Understanding when and how a c-section is the best option for your delivery
Understanding when and how a c-section is the best option for your delivery
A caesarean section, or c-section, is a surgical procedure used to deliver your baby. An alternative method to a vaginal birth, under this procedure your baby is instead delivered through a precise cut that runs across the front of your abdomen and into your uterus, approximately around the bikini line.
Before the procedure you will receive a regional anaesthetic, usually in the form of an epidural, to numb the lower half of your body. This allows you to continue to be awake for the birth of your child.
A c-section typically takes around 30-60 minutes, with your baby being born within the first 10 minutes.
Some women choose to have a c-section birth instead. This typically occurs if there are reasons preventing a natural birth, or if unplanned complications develop during labour and a quick delivery is required.
We may recommend an elective caesarean if:
A small number of pregnant women do request a caesarean for non-medical reasons.
There’s a lot to prepare for if you’re planning a c-section, so we encourage all patients considering this method to attend the caesarean education classes provided at your hospital.
Both Cabrini and Waverley Private Hospitals offer birthing education classes specifically for caesarean birth, which help you prepare for your pregnancy, labour, birth, and recovery.
These classes are designed to help you understand exactly what’s involved in your upcoming birth, so you and your partner feel informed, and confident in your decision.
Classes are currently being held online. Contact your hospital for more information.
We want your birth to be a special moment and positive experience, and will discuss the important aspects during your antenatal appointments. This includes what to expect leading up to your birth, and the method of anaesthetic that’s most appropriate for your situation.
Delayed cord–clamping and skin to skin contact (where your baby is placed on your chest to enhance bonding) are encouraged where possible, immediately following your c-section procedure. At the time of birth, your partner or a support person is welcome to be there with you. Photos of your caesarean birth are encouraged, so remember to bring a smartphone or camera with you.
Once the birth is over, you will stay in recovery with your baby and your partner, with your midwife in attendance to support you until you’re ready to move to your hospital’s maternity ward.
Dr Nathan will provide you with written information regarding how this procedure works, and the risks and potential implications of a caesarean for your health.
After completing your c-section your wound will be closed with steri-strips. These are small strips of adhesive tape that act as an alternative to staples or sutures, that tightly, but gently, pull your wound together, and help to reduce any scarring.
You can shower as usual, but be sure to gently pat the wound dry afterwards, and place a pad over the top for some extra protection.
These can be left on for as long as they remain stuck to you, and they will usually fall off of their own accord, prior to your postnatal appointment.
Recovery time is usually over 6 weeks. During this time we recommend no heavy lifting, strenuous exercise, housework, driving, or twisting movements.
Knowing where you’re going to give birth allows you to prepare thoroughly for your c-section procedure.
Dr Nathan is currently taking new pregnancy bookings for Cabrini and Waverley Private Hospitals. We recommend familiarising yourself with these hospitals by booking a tour of each one, so you can choose which one is right for you as part of your planning.
Visit them at the details below.
Cabrini Mother and Baby Centre
Level 2/183 Wattletree Rd
MALVERN VIC 3144
Ph: (03) 9508 1724
343-357 Blackburn Road
MOUNT WAVERLEY VIC 3149
Ph: (03) 9881 7700
Dr Nathan will help you determine a birth plan that’s right for you, and works directly with midwives from your chosen hospital to ensure a calm and supported birth.
We want your birth to be a special moment and positive experience, and can discuss all the important aspects of a caesarean birth during your antenatal appointments.
Dr Nathan is experienced in managing all manner of high risk pregnancy situations, and will be there with you to ensure the safety and health of your baby.
We provide specialist pregnancy care treatment—and peace of mind—for women with multiple pregnancies.
We recommend to call our office to book in for your pregnancy, soon after you find out you’re pregnant. During this call we’ll discuss options for your hospital bookings (Dr Nathan delivers at Cabrini and Waverley Private Hospitals), and book you in for your first appointment with us, which typically occurs at around 8-9 weeks pregnant.
You’ll need to see your GP prior to your first appointment to get a referral. You can book in an appointment with Dr Nathan prior to seeing your GP, however you must have the referral by the time of your first appointment.
Your appointment schedule will look like this:
At your first appointment we take a comprehensive personal and family history, and provide you with the opportunity to discuss all aspects of your health and pregnancy. If you’re pregnant, we’ll also perform an ultrasound, so you can meet your new baby for the very first time.
You’ll also have the opportunity to meet with Lisa, our midwife, at each pregnancy appointment.
Please bring your referral, your medicare card and private health insurance details, and any results for pathology or ultrasound.
If you’re able to fax, email, or send in your referral and other information ahead of time, this will help us to get to know a bit about you first, and will make your initial consultation much more specific to your needs.
You can call us on 9527 9000 to book in for your pregnancy. We’ll ask you for the date of your last menstrual period and calculate your estimated due date. We’ll then send through your booking to either Cabrini or Waverley Private Hospitals, whichever is best for you.
If you haven't seen your GP yet, it’s a good idea to do so and confirm your pregnancy. This allows you to claim back your Medicare rebate.
Then, we can book your first antenatal appointment to see Dr Nathan at 8-10 weeks. We look forward to meeting you.
There are a number of screening tests available that can tell you if your baby is at an increased risk of a serious health condition. Taken within your first and second trimesters, these tests typically combine results from a blood test and an ultrasound to assess the risk of your baby being born with either a genetic or chromosomal condition. They can also detect other abnormalities, and may also tell you if you’re having a multiple pregnancy.
To find out more, the Victorian Clinical Genetics Services provides a comprehensive list of the types of tests available to you. We will discuss all the options available at your first appointment, and determine which ones are relevant to your situation.
If there are no health or pregnancy reasons that are stopping you from exercising, most forms of exercise are safe during your pregnancy, up to a moderate level of intensity.
Along with the physical benefits typically associated with exercise, it can also work to provide some much-needed stress relief, and is good for your psychological wellbeing during this time.
Come in and see us before you start your exercise program, and we can help you ensure there are no issues that are stopping you from undertaking regular exercise during your pregnancy.
Many women will travel during their pregnancy. The second trimester is usually the safest time to travel as any nausea or vomiting is likely to have settled, there’s a reduced chance of miscarriage, and the physical changes of your pregnancy haven’t yet limited your movement.
For air travel, most domestic airlines won’t allow women who are more than 36 weeks pregnant to fly for any longer than 4 hours. Due to the distances involved, international flight can be restricted from 32 weeks.
It’s best to avoid any long, tiring car journeys too, as they can become quite uncomfortable and may also increase your risk of DVT. If you must take a long car trip, make a stop every two hours to get out, move around, and stretch your legs.
It’s recommended to take a general pregnancy multivitamin such as Elevit (R) or Blackmores (R) to help your body meet the increased nutritional needs of pregnancy. This also applies if you’re planning on getting pregnant, and will help your body build up the levels of nutrients it needs to support the initial growth of your baby.
Folic acid/folate 0.5mg should be started prior to conceiving, for at least 2-3 months, and can be continued until week 12 of your pregnancy.
Depending on the results of the blood tests we take during your consultations, further supplements may be required during your pregnancy. We can discuss these at your follow-up consultation and put you on the necessary supplement plan.
Our fees cover your entire pregnancy care, including all antenatal visits, Dr Nathan's on-call availability, midwife appointments, hospital visits, any extra appointments, delivery, and postnatal care up to 6 weeks after the birth.
Our pregnancy management fee is divided into two payments at 20 weeks and 28 weeks. Our reception team will discuss this with you over the phone when you book in for your appointment.
If you’re self funded, aren’t eligible for Medicare, or have an overseas health fund, give us a call or send us an email, and we can email the fee schedule to you.
The advice on COVID-19 is changing constantly, so we will update you on our social media pages as new advice comes through.
Our current COVID-safe plan includes:
Currently we ask our patients to please wait in their car, and we call you in when we’re ready for your appointment, in order to minimise the number of people in our waiting room.
Get in touch with us to book a consultation at a time and clinic that suits you. Either give us a call on the number below, or send us an email with your details and we’ll get back to you to confirm your appointment.