LSCS (Caesarean Section)
What is LSCS (Lower Segment Caesarean Section)?
Lower Segment Caesarean Section (LSCS)is a surgical procedure in which a baby is safely delivered through a horizontal incision in the mother's lower abdomen and uterus. When medical, anatomical, or fetal indications make a natural vaginal delivery hazardous, a Caesarean section is a life-saving, routine, and highly refined obstetric intervention.
At Dr. Deepika Lalwani (Nagwani)'s Clinic in New Kalyani Nagar & Wadgaon Sheri, Pune, we approach every birth with scientific diligence, sterile surgical excellence, and deep empathy. Led by Dr. Deepika Lalwani (MBBS, DGO Mumbai) with over 10+ years of clinical experience, we ensure both planned and emergency C-sections are executed with utmost precision, cosmetic sub-cuticular sutures, and dedicated postpartum support.
Whether you require an elective C-section due to breech presentation, placenta previa, or twin gestation, or are navigating emergency intrapartum decisions, Dr. Deepika ensures transparent clinical counsel, supportive pain management, and rapid recovery guidance.
Medical Indications for Caesarean Delivery (LSCS)
Fetal Distress or Heart Decelerations
Non-reassuring cardiotocography (CTG) tracings or umbilical cord compression during labor necessitating rapid, safe delivery of the baby.
Breech or Transverse Fetal Lie
When the baby is positioned feet-first (breech) or sideways (transverse) at term, making vaginal delivery structurally high risk.
Placenta Previa or Abruption
Low-lying placenta completely covering the internal cervical os or premature placental detachment requiring scheduled surgical delivery.
Cephalopelvic Disproportion (CPD)
Mismatches between the fetal head dimensions and maternal pelvic outlet dimensions where natural passage is mechanically obstructed.
Previous Uterine Surgery / Classical Scar
Prior complex myomectomy or multiple previous C-sections where natural labor risks uterine scar dehiscence.
Higher-Order Multiple Gestation
Twin or triplet gestations presenting with non-cephalic leading twins, shared amniotic sacs, or maternal hypertension.
The Caesarean Delivery (LSCS) Step-by-Step
A structured surgical overview of your C-section procedure from regional anesthesia to newborn delivery and cosmetic closure.
Every treatment and procedure at our clinic is performed with the highest standards of safety, compassion, and clinical expertise. Dr. Deepika Lalwani ensures each step of your journey is carefully monitored and optimized for the best possible outcomes.
Expert Guidance
From your initial consultation through recovery, our dedicated team is here to support you with personalized care, ensuring your comfort and peace of mind at every stage.
Phase 1: Preoperative Audit & Regional Anesthesia
Comprehensive blood profiling, fetal CTG verification, and administration of spinal anesthesia by a senior anesthetist, keeping the mother completely pain-free, comfortable, and conscious throughout the birth.
Phase 2: Precision Incision & Gentle Delivery
A discreet bikini-line (Pfannenstiel) transverse incision is made in the lower uterine segment. The baby is safely delivered within 10 to 15 minutes and immediately placed for pediatric evaluation and skin-to-skin touch.
Phase 3: Placental Extraction & Uterine Repair
The placenta is gently removed, followed by precise multi-layer uterine reconstruction and hemostasis verification to preserve future reproductive wellness.
Phase 4: Cosmetic Subcuticular Closure & Recovery
The skin is closed using dissolvable sub-cuticular sutures or waterproof cosmetic dressings that minimize scarring. The mother is transferred to the recovery suite for monitored breastfeeding.
Preparing for a Planned Caesarean Section
Systematic pre-operative guidance ensures maximum safety, emotional calm, and a streamlined postpartum hospital stay.
Prepared & Confident
Packing essential hospital gear and coordinating your arrival time guarantees a relaxed delivery day.
Pre-Operative Fasting Protocols
Clear instructions regarding 6 to 8-hour fasting schedules before planned surgery to ensure anesthetic safety.
Complete Hematological Profile
Confirming adequate hemoglobin, coagulation parameters, and blood group cross-matching beforehand.
Hospital Bag & Postpartum Planning
Organizing high-waisted cotton garments, maternity nursing bras, sanitary pads, and newborn layette.
Pre-Delivery Consultation & Birth Plan
Thorough discussion on newborn bonding, partner presence options, and early lactation techniques.
Balanced Pre-Surgical Nutrition
Optimizing maternal protein and micronutrient intake during the final trimester to aid rapid surgical tissue repair.
Postoperative Recovery Following a Caesarean Delivery
Comprehensive surgical aftercare ensures optimal wound healing, comfortable nursing, and smooth restoration of physical energy.
Incision Care & Cosmetic Healing
Instructions on keeping the dressing clean and dry, recognizing normal tissue healing, and managing gentle wound care after dressing removal.
Post-Surgical Nursing Positions
Guidance on the 'football hold' and side-lying breastfeeding techniques to feed comfortably without abdominal pressure on the surgical scar.
Gradual Mobility & DVT Prevention
Encouraging early supported ambulation within 12 to 24 hours to prevent venous thrombosis, stimulate bowel activity, and speed discharge.
Why Choose Dr. Deepika Lalwani's Clinic for Caesarean Delivery?
- Surgical Precision & Cosmetic ClosureSub-cuticular dissolvable suturing techniques that reduce tissue trauma and promote minimal cosmetic scarring.
- 10+ Years of High-Risk Obstetric SkillExtensive track record handling complex repeat C-sections, twins, CPD, and emergency intrapartum interventions in Pune.
- Continuous Post-Operative SupportDedicated wound checkups, nursing position counseling, and direct specialist communication.
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Frequently Asked Questions
In Pune, an LSCS Caesarean delivery package typically ranges between ₹65,000 and ₹1,10,000 depending on the selected partner hospital infrastructure, room category (shared, single private, or luxury suite), and elective vs. emergency requirements. This comprehensive package includes 3 to 4 days of hospital stay, operation theatre charges, obstetrician, assistant surgeon, anesthesiologist, and pediatrician fees, nursing care, and standard post-operative medications. Cashless health insurance and maternity claims are widely supported.
A planned LSCS is scheduled in advance (usually around 38 to 39 weeks) due to pre-existing maternal or fetal factors like breech positioning or placenta previa. An emergency LSCS is performed during active labor if unexpected complications arise, such as fetal distress or stalled cervical dilation.
The total surgical duration is typically 45 to 60 minutes. The baby is safely delivered within the first 10 to 15 minutes, while the remaining time is dedicated to meticulous uterine suturing, peritoneal closure, and cosmetic skin alignment.
Yes. The vast majority of LSCS procedures are performed under spinal or epidural regional anesthesia. This numbs the lower body from the chest down while keeping you awake, relaxed, and able to hear your baby's first cry and hold your newborn immediately.
Mothers typically stay in the hospital for 2 to 3 days for observation. Light household activities can be resumed after 2 to 3 weeks, while complete internal muscle and fascial healing takes approximately 6 to 8 weeks.
Yes. Having an LSCS with a lower segment transverse incision makes you a viable candidate for Vaginal Birth After Caesarean (VBAC) in subsequent pregnancies, provided there are no recurring surgical indications.