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Uterine scar remains permanently.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"cesarean_delivery","label":"Cesarean delivery operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One surgical procedure; postoperative checks are follow-up, not treatment stages."},"success":{"metric":"Maternal survival to hospital discharge","value":99.97,"unit":"percent of procedures","horizon":"Hospital discharge","population":"Adult women with medically indicated singleton cesarean at term, uncomplicated, in well-resourced hospitals","evidence_status":"limited"},"techniques":[{"name":"Low transverse uterine incision","suits_whom":"Most women, including those planning future pregnancies.","recovery":"Standard recovery; lower future uterine rupture risk than classical scar."},{"name":"Classical (vertical) uterine incision","suits_whom":"Selected cases: extremely preterm fetus, transverse lie, dense adhesions.","recovery":"Higher future uterine rupture risk; later pregnancies usually need planned cesarean."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Operating time for an uncomplicated primary cesarean, skin incision to closure; baby is usually delivered within the first 10–15 minutes."},"initial_assessment_documents":["Latest prenatal ultrasound report","Prenatal records with gestational age","Previous cesarean operative report","Placenta location report","Recent blood group and hemoglobin results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay 2-4 nights in hospital, plus about 1-2 weeks nearby before travel home for wound check."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether an anesthetist will see you at a preoperative visit to discuss anesthesia before surgery","scope":"procedure","source":{"url":"https://guidelines.fhft.nhs.uk/Obstetrics_and_Gynaecology-Labour_and_Birth-Caesarean_Section","host":"guidelines.fhft.nhs.uk","quote":"All women having an elective LSCS will see an anaesthetist at the preoperative visit to discuss the anaesthetic.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask your ob-gyn to discuss the risks and benefits of cesarean for your situation","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/cesarean-birth","host":"acog.org","quote":"Talk with your ob-gyn about the risks and benefits for your situation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Ask whether prophylactic antibiotics will be given to you before surgery","scope":"procedure","source":{"url":"https://guidelines.fhft.nhs.uk/Obstetrics_and_Gynaecology-Labour_and_Birth-Caesarean_Section","host":"guidelines.fhft.nhs.uk","quote":"Offer all women prophylactic antibiotics at CS.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask whether stockings or heparin will be given to prevent blood clots during cesarean","scope":"procedure","source":{"url":"https://guidelines.fhft.nhs.uk/Obstetrics_and_Gynaecology-Labour_and_Birth-Caesarean_Section","host":"guidelines.fhft.nhs.uk","quote":"All women undergoing CS are given antibiotics and thromboprophylaxis (anti embolism stockings +/- low molecular weight heparin).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask whether the surgeon plans a transverse abdominal incision, because it is associated with less postoperative pain","scope":"procedure","source":{"url":"https://guidelines.fhft.nhs.uk/Obstetrics_and_Gynaecology-Labour_and_Birth-Caesarean_Section","host":"guidelines.fhft.nhs.uk","quote":"CS should be performed using a transverse abdominal incision because this is associated with less postoperative pain and an improved cosmetic effect compared with a midline incision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask whether the implications for future deliveries will be discussed with you before discharge","scope":"procedure","source":{"url":"https://guidelines.fhft.nhs.uk/Obstetrics_and_Gynaecology-Labour_and_Birth-Caesarean_Section","host":"guidelines.fhft.nhs.uk","quote":"The implications for future deliveries will be discussed with all women undergoing caesarean section prior to discharge and the discussion documented in the maternity notes","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A cesarean is offered without any discussion of whether its benefits outweigh its risks","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/cesarean-birth","host":"acog.org","quote":"Because of these risks, cesarean delivery is usually done only when the benefits of the surgery outweigh the risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"A cesarean is booked on request without exploring and recording the reasons for the request","scope":"procedure","source":{"url":"https://guidelines.fhft.nhs.uk/Obstetrics_and_Gynaecology-Labour_and_Birth-Caesarean_Section","host":"guidelines.fhft.nhs.uk","quote":"When a woman requests a CS with no contraindication to vaginal delivery explore, discuss and record the specific reasons for the request.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy vaginal bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/caesarean-section/recovery/","host":"nhs.uk","quote":"severe pain leaking urine pain when peeing heavy vaginal bleeding","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Wound becomes more red, painful and swollen","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/caesarean-section/recovery/","host":"nhs.uk","quote":"your wound becomes more red, painful and swollen","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Discharge of pus or foul-smelling fluid from wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/caesarean-section/recovery/","host":"nhs.uk","quote":"a discharge of pus or foul-smelling fluid from your wound","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Swelling or pain in lower leg","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/caesarean-section/recovery/","host":"nhs.uk","quote":"swelling or pain in your lower leg","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Fever","urgency":"contact_clinic","general":true,"source":{"url":"https://www.acog.org/womens-health/faqs/cesarean-birth","host":"acog.org","quote":"Call your ob-gyn right away if you have fever chills leg pain draining or leakage from your incision heavy bleeding worsening pain shortness of breath","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"They document discussion of implications for future deliveries","document":"maternity notes","source":{"url":"https://guidelines.fhft.nhs.uk/Obstetrics_and_Gynaecology-Labour_and_Birth-Caesarean_Section","host":"guidelines.fhft.nhs.uk","quote":"The implications for future deliveries will be discussed with all women undergoing caesarean section prior to discharge and the discussion documented in the maternity notes","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your situation does not require a C-section","name":"Vaginal delivery","source":{"url":"https://my.clevelandclinic.org/health/treatments/7246-cesarean-birth-c-section","host":"my.clevelandclinic.org","quote":"Vaginal births are usually safer. But a C-section may be the only safe option depending on your situation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"low-transverse-uterine","name":"Low transverse uterine incision","how_it_works":{"text":"The womb wall is opened with a horizontal cut","source":{"url":"https://www.acog.org/womens-health/faqs/cesarean-birth","host":"acog.org","quote":"The incision in the wall of the uterus can also be either transverse or vertical.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"classical-uterine-incision","name":"Classical (vertical) uterine incision","how_it_works":{"text":"The womb wall is opened with a vertical cut","source":{"url":"https://www.acog.org/womens-health/faqs/cesarean-birth","host":"acog.org","quote":"The incision in the wall of the uterus can also be either transverse or vertical.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=alicante/procedure=kesarevo-secenie/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}