Quite often in women's clinics one can hear that repeated births after cesarean section will follow the same scenario that natural childbirths are excluded in this case. However, in fact, this practice has been increasingly abandoned, because there is a real chance to give birth naturally, even if the previous birth ended in an operation.
Today, the second cesarean is done only under strict medical conditions. And if the second pregnancy, like the first, ends with a cesarean section, then the woman is offered complete sterilization. Since the third pregnancy after the second caesarean is extremely undesirable - it becomes dangerous not only for health, but also for the life of mother and child.
When is the caesarean section shown a second time?
Cesarean during the second birth is done if a woman has diabetes, high blood pressure, great myopia, retinal detachment, a recent cerebral trauma.
In addition, the second planned elective cesarean is performed if the woman has such anatomical features as a narrow pelvis, bony projections in the pelvis, various deformities. A high probability of repeated cesarean if pregnancy is prolific.
An important role is played by the outcome of the first cesarean: if the operation has gone through with complications, the scar after it is untenable, then the second delivery will be performed with the use of Caesarean.
In the risk zone, those women who re-conceived earlier than 2 years after the operation, as well as those who made abortions between the previous cesarean section and this pregnancy. Scraping the uterus has a very negative effect on the formation of the scar.
Do not avoid a second operation and those women who have a longitudinal suture after the first caesarean section and those who have a placenta previa in the scar. And also if the connective tissues predominate in the rumen instead of the muscular ones.
Is it dangerous to have a second cesarean?
If you are shown a second planned cesarean section, you need to understand that it involves more risk than the first. Repeated cesarean often causes such complications as injury of the bladder, intestines, ureters. This is due to adhesive processes - frequent companions of Caesarean section and other band operations.
In addition, the incidence of complications such as anemia, thrombophlebitis of the pelvis and endometritis is also increasing. And sometimes there is a situation where because of the discovered hypotonic bleeding, which can not be stopped, doctors have to remove the woman's uterus.
But not only the mother suffers from the operation. For a child, a second cesarean is associated with such risks as impaired cerebral circulation, hypoxia - a consequence of a longer stay under the influence of anesthesia. After all, with the second caesarean for the penetration and extraction of the fetus from the abdominal cavity, women need much more time than the first time.
How is the second cesarean?
At repeated cesarean the cut is made on an available seam. In other words, the old seam is excised. it
The suture after the second caesarean is formed a little longer than after the first time. This process needs control, since various complications such as adhesions, suppuration and other unpleasant moments are not ruled out.
But do not get frustrated ahead of time. Probably, your doctor, taking into account the cause of cesarean last time, will try to do everything to exclude the possibility of a second operation, and you give birth to the baby naturally.