Features of pregnancy a year after cesarean section

Usually, after a cesarean section, a woman is recommended careful contraception for two years. Doctors do not recommend getting pregnant before, and for good reason. But life is unpredictable, and sometimes a woman becomes pregnant much earlier and is determined to save the child. In this article, we will tell you what features a pregnancy can have, one year after the operation, what you need to prepare for and whether you can give birth naturally.

When a young, happy mother is discharged from the hospital with the baby, her doctor warns that after a cesarean section, it is not recommended to become pregnant or have an abortion or other surgery in the uterus cavity for two years. But few doctors find the time and desire to tell the puerperal about the reasons why this prohibition exists, and this is very important not only for planning a subsequent pregnancy, but also for understanding its features, if it comes earlier.

The inner scar on the uterus is formed in stages, and a variety of circumstances can affect this process. The edges of the wound sticking together already in the first hours after the operation, after a day full sticking occurs. The process of formation of new uterine tissue - myocytes - begins. If they are enough, the scar will be elastic and wealthy. If connective coarse tissue prevails, the scar will be considered problematic. The internal wound on the uterus heals in a couple of months after surgical labor, and full recovery occurs only at the end of the two-year period.

Restoration of all the resources of the female body after surgery has lasted much longer than physiological births, and the course of subsequent gestation depends on the state of health of the woman as a whole.

Hence the conclusion that “An interesting position”, which came 12 months after the first COP or so, is a very risky business, because the formation of an elastic and strong scar on the uterus has not yet been completed. In a state of pregnancy, the reproductive organ will begin to grow in size again, expand, the uterine tissue will stretch, and the thin and fragile scar can not stand it and disperse before the baby is born, which threatens with massive bleeding and often death of the mother and fetus.

In addition, a scar on the uterus creates additional threats: the wrong location of the placenta is often formed, but if it grows into the scar, the ingrowth is usually total and the uterus must be removed along with the baby during cesarean section. More women can not have children.

If the pregnancy occurred earlier than two years after the first operation, this does not always indicate the irresponsibility or medical illiteracy of the woman. It happens that contraception fails, and this is not going anywhere.

What to do is up to the woman herself. First you need to visit a doctor in female consultation.In 99% of cases, the doctor will begin to discourage the patient from maintaining such a hasty pregnancy and lead a lot of arguments in favor of an abortion. In this situation, too, no one adviser - only the woman herself and her loved ones can make a definite decision. If it is taken in favor of preserving pregnancy, it is worth preparing for the fact that a red triangle will immediately appear on the exchange card, meaning that the woman belongs to a pregnant high-risk group.

To begin, the doctor will need to make sure that the fetus is not fixed in the area of ​​the scar, since it is an unequivocal indication for a medical abortion. To do this, the pregnant woman will be sent to the ultrasound. The ultrasound diagnostic doctor will measure the thickness of the internal suture, determine if the scar is homogeneous and give his preliminary opinion on its viability.

If the scar is untenable, then again an abortion will be offered.

A woman has the right to refuse, especially since today there are many doctors and clinics that specialize in managing pregnancy with a thin and heterogeneous scar.

If the new pregnancy became a reality a year after cesarean section, there is no point in discussing the possibility of physiological birth. Failure to comply with the two-year term is an obvious contraindication to physiological labor, even if the scar, according to ultrasound, is quite good. It is not elastic and may break during contractions. But there are some private clinics that accept such deliveries on a fee basis at your own risk.

Repeated cesarean section is prescribed for up to 39 weeks, they usually try to hold it at 37-38 weeks, to eliminate the slightest possibility of offensive fights. It is possible that the last weeks of pregnancy will have to be carried out by a woman not at home, but in a hospital where she will be watched around the clock.

The most dangerous third or fourth pregnancy that occurs after a one-year hiatus from the moment of the second or third cesarean section. Each time, doctors excise the existing scar and make a new joint, respectively, with each pregnancy, the scar on the uterus is getting thinner and thinner. But thanks to modern medicine they also bear and give birth to such children.

A woman who became pregnant one year after the first cesarean section will initially be confused and frightened. But absolutely only until she finds on the Web numerous comments about pregnancy and childbirth, like her, who conceived the second baby earlier than it was required in terms of time. And most of the reviews are optimistic and are an example of successfully overcoming all fears and problems.

Indeed, the complication of uterine rupture is not as common as doctors say in antenatal clinics when they do not want to take responsibility for a pregnant high-risk group.

But there is one more reason for the abundance of positive feedback - it is always more pleasant to share experience when everything ended well, than to talk about the tragic consequences and your own self-confidence.

However that may be, your every decision is yours alone. A competent doctor, compliance with all his recommendations in the process of carrying the crumbs will minimize the risks of unwanted dangerous consequences.

See the following video on the uterine scar after cesarean section during subsequent pregnancy.