Each pregnancy in a woman proceeds in a new way, not like the previous one. Childbirth, respectively, also goes differently. If for the first time the baby was born with the help of gynecological surgeons, this does not mean that now everything will happen according to the same scenario. What if a second caesarean section is ahead? What is important for a woman to know? Is it possible to avoid surgery? These and some other questions will be answered by today's article. You will learn about how long a planned second cesarean section is done, how the body is restored after manipulation, whether it is possible to plan a third pregnancy and whether it is realistic to give birth at all.
Natural birth and cesarean section
We will find out how the second cesarean section is performed and what indications. What is important to know? The natural appearance of a child is a process conceived by nature. During childbirth, the baby walks along the appropriate paths, experiences stress and is prepared for existence in the new world.
Caesarean section suggests the artificial appearance of a child. Surgeons make an incision on the abdomen and uterus of a woman, through which they take out the baby. The baby appears abruptly and unexpectedly, he does not have time to adapt. Note that the development of such children is more difficult and more complicated than those born during natural childbirth.
During pregnancy, many expectant mothers are scared by the caesarean section. After all, the advantage has always been given to natural childbirth. A few centuries ago, a woman after cesarean had no chance of survival. In earlier times, manipulation was carried out only in already deceased patients. Now medicine has made a big breakthrough. Caesarean section has become not only a safe intervention, but in some cases necessary to save the life of a child and mother. Now the operation lasts only a few minutes, and the possibility of anesthesia allows the patient to remain conscious.
Second cesarean section: what is important to know about the testimony?
What does the doctor pay attention to when choosing this route of delivery? What are the indications for a second intervention in the natural process? Everything is simple here. Indications for the second cesarean section are the same as for the first operation. Manipulation can be planned and emergency. Assigning a planned cesarean section, doctors rely on the following indications:
- poor vision in a woman;
- varicose disease of the lower extremities;
- heart failure;
- chronic diseases;
- diabetes;
- asthma and hypertension;
- oncology;
- traumatic brain injury;
- narrow basin and large fetus.
All these situations are the reason for the first intervention. If, after the birth of the baby (first), the diseases have not been eliminated, then the operation will be carried out during the second pregnancy. Some doctors are inclined to this opinion: the first cesarean section does not allow a woman to give birth more herself. This statement is erroneous.
Can I give birth on my own?
So, they recommend a second cesarean section. What is important to know about him? What are the real indications for the operation if the woman’s health is all right? Repeated manipulation is recommended in the following cases:
- the child has a pelvic presentation ;
- after the first cesarean section, another two years have not passed;
- the suture on the uterus is insolvent;
- during the first operation, a longitudinal incision was made;
- abortions between pregnancies;
- the presence of connective tissue in the scar;
- the location of the placenta on the scar;
- pregnancy pathology (polyhydramnios, oligohydramnios).
An emergency operation is performed in case of an unexpected divergence of the scar, poor labor, a serious condition of a woman, and so on.
You can give birth to yourself, if a second cesarean section is recommended. What is important to know? Modern medicine not only allows a woman the natural process of childbirth, but also welcomes him. It is important that the expectant mother be thoroughly examined. The conditions for natural birth after cesarean section are the following circumstances:
- after the first operation more than three years have passed;
- the scar is wealthy (muscle tissue predominates, the area stretches and contracts);
- thickness in the weld zone is more than 2 mm;
- lack of complications during pregnancy;
- the desire of a woman to give birth on her own.
If you want the second child to appear naturally, then you should take care of this in advance. Find a maternity hospital that specializes in this matter. Talk with your doctor in advance about your condition and get tested. Visit your appointments regularly and follow the advice of a gynecologist.
Pregnancy management
If the first birth was through Caesarean section, then the second time everything can be exactly one way or another. For future mothers after a similar procedure, there should be an individual approach. As soon as you find out about your new position, you need to contact a gynecologist. A feature of the management of such a pregnancy is additional research. For example, an ultrasound in such cases is done not three times over the entire period, but more. Diagnostics before childbirth become more frequent. Your doctor needs to monitor your uterus scar. After all, the entire outcome of pregnancy depends on this indicator.
Be sure to visit other specialists before delivery. You need to contact a therapist, optometrist, cardiologist, neurologist. Make sure there are no prohibitions on natural birth.
Multiple and conventional pregnancy: second cesarean section
So, you still have a second caesarean section. What is the term for such an operation, and is it possible to give birth during multiple pregnancy?
Suppose that the previous delivery was performed surgically, and after that the woman became pregnant with twins. What are the forecasts? In most cases, the outcome will be a second cesarean section. How long do they do it - the doctor will tell. In each case, the individual characteristics of the patient are taken into account. Manipulation is prescribed for a period of 34 to 37 weeks. With multiple pregnancy, they do not wait longer, since rapid natural births can begin.
So, you bear one child, and a second cesarean section is prescribed. When is the operation done? The first manipulation plays a role in determining the term. Repeated intervention is prescribed 1-2 weeks earlier. If for the first time Caesarean spent at 39 weeks, now it will happen at 37-38.
The seam
You already know how long a planned second cesarean section is done. Cesarean is repeated on the same seam as the first time. Many expectant mothers are very concerned about the aesthetic issue. They worry that the whole stomach will be strewn with scars. Do not worry, this will not happen. If the manipulation is planned, then the doctor will make an incision where he went for the first time. The number of external scars you will not increase.
Otherwise, the situation is with a section of the genital organ. Here, with each repeated operation, a new area for the scar is selected. Therefore, doctors do not recommend giving birth in this way more than three times. Doctors offer sterilization to many patients if a second cesarean section is prescribed. When put in a hospital, gynecologists clarify this issue. If desired, the patient is ligation of the fallopian tubes. Do not worry, without your consent, doctors will not carry out such a manipulation.
After surgery: recovery process
You already know about when the second cesarean section is shown, at what period they do it. Reviews of women report that the recovery period is practically no different from that which was after the first operation. A woman can stand on her own in about a day. Breastfeeding a baby to a newly minted mother is allowed almost immediately (provided that prohibited drugs have not been used).
The discharge after the second operation is the same as during natural birth. Within one or two months, the lochia leaves. If you have a cesarean section, it is important to monitor your well-being. Consult a doctor if unusual discharge occurs, fever, general condition worsens. Discharged from the maternity hospital after the second cesarean section for about 5-10 days, as well as for the first time.
Possible complications
With repeated surgery, the risk of complications, of course, increases. But this does not mean that they will definitely arise. If you give birth on your own after cesarean section, then there is a chance of a scar discrepancy. Even if the seam is wealthy, doctors can not completely exclude this possibility. That is why in such cases, artificial stimulations and painkillers are never used. This is important to know.
When conducting a second cesarean, the doctor has difficulties. The first operation always has consequences in the form of an adhesive process. Thin films between organs impede the surgeon's work. The procedure itself takes longer. This could be fraught with a baby. Indeed, at this moment potent drugs used for anesthesia penetrate his body.
The complication of repeated cesarean may be the same as for the first time: poor contraction of the uterus, its kink, inflammatory process, and so on.
Additionally
Some women are interested in: if a second cesarean section is performed, when can I give birth for the third time? Specialists cannot answer this question unequivocally. It all depends on the condition of the scar (in this case, two). If the seam area is thinned and filled with connective tissue, then pregnancy will be completely contraindicated. With wealthy scars, it is quite possible to give birth again. But, most likely, this will be the third cesarean section. The possibility of natural birth decreases with each subsequent operation.
Some women manage to give birth to five children using cesarean section and feel great. Here a lot depends on the individual characteristics and techniques of the surgeon. With a longitudinal section, doctors do not recommend giving birth more than two times.
Finally
A cesarean section during the first pregnancy is not a reason for a second procedure. If you want and can give birth on your own, then this is only a plus. Remember that natural birth is always a priority. Talk with a gynecologist on this topic and find out all the nuances. Good luck!