Why a Caesarean Section May Be Recommended
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?
Monitoring and Pain Relief
Getting Up and Moving
Feeding and Caring for Your Baby
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
Yes. A C-section does not prevent you from breastfeeding. Positions that keep your baby's weight away from the incision may be more comfortable during the first few days while your abdomen is still tender.
Not necessarily. Some women may be able to have a vaginal birth after Caesarean, known as VBAC. Whether this is suitable depends on factors including the reason for your previous C-section, the type of uterine incision and your current pregnancy.
The operation itself follows similar principles, but the circumstances and preparation can differ. A planned C-section is scheduled beforehand, while an emergency C-section may need to proceed more quickly because of developments during pregnancy or labour.


