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Second pregnancy after cesarean; pregnancy after the second cesarean
According to statistics, approximately 20% of babies in the world are born using a caesarean section, and in Europe this percentage is much higher than in Russia and the CIS countries. A postoperative uterine scar can provoke some complications in the future, which is why a second pregnancy after a cesarean should be planned in advance.
Second pregnancy after cesarean section: planning, possible complications
It is recommended to plan a subsequent pregnancy no earlier than one year later. The optimal period is after 2 years: during this time, the scar heals completely, the risk of complications during childbirth and gestation is reduced.
The second pregnancy after cesarean should be planned no earlier than a year later
It is necessary to start planning a pregnancy with a visit to a gynecologist, an ultrasound examination of the pelvic organs. The specialist will examine the patient, check the condition of the scar and give the necessary recommendations.
If the deadlines are not met or the doctor’s permission is not received, the risk of complications increases, including:
- early miscarriage;
- preterm delivery;
- rupture of the uterus at the site of the postoperative scar;
- detachment of the placenta;
- chronic placental insufficiency.
Good planning increases the chance of a natural birth. If the ultrasound images are normal, the baby’s condition is stable, the fetus is small, and at least 2 years have passed since the previous pregnancy, then the expectant mother can hope for independent childbirth.
Repeated caesarean section is also carried out according to indications: multiple pregnancy, mother’s age from 30 years, early pregnancy (2 years have not passed since the previous one).
What is the danger of pregnancy after the second cesarean?
One scar may not cause trouble for the expectant mother, but two postoperative uterine scars force a woman to seriously approach not only planning a third pregnancy, but also maintaining her own health. The list of possible complications is growing:
- the occurrence of bleeding;
- deformation of the pelvic organs;
- fetal hypoxia;
- adhesions in the area of scars;
- uterus removal;
- trauma to the bladder.
Planning for a third pregnancy should start with simple contraception. An early pregnancy will increase the possibility of complications severalfold and put the life of the mother and child at serious risk. The birth of a baby should be scheduled no earlier than 2-3 years after the last pregnancy. Be healthy!