What is low transverse cesarean section?

Low transverse cesarean section (LTCS) is a surgical procedure to deliver a baby through an incision in the lower abdomen and uterus. It is the most common type of cesarean section, and is typically performed when vaginal delivery is not possible or safe.

Reasons for LTCS

There are many reasons why a LTCS may be necessary, including:

* Cephalopelvic disproportion (CPD): This occurs when the baby's head is too large to fit through the mother's pelvis.

* Fetal distress: This occurs when the baby is not receiving enough oxygen or nutrients from the placenta.

* Placenta previa: This occurs when the placenta is located over the cervix, blocking the baby's passage through the birth canal.

* Abruptio placentae: This occurs when the placenta separates from the uterine wall before delivery.

* Preeclampsia/eclampsia: These are serious conditions that can occur during pregnancy and can lead to high blood pressure and seizures.

* Multiple gestation: This occurs when the mother is carrying more than one baby.

* Maternal medical conditions: Certain medical conditions, such as heart disease or diabetes, may make LTCS the safest option for delivery.

Procedure

LTCS is performed under general anesthesia, so the mother is unconscious and does not feel any pain during the procedure.

The surgeon will make a horizontal incision in the lower abdomen, just above the pubic bone. The uterus is then opened, and the baby is delivered. The placenta is then removed, and the uterus is closed with stitches.

The incision is closed with stitches or staples, and a dressing is applied. The mother will be taken to the recovery room, where she will be monitored for any complications.

Recovery

Most women who have a LTCS stay in the hospital for 2-3 days. During this time, they will be given pain medication and antibiotics. They will also be taught how to care for their incision.

Recovery from LTCS can take several weeks. It is important to rest and avoid strenuous activity during this time. Most women are able to return to their normal activities within 6-8 weeks.

Risks

LTCS is a major surgical procedure, and there are some risks associated with it. These risks include:

* Infection

* Blood clots

* Damage to the uterus or other organs

* Cesarean scar ectopic pregnancy (CSEP): This is a rare but serious complication that can occur when a subsequent pregnancy implants in the scar from the LTCS.

Success Rates

LTCS is a very successful procedure, and most women who have it are able to deliver a healthy baby. The success rate of LTCS is about 95%.