When discussing caesarean sections, most women are familiar with the horizontal 'bikini cut' incision. However, some mothers notice their C-section scar runs vertically, prompting questions about why their surgery differed from the norm.
Dr. Priya Sharma, obstetrician at Patna's Indira Gandhi Institute of Medical Sciences, explains that vertical incisions—called 'classical cesareans'—are performed in specific emergency situations. "When we need to deliver the baby extremely quickly, such as during severe foetal distress, placental complications, or when the baby is in an unusual position, a vertical incision allows faster access," she notes. This technique is also used for extremely premature deliveries or when the lower uterine segment hasn't properly formed.
The more common low transverse (horizontal) incision has become standard because it heals better, causes less blood loss, and reduces complications in future pregnancies. However, classical incisions remain medically necessary in approximately 5-7% of caesarean deliveries across Indian hospitals.
Healthcare providers emphasize that regardless of incision type, both procedures are safe when performed by trained professionals. Under the Pradhan Mantri Surakshit Matritva Abhiyan, Bihar's government hospitals have strengthened their capacity to handle complicated deliveries. Women with vertical scars should inform their doctors in subsequent pregnancies, as delivery planning may differ from those with horizontal incisions.