.
If you decide to have a planned c-section, you will see an obstetrician. This is a doctor who specialises in care during pregnancy, labour and after birth. They will explain the benefits and risks of a c-section and your other birth options.
You will also see a midwife at your antenatal appointments where you can discuss your options.
You will usually have a planned c-section at 39 weeks of pregnancy. The aim is to do the c-section before you go into labour. Babies born earlier than 39 weeks are more likely to need help with their breathing. Sometimes there’s a medical reason for delivering the baby earlier than this. For example, if you’re expecting more than 1 baby.
What is an emergency c-section?
You may have an unplanned emergency c-section if your baby needs to be delivered quickly. This may happen if your labour is not progressing or there’s any concern about your or your baby’s wellbeing.
The word ‘emergency’ makes it sound rushed, but there’s often time to decide whether you want a c-section. Your doctor and midwife will explain what your options are. If your or your baby’s health is at risk, you may need to have a c-section more quickly.
"Everything I had ever heard about c-sections had been negative and scary.
So, when I was told I needed an emergency c-section, I was very anxious. But it went well and I had a good experience, which I hadn’t thought was possible."
C-section myths
There’s no strong evidence that any of these things affect your chances of needing a c-section:
- walking around during labour
- not lying on your back during labour
- being in water during labour
- drinking raspberry leaf tea
- the midwife or doctor breaking your waters early
- having an epidural.
There is no evidence that your height or the size of your baby can predict whether you will need a c-section. Being short or having a small pelvis or small feet does not affect whether you can have a vaginal birth. But you may be more likely to have a c-section if you’re overweight or over the age of 40.
You may be less likely to have a c-section if you:
- give birth in a midwife-led unit, or
- have continuous support during labour from a midwife or someone trained to support you, such as a doula.
Read about what happens during a c-section.
Read about preparing for a c-section.
Read about your options for giving birth.
Review dates
Reviewed: 16 July 2021 | Next review: 16 July 2024
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Medical reasons for a c-section
A c-section is a surgery in which your baby is born through a cut that your doctor makes in your belly and uterus.
A c-section may be needed to protect the health of your or your baby. In these cases, a c-section may be safer than vaginal birth.
Your provider may want to schedule your c-section if there are problems during pregnancy that make vaginal birth risky.
If your pregnancy is healthy and you don’t have medical reasons for a c-section, it’s best to have your baby through vaginal birth.
What is a c-section?
A c-section (short for cesarean birth) is surgery in which your baby is born through a cut that your doctor makes in your belly and uterus. For some women and babies, a c-section is safer than vaginal birth. If you have medical conditions that affect your pregnancy, you may need a c-section to protect the health of your baby.
A c-section may be planned (also called scheduled). This means you and your health care provider decide when to schedule the c-section based on your health condition and the condition of your baby. Or a c-section may be an emergency. An emergency c-section has to be done immediately because your health or your baby’s health is in danger.
If there are medical reasons to schedule your c-section, talk to your provider about waiting until at least 39 weeks of pregnancy.
This gives your baby the time she needs to grow and develop before birth. Scheduling a c-section should be for medical reasons only.
What are medical reasons for a c-section?
You may need a c-section because of complications that make vaginal birth unsafe for you or your baby. For example:
Complications during pregnancy
- You’ve had a c-section in the past or you’ve had other surgeries on your uterus (womb). The more c-sections you have, the greater your risk for pregnancy complications. Some women can safely have a vaginal birth after they’ve had a c-section. This is called a VBAC. If you’ve had a c-section in the past, talk to your provider to see if VBAC may be possible in your next pregnancy.
- There are problems with the placenta, such as placenta previa, which can cause dangerous bleeding during vaginal birth. The placenta grows in your uterus and supplies the baby with food and oxygen through the umbilical cord.
- You have an infection, like HIV or genital herpes. You can pass these infections to your baby during vaginal birth. So a c-section is safer for your baby.
- You have a medical condition that may make vaginal birth risky, like diabetes or high blood pressure. Diabetes is when you have too much sugar in your blood. This can damage organs in your body, like blood vessels and nerves. High blood pressure is when the force of blood against the walls of the blood vessels is too high. It can stress your heart and cause problems during pregnancy.
- You’re having multiples (twins, triplets or more).
Complications that affect your baby and labor and birth
- Your labor doesn’t progress. This means it’s too slow or stops.
- Your baby is very large.
- Your baby isn’t in a head-down position for birth. If your baby is in a breech position, it means his bottom or feet are facing down. A transverse position is when your baby’s shoulder is facing down.
Some babies can be turned in the womb to move into a head-down position. But a c-section may be safer for your baby. - The umbilical cord is pinched or you have umbilical cord prolapse. This is when the umbilical cord slips into the vagina before the baby.
- Your baby is in distress. This means he isn’t getting enough oxygen or his heartbeat may not be regular.
- Your baby has certain birth defects, like severe hydrocephalus. This is when fluid builds up on your baby’s brain. It can cause a baby’s head to be very large. Birth defects are health conditions that are present at birth. They change the shape or function of one or more parts of the body. Birth defects can cause problems in overall health, how the body develops or how the body works.
What are the risks of scheduling a c-section for non-medical reasons?
Scheduling a c-section may cause problems for you and your baby because your due date may not be exactly right. Sometimes it’s hard to know exactly when you got pregnant.
If you schedule a c-section and your due date is off by a week or 2, your baby may be born too early. Babies born early (called premature babies) may have more health problems at birth and later in life than babies born on time. This is why it’s important to wait until at least 39 weeks for a scheduled c-section.
If your pregnancy is healthy, it’s best to let labor begin on its own. If your provider talks to you about scheduling a c-section, ask if you can wait until at least 39 weeks to have your baby. This gives your baby’s lungs and brain all the time they need to fully grow and develop before he’s born.
If there are problems with your pregnancy or your baby’s health, you may need to have your baby earlier than 39 weeks. In these cases, your provider may recommend an early birth because the benefits outweigh the risks. Having a c-section before 39 weeks of pregnancy is recommended only if there are health problems that affect you and your baby.
If your provider recommends scheduling a c-section, ask these questions:
- Why do I need to have a c-section?
- Is there a problem with my health or the health of my baby makes it necessary to have my baby before 39 weeks? Can I wait to have my baby closer to 39 weeks?
- What problems can a c-section cause for me and my baby?
- What will my recovery be like?
- Can I have a vaginal birth in future pregnancies?
Last reviewed: October, 2018
See also: 39 weeks infographic
RVIO proposed adding a section on the causes of SVO to school history textbooks - Gazeta.
Ru RVIO proposed to add a section on the causes of SVO to school history textbooks - Gazeta.Ru | News
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Scientific Director of the Russian Military Historical Society Mikhail Myagkov announced that the RVIO plans to add a section on the reasons for the special military operation (SVO) in Ukraine to school history textbooks edited by Vladimir Medinsky, as well as create a textbook about the heroes of Russia and the exploits of the participants in the SVO. His words conveys TASS .
As Myagkov told the agency, the causes of SVO will appear in the updated line of school textbooks edited by Medinsky in the section on the latest events.
“The textbooks will be supplemented with a study guide for the school curriculum and, possibly, for extracurricular reading. Students will be presented with the heroic deeds of our ancestors from Ancient Rus' to a special military operation,” said the scientific director of the RVIO.
According to Myagkov, the RVIO believes that these actions should be included in the curriculum, since Russian youth are not only educated on such examples, but also educated.
Earlier it was reported that the Russian Ministry of Education approved a history textbook edited by Presidential Aide, Chairman of the Russian Military Historical Society Vladimir Medinsky.
It was clarified that Russian history is presented in the textbook in synchronism with general history. The authors of the textbooks believe that they will help develop a responsible and thoughtful attitude towards history among the younger generation.
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The 6-NDFL calculation form is planned to be changed from 2023
The Federal Tax Service of Russia plans to introduce a new 6-NDFL calculation form in 2023.
The corresponding draft is posted on the Federal Portal of Draft Regulatory Legal Acts.
It is assumed that changes will be made to the annex to the order of the Federal Tax Service of October 15, 2020 No. ED-7-11 / 753@ (see the revision of September 28, 2021 No. ED-7-11 / 845@). In the form for calculating the amounts of personal income tax calculated and withheld by the tax agent, section 1, which displays data on the obligations of the tax agent, and section 2 on the calculation of calculated, withheld and transferred amounts of personal income tax, will change.
In particular, in section 1, the name of line 020 “The amount of personal income tax withheld for the last three months of the reporting period” is changed. Now it is called "The amount of personal income tax payable for the last three months of the reporting period."
In addition, instead of 16 lines "021" and 16 lines "022" ("Term of tax transfer" and "Tax amount"), only four remain: "021", which contains the amount of calculated and withheld personal income tax, subject to transfer under the first the transfer date of the reporting quarter, "022" (the amount for the second transfer period), "023" (for the third period) and "024" (for the fourth period).
In section 2, the line “161” appears - the amount of tax to be transferred for the last three months of the reporting period. Also, relevant changes are being made to the procedure for filling out and the format for submitting in electronic form the calculation of the amounts of personal income tax calculated and withheld by the tax agent.
Now the project is at the stage of public discussions. They will end on September 6, 2022. If the draft is approved, the document will enter into force two months after the official publication, but not earlier than January 1, 2023. All of these provisions will apply from the submission of the calculation for 2023.
Recall that the changes are introduced in connection with the application of a single tax payment - from July 1 to December 31, 2022, its experimental period is valid, and from January 1, 2023, any taxes will have to be paid without fail in a single tax payment to a single tax account. We talked about how the payment will be taken into account on account of payment here.
