In recent years, more and more women after the first birth have a scar on the uterus. This is a problem
Scientists are puzzled over the question of how many times a cesarean can be done and how to help these mothers have more children.
There are experiences of natural childbirth after the first cesarean section. This is done to allow a woman to have more children with less risk.
The technique of the operation, the suture material is being improved, anesthesiology is being developed, new drugs are emerging. But the risk remains.
Repeated pregnancy with a scar in the uterus will be more dangerous and riskier than without a scar.
Many women with a scar in the womb dream of large families. Unfortunately, not all people who have had a cesarean section have children.
Therefore, the question is also relevant to them: cesarean section, how many times can it be done and why?
Nature has created a woman capable of giving birth through the birth canal and giving birth many times. The man came up with a cesarean section.
But it has complications.
The uterus is a muscular organ. She can stretch 500 times during pregnancy and then return to her original size in 6 weeks.
After the first surgery in the uterus a scar remains.
It consists of connective tissue, which is not designed for stretching and subsequent contraction. After 1.5 – 2 years after surgery, the muscle fibers germinate in the area of the scar and become more elastic.
But after 4-5 years, the scar suffers from sclerosis: excessive compaction.
Therefore, after the cesarean the next time it is better to give birth in the interval of 2 to 4 years.
Before deciding on the second and subsequent pregnancies, it is necessary to be examined. Make an ultrasound of the uterus and scar.
Together with the doctor to assess its consistency. You may need an additional exam or a plastic scar.
Insolvency of scars
About the viability of the scar is judged by ultrasound. If the scar is unsustainable, at any time during pregnancy it may break. This results in profuse bleeding.
To save a woman will have to go to emergency surgery.
If the scar is insolvent, doctors may decide to carry out Keserevo in advance. The baby will be born prematurely.
During pregnancy, several times you will have to go to the hospital preventively.
Caesarean section requires pain relief
Recently, spinal anesthesia is commonly used. This allows you to get rid of the complications of anesthesia (headaches, pneumonia, laryngitis, encephalopathy).
But not many people know that spinal anesthesia itself is not harmless. He is plagued by headaches, pain at the puncture site, a violation of sensation of the lower limbs, constipation and allergic reactions.
After a c-section performed once, the adhesions remain in the abdominal cavity. These are strands of connective tissue between the uterus, the fallopian tubes, the bowel loops and the bladder.
In everyday life, they cause discomfort and an annoying pain in the lower abdomen, interrupting the functioning of the internal organs: the bowel, the bladder.
During subsequent surgery, it is difficult to enter the abdominal cavity and remove the baby. When repeated operations are required to dissect them.
This lengthens the time of the operation, increases the blood loss. The damage and rupture of the adhesions during the surgery can cause a trauma in the internal organs: the intestines, the urinary tract, the fallopian tubes and the ovaries.
During cesarean section, blood loss is always high. And if something goes wrong, the bleeding can become very intense.
A possible result is a blood transfusion. It is stressful for the immune system.
The load on the kidneys and the heart.
With each subsequent pregnancy, the uterus will be worse to contract. Especially if the uterus is too stretched: multiple pregnancy, large fetus, polyhydramnios.
A scar in the uterus will also prevent its reduction and recovery after delivery. All this increases the loss of blood.
Infection of the uterus occurs 5 times more often during caesarean section compared to delivery. In the postoperative period, antibiotics are almost always prescribed.
But there are cases in which even the most powerful drugs do not help a weakened body to face the infection.
Sometimes a second operation and extirpation of the uterus is required.
After surgery, the risk of blood clots in the organs and tissues increases. This can lead to the interruption of your work.
The most dangerous thing is to get blood clots in the lungs. This is accompanied by respiratory arrest and death.
Most of the rest are at risk for overweight women, diabetes, hypertension and varicose veins.
If you have varicose veins, lie on the operating table, simply bandaging your legs with elastic bandages. Elastic stockings should be worn before and after surgery.
Rape of placental fixation.
Often the placenta is attached to the scar. Here he will do his job badly. The child can be atrophied.
The placenta can grow in the wall of the uterus and even grow in the bladder. During the operation, the placenta does not separate and will be removed along with the uterus.
Previous placenta. The placenta overlaps the entrance to the uterus.
Once the child withdraws, it separates badly and, when it separates, abundant bleeding occurs, which requires the removal of the uterus.
Endometriosis Contact with the uterine mucosa during surgery in the abdominal cavity.
There it grows, maintains chronic inflammation, adhesions form. It is manifested by chronic pain in the lower abdomen, aggravated during menstruation.
The experience and skill of an obstetrician-gynecologist who will operate it again will be important. Technically, even 2, without mentioning 3 and the subsequent operations is a difficult task.
If you have 4 and a later cesarean section, you will give birth at a large maternity hospital, where you will have all the opportunities to help you.
Each subsequent operation increases the likelihood of complications.
Doctors recommend giving birth after caesarean section 1, maximum 2 times. Usually, after the offer of cesarean section 2-3 to sterilize during surgery.
That is, bandaging the fallopian tubes to protect against pregnancy in the future.
Your already born children need a healthy mother, who does not risk her life or her health. In any case, how much you can give birth after a cesarean depends on you.
The doctor can only recommend and caution.