Caesarean Section in Singapore: What Should You Expect?

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Dr Kelly Loi
Dr Kelly Loi

Senior Consultant Obstetrician & Gynaecologist

Medical Director & Clinical Governance Officer (CGO) of Monash IVF Singapore

Medical Director of Health & Fertility Centre for Women

A Caesarean section, or C-section, may be part of your birth plan from the outset or become necessary as your pregnancy or labour progresses. Either way, the prospect of surgery can bring questions that you may not have considered when preparing for childbirth.
You may wonder what happens on the day, whether you will be awake when your baby is born and how soon you can move around or care for your baby afterwards. Having a clearer idea of the process can help you approach your Caesarean birth with more realistic expectations.

Why a Caesarean Section May Be Recommended

A Caesarean section involves delivering your baby through incisions made in the abdomen and uterus. It may be recommended when vaginal delivery is considered less suitable or when circumstances during labour mean your baby needs to be delivered another way.

Reasons can include:

  • Your baby being in a breech or transverse position
  • Placenta previa or certain other pregnancy complications
  • Labour not progressing as expected
  • Concerns about your baby's well-being
  • Previous uterine surgery or certain maternal health conditions

As part of your obstetric care, your obstetrician will consider your pregnancy, medical history and individual circumstances when discussing whether a C-section is recommended.

What Happens Before a Planned Caesarean Section?

When your C-section is arranged in advance, your obstetrician will provide instructions to help you prepare for the procedure.

Fasting and Pre-Operative Checks

You will be told when to stop eating and drinking before surgery. Your medical history and pregnancy will also be reviewed, and blood tests may be performed as part of your pre-operative assessment.

Anaesthesia

Most planned C-sections are performed under regional anaesthesia, such as a spinal or epidural. This numbs the lower part of your body while allowing you to remain awake when your baby is born.

Preparing for Surgery

Before the operation begins, monitoring equipment will be attached to check your vital signs. A urinary catheter is also usually inserted to keep your bladder empty during the procedure.

What Happens During a Caesarean Section?

Once the anaesthetic has taken effect, your medical team will check that you are comfortable before the procedure begins. You will usually remain awake throughout the surgery, allowing you to be present for your baby's birth while the operation is carried out.

Delivering Your Baby

Your obstetrician makes an incision in the lower abdomen, followed by an incision in the uterus. You should not feel sharp pain, although you may notice sensations of pressure, pulling or movement as your baby is delivered.

After Your Baby Is Born

The umbilical cord is clamped and your baby is assessed by the medical team. When you and your baby are well, early skin-to-skin contact may be possible.

The placenta is then removed and the uterine and abdominal incisions are closed. Although your baby is generally delivered relatively early in the procedure, additional time is needed to complete the surgery.

What Can You Expect Immediately After Surgery?

The first stage of recovery takes place in hospital, where your condition will be monitored as the anaesthetic wears off.

Monitoring and Pain Relief

Your blood pressure, pulse, bleeding and general condition will be checked. Pain relief will also be provided and can be adjusted according to your needs.

Getting Up and Moving

Your urinary catheter and intravenous line may remain temporarily. Once it is safe, you will usually be encouraged to sit up and start moving. Early movement supports circulation and helps you gradually regain mobility.

Feeding and Caring for Your Baby

You can begin feeding and caring for your baby during your recovery. Your abdomen may be tender, so you may initially need help lifting your baby or finding a feeding position that avoids pressure on the incision.

What Is Recovery Like After You Return Home?

Recovery continues after discharge and everyday activities may feel different while your incision heals.

Pain and Everyday Movement

Soreness around the incision is common, particularly when getting out of bed, coughing, laughing or standing up. This discomfort should generally become more manageable as healing progresses.

Returning to Daily Activities

Gentle movement can be increased gradually. Heavy lifting and strenuous activity should be avoided until your doctor advises that they are safe. You can also ask when you may resume driving and exercise.

Caring for Your Incision

Keep the incision clean and follow the wound care instructions given before discharge. Postnatal appointments allow your doctor to assess healing and address concerns that arise at home.

Moving Forward After a Caesarean Birth

Recovering from a C-section takes time, particularly as you are also adjusting to caring for your newborn. Giving your body time to heal and gradually returning to your usual activities can make the transition more manageable.

At the Health & Fertility Centre for Women in Singapore, we support women at every stage of their fertility journey, including pregnancy, childbirth and postnatal care. Care is provided by Senior Consultant Obstetrician & Gynaecologist Dr Kelly Loi. Whether your Caesarean section is planned or you are still considering your delivery options, schedule a consultation for guidance and support as you prepare for the birth of your baby.

FAQs About Caesarean Section and Recovery

Dr Kelly Loi

Meet Our Doctor

Dr Kelly Loi

Senior Consultant Obstetrician & Gynaecologist

Medical Director & Clinical Governance Officer (CGO) of Monash IVF Singapore

Medical Director of Health & Fertility Centre for Women

Dr Kelly Loi is an MOH-accredited senior consultant obstetrician and gynaecologist with experience in reproductive medicine and women's health. She is medical director of Health & Fertility Centre for Women and medical director and clinical governance officer of Monash IVF Singapore. Trained at Oxford University Medical School, she provides personalised, evidence-based care across fertility and gynaecological needs.

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