Caesarean Section

Published On: 29/10/2025

When do you need a C-section?

A C-section (Caesarean section) may be needed if you have certain health conditions or if complications happen during labour. Sometimes, it’s planned if any of the following situations occur:

  • Cephalopelvic disproportion (CPD): This means your baby’s head or body is too big to pass safely through your pelvis, or your pelvis is too small for a normal-sized baby.
  • Previous C-section: Some people can have a vaginal birth after a C-section, but not everyone. It depends on the type of incision made in your uterus and the risk of the scar tearing (uterine rupture).
  • Expecting multiples: While twins can sometimes be born vaginally, delivering more than one baby may require a C-section.
  • Placenta previa: The placenta is too low in your uterus and blocks your baby’s way out through the cervix.
  • Transverse lie: Your baby is lying sideways in the uterus.
  • Breech presentation: Your baby is positioned feet- or bottom-first. If your doctor can’t turn the baby, a C-section is needed.
  • Health conditions: If you have conditions like heart disease or active genital herpes during delivery, a C-section is safer.
  • Obstruction: Large fibroids, a pelvic fracture, or certain birth defects in the baby can block a vaginal delivery and require a C-section.

Am I awake during a C-section?

In most cases, you’ll be awake during a C-section. This is because the procedure is usually done under spinal or epidural anaesthesia, which numbs the lower part of your body, so you won’t feel any pain. However, in some situations, a general anaesthetic may be used, and you’ll be asleep during the surgery.

What Is the Difference Between a Natural Birth vs C-Section?

 

Natural Birth

C-Section (Caesarean Section)

Procedure

Baby is delivered vaginally through the birth canal.

Baby is delivered surgically through incisions in the mother’s abdomen and uterus.

Risk

May involve tearing, episiotomy, or prolonged labour.

May involve infection, bleeding, blood clots, organ injury, or longer recovery time.

Recovery

Usually, shorter recovery time and quicker return to normal activities.

Recovery takes longer, and extra care is needed for the surgical wound.

How long does a C-section take?

A C-section usually takes about 40 to 50 minutes to complete if there are no complications.

A dedicated team of expert obstetricians and gynaecologists at Pantai Hospital Batu Pahat is available for consultation to provide the best care and support. If you have any concerns or questions about your reproductive health, contact us at 07-433 8811 to book an appointment today.


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