07.05.2021

How to prepare for a second birth after cesarean section

Caesarean section is increasingly used at birth. This is a birth in which through the incision on the abdomen and the anterior wall of the uterus, the infant and the afterbirth are removed. Indications for the use of this method of childbirth may be different. But this, in any case, involves surgical intervention, which may result in health complications after anesthesia, as well as infection, bleeding, and trauma to neighboring internal organs. In any case, the consequence of such an operation will be external and internal sutures – on the skin of the abdomen and on the uterus.

There may be a failure of the suture on the abdomen, its divergence between the rectus muscles and the occurrence of diastasis, in which the weakened abdominal muscles do not work and this can lead to displacement or omission of internal organs, pain in the spine, umbilical hernia, and digestion.

Unlike an ugly suture on the abdomen, which is surgically corrected, the suture on the uterus cannot be fixed, but it depends on how the subsequent pregnancy and childbirth will develop and whether it is still possible to give birth after a cesarean section.

Planning

The subsequent pregnancy after cesarean section and the birth of a child should be planned to avoid undesirable consequences. It is important to maintain the interval between births better in 3 – 5 years, but not less than 2 years, necessary for the full restoration of the female body and the formation of a strong scar.

A woman must comply with the doctor’s recommendations related to the scar and, before the subsequent pregnancy after cesarean section, undergo X-ray, ultrasound and visual examination of the uterus. In this case, it is determined which tissue the scar consists of: muscle, mixed or connective and its thickness. The scar from muscle tissue is most favorable for subsequent births; connective tissue is dangerous for mother and child.

The presence of a scar on the uterus affects repetition after cesarean section and has its own management features. Complications due to scarring can occur both throughout pregnancy and directly during childbirth. In order to prevent the threat of miscarriage or premature birth, placental abruption when it is attached in the scar area, the possibility of uterine rupture along the scar line, a violation of blood supply between the mother’s body and the placenta, the woman is prescribed medications that relax the uterine muscles, improve blood circulation and metabolism inside the placenta and in the uterine wall.

When a cesarean section is repeated, it is important to know whether a scheduled or emergency operation was performed. A section with a planned caesarean section is longitudinal in the lower part of the uterus, it is usually full with well-fused, smooth edges. With such a scar, birth is possible in a natural way, if there are no contraindications arising during the first birth. The choice of the method of repeated birth after cesarean section and the question of whether it is possible to give birth after cesarean section is determined in each specific case, taking into account the condition of the scar before pregnancy and during it, the causes of the previous operation and its course are taken into account.

Childbirth after cesarean

If there were no previous postoperative complications, full-term pregnancy and low weight of a single fetus, then birth is possible in a natural way. Such childbirth is better and safer for mother and baby. A woman is hospitalized for a period close to the term of delivery in order to conduct the necessary examinations. Such births cannot be stimulated to avoid a dangerous complication – a uterine rupture in the scar.

A caesarean section at week 38 is most preferable if the woman has already had an operative delivery. At this time, the child is considered full-term, the main organs and systems are already fully functioning. The vital processes are stable and immediately after birth it displays the same reflexes as a naturally born one. The advantage of choosing this period is that it is possible to prevent the divergence of the scar and the development of gestosis of pregnancy and similar complications. According to statistics, they often disrupt the course of the recovery period.

With each subsequent cesarean section, the uterine wall becomes thinner, so it is believed that such an intervention should not be done on the uterus more than three times. It all depends on the state of the woman’s body. But with each subsequent cesarean section, the risk of complications increases.

When you can give birth after cesarean depends on not only the generally accepted medical standards, but also on some other factors. What kind of pregnancy is due, from the course of the previous pregnancy and the absence or presence of contraindications in women. The responsibility of the woman herself, multiplied by the competence of the attending physician, ensures a favorable outcome of pregnancy, regardless of the method of delivery.

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