Childbirth is the natural termination of pregnancy. At present, two tactics for conducting this process can be chosen. Natural births are more common. During them, the baby passes through the womanโs cervix and vagina. However, under certain circumstances, doctors may resort to a caesarean section. After such manipulation, complications and difficulties often arise. Women are especially interested in the question of whether it is possible to give birth after cesarean section. You can get the answer from this article. After reading, you will find out whether it is possible to give birth after a cesarean section. The opinions of doctors, specialists and reviews of women will be described below.
Cesarean section
Before figuring out whether it is possible to give birth after a cesarean section, itโs worth saying a few words about the operation itself. This manipulation is carried out in emergency cases or may be planned. It is carried out under anesthesia. Anesthesia can be general or epidural.
When the anesthetic begins to act, the doctor makes an incision in the lower region of the peritoneum in the woman. The muscle fibers of the abdomen, tissues and the wall of the genital organ are dissected in stages. The fetus is carefully removed from the uterine cavity, the placenta is separated. After that, the toilet of internal organs and layer-by-layer suturing of the incisions is carried out.
Is it possible to give birth after cesarean section?
It is impossible to unequivocally answer this question. In some cases, doctors not only allow, but also insist on a natural delivery after such an operation. There are also cases in which gynecologists and surgeons do not recommend acting in such ways. In this case, a second operation is performed. To answer the question of whether it is possible to give birth after a cesarean section, it is necessary to carefully evaluate the condition of the woman and the fetus. The solvency of the scar, which remained after the first operation, also plays an important role. Consider the main opinions of experts on whether it is possible to give birth after cesarean section.
Physical opportunity
Is it possible to give birth after cesarean section in 1.5 years and later? Judging by the physiological possibilities, then, of course, yes. A woman is able to survive struggles and attempts on her own. As a result, she is able to give birth to a child in a natural way.
It is worth noting that experts are not always allowed to carry out this process. In some cases, the previous cesarean section does not allow a woman to give birth herself. Also, a future mother may have other contraindications to natural childbirth.
Scar position
Is it possible to give birth after cesarean section? Reviews of experts suggest that the manipulation cannot be carried out naturally if the woman has a longitudinal location of the scar.
In most cases, surgeons during the operation cut the abdominal wall in a transverse way. In this case, the scar area is small. The womanโs body is quickly restored, and the walls of the uterus return to normal. When a longitudinal incision is made, the scar is much larger. At the same time, there is a risk of overstretching and rupture during the next birth.
Period
Is it possible to give birth after cesarean section in 7 years or later? Doctors strongly do not recommend waiting for such a period. Most likely, after 7 years or more after the operation, gynecologists will insist on reoperation. This has a very simple explanation.
With the passage of time, the female body does not become younger. Tissues wear out and health deteriorates. In addition, the uterus is a muscular organ, which over the years is also somewhat transformed not for the better. Due to age, a representative of the weaker sex often has a repeated cesarean section.
Fetal weight
Is it possible to give birth after cesarean section in 10 years? Much depends on the weight of the unborn baby. It is determined using ultrasound diagnostics. If the weight of the fetus does not exceed three and a half kilograms, then doctors do not oppose natural childbirth. However, there should be no other contraindications.
When the baby is quite large or the fetus is not one, but there are several, then gynecologists do not recommend giving birth on their own. This can lead to complications in the form of uterine rupture. Such a pathology always requires surgical intervention.
Scar strength
Is it possible to give birth after cesarean section in 5 years? Experts say that it is possible, but only if the scar is considered wealthy.
During the entire period of pregnancy, doctors carefully monitor this site. This is done using ultrasound diagnostics. If during normal pregnancy the last ultrasound scan is performed for a period of 32-34 weeks, then in women with a history of cesarean section, such an examination is carried out several more times. The most recent diagnosis is made immediately before delivery. If the thickness of the scar in the thinnest place is no more than two millimeters, then natural delivery is possible.
Previous pregnancy
Is it possible to give birth after cesarean section in 4 years? Doctors do not recommend a natural delivery if there have been abortions or curettage before. In this case, a planned cesarean section is prescribed .
The thing is that during any curettage, an effect is made on the scar from the inside of the genital organ. Often this leads to the fact that the uterus in this place is thinning, and the scar becomes insolvent. Doctors simply do not want to risk that complications may occur during natural birth.
Placement of the placenta
It is possible to give birth after cesarean section itself or not, largely depends on the place of attachment of the placenta. Doctors say that with the localization of the chorion on the scar, natural delivery is not recommended. However, this can only be discussed at the very end of pregnancy. Why do doctors in such cases recommend a second operation?
The fact is that when the placenta is attached to the scar, there is a chance of an outcome when the child's place simply grows into the damaged surface of the uterus. This will lead to the need for surgery even after a normal, natural birth. Also during contractions, a complication such as premature detachment of the placenta can develop . Often this leads to the need to remove the genital organ and the death of the fetus.
The psychological side of the issue
Can a woman give birth herself after the previous cesarean section? Experts say that many representatives of the fairer sex cannot cross the psychological barrier that developed after their previous operation. All due to the fact that women are simply afraid of pain and contractions. They worry that their genitals will lose elasticity. It is worth saying that all this is wrong. Such women should get advice and help from a psychologist as soon as possible.
The main task of the fairer sex is the birth of offspring. Caesarean section is an unnatural process that doctors are forced to carry out in emergency situations. If a woman has no contraindications to natural birth, then do not be afraid.
Contraindications
Can a woman give birth on her own after an operation such as cesarean section? Much depends on why the previous manipulation was performed. If it was carried out due to the lack of disclosure of the cervix or due to pelvic presentation of the fetus, then the next delivery can take place naturally.
When the indications for the operation were due to poor health, repeated births are carried out in a similar way. Often, a caesarean section is prescribed for patients with poor eyesight, high blood pressure, with some diseases that the baby may acquire while passing through the birth canal, and so on.
Summarizing
You now know if a woman can give birth on her own after a cesarean section. It is worth saying that the natural process allows you to become pregnant again in the future. When two caesarean sections are performed, doctors strongly do not recommend giving birth anymore. The thing is that in the area of โโthe uterus, not one, but two scars are formed. Each of these sites may become thinner and disperse the next time the child is born.
Natural birth after cesarean section is becoming increasingly popular. In Russia, approximately 30 women out of 100 pass through them after such an operation. In Europe, this has become a more traditional form of labor. It is worth noting that this approach favorably affects not only the woman, but also the baby. A child who has passed through the birth canal and received the stress hormone at this time is more adapted to external conditions than a "Caesarenka". Easy childbirth!