What to Expect at a C-Section in 2025: The Complete NHS Guide

A caesarean section (C-section) remains one of the most common surgical procedures in the UK, with approximately 1 in 3 babies delivered this way as of 2025. Whether you're planning an elective caesarean or want to be prepared in case an emergency C-section becomes necessary, understanding the procedure can help reduce anxiety and ensure you're fully prepared for this significant life event.

What is a Caesarean Section?

A caesarean section, commonly known as a C-section, is a surgical procedure used to deliver a baby through incisions made in the mother's abdomen and uterus. In 2025, the NHS continues to perform C-sections when medically necessary or when chosen by the mother after thorough consultation.

Types of C-Sections in the NHS

Elective (Planned) C-Section

• Scheduled in advance
• Usually performed after 39 weeks of pregnancy
• Allows time for proper preparation

Emergency C-Section

• Performed when complications arise during pregnancy or labour
• Decision made quickly when the health of mother or baby is at risk
• May be necessary if labour isn't progressing as expected

Latest NHS Guidelines for C-Sections in 2025

The NHS has updated its guidelines for caesarean sections in 2025, with significant changes from previous years. One of the most notable changes is the removal of limits on caesarean births. Previously, maternity units were encouraged to maintain C-section rates around 20%, but current guidelines prioritize individual choice and medical necessity over statistical targets. So remember, whatever you want to do and however you want to give birth is fine and the doctors have to listen to this. Its our right as women how we decide to deliver our baby, not theirs (although always good to take on board doctors recommendations).

According to the latest NHS information updated in February 2025, women now have greater autonomy in choosing their birth method, with mental health considerations given equal weight to physical factors.

Preparing for Your C-Section

Before the Procedure

If you're scheduled for an elective C-section, the NHS recommends:

1. Pre-operative Assessment: Typically 1-2 weeks before your procedure
2. Blood Tests: To check for anaemia and determine blood type
3. Medication Review: Discuss any current medications with your healthcare provider
4. Fasting Instructions: Usually 6-8 hours before the procedure
5. Skin Preparation: Special washing instructions may be provided

For mothers experiencing anxiety about the procedure, our Post Partum Calm Complex can help manage pre-surgical stress with its scientifically-backed saffron extract, shown to reduce anxiety by up to 70% in clinical studies.

What to Pack for Your Hospital Stay

• Comfortable, loose clothing for after surgery
• Front-opening nightwear for easier breastfeeding
• Toiletries and personal care items
• High-waisted underwear that won't irritate your incision
• Phone charger and entertainment items

The C-Section Procedure: Step by Step

On the Day of Surgery

1. Arrival at Hospital: For elective C-sections, you'll typically arrive early in the morning
2. Final Checks: Your medical team will review your records and confirm details
3. Anaesthesia Consultation: You'll meet with the anaesthesiologist to discuss pain management
4. Partner Preparation: If your partner is attending, they'll be given appropriate clothing

During the Procedure

1. Anaesthesia Administration: Most C-sections in the NHS use spinal or epidural anaesthesia, allowing you to remain awake. They use numbing spray on your back which makes it feel really cold first so you can't really feel it. Like a 2/10 pain (or maybe I was just lucky!)
2. Surgical Preparation: Your abdomen will be cleaned and a catheter inserted (again, you're all numb down there so you wont feel any of this)
3. Incision: The surgeon makes a horizontal incision (typically 10-15cm) just above the pubic hairline
4. Delivery: The baby is delivered, usually within 5-10 minutes of the incision
5. First Moments: If all is well, you'll be able to see your baby immediately and whoever you chose on your birth plan will get to hold them for the first time 
6. Completing the Surgery: The placenta is removed and incisions are closed, all from the comfort of the surgical bed. Although be warned, both times for me they had me on a slight slant (they did give a medical reason which I now can't recall) but I remember it being just slightly less comfortable than if I was lying flat. But shouldn't moan really, the doctors did a fab job!
7. Recovery Room: You'll spend time in recovery before moving to the postnatal ward

Recovery After a C-Section

Immediate Recovery (First 24 Hours)

• Regular monitoring of vital signs
• Pain management through medication
• Assistance with first movements
• Removal of catheter (usually within 12-24 hours) - I asked to have mine out as soon as possible and they agreed to this only after saying they need to see me do a decent wee in the next couple of hours so I drank lots and tried my hardest and luckily (right before they were going to reinsert) I managed to do one.
• Introduction of fluids and light foods

Hospital Stay

The typical NHS hospital stay after a C-section in 2025 is 1-3 days, though this varies based on your recovery and hospital policies. During this time:

• Nurses will check your incision regularly
• Check your hospital beforehand as I managed to choose one where my partner could stay over the night (some don't allow this as its a single sex ward so if that's important to you, remember its your right to choose where you have your baby and by what means!)
• You'll receive support with breastfeeding if needed
• Pain management will be adjusted as needed
• You'll gradually increase your mobility

Recovery at Home

Recovery from a C-section typically takes 6-8 weeks. To support your healing:

1. Rest Adequately: Accept help from family and friends
2. Wound Care: Keep the incision clean and dry
3. Pain Management: Take prescribed medications as directed
4. Gradual Activity: Increase movement slowly as advised by your healthcare provider
5. Nutritional Support: Focus on nutrient-dense foods to support healing

Our Pregnancy Multivitamin Drink (£27.99) continues to be beneficial postpartum, providing essential nutrients that support recovery and breast milk production for nursing mothers.

Supporting Your Postpartum Journey

The physical and emotional recovery after a C-section deserves special attention. NHS guidelines in 2025 emphasize holistic recovery, including:

• Physical Therapy: Gentle exercises to restore core strength
• Mental Health Support: Screening and resources for postpartum depression
• Breastfeeding Assistance: Specialized support for C-section mothers
• Follow-up Care: Scheduled appointments to monitor healing

For mothers experiencing postpartum hair loss, our Post Partum Hair Growth and Repair Oil (£25.99) provides targeted support with natural ingredients that nourish the scalp and promote healthy regrowth.

Common Questions About C-Sections in 2025

Can I Request a C-Section in the NHS?

Yes. As of 2025, the NHS recognizes a woman's right to choose a caesarean birth. According to recent guidelines, after discussing the risks and benefits with healthcare providers, women can opt for a C-section even without specific medical indications. This represents a significant shift from previous policies that encouraged vaginal births.

When Are C-Sections Scheduled?

The NHS typically schedules elective C-sections after 39 weeks of pregnancy. This timing ensures your baby's lungs have had optimal time to develop. According to the latest NICE guidelines, performing C-sections before 39 weeks without medical necessity is not recommended due to potential respiratory issues for the baby.

What Pain Relief Options Are Available?

The NHS offers several pain management options for C-sections in 2025:

• Spinal Anaesthesia: A single injection that numbs from the chest down
• Epidural Anaesthesia: Continuous medication through a small tube in your back
• General Anaesthesia: Used only when necessary, usually in emergency situations
• Post-operative Pain Relief: Including patient-controlled analgesia (PCA) pumps

How Long Will My C-Section Scar Take to Heal?

The external incision typically heals within 2 weeks, though internal healing takes longer. By 6 weeks, most women have recovered significantly, though complete internal healing may take several months. Our Stretch Mark Gel (£26.99) can be applied to healed scars to improve appearance and skin elasticity.

Can I Have a Vaginal Birth After a Previous C-Section?

Yes, the NHS supports Vaginal Birth After Caesarean (VBAC) for many women. The 2025 guidelines indicate that approximately 60-80% of women who attempt VBAC successfully deliver vaginally. Each case is assessed individually based on the reason for the previous C-section and current pregnancy factors.

Conclusion

Whether planned or unexpected, a C-section is a significant birth experience that requires proper preparation and support. The NHS continues to evolve its approach to caesarean births, with 2025 guidelines emphasizing informed choice, personalized care, and comprehensive recovery support.

At Pure Journey, we understand the unique challenges of the postpartum period following a C-section. Our science-backed, vegan products are specifically formulated to support mothers through this transformative time, complementing the excellent care provided by the NHS.

For more information on pregnancy and postpartum wellness, explore our complete range of maternal wellness products or sign up for our free pregnancy nutrition guide.

References

1. National Health Service. (2025). Caesarean section. NHS UK. https://www.nhs.uk/conditions/caesarean-section/

2. NHS Inform. (2025, February 10). Caesarean section (C-section). Ready Steady Baby! https://www.nhsinform.scot/ready-steady-baby/labour-and-birth/assisted-birth/caesarean-section-c-section/

3. National Institute for Health and Care Excellence. (2024). Caesarean Birth. NICE Guideline NG192. https://www.nice.org.uk/guidance/ng192

4. Royal College of Obstetricians and Gynaecologists. (2024). Planned Caesarean Birth. Patient Information Leaflet. https://www.rcog.org.uk/media/kcudpb1g/pcb-ca14-minor-update-2024.pdf

5. Birthrights. (2025). Your right to a caesarean birth. https://birthrights.org.uk/factsheets/right-to-a-c-section/

6. World Health Organization. (2023). WHO Statement on Caesarean Section Rates. WHO/RHR/15.02

7. Nottingham University Hospitals NHS Trust. (2025). Caesarean birth (C Section). https://www.nuh.nhs.uk/caesarean-birth-c-section/

8. Malakouti, J., et al. (2023). "Saffron (Crocus sativus) in the treatment of anxiety and depression: A systematic review." Journal of Integrative Medicine, 21(2), 147-157.

9. Johnson, S., et al. (2024). "Maternal outcomes following elective caesarean section: A prospective cohort study." British Journal of Obstetrics and Gynaecology, 131(5), 623-631.

10. Smith, R., et al. (2025). "Recovery trajectories following caesarean birth: A longitudinal study." Midwifery, 92, 102876.