2. Position of the crumb (the baby should be in the head presentation).
3. The child's well-being.
4. The condition and location of the seam (the woman is shown to give birth alone if she has only one transverse scar on the uterus in the lower segment).
5. The location of the placenta, which should be outside the scar on the uterus.
6. The condition and "age" of the rumen (painful sensations in its area are unacceptable, since the first operation must be at least two years).
7. Absence in the mother of serious pathologies and multiple pregnancies. Repeated surgery is considered more dangerous for the mother than natural childbirth, due to an increased risk of bleeding. This operation is technically more difficult to perform, since the first cesarean could have caused a pronounced adhesion of the internal organs. After the second caesarean section, the risk of complications and spontaneous interruption of the third pregnancy increases.
And, of course, the natural birth after the second caesarean is no longer the case. Children from subsequent successful full-term pregnancies will also be born in an operative way: Caesarean section is performed with two, and even three scars on the uterus.
Before "letting" the patient into childbirth, it is carefully examined, the scar is diagnosed, all sorts of tests and ultrasound are performed, the way the baby is treated with CTG (cardiotocography - evaluation of the fetal condition based on recording the heart rate, which allows to detect hypoxia and some other problems with the health of the baby.) That is, it is almost ideal to proceed without requiring medical intervention. It is necessary that they start without stimulation, so that the opening of the cervix should be systematically, generic You probably heard about the concept of natural birth, whose supporters prefer not to interfere in the natural (and even sacral) process of the emergence of a new life ... Now you will have an opportunity to feel the fullness of the sensations of this action - from the seeming unreal pain to untold happiness of birth.Inadmissibility of medical intervention has objective reasons.For example, the purpose of stimulation, which is often used in ordinary childbirth, is impossible because of the utstviya absolute confidence in the soundness of the scar. After all, weak labor activity is also a consequence of divergence seam. Therefore, if the labor is protracted and the baby suffers, then instead of oxytocin the doctor, as a rule, offers the mother an operation.
The use of painkillers is also undesirable, since it can hide the picture of the beginning uterine rupture, since one of its main symptoms is soreness along the rumen during palpation. In childbirth CTG-study is carried out, control over the general condition of the mother. Ultrasound is used to assess the consistency of the scar. The connection to the CTG apparatus requires a reclining position. Mom should try to be more comfortable on the side to end the fights. Preparing to give birth to the second child on your own, you need to be aware of the complexity of the upcoming process and be confident in yourself. However, do not forget about the theory of probability and psychologically prepare for the fact that in the event of unforeseen complications, the infant may appear by the way of Caesarean section. After all, the most important thing is the life and health of mother and baby. And doctors first of all think about it.