The Risks of Birth by Cesarean Section

There Are Potential Risks to Mother and Child

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When a cesarean section is performed, the risks and benefits of the procedure need to be considered and weighed. This process includes looking at the added benefits and potential risks of doing a c-section or of birthing the child vaginally. Sometimes the benefits of the cesarean birth will outweigh the risks, and sometimes the vaginal birth benefits will outweigh the risks of the cesarean birth. The best option varies on an individual basis.

You should consult a doctor if you are seeking advice about a potential cesarean birth. 

Cesarean Surgery 

Cesarean birth is major surgery, and, as with other surgical procedures, there are risks involved. The estimated risk of a woman dying after a cesarean birth is higher than the risk of death after a vaginal birth, but it is still considered a rare event. Individual medical conditions such as some heart problems may make the risk of vaginal birth greater than cesarean birth.

Risks to the Mother 

Other potential risks for the mother include the following:

  • Infection. Infection of the surgical site, the uterus or nearby pelvic organs such as the bladder or kidneys can complicate the postpartum/post-surgical experience.
  • Increased risk of deep vein thrombosis (DVT).
  • Increased blood loss. Blood loss on the average is about twice as much with cesarean birth as with vaginal birth. However, blood transfusions are rarely needed during a cesarean.
  • Decreased bowel function. The bowel sometimes slows down for several days after surgery, resulting in distention, bloating and discomfort.
  • Respiratory complications. General anesthesia can sometimes lead to pneumonia after c-section.
  • Longer hospital stay and recovery time. Three to five days in the hospital is the common length of stay, whereas it is less than one to three days for a vaginal birth.
  • Reactions to anesthesia. The mother's health could be endangered by unexpected responses (such as blood pressure that drops quickly) to anesthesia or other medications during the surgery.
  • Risk of additional surgeries. For example, hysterectomy, bladder repair, etc.
  • Risk of adhesions.
  • Potential decrease in future fertility.
  • Increased risk of placenta previa in future pregnancies.
  • Risk that all future births may be surgical.
  • Maternal death (very rare). 

Risks to the Baby 

In cesarean birth, there are potential risks for the child as well as for the mother. Possible risks to the baby include the following:

  • More likely to require admission to the neonatal intensive care unit (NICU) or spend time in the nursery.
  • Premature birth. If the due date was not accurately calculated, the baby could be delivered too early.
  • Breathing problems. Babies born by cesarean are more likely to develop breathing problems such as transient tachypnea (abnormally fast breathing during the first few days after birth).
  • Low Apgar scores. Babies born by cesarean sometimes have low Apgar scores. The low score can be an effect of the anesthesia used during cesarean birth (particularly when general anesthesia is used), or the baby may have been in distress to begin with and that was why the cesarean was performed. 
  • Fetal injury. Although rare, the surgeon can accidentally nick the baby while making the uterine incision.
  • Increased risk of asthma in babies born via cesarean section.
  • There is also emerging research that talks about the increased risks of some diseases and conditions including asthma, allergies, ADHD, and autism from the lack of exposure to vaginal flora. To help decrease this risk, some practitioners are recommending a procedure called vaginal seeding for cesarean born babies.

Remember that simply because there is an increased risk does not mean that you are likely to have problems. The true risk any particular patient faces depends on numerous factors that we can't figure out in an article.

This is where talking to your practitioner, going over your medical records, and discussing your particular medical history, and situation is really important for the health of you and your baby. With their help, you can figure out what risks are more likely for you and how you are better able 

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