Making Informed Choices
About Caesarean Birth.
The types of incisions used
Transverse Incision (LUSCS)
The most common type of incision used is made on the lower part
of your stomach, just above your bikini-line, and is referred to
as a transverse incision or LUSCS as it cuts through the lower fibrous
part of your uterus to deliver your baby. This part of your uterus
heals very well, and involves less blood loss, so it is the preferred
site on which to perform the incision.
Classical Incision
Your obstetrician may rarely need to do a classical incision during
a caesarean. This type of incision runs vertically (up and down)
your uterus. It's normally done either because your baby is premature,
the uterus has not stretched enough to allow a LUSCS to be performed,
because the baby is lying crossways in the uterus, or because the
placenta is in the way.
A classical caesarean is only used in these specific
circumstances because this approach is associated with a greater
blood loss, and may not heal as strongly as a LUSCS, leading to
an increased risk of uterine rupture during future births.
'T' or 'J' Incision
There are other rarely used incisions, en titled 'T' or 'J' incisions
-> because of the shape of the incision. These are the result of
a LUSCS incision unexpectedly being inadequate to deliver the baby.
The obstetrician extends the uterus incision in a 'T' or 'J' shape
to increase its size and allow delivery. Usually the baby is in
an unusual position, such as a transverse lie (sideways across your
belly).
The increased risk of uterine rupture involved in
birthing vaginally after a previous classical, T or J caesarean
need to be thoroughly discussed with the professional caregivers
involved, and acknowledged by the mother
*Note: The type
of incision used on your skin 'usually' indicates the type used
on your uterus, but not always. A classical incision on your uterus
may have been done after a 'sideways' incision was done on your
belly, and vice versa. The only way you can be sure what type of
internal incision you have is to check with your doctor
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