What to Expect in the Hours Before a Planned C-Section

Your experience of a planned C-section may differ from the emergency one. You may find it relieving or full of anxiety. The surgery requires you to follow standard protocols before it takes place. You need to know what to do before the surgery, whether it is getting ready for the hospital or preparing emotionally to meet your baby. Knowing what to expect can ease your worries and help you undergo the procedure confidently.

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Going through a surgical procedure can make you nervous, even if it is a planned C-section. You can make your journey smoother after understanding what to do in the final hours before surgery. Although the medical team will prepare you for the surgery, you can still learn what to do physically and emotionally.

Why Is a Planned C-Section Done?

A planned C-section is done for many reasons, such as the breech position of the baby, a previous C-section, carrying multiples (twins or triplets), placenta previa or maternal health conditions (high blood pressure or diabetes). A planned surgery allows your doctor to ensure the safety of you and your baby.

When Should You Arrive at the Hospital?

You should arrive at the hospital 2 to 3 hours before surgery so the nurse can complete the necessary hospital formalities and check your vitals.

Carry your hospital bag, all the reports, insurance documents and any prescribed medicines with you. Also, keep a copy of your ID and admission papers ready.

What Happens During Hospital Admission?

A nurse or staff member will guide you through the admission process at the hospital. You will have to change into a hospital gown, remove nail polish, contact lenses and any jewellery. After this, a nurse may check your vitals.
  • Blood pressure and heart rate
  • Baby’s heartbeat through a fetal monitor
  • Recent blood test reports or take new samples if needed

What Medical Preparations Take Place Before Surgery?

The next few hours go into preparing your body for the surgery.
  • A small tube is placed in your arm to give you fluids and medicines through an IV line
  • Your lower abdomen is shaved to reduce the risk of infection
  • You will receive antibiotics through the IV
  • A thin tube (catheter) may be inserted to empty your bladder during surgery

What Kind of Anaesthesia Will You Receive?

An anaesthetist will discuss pain relief options with you before the surgery. The following are the common ones that are provided:
  • Spinal anaesthesia – A single injection in your lower back that numbs you from the waist down
  • Epidural anaesthesia – A small tube is inserted into your back for continuous numbing

Can Your Partner Stay With You?

Most hospitals allow one person to be in the operating room with you during surgery. You can take your partner or any other close family member. Their presence can help you stay calm. You can check your hospital’s policy or discuss it with your doctor in advance.

How Will You Feel Right Before Surgery?

You may experience a wide range of emotions that continue to change throughout the whole procedure. Remember that you are under an expert who is trained to handle such situations.

The medical team will explain every step and check the baby’s heartbeat once more before you are taken into the operating room.

What Happens Inside the Operating Room?

You can expect the following things to happen in the operating room:
  • You will lie on the operating table with your arms positioned by your sides
  • A screen will be placed in front of your abdomen so you do not see the surgery
  • Your anaesthetic will be tested to check whether you are fully numb
  • The team will sanitise the area and begin the procedure
Your baby will be delivered in the first 10 minutes of the surgery, but the entire procedure will take another 30 to 45 minutes.

What Should You Expect Immediately After Delivery?

You will hear your baby cry right away after the delivery. The nurse will clean the baby, and the paediatrician will check your baby’s breathing, weight, and vital signs. Your baby may be placed close to you for skin-to-skin contact if everything appears normal.

Your doctor will stitch up the incision. You will remain for 1–2 hours under observation in a recovery area while your anaesthesia wears off.

What to Pack and Prepare the Night Before?

Prepare early to have a stress-free evening the night before the surgery.
  • Pack comfortable clothing, maternity pads, and baby essentials
  • Remove nail polish and keep your jewellery at home
  • Charge your phone and pack your charger
  • Go to bed early to look fresh on the big day

How to Stay Emotionally Prepared?

Preparing yourself emotionally for the surgery is also important, so if you feel anxious, try the following calming methods:
  • Deep breathing or meditation for your mind
  • Talking to your doctor or nurse about any last-minute fears
  • Seeking support from your partner or loved ones

When Should You Inform the Doctor Immediately?

Call your doctor if you notice any of the following before your planned surgery:
  • Sudden contractions or pain
  • Vaginal bleeding or fluid leakage
  • Headache, swelling, or blurred vision (signs of high blood pressure)
The hours leading up to your planned C-section may feel like a mix of nerves and excitement. However, you can make your birthing experience smoother after knowing what to expect from the hospital, the type of anaesthesia and the recovery. Trust your medical team and remember that these steps will bring you closer to holding your baby.

Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.

FAQs on What to Expect in the Hours Before a Planned C-Section?

  1. Will I be awake during a planned C-section?
    You will be awake for the entire surgery during a C-section, but there will not be any pain other than some tugging sensation. Spinal or epidural anaesthesia numbs your body from the waist down.
  2. Can I eat or drink before a planned C-section?
    Most doctors suggest not to eat or drink anything 6 to 8 hours before the surgery to prevent nausea during anaesthesia.
  3. How long does a planned C-section take?
    The whole surgery can take about 30-45 minutes, but the baby is delivered in the first 15 minutes. The rest of the time goes into closing the incision.
Disclaimer: Dr Sunita Lamba, Director & Senior Consultant at Cloudnine Group of Hospitals, Vikas Puri, Department of Gynecology