How many months can you have a baby after cesarean section?

Thanks to the development of medicine today, cesarean section is not a contraindication for second, third and subsequent pregnancies. But carrying a baby after cesarean has its own nuances, which is why doctors recommend women to take a certain break between the first and second birth. About how much you can give birth to the second baby, if the first was born surgically, we will tell in this article.

There is a medical recommendation that is heard by all women whose births were carried out by caesarean section. They are not advised to become pregnant again, have an abortion or carry a child within two years after the operation. 2 years is a term that is not invented for intimidation and is not an ordinary council, this term is the result of years of research by obstetricians.

Unfortunately, not every doctor finds enough time and desire to tell every woman who has been discharged from the maternity hospital about why the time limit is such. And this is actually of great importance for the planning of the next pregnancy.

In the first weeks after cesarean section, sticking and formation of new myocytes take place. New uterine cells take the place of the injured during surgical dissection. If a sufficient number of such cells is formed, the scar will be wealthy and reliable, it will allow to bear the next child without any problems, and it may also be quite suitable for independent delivery.

If, under the action of various reasons - infections, complications of the postoperative process, inflammation, for immune reasons, more connective tissue is formed, which does not differ in elasticity, the scar will be untenable.

Primary scar formation continues for two months after surgery. After this period, most women stop postnatal discharge, after a month or two or almost immediately the menstrual cycle normalizes, resumes sex life. But the catch lies in the fact that the formation of the internal scar is still ongoing and they last at least two years.

After 6-7 years after surgery, the scar becomes more rough, even if initially it was quite elastic and wealthy. And this also adversely affects the carrying and birth of a child. Therefore, the optimal term for the onset of a new pregnancy, from the medical point of view, is a period from 2 to 6 years.

Repeated labor, if the woman withstood the time interval between the first and second cesarean section, can be carried out in two ways. Either a second planned surgery will be scheduled, or the woman will be allowed to give birth on her own. A third or fourth child after two or three Caesarean children cannot be born on their own.

The choice of mode of delivery remains for the woman. Doctors can only make recommendations. So, for natural childbirth will allow patients who:

• have a wealthy, uniform, incomplete scar on the uterus after the first operation, the scar thickness is at least 3-4 mm;
• a horizontal suture remained from the first operation; dissection was performed in the lower uterine segment;
• the postoperative period after the first COP was uneventful;
• the woman did not have an abortion in the intervals between pregnancies;
• the second pregnancy occurs without pathologies;
• the baby is located in the uterus head down and its weight does not exceed 3.6 - 3.7 kg;
• The “baby seat” is not located in the scar area;
• childbirth age - less than 36 years.

If a woman was operated on because of a narrow pelvis or deformity of the pelvic bones, then something is unlikely to change during the second pregnancy. In this case, as well as in all, not provided by the above list, appoint the second planned cesarean section. A woman who was allowed to give birth may refuse and ask for a reoperation if she is psychologically afraid of the prospect of physiological labor with a scar on the uterus.

Often, women are faced with the fact that pregnancy after the operation of the COP came earlier than the recommended time frame. What to do in this case is up to the woman herself. If she chooses to leave the child, she will definitely need to prepare for a difficult pregnancy, which can only be completed by repeated cesarean section. To give birth naturally is not likely to be allowed.

The earlier a woman becomes pregnant, the more fear will cause a scar on her uterus. The reproductive organ will begin to grow in order to provide for the fetus and its needs, stretching the walls of the uterus will make the scar even thinner. The main risk is the discrepancy of the uterus along the scar during pregnancy.

In addition, the presence of the scar, which has not yet completed the recovery process, can cause a threat of abortion, improper, low attachment of the placenta. If it grows into the wall of the uterus along the postoperative zone, then it is possible that the entire uterus will have to be removed during the second operation. Often, the scar becomes a cause of violations of the placental blood flow, up to 45% of cases of intrauterine growth retardation are a consequence of the presence of a scar on the uterus.

If it is decided to leave the pregnancy, the woman will be seen as a high-risk patient in the consultation. She will have to take tests more often and visit a doctor, it is possible that she will have to be kept in the gynecological department several times during the pregnancy. Especially close control will be for the scar - it will be measured to prevent critical thinning, threatening to rupture.

If a couple is responsible for childbirth, then family planning will not be an empty sound for her. To minimize risks, a woman with one scar on the uterus should approach planning a second pregnancy very responsibly.

First of all, after two years, you need to go to an obstetrician-gynecologist, undergo a gynecological examination, get a referral to a colposcopy, take blood and urine tests. It is especially important to find out the viability of the scar. To do this, you need to do not only ultrasound of the pelvic organs with the measurement of its thickness, but also to undergo hysteroscopy, sometimes there is a need to do hysterography - an x-ray of the uterus and ovaries using contrast material.

Even if the viability of the scar causes questions from the doctors, it is not worth refusing the perspective of the birth of the second baby. It is necessary to find a good specialist or clinic who work with problematic pregnancies, including insolvent scars on the uterus.There are options, you just need to know from which starting point you have to move to the next goal.

There are a lot of women who got pregnant much earlier than the time recommended by the doctors. Some people will find out about the new pregnancy a year after the operation, some after six months, there are even those who, 3-4 months after the operation, come to the consultation to become registered for pregnancy.

If the pregnancy is planned, then usually women go for it not earlier than 2.5-3 years after the operation.

Confusion and fear, if the “interesting situation” has come ahead of time, is quite understandable, because no one can give a woman guarantees that the pregnancy will proceed normally.

On the other hand, there are enough reviews on the Web about quite safe bearing and childbirth, even if the pregnancy occurred much earlier than the two-year period.

About features of pregnancy and childbirth after cesarean section, see the following video.