Often in a women's consultation, women who are pregnant repeatedly and who have given birth for the first time with the help of a cesarean section say that after that, births are naturally impossible. However, recently, medical specialists have begun to assert that it is not necessary for repeated births that caesarean section may be necessary. Women who have had a cesarean section, in many cases, really prescribe a re-operation, but a large part of them are capable of normal childbirth, and this is much more expedient.
It is clear that in a number of situations it is only possible to give birth a second time with the operation of a cesarean section. As a rule, these are situations when the same contraindications to usual births arise as for the first time, that is, when it is associated with the individual characteristics of the mother's organism.
It can be such indications as deformation of bones in the pelvis, too narrow a basin and other deformities. Also common are somatic diseases, that is, severe nearsightedness, retinal detachment, craniocerebral trauma. If there is one of these diseases, then a secondary cesarean section is most likely to be prescribed. If the pregnancy is prolific, then the birth in a natural way can be either too difficult or even impossible without risk for the children.
Also, the secondary cesarean section can be prescribed for complications such as diabetes mellitus or high blood pressure. Indications for him will be the case when for the first time the cesarean section was unsuccessful, leaving an inconsistent scar on the uterus or there are other complications. However, the very presence of a scar on the uterus is not an indication for the appointment of a caesarean section.
Another caesarean section can be recommended when a re-pregnancy occurs less than 3-4 years after the first operation of cesarean section, or when abortions are performed between the first cesarean section and a new pregnancy, since scraping the uterus can make the scar incomplete.
Although the second Caesarean section was previously thought to be the only possible way out for repeated childbirth, in fact, another caesarean section is a much more complicated procedure than conducting the first cesarean section. First of all, after the second operation of caesarean section, more than half of women lose the opportunity to become pregnant, as menstrual function is disrupted. It is clear that if a woman who underwent a cesarean section gives birth to a second child in natural childbirth, then the probability to remain able to become pregnant with her is much higher.
Also, conducting a repeat cesarean section in many cases leads to the appearance of such complications as injury of the ureters, bladder, intestines. These complications are due to changes in the anatomical relationship of the organs, which are associated with the adhesive process occurring in the rumen area.
The probability of occurrence of such postoperative complications as endometritis, anemia, thrombophlebitis of pelvic veins is significantly increased. Also, the second caesarean section significantly increases the risk of hypotonic bleeding, which in many cases can not be stopped with the help of conservative methods, which leads to the need for removal of the uterus, which, unfortunately, is a fairly frequent outcome of a second cesarean section.
Therefore, as the first cesarean section, and repeated, can be carried out only when appointed by a medical specialist and only for medical reasons, and is not the choice of the mother in prison.
Indications for the second caesarean section, which can be considered absolute, apart from those indications that necessitated the first cesarean section, physicians refer to the longitudinal scar on the uterus, the predominance of connective and not muscular tissue in the area of the uterine cicatrix, previa in the scar of the placenta.
In addition, after two (or more) cesarean sections, births are naturally contraindicated. And of course, if the woman herself expresses the refusal of spontaneous childbirth, a cesarean section is also performed. Although, as described above, the second caesarean section can hardly be considered the best choice, for both mother and baby.