Why and When a C-Section Is Important for Delivery
By Dr. Amit Tandon – Senior Obstetrician & Gynecologist, Dr. Kamlesh Tandon Hospital, IVF Center and Robotic Surgery Center, Agra
Introduction
A cesarean section (C-section) is a surgical delivery that can be life-saving for both mother and baby when certain conditions arise. At Dr. Kamlesh Tandon Hospital, we prioritize safe delivery outcomes. Understanding why and when a C-section is necessary helps expectant parents feel more prepared and confident.
Why a C-Section May Be Important
- Maternal Safety – Conditions like placenta previa or accreta can cause severe bleeding during vaginal birth. A C-section allows controlled delivery. (Williams Obstetrics, 25th ed., p. 790)
- Fetal Distress – Abnormal heart rate or oxygen deprivation calls for immediate C-section to prevent birth asphyxia.
- Multiple Gestation – Twins, triplets, or higher-order multiples often need a C-section to avoid complications.
- Breech or Abnormal Presentation – When a baby is not head-down, a C-section reduces birth injury risk.
- Maternal Health Conditions – Severe pre-eclampsia, active herpes, cardiac disease, or uncontrolled diabetes may make vaginal delivery risky. (Danforth’s Obstetrics & Gynecology, 11th ed., p. 452)
- Previous Uterine Surgery – Prior C-section or myomectomy may require a repeat C-section to prevent uterine rupture.
When a C-Section Is Performed
| Situation | Typical Timing (Gestational Age) | Type (Elective / Emergency) |
|---|---|---|
| Planned repeat C-section | 39 weeks | Elective |
| Maternal request (no medical indication) | 39 weeks (after counseling) | Elective |
| Fetal distress | Any time after viability (≥24 weeks) | Emergency |
| Severe pre-eclampsia / HELLP | 34+ weeks (or earlier if needed) | Emergency |
| Placental abruption | Any time after viability | Emergency |
Benefits of a C-Section (When Indicated)
- Life-saving for mother and baby in high-risk scenarios.
- Controlled delivery timing aids surgical & neonatal team readiness.
- Reduces risk of birth trauma for malpositioned or macrosomic infants.
Potential Risks (Informed Decision Making)
- Surgical complications: infection, bleeding, thromboembolism.
- Anesthesia-related risks.
- Longer recovery (~4–6 weeks vs. 1–2 weeks for vaginal birth).
- Future pregnancy implications: higher chance of placenta previa or uterine rupture.
At Dr. Kamlesh Tandon Hospital, we discuss these points transparently to facilitate shared decision-making.
Comprehensive Care at Dr. Kamlesh Tandon Hospital, Agra
Our IVF Center and Robotic Surgery Center offers:
- Advanced operation theatres with laminar flow & integrated imaging.
- 24/7 availability of board-certified obstetricians, anesthetists, and neonatologists.
- Minimally invasive C-section techniques (e.g., Misgav-Ladach) for reduced blood loss & faster recovery.
- Post-operative pain management & dedicated physiotherapy.
Preparing for a Planned C-Section
- Pre-operative evaluation (CBC, blood group, ultrasound, anesthesia fitness).
- Fasting: no solids for 8 hours; clear fluids up to 2 hours before surgery (as advised).
- Medication review – disclose all drugs, including herbal supplements.
- Have a support person available post-surgery.
References
- Williams Obstetrics – 25th edition, p. 790 (Placenta Previa).
- Danforth’s Obstetrics & Gynecology – 11th edition, p. 452 (Maternal Conditions).
- ACOG Committee Opinion No. 761, “Cesarean Delivery on Maternal Request” (2019).
Hospital Details & Contact
Dr. Kamlesh Tandon Hospital
IVF Center and Robotic Surgery Center, Agra
Email: info@drkamleshtandonhospital.com
Website: http://www.drkamleshtandonhospital.com/
Key Contact for Appointments
- Dr. Amit Tandon (Senior Obstetrician & Gynecologist)
- Specialty: High-risk pregnancies, IVF, Robotic surgeries
About Dr. Amit Tandon
Dr. Amit Tandon is a renowned obstetrician-gynecologist with over 20 years of experience in high-risk pregnancies, IVF, and advanced robotic surgeries. He leads maternity and women’s health services at Dr. Kamlesh Tandon Hospital, ensuring personalized, safe, and compassionate care for every patient. His expertise in managing complex deliveries—including C-sections—makes him a trusted name in Agra.
Appointment
To consult Dr. Amit Tandon or schedule a delivery plan, please:
- Call: 0562-269251
- Email: drkamleshtandonhospital@yahoo.com.com
- Book online: http://www.drkamleshtandonhospital.com/book-appointment
We are committed to providing safe, compassionate, and individualized maternity care for every family.