Section
What is a cesarean delivery?
A cesarean delivery, also called a cesarean section or c-section, is surgery to deliver a baby. The baby is taken out through your abdomen (belly). In the United States, almost one in three babies are born this way. Some cesarean deliveries are planned. Others are emergency cesarean deliveries, which are done when unexpected problems happen during delivery.
When is a cesarean delivery needed?You may need a cesarean delivery because:
- You have health problems, including infection
- You are carrying more than one baby
- Your baby is too big
- Your baby is in the wrong position
- Your baby's health is in danger
- Labor is not moving along as it should
- There are problems with your placenta (the organ that brings oxygen and nutrients to your baby)
Not everyone who has had a cesarean delivery before will need another one next time. You may be able to have a vaginal birth after cesarean (VBAC). Talk to your health care provider about what is right for you.
How is a cesarean delivery done?Before the surgery, you will be given pain medicine. Depending on your circumstances, you might get:
- An epidural block, which numbs the lower part of the body through an injection in the spine.
- A spinal block, which numbs the lower part of the body through an injection directly into the spinal fluid.
- General anesthesia, which makes you unconscious during the surgery. This is often used during emergency cesarean deliveries.
During the surgery, the surgeon will:
- Make a cut in your abdomen and uterus. The cut is usually horizontal, but in some cases it may be vertical.
- Open the amniotic sac and take out your baby.
- Cut the umbilical cord and the placenta.
- Close the uterus and abdomen with stitches that will later dissolve.
A cesarean delivery is relatively safe for you and your baby. But it is still a major surgery, and it carries risks. They may include:
- Infection
- Blood loss
- Blood clots in the legs, pelvic organs, or lungs
- Injury to surrounding structures, such as the bowel or bladder
- A reaction to the medicines or anesthesia used
Some of these risks do also apply to a vaginal birth. But it does take longer to recover from a cesarean delivery than from a vaginal birth. And having a cesarean delivery can raise the risk of having difficulties with future pregnancies. The more cesarean deliveries you have, the more the risk goes up.
NIH: National Institute of Child Health and Human Development
Section FDA Approved Drugs
EDURANT [Rilpivirine HydrochlorideC22H18N6ClH]
RX
- eq 25mg base (oral tablet)
Janssen ProdsMay 20, 2011
- In combination with other antiretroviral agents for the treatment of hiv-1 infection in treatment-naive adult patients with hiv-1 rna less than or equal to 100,000 at the start of therapy.
- In combination with other antiretroviral agents for the treatment of hiv-1 infection in treatment-naive patients with hiv-1 rna less than or equal to 100,000 at the start of thearpy.
- In combination with other antiretroviral agents, is indicated for the treatment of human immunodeficiency virus type 1 (hiv-1) infection in antiretroviral treatment-naive adult patients, as set forth in the labeling, including i&u section.
ENTEREG [AlvimopanC25H32N2O42H2O]
RX
- 12mg (oral capsule)
Cubist PharmsMay 20, 2008
- A method of treating or preventing ileus.
- A method to accelerate the time to gastrointestinal recovery by administering about 12 mg of alvimopan to the patient from about 30 to 60 minutes prior to surgery.
- Accelerating the time to upper and lower gastrointestinal recovery following surgeries that include partial bowel resection with primary anastomosis.
- Treating a subject undergoing abdominal surgery by administering alvimopan to accelerate the time to upper and lower gastrointestinal recovery following surgeries that include partial bowel resection with primary anastomosis.
OZURDEX [DexamethasoneC22H29FO5]
RX
- 0.7mg (intravitreal implant)
AllerganJun 17, 2009
- Delivering an ocular implant as described in the dosage and administration section of the approved labeling of ozurdex.
- Intravitreal treatment of diabetic macular edema.
- Intravitreal treatment of macular edema following branch retinal vein occlusion (brvo) or central retinal vein occlusion (crvo).
- Treatment of macular edema.
- Treatment of uveitis.
WARNING: Consult a licensed physician in the appropriate field for medical treatment and drug prescription. Do not self medicate.
WARNING: All medicines, drugs, plants, chemicals or medicial precedures below are for historical reference only. Many of these treatments are now known to be harmful and possibly fatal. Do not consume any plant, chemical, drug or otherwise without first consulting a licensed physician that practices medine in the appropriate field.
Felter's Materia Medica on Section
ARALIA HISPIDA
The bark... / ...of the root of Aralia hispida, Linné (Nat. Ord. Araliaceae). A perennial undershrub of the eastern section of the United States. Dose, 1 to 30 grains. Common Names: Dwarf Elder, Wild Elder, Bristle-s...1
The bark... / ...of the root of Aralia hispida, Linné (Nat. Ord. Araliaceae). A perennial undershrub of the eastern section of the United States. Dose, 1 to 30 grains. Common Names: Dwarf Elder, Wild Elder, Bristle-s...1
ASCLEPIAS SYRIACA
The root of Asclepias syriaca (Asclepias Cornuti, in the original), Decaisne (Nat. Ord. Asclepiadaceae). Common in rich soils throughout the United States. Dose, 1 to 60 grains. Common... / ...drug deserves study. The young shoots or turiones are a favorite pot-herb or greens in some sections of our country. 1
The root of Asclepias syriaca (Asclepias Cornuti, in the original), Decaisne (Nat. Ord. Asclepiadaceae). Common in rich soils throughout the United States. Dose, 1 to 60 grains. Common... / ...drug deserves study. The young shoots or turiones are a favorite pot-herb or greens in some sections of our country. 1
CEANOTHUSCEANO
The root, root-bark, and leaves of Ceanothus americanus,... / ... (Nat. Ord. Rhamnaceae.) A small shrub indigenous to the United States, particularly in its western section, growing in barrens and dry woodlands. Dose, 5 to 20 grains. Common Names: Red Root, New Jer...1
The root, root-bark, and leaves of Ceanothus americanus,... / ... (Nat. Ord. Rhamnaceae.) A small shrub indigenous to the United States, particularly in its western section, growing in barrens and dry woodlands. Dose, 5 to 20 grains. Common Names: Red Root, New Jer...1
WARNING: All medicines, drugs, plants, chemicals or medicial precedures below are for historical reference only. Many of these treatments are now known to be harmful and possibly fatal. Do not consume any plant, chemical, drug or otherwise without first consulting a licensed physician that practices medine in the appropriate field.
Physician's Therapeutics Memoranda on Section
APOPLEXY, CEREBRAL
Blood pressure must be reduced by ve-nesection, if the case ad mits it, by action of a rapid purge of croton oil or elaterium or by arterial sedatives,... / Blood pressure must be reduced by ve-nesection, if the case ad mits it, by action of a rapid purge of croton oil or elaterium or by arterial sedatives, (veratrum viride or aconite); by must... / ...paralysis is to be treated on general principles by massage, pas sive exercise, electricity, strychnine, the last to be used with due cau tion.2
Blood pressure must be reduced by ve-nesection, if the case ad mits it, by action of a rapid purge of croton oil or elaterium or by arterial sedatives,... / Blood pressure must be reduced by ve-nesection, if the case ad mits it, by action of a rapid purge of croton oil or elaterium or by arterial sedatives, (veratrum viride or aconite); by must... / ...paralysis is to be treated on general principles by massage, pas sive exercise, electricity, strychnine, the last to be used with due cau tion.2
References
1) Felter, Harvey Wickes, 1922, The Eclectic Materia Medica, Pharmacology and Therapeutics, Cincinnati, Ohio.
2) Nelson, Baker & Co., 1904, Physician's Handy Book of Materia Medica and Therapeustics, Detroit, Michigan.
2) Nelson, Baker & Co., 1904, Physician's Handy Book of Materia Medica and Therapeustics, Detroit, Michigan.