C-section

C-section Specialist
Dr. Jamie Lipeles, of Marina OBGYN, located in Marina Del Rey, California is renowned for his natural/gentle approach to performing C-sections. Dr. Lipeles has perfected his method of C-sections, which offer both a more enjoyable birthing experience and quicker recovery than traditional C-sections for women throughout Marina Del Rey, Hermosa Beach, Manhattan Beach, Venice, Westchester, El Segundo, Playa Vista, Culver City and the greater South Bay area.

C-section Q & A

by Dr. Jamie Lipeles

In what situations may a C-section delivery be planned?

A C-section may be recommended in advance for a variety of reasons. Among the most common are: a breech presenting baby (feet or butt first), a baby expected to be too big for the expecting mother's pelvis, a mother carrying multiple babies or a mother who previously required a C-section.  Additionally, unplanned C-sections are performed if the baby or the mother appear to be in distress.

What Is a Gentle/Natural Cesarean?

Though a cesarean (C-section) is the most common surgery in the United States with some 4 million babies born this way every year, for many women delivering via C-section is a major disappointment. They feel robbed of the most important and anticipated moment in their pregnancy. It’s easy to understand why too. During a standard C-section, a woman’s view of her baby entering the world is shielded by a curtain, her arms are restrained and her baby is quickly whisked away, without skin-to-skin contact or breastfeeding. By contrast, the Natural C-section, developed by Dr. Lipeles after countless hours of extensive research, provides as close an experience to a vaginal birth as possible.  Determined to create the same compassionate care that is offered to women during a vaginal birth experience, Dr. Lipeles created a revolutionary approach to C-sections. Among the unique features of his Natural C-section are:

  • A woman is not put in arm restraints, which allows her to snuggle with her new baby, who remains in the operating room on mom’s chest while Dr. Lipeles completes the surgery.
  • Monitoring wires are placed where they won't impede the mother's ability to hold and bond with her baby.
  • Husbands and family members can participate (as much as is safe).
  • A woman has the option to watch her baby enter the world through a sheer curtain.
  • She enjoys immediate skin to skin bonding in the operating room (if mom and baby are stable). Studies show that immediate skin to skin eases the transition of the baby into life.  The first seconds of life are regarded as the scariest and most important time in one’s life.  
  • A woman is able to begin breastfeeding in the operating room if the baby begins rooting.
  • The expectant mother’s music choice is played throughout the delivery.
  • No organs are removed from the mother’s body.
  • Hospital stay rarely over 2 days post op.

How does recovery from Dr. Lipeles’ Gentle/Natural C-Section differ?

With a traditional C-section, recovery is far longer and more difficult than a vaginal delivery. But it doesn’t have to be, and with Dr. Lipeles’ Natural C-section it isn’t. In fact, his patients are able to eat immediately following surgery, often go home from the hospital in only 2 days, are up walking within 14 hours, and frequently report feeling pain-free in two weeks.

How is this possible? Most of the time, the additional pain and recovery time that is experienced by patients is largely due to the physician not taking his or her time in performing the surgery.  Because the schedule of an OB/GYN is so busy, physicians will often time rush through the cesarean section.  Performing a cesarean section that will minimize pain after the procedure takes a bit more time then obstetrician (s) are willing to offer.  If the cesarean section is performed in a caring and compassionate form with great finesse (with respect for the muscles and all the layers), the pain, in most cases, is minimal.  Dr. Lipeles spent years studying all the steps in a cesarean section and identified those that contribute the most to post op pain. With this information, he created  a surgical approach that minimizes recovery pain.  Among the many techniques he’s perfected to this end, includes placing a device that delivers local anesthetic directly into the wound (between the deep structures of the body) during the procedure.

Dr. Lipeles also employs a double layer closure of the uterus on every new mom and only uses dissolvable sutures (never stables).  Along with minimizing pain, this approach gives women the option of a VBAC ( vaginal birth after cesarean section ) for subsequent pregnancies, if desired. Not surprisingly, Dr. Lipele’s patients have an unmatched VBAC  rate.  

Dr. Lipele’s surgical technique also increases the likelihood that the lower uterine segment will heal and be thick enough to support many more pregnancies in the future (thus, patients won’t be limited in how many cesarean sections they can safely have).

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