Your baby is sleeping approximately 90 to 95 percent of the day. Most of
his wrinkles are disappearing, especially on his face, as more fat is
deposited under his skin. His hair is becoming thicker with each
passing week and you may even be able to see it on an ultrasound! He
will also begin to settle in the head-down position, as his birth is
fast approaching.
Mom
Have you been feeling like you
are now waddling instead of walking? This is a good thing! This week
your body is producing a hormone called relaxin that loosens and
relaxes your pelvis, allowing for more mobility during pregnancy. It is
also responsible for this new method of locomotion!
What Happens During a C-Section? At this point in
your pregnancy, you may be contemplating the different options you have
for the delivery. Depending on your particular pregnancy these options
can range from a natural delivery in a birthing pool with a duola or
midwife to a scheduled C-Section with an operating team.
Familiarizing yourself with the procedure for a C-Section is a good
idea, even if you are planning on a vaginal delivery. Caesarian
Sections are commonly performed in situations where labor is not
progressing, if there is a prolapse of the umbilical cord that would
inhibit blood flow to your baby, or if your baby's heart slows down too
much during contractions. Below you will find a description of a
typical C-Section.
Like all medical procedures, the C-Section will begin with a consent
form, explaining the procedure and risks. Your signature acknowledges
that you are consenting to the surgery. Blood tests and an IV for
hydration and medication follow.
Anesthesia - In the operating room, you will be
given a regional anesthetic, either spinal or epidural, which will
allow you to feel no pain but still be awake during the surgery. In a
few emergency situations however, a general anesthetic may be given.
General anesthetic carries greater risk than regional and is given in
cases when the operating team decides that the benefits outweigh the
risks.
Preparations - Your right hip will be elevated with
a hip roll to tilt your entire body slightly to the left. This keeps
your uterus from resting on your vena cavity and restricting blood flow
to your baby. Drapes are placed around your belly and the
anesthesiologist will check to make sure you are completely numb.
Delivery - Once you are numb, a local antiseptic
will be applied to your belly where the incision will be made. Your
physician will make a small cut (about 8-10 inches) above your pubic
bone. This cut is usually horizontal, but it can also be vertical,
depending on the position of your baby. Even though several layers of
tissue are being cut, the sensation will feel more like tugging than
cutting.
After the amniotic fluid is suctioned, your baby will be lifted out.
So in just about 5 minutes after the first incision, you and your
partner will hear your baby cry for the first time! Your baby will have
their nose and mouth suctioned. They may need some oxygen or to have
their back rubbed to expel excess fluid, because unlike a vaginal
delivery, the fluid has not already been naturally squeezed from their
lungs.
After Delivery - The placenta is removed and you
should be given a dose of Pitocen to contract your uterus and reduce
bleeding. Your uterus may also be irrigated with water and you will
probably be given a dose of antibiotic as well. This reduces any chance
of infection. Finally, all layers of the incision are closed with
sutures or staples.
The entire procedure will probably be finished in just about 45 minutes.