Cesarean delivery only
CPT4 code
Name of the Procedure:
Cesarean Delivery (C-section, Cesarean section)
Summary
A Cesarean delivery, commonly known as a C-section, is a surgical procedure used to deliver a baby through incisions in the mother's abdomen and uterus. This procedure is typically performed when a vaginal delivery would pose risks to the mother or baby.
Purpose
Cesarean delivery addresses complications during childbirth, such as obstructed labor, fetal distress, or improper positioning of the baby. The goal is to ensure the safe delivery of the baby while minimizing risks to both the mother and the child.
Indications
- Fetal distress or abnormal heart rate
- Breech or transverse positioning of the baby
- Multiple pregnancies (e.g., twins, triplets)
- Placenta previa (placenta covering the cervix)
- Previous C-section or uterine surgery
- Labor not progressing (dystocia)
- Certain maternal health conditions (e.g., high blood pressure, diabetes).
Preparation
- Fasting for 6-8 hours before the procedure.
- Pre-operative blood tests and assessments.
- Discussion of medical history and any current medications.
- Administration of intravenous fluids and antibiotics.
- In some cases, shaving of the surgical area.
Procedure Description
- The patient receives anesthesia (typically spinal or epidural).
- A catheter is inserted to drain urine.
- An abdominal incision is made, usually a horizontal incision near the pubic hairline (bikini cut).
- The surgeon makes an incision in the uterus and delivers the baby.
- The umbilical cord is clamped and cut.
- The placenta is removed, and the uterus and abdominal incisions are sutured.
Duration
Typically 45 minutes to an hour.
Setting
Performed in a hospital operating room.
Personnel
- Obstetrician (lead surgeon)
- Anesthesiologist or nurse anesthetist
- Operating room nurses
- Pediatrician or neonatologist (often on standby)
- Surgical assistants
Risks and Complications
- Infection
- Blood loss or need for transfusion
- Blood clots
- Reactions to anesthesia
- Injury to surrounding organs (e.g., bladder, bowel)
- Longer recovery time compared to vaginal birth
- Respiratory complications for the baby
Benefits
- Safe delivery when vaginal birth poses risks
- Reduced risk of birth complications for mother and baby
- Immediate access to surgical intervention if needed
Recovery
- Hospital stay of 3-4 days post-procedure.
- Pain management with prescribed medications.
- Instructions on wound care, activity restrictions, and signs of complications.
- Gradual resumption of normal activities, usually within 6-8 weeks.
- Follow-up appointments to monitor healing and overall health.
Alternatives
- Vaginal delivery
- Pros: Shorter recovery time, lower risk of certain complications.
- Cons: May not be safe for all pregnancies, risk of emergency C-section.
- Assisted vaginal delivery (with forceps or vacuum)
- Pros: Avoids major surgery.
- Cons: Risks of injury to both mother and baby.
Patient Experience
During the C-section, the patient will be awake but numb from the anesthesia. There may be some pressure or tugging sensations, but no pain. Post-procedure, pain and discomfort are managed with medications, and the patient will gradually regain mobility. Most patients experience soreness and fatigue during the initial recovery period.