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A caesarean section is major abdominal surgery that saves lives. When a baby is in distress, when the placenta is blocking the cervix, when labour has genuinely stopped — a skilled, timely caesarean is the difference between a good outcome and a catastrophe. We perform them, and we perform them well.
What we do not do is perform them for convenience.
Caesarean rates in Bangladesh have risen from under 3% at the turn of the century to around 45% of all births, and roughly 70% of births that take place in a health facility. That is far beyond any level that improves outcomes, and a substantial share of those operations happen for non-medical reasons — scheduling, avoidance of labour, or simply because nobody offered the alternative.
At Women Health Space, if we recommend a caesarean, we will tell you the specific clinical reason. If you ask for one without a medical indication, we will talk you through what the surgery involves and what it means for your future pregnancies before you decide.
Planned (elective) caesarean — decided in advance, usually at around 39 weeks:
Emergency caesarean — decided during labour or late pregnancy:
Anaesthesia. Most caesareans are done under spinal or epidural anaesthesia. You stay awake, you feel pressure and pulling but not pain, and you can see and hold your baby straight away. General anaesthesia is reserved for genuine emergencies or where regional anaesthesia is unsuitable.
The surgery. A horizontal incision is made low on the abdomen, just above the pubic hairline — it sits below the bikini line and fades considerably over time. The baby is usually delivered within 5–10 minutes of starting. Closing the layers takes another 30–45 minutes.
Meeting your baby. Where the baby is well and the theatre situation allows, we support skin-to-skin contact in theatre and early breastfeeding in recovery.
Afterwards. You will have a urinary catheter for the first several hours, a drip, and regular pain relief. We encourage you to get out of bed and walk within about 12–24 hours — this is one of the most important things you can do to prevent blood clots and speed recovery.
| Timeframe | What to expect |
| 0–24 hours | Bed rest, catheter, IV fluids, regular pain relief, first feed |
| 24–48 hours | Catheter removed, first walk, eating normally, breastfeeding established |
| Day 3–5 | Usually discharged home, wound dressing checked |
| Week 1–2 | Wound review, stitches or clips removed if non-absorbable |
| Week 2–4 | Pain much reduced, light activity, no lifting anything heavier than the baby |
| Week 6 | Postnatal check, most normal activity resumed, driving usually possible |
| Month 3–6 | Scar softens and fades; core and pelvic floor strength returns |
Warning signs — contact us immediately if you have: fever above 38°C, wound redness, swelling or discharge, heavy vaginal bleeding or large clots, severe abdominal pain, calf pain or swelling, breathlessness or chest pain, burning on passing urine, or a severe headache with visual disturbance.
We will always discuss these with you properly. A caesarean carries a higher risk than an uncomplicated vaginal birth of: infection, heavy bleeding, injury to the bladder or bowel, blood clots, longer hospital stay and slower recovery. The baby has a slightly higher chance of transient breathing difficulty, particularly if delivered before 39 weeks.
The part most often left unsaid: each caesarean makes the next pregnancy more complicated. Scar tissue and adhesions build up, and the risk of placenta praevia and placenta accreta — where the placenta grows into or through the uterine wall — rises with each operation. Placenta accreta is a serious condition that can require a hysterectomy. If you are planning a large family, this matters enormously to your first delivery decision.
How much does a C-section cost in Dhaka? Cost depends on the hospital, the type of room, the anaesthesia, the length of stay and whether any complications arise. Contact us on +88 01747 546049 for a current package estimate for our associated facility — we will give you a clear written breakdown rather than a vague figure.
Can I request a C-section without a medical reason? We will discuss it with you fully. Our responsibility is to make sure any request is genuinely informed — that you understand the surgical risks, the recovery, and the implications for future pregnancies. Often when women ask for an elective caesarean, the real concern is fear of labour pain, and that is something we can address directly with pain relief planning and labour support.
How many C-sections can a woman safely have? There is no absolute number, but risk rises with each one. Most obstetricians become significantly more cautious after three. This is a decision to make with your doctor based on your own scar, your surgical history and your family plans.
When can I get pregnant again after a caesarean? An interval of at least 18–24 months between delivery and the next conception is generally advised to allow the uterine scar to heal properly and reduce the risk of complications.
Will breastfeeding be harder? It can start more slowly, and finding a comfortable position takes some working out — the side-lying and rugby-ball holds keep pressure off your wound. With good support, most women breastfeed successfully after a caesarean.
How do I care for the scar? Keep it clean and dry, wear loose cotton clothing, avoid heavy lifting, and let us review it at your follow-up. Once fully healed, gentle scar massage helps soften the tissue.
