Can I choose a Caesarean?

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In the UK, there's no automatic right to an elective Caesarean, although it can usually be negotiated with the obstetrician. Ultimately, though, it's about making an informed decision. So the midwife and obstetrician will want to be sure you're aware of the risks associated with a Caesarean when there's no medical need for one.

What about my partner?

If you're awake for the Caesarean, your partner will be able to come into the operating theatre with you. He'll be asked to change into 'theatre blues' (pyjama-like trousers and top), and may even get to wear a paper hat. Everyone in the room will be wearing the same outfits to reduce the risk of introducing infection into the operating theatre.

What happens afterwards?

You'll need close care in the first few hours following the birth, as a Caesarean is a major abdominal operation and comes with risks. If you've had a general anaesthetic, you'll drift in and out of consciousness and feel very 'hazy'. Your pain should be well controlled, initially with a spinal anaesthetic, an epidural or other intravenous drugs. But after a few hours, the midwives may suggest changing to a painkiller such as paracetamol with codeine or non-steroidal anti-inflammatories such as ibuprofen.

You'll be encouraged to start moving around quite soon after the operation - certainly within 12 hours - and gradually all the 'plumbing' (catheter, drips, etc) will be removed. The majority of women will still be in some pain and will also suffer with wind pain, not only in their stomach but their shoulders, too.

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