Often, re-pregnant women, whose first birth was not without a caesarean section, learn from doctors that they will also have an operative delivery for the second time.. Is it so?
This was the position of obstetrics a few years ago: after a caesarean section, childbirth could only be carried out by caesarean section.. The risk of rupture of the scar formed on the uterus increases with each pregnancy. In this regard, after the second or third operation, it is more expedient for a woman to decide on sterilization, since pregnancy and childbirth with surgical intervention are dangerous for the life of the woman in labor and the baby..
Today in medicine there is a different view regarding repeated caesarean section. After a caesarean section, a woman has indications for operative delivery, but many of them have every chance of a normal natural birth.
There are situations when a second birth is possible only through a caesarean section, and these are situations in which a caesarean section was indicated taking into account the structure of the pregnant woman's body, and nothing has changed since then.
Indications for caesarean section Anatomically narrow pelvis, deformities of the pelvic bones, bony protrusions from birth in the pelvis. Other causes may be somatic diseases of the pregnant woman - craniocerebral trauma in the past, severe myopia, damage to the retina. This is an indication for reoperation..
Multiple pregnancy causes many difficulties in natural childbirth, or such childbirth is unsafe.
Repeated caesarean section for complications such as hypertension and diabetes mellitus.
If the next pregnancy occurs before the expiration of two to three years after the cesarean operation, as well as in case of abortions between the cesarean section and the next pregnancy, an operative delivery is prescribed. In the case of abortions, curettage of the uterus negatively affects the condition of the scar, so the scar may be insolvent during independent childbirth..
Problems of repeat caesarean section Repeat caesarean section in medical practice always presents a lot of technical difficulties compared to the first one..
It should be noted that the ability to conceive after repeated caesarean section is not preserved for everyone, this number is about 40% of women.. This situation is observed due to menstrual irregularities due to repeated caesarean section..
Statistics on the number of women who gave birth to a second child in a natural way after a caesarean section, suggests that their ability to conceive and give birth naturally is much higher.
With repeated cesarean section, complications sometimes occur, such as injury to internal organs (intestines, bladder, ureters) due to the development of adhesions in the abdominal cavity after the first operation. After surgery, anemia, thrombophlebitis in the pelvic area, endometritis are possible.
Repeated caesarean section is associated with the risk of hypotonic bleeding, which is not eliminated conservatively. They resort to removing the uterus, which, unfortunately, is the only way out..
The child undergoes a second caesarean section more negatively than the first caesarean section..
It takes more time to penetrate the uterine cavity, so the anesthesia time increases. With prolonged anesthesia, the child may experience circulatory disorders in the brain during childbirth..
Both the first and subsequent caesarean sections are used solely on the basis of medical indications, the woman’s desire alone is not enough here..
Additional indications for repeated cesarean section should be considered a longitudinal scar on the uterus, placenta presenting to the scar, excess connective tissue over muscle in the area of \u200b\u200bthe uterine scar.
It should also be taken into account that after two or more caesarean sections, spontaneous childbirth is highly undesirable.. In the event that a woman is against spontaneous childbirth, of course, a cesarean section is prescribed, although a repeated cesarean section is far from the best method for both the mother and the baby..
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