At what time do the second cesarean section?

Quite often, for various reasons , a woman can not give birth naturally. Then they use the caesarean section. In case this is the second pregnancy after having already undergone a cesarean, then in the majority of cases, the delivery is carried out as well. Therefore, it is not uncommon for women who have previously had a similar operation to ask about the date on which the second Caesarean section is being performed and on what the timing of its conduct depends.

What is the time frame for a second cesarean?

Before determining how long to conduct a second cesarean section, doctors need to develop tactics for carrying out such an operation. To do this you need:

1. To evaluate the scar on the wall of the uterus, which remained after the first caesarean. In those cases when pregnancy occurred earlier than 3 years after the birth of the first child, surgical intervention with repeated delivery is simply necessary.
2. To clarify with the future mother, whether there was in the interval between the first cesarean and repeated pregnancy of abortions or surgical interventions on the uterine cavity. For example, performed scraping endometrium sharply worsens the status of the uterine scar.
3. Determine the number of fruits in multiple pregnancy, as well as their location in the uterus and the type of presentation. As is known, in case of multiple pregnancy, the overgrowth of the uterine wall occurs, which also has a negative effect on the condition of the scar.
4. Also, in those cases when the placenta is attached to the uterus in the region of the previous incision, surgical intervention is the only method of delivery, the risk of rupture of the uterus is high.
5. In those cases, when the first birth was carried out a cross-section, then the second birth should also be performed by caesarean section.

Taking into account all the factors listed above, doctors decide on the time of cesarean. If we talk about how long the second planned elective cesareans are doing, then, as a rule, this operation is appointed 1-2 weeks earlier than the first time. In most cases, this is 38 weeks of pregnancy. It is to this time in the body of the baby begins to synthesize the surfactant, which facilitates the spread of the lungs at the first inspiration.

What dangers are associated with a repeat cesarean section?

When conducting a repeat such intervention, doctors must take into account the fact that in most cases, after the first cesarean, a soldering process takes place in the woman's body . This circumstance somewhat complicates the course of the operation, and increases its duration, because The access to the uterus can be closed by the spas formed between the pelvic organs.

In addition, sometimes, when a second scheduled elective cesarean is done, there is a development of bleeding in the uterus, which is difficult to stop. In cases where blood loss is high, doctors decide to remove the genital organ, to save a woman's life.

It should not be forgotten that in carrying out cesarean, the fetus is exposed to great danger. Medications used for anesthesia in some way have an effect on the baby, especially if for some reason the operation is delayed (wrong presentation, the head is outside the small pelvis, etc.).

Thus, it can be said that the definition of how long the woman will be treated by the second scheduled elective cesarean depends on the set of factors mentioned above. In this case, as a rule, a woman learns in advance about the date of this operation, tk. To prepare for it, too, it takes time.