Lower segment caesarean section (LSCS)
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 just below your bikini line.
A week to go
About a week before your C-section you’ll have your pre-operation (sometimes called pre-op) assessment.
We’ll see how you and your baby are doing, give you all the information you need to prepare for the day, and answer any questions you have.
An anaesthetist will also see you to talk about pain relief.
On the day
On the day, you’ll come to the delivery suite:
- We’ll take any breast milk you’ve brought and put it in the fridge for later.
- A midwife will then help you prepare for your birth.
- Again, we’ll check on you and baby, and answer any other questions you have.
Going to theatre
Before you go to theatre we’ll give you some tablets that will help reduce acid reflux and sickness.
The obstetric and anaesthetic team will come and see you. Please ask us anything at any time.
Your midwife will walk you and your birth partner into theatre.
When you get there, the anaesthetist will insert a small tube called a cannula into your back for the anaesthetic.
You’ll have another small tube inserted into your bladder called a catheter which drains your wee into a bag.
The operation usually takes less than hour.
About the epidural
The epidural or spinal anaesthetic is an injection that goes in your back to stop you feeling pain. This means you’ll be awake during the procedure.
The midwife will check your baby’s heart rate one more time before the procedure starts.
Next, the anaesthetist will check the epidural is working. You’ll feel some touch but no pain, so please tell us if something doesn’t feel right.
We put a drape in place to keep the area clean. Your birth partner can sit next to you behind the drape.
The obstetricians will start the surgery when everything (and everyone – including you) is ready and you don’t any feel pain.
The surgeon will make a cut a 10cm to 20cm across your lower stomach and into your womb.
You might feel some tugging or pulling, but no pain.
When your baby is born
When your baby is delivered, we’ll cut the umbilical cord after a minute.
We’ll then drop the screen so you can see your baby.
Before you start getting to know your new baby, the midwife will check them over to make sure they’re ok, including their heart rate and oxygen levels.
Your baby will get a vitamin K injection and a name band.
If everything is ok, cuddles can commence. We call this skin-to-skin contact, and it’s a really important part of your bond with your baby, and your baby’s health and wellbeing.
The recovery ward
Next, you’ll go to the recovery ward. Your baby will stay with you unless they need medical attention.
The recovery ward is run by both midwives and nurses. They’re here to make sure your recovery goes smoothly.
Going home after your c-section
We’ll try to get you home within 24 hours after your caesarean. You might need to stay longer if you need more care, or if you had an emergency caesarean.
We’re always here to help if you have questions. Just contact your midwife, or speak to your doctor.