Waiting for the baby is a pleasant and exciting time, especially if it was necessary to give birth for the first time with the help of an operation. The desire to produce a second child on their own is experienced by many women who are about to become mothers again. Is the risk worthwhile?
At the onset of a repeat pregnancy after caesarean, the future mother is, as soon as possible, register with a woman's consultation and tell the doctor about her feelings in detail. Many mothers who have undergone the operation dream of producing a second child by natural means.
- placenta previa (location of the placenta in the lower parts of the uterus, which often leads to bleeding);
- ingrowth of the placenta into the body of the uterus in the region of the cicatrix;
- spontaneous termination of pregnancy.
Therefore, you need to be especially careful about your health, listen to yourself and at the slightest suspicious signs contact your doctor. Remember that the guarantee of successful pregnancy and safe deliveries is a trusting relationship with your obstetrician-gynecologist. It is worth looking for an experienced doctor who approves of natural birth and will support you in your desire to give birth to the baby yourself. By the way, such doctors are becoming more and more. If only 20 years ago among the gynecologists the postulate was widespread: "Once a cesarean section is always a cesarean section", now many doctors do not consider a scar on the uterus a contraindication to natural childbirth.
Natural delivery after surgery is a high-risk birth. The danger lies in the possibility of divergence of the suture on the uterus, which in the case of failure to provide timely qualified assistance can lead to very disastrous results. For this reason, in obstetric practice, women with scar on the uterus for a long time doctors were not allowed to give birth alone. Now in some maternity homes natural birth is successfully conducted. Modern equipment and diagnostic methods make it possible to count on a favorable outcome, giving the mother the opportunity to feel the joy of the child's birth by the natural way inherent in nature itself. At the same time today some doctors consider natural births after cesarean even safer than the second operation. After the operation, the internal flora of the body is disturbed.
At a caesarean section the transverse (horizontal) cut of a uterus is more often done. In this case, the scar is less often torn than in the case of a corporal (vertical) incision. For complete healing of the suture on the uterus, restoration of its reproductive function and the possibility of natural childbirth is required at least two years after the operation. However, repeated pregnancy is not worth it, and it will be postponed for a long time: in five to six years after the cesarean section, the scar will "harden" and lose elasticity.The condition of the suture on the uterus depends on the type of tissue from which it consists:
the elastic muscle tissue withstands high loads, and the connective tissue in the scar area does not have the ability to stretch, it can simply burst - in late pregnancy, in bouts or labor in labor. The term "partial seam divergence" refers to a condition in which part of the seam begins to creep in. In such a case, the continuation of natural delivery is not possible, emergency delivery is necessary by repeated operation .If the seam divergence does occur, the skilled doctor urgently performs an operative labor, helping to give birth to a child and not depriving the woman of the opportunity to become pregnant again in the future.