How many times can you do a cesarean section — up to three times
Many women undergoing cesarean section are concerned with the planning of next pregnancies. It is believed that during life can be performed two such operations without risk to life and health of the patient. Primarily this is due to the condition of the scar in the uterine wall, which every new surgical intervention becomes less elastic and more prone to tearing.
How many times can I do cesarean section
The appearance of the baby born in a natural way is the best way of delivery, offering several advantages, including rapid adaptation of the newborn, short rehabilitation period mothers and the lack of restrictions on planning future pregnancies.
However, in cases where physiological labour are a danger to life and health of the mother and the child, there is abdominal surgery is accompanied by risks and often require a long recovery time. Therefore, for many women who dream to re-experience the joy of motherhood, is an issue about how many times you can do a cesarean section.
Indications and characteristics of the operation
The main indications for carrying out delivery by surgery include:
- the failure of the uterine scar after the previous operation;
- obstacles to the birth of the baby through the birth canal (narrow pelvis, deformities of the pelvis, tumors);
- large fruit;
- malposition of the fetus (including breech presentation of the fetus);
- multiple pregnancy;
- placenta previa;
- acute fetal hypoxia;
- pathology of labor activity, not subjects of correction;
- bleeding during pregnancy and childbirth, threatening the life of a woman and the fetus.
Elective caesarean section is to be completed as close as possible to the expected date of birth. During the operation, the surgeon dissects the abdominal wall, pushes the muscle and makes the incision on the uterus, and then opens the SAC and remove the baby. The next stage removes the placenta and restores the integrity of tissues by suturing.
Depending on location there are two types of external incision:
- Transverse (horizontal). Is executed in the form of an arc above a pubis and in most cases are absorbable sutured cosmetic seam. Combined with a transverse incision in the lower segment of the uterus.
- Longitudinal (vertical). Anterior abdominal wall is dissected across the surface of the navel to the lower abdomen. The incision on the uterus may be longitudinal or transverse depending on the peculiarities of the operation. The cosmetic weld overlay in this case is impossible because of the high risk of its rupture under load.
As anesthesia is most commonly used regional (epidural) anesthesia is effective only on the lower part of the body and allowing the patient to stay conscious throughout the entire process. In emergency cases, General anesthesia is used, which occurs much faster.
The possibility of a subsequent birth
Cesarean section, like any other abdominal surgery requires a long rehabilitation period. The main condition for successful recovery of the reproductive system is the healing of the seam on the uterus scarring. In the absence of complications to scarring of the tissue takes about 2 years, during which planning for the next pregnancy is prohibited.
In some cases, after the operation the woman can give birth naturally. In this case, in addition to the lack of the main indications for surgical intervention on the uterus needs to be formed so-called wealthy, the scar, the nature of which is determined by ultrasound.
Its features are:
- a sufficient layer of muscle tissue;
- smooth contour
- the thickness of 5 mm.
However, most often, for various reasons, once after surgery pregnant have to go to surgery again. The next C-section the area of the old weld completely excised with the formation of new scar.
The maximum number of caesarean sections
Surgical delivery is not possible an unlimited number of times. It is believed that during the life of the woman can be done only two such transactions without risk to health and complications. After the second cesarean section the doctors offered to carry out the sterilization by suturing of the fallopian tubes. Such restrictions are primarily connected with the possibilities of the genitals.
The incision is carried out each time in the same segment of the uterus, so each subsequent scar is less wealthy than the previous one. The scar becomes thinner, becomes less elastic and fluid grow to the fragile connective tissue, unable to withstand the load in tension or compression.
Especially risky re-operation after a multiple pregnancy, accompanied by extreme stretching of the tissues. In addition, with age there is a gradual atrophy of the muscular fibres of the walls of the uterus, most pronounced in the area of the seam.
Dangerous impact of such changes could be the difference of scar and uterine rupture during pregnancy, signs of which are:
- a sharp pain and tension in the abdomen;
- strong uterine contractions without the expressed periodicity;
- the decrease in blood pressure, accompanied by weakness, nausea and dizziness.
These complications lead to the death of a baby or violations of its development due to acute oxygen starvation, internal bleeding and hemorrhagic shock in the mother. If you suspect a rupture of the rumen is performed emergency cesarean section, often accompanied by the removal of the uterus.
After each subsequent surgery the woman required much more time for recovery. It is not only a condition of the genital organs, but with the elimination of the effects of anesthesia, normalization of hormonal levels, weight and overall health.
What to do if a woman plans to give birth in the third or fourth time? A simple answer to the question, how long can you hold of operations a specific patient needs only a specialist, watching for her condition.
This will depend on many factors:
- the nature of past operations and the presence of complications;
- the quality of the uterine scar;
However, with the development of medicine and the ongoing improvement of the quality of the management of operational delivery, it is not excluded that in the near future it will be possible to conduct more caesarean sections without risk to mother and child.