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Can I opt for an elective caesarian section? - Online Doctor Chats

Date : 18-Jan-2014
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:Dr. XXXXXXX here
Doctor:How can I help you?
User:I need to chat with Gynaecologist
Doctor:Gynecologist are unavailable on live chat.
User:ok, thanks
Doctor:I am a general physician and can help you within my expertise
User:I will post question
Doctor:If you wish to discuss with gynecologist, then please post a question
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:my LMP is 18 April 2013 and EDD 25 XXXXXXX 2014. my ultrasound report : single cord around the neck of the fetus. anatomically normal but large head. Baby movement is normal. Doctor suggets operation. My Question: 1. Do i need to wait for labor pain and then go for operation or i can go any time from now ? 2. Is there any risk if i wait till labor pain ? 3. How can i know that cord is lose or tight 4. Is there any chances if cord get away from neck automatically 5. Is normal delivery possible in such conditions ?
User:U there Sir ?
Doctor:Let me answer your questions one by one.
User:Sure, thanks
Doctor:You can opt for elective caesarian section anytime after 36 completed weeks. Since you are around 37-38 weeks now
Doctor:you can opt for elective caesarian section anytime till your EDD dates.
Doctor:You need not wait for labour pains.
Doctor:Results outcome is better on elective caesarian section.
Doctor:Emergency caesarian section which is done after a patient goes into labour is associated with some risks when compared to elective caesarian section.
Doctor:Therefore, if the doctor feels there is no chance for normal vaginal delivery, I would ask my patients to opt for elective caesarian section well before they develop labour pains.
Doctor:As far as cord is concerned, it is difficult to know if it is tight or loose. Doppler study of cord blood vessels can give us idea if the cord is kinked, tight and obstructed.
Doctor:Other alternative means is by CTG tests.
Doctor:This test records fetal activity.
Doctor:Presence of fetal distress indicates the cord is tight and obstructing.
Doctor:4. A single cord around the neck can either get released or become tightened as you go into labour.
Doctor:The chances of either of this happening is 50%
Doctor:5. In your case, I am not worried about the single cord around the neck
Doctor:since it has 50% chance of getting released,
Doctor:however the large head can pose difficulties for normal delivery.
Doctor:If the baby is large and the pelvic output is not wide enough, normal vaginal delivery can become complicated
Doctor:Hence I agree with your treating doctor
Doctor:that you should opt for caesarian section.
Doctor:Hope I have answered all your question.
Doctor:Have you followed what I said.
Doctor:Do you have any questions?
Doctor:Do you have any more questions?
User:report shows large head
User:u there
Doctor:I understand. As I said if the head is larger than the pelvic output
Doctor:it can cause difficulties
Doctor:therefore better to opt for C-section
Doctor:Do you have history of diabetes?
User:does cord get tighten iside womb
Doctor:Fetal movements/rotations and the movements of fetus during labor can tighten the cord inside womb.
Doctor:As I said earlier, there are 50% chance that this can happen.
Doctor:Another 50% is that the cord can get released by the same fetal movement.
User:i mean before labor
Doctor:So as long as the cord is not tight and there is no fetal distress, a single loose cord does not cause any problem.
Doctor:Yes, cord can get released or tightened before labour.
Doctor:But they usually occur during the time of labour and rarely before labour.
Doctor:Do you have any more questions?
User:no thanks
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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