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Procedure
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Surgery is usually performed while you are awake and pain-free from the chest down to the legs (using epidural or spinal anesthesia). The uterus is opened, the amniotic fluid is drained off, and the baby is delivered. The baby's mouth and nose are cleaned of fluids, and the umbilical cord is clamped and cut. The baby is then handed to your pediatrician or nurse who will make sure that he is breathing well. You are awake at this point and can see and hear your baby.
C-sections have become fairly common (up to 20% of all births in the United States) due to enhanced screening tools that allow physicians to accurately assess the safety of vaginal deliveries for their patients. Some obstetricians believe that C-sections are the safest way to deliver certain babies (breech presentations, repeat C-sections, or late-in-life pregnancies).
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