Second Cesarean section: what is important to know? Cesarean section: indications, timing, recovery

Every woman has a pregnancyin a new way, not like the previous one. Genera, respectively, also go differently. If for the first time the baby was born with the help of surgeons and gynecologists, this does not mean that now everything will happen according to the same scenario. What if there is a second cesarean section? What is important to know the woman herself? Is it possible to avoid surgery? These and some other questions will be answered today's article. You will learn about the timing of the planned second caesarean section, how the body is restored after manipulation, whether it is possible to plan a third pregnancy and whether it is real to give birth to the most.

Natural childbirth and cesarean section

We will find out how the test is carried out and what indicationssecond caesarean section. What is important to know? The natural appearance of a child is a process conceived by nature. During childbirth the baby goes along the appropriate paths, undergoes stress and is prepared for existence in a new world.

Cesarean section involves artificialthe appearance of a child. Surgeons make a cut on the abdomen and womb of a woman, through which they reach the baby. A crumb appears abruptly and unexpectedly, it does not have time to adapt. Note that the development of such children is more difficult and complex than that that appeared during natural childbirth.

During pregnancy, many expectant mothers are frightenedcesarean section. After all, the advantage was always given to natural childbirth. A few centuries ago, a woman after cesarean had no chance of survival. In earlier times, manipulation was performed only in already dead patients. Now medicine has made a big breakthrough. Cesarean section has become not only a safe intervention, but in some cases necessary to save the life of the 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 the doctor pays attention to when choosing thisthe way of delivery? What are the indications for the second intervention in the natural process? Everything is simple. Indications for the second cesarean section are the same as for the first operation. Manipulation can be planned and emergency. When appointing a planned cesarean section, physicians rely on the following indications:

• poor vision of a woman;
• varicose veins of lower extremities;
• heart failure;
• chronic diseases;
• diabetes;
• asthma and hypertension;
• oncology;
• craniocerebral trauma;
• a narrow pelvis and a large fruit.

All these situations are an excuse for the firstinterference. If after the birth of the child (the first) the disease has not been eliminated, the operation will be carried out and the second pregnancy. Some doctors are inclined to this opinion: the first caesarean section does not allow a woman to give birth more herself. This statement is erroneous.

Can I give birth on my own?

So, you are recommended a second caesarean section. What is important to know about it? What are the real indications for the operation, if the health of the woman is all right? Repeat manipulation is recommended in the following cases:

• the child has pelvic presentation;
• after the first cesarean section, two more years have not passed;
• the seam on the uterus is insolvent;
• During the first operation, a longitudinal incision was made;
• abortion between pregnancies;
• presence of connective tissue in the rumen area;
• location of the placenta on the rumen;
• pathology of pregnancy (polyhydramnios, hypochlorism).

An emergency operation is performed with an unexpected rupture of the rumen, mild labor, a grave condition of a woman, and so on.

You can give birth to yourself, if the secondcesarean section. What is important to know? Modern medicine not only allows a woman a natural process of delivery, but also welcomes him. It is important that the future mother was carefully examined. Conditions for natural delivery after cesarean section are the following:

• after the first operation more than three years have passed;
• the scar is well-founded (muscle tissue predominates, the area is stretched and contracted);
• thickness in the weld zone is more than 2 mm;
• absence of complications during pregnancy;
• the desire of a woman to give birth independently.

If you want a second child to appearnaturally, you should take care of it in advance. Find a maternity home that specializes in this matter. In advance, talk with your doctor about your condition and take a survey. Regularly attend appointments and follow the recommendations of a gynecologist.

Management of pregnancy

If the first birth took place by caesareansection, then for the second time everything can be exactly the same or completely different. To future mothers after a similar procedure should be an individual approach. Once you have learned about your new situation, you need to turn to a gynecologist. The peculiarity of conducting such a pregnancy is additional research. For example, ultrasound in such cases do not three times for the entire period, but more. Pregnancy diagnostics are becoming more frequent. The doctor needs to monitor the condition of your scar on the uterus. After all, the entire outcome of pregnancy depends on this indicator.

Be sure to visit other specialists before delivery. You need to consult a therapist, an oculist, a cardiologist, a neurologist. Make sure that there are no prohibitions on natural delivery.

Multiple and normal pregnancy: a second cesarean section

So, you still have a second caesarean section. At what time do such an operation, and whether it is possible to give birth to the most with multiple pregnancies?

Suppose that the previous deliverywas 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. At what time do it - the doctor will tell. In each case, the individual characteristics of the patient are taken into account. Manipulation is appointed for a period of 34 to 37 weeks. With multiple pregnancies, they do not wait any longer, as rapid natural birth can begin.

So, you have one child, and you are assignedsecond caesarean section. When do the operation? In determining the period, the first manipulation plays a role. Repeated intervention is prescribed 1-2 weeks earlier. If for the first time cesarean was conducted at 39 weeks, now it will happen at 37-38.

The seam

You already know at what time do the plannedsecond caesarean section. Cesarean is repeated on the same seam as for the first time. Many future mothers are very concerned about the aesthetic issue. They worry that the whole abdomen will be strewn with scars. Do not worry, it will not happen. If the manipulation is planned, the doctor will make a cut there, where he passed for the first time. The number of external scars will not increase.

Otherwise the situation is with the incision of the genital organ. Here, with each repeated operation, a new area for the scar is selected. Therefore, doctors do not recommend giving birth to this method more than three times. For many patients, doctors offer sterilization if a second cesarean section is prescribed. When put in the hospital, gynecologists clarify this issue. If the patient wishes, a tubal ligation is performed. Do not worry, without your consent, doctors will not carry out such manipulation.

After the operation: recovery process

You already know about when the secondcesarean section, on what term do. Comments from women report that the recovery period is almost the same as the one that was after the first operation. Stand up alone woman can about a day. Breastfeed the newborn mother is allowed almost immediately (provided that the prohibited drugs are not used).

The allocations after the second operation are the same aswith natural childbirth. Within one or two months there is a deviation of lochia. If you have a cesarean section, it is important to monitor your health. Consult a doctor if unusual discharge occurs, fever, worsening of general condition. They are discharged from the maternity hospital after the second Caesarean section by about 5-10 days, as well as the first time.

Possible complications

With a second operation, the risk of complications,certainly, increases. But this does not mean that they will exactly arise. If you give birth alone after cesarean section, then there is a possibility of a rupture discrepancy. Even if the seam is well-founded, physicians can not completely rule out such an opportunity. That's why in such cases, artificial stimulation and anesthetics are never used. This is important to know.

When conducting a second caesarean with a doctorthere are difficulties. The first operation always has consequences in the form of adhesive process. Thin films between organs make the surgeon's work more difficult. The procedure itself takes longer. This can be fraught with a child. After all, at this point in his body penetrate the potent drugs used for anesthesia.

Complication of a second cesarean can be the same as the first time: a bad contraction of the uterus, its inflection, inflammation and so on.

Additionally

Some women are interested:if a second caesarean section is performed, when can I give birth a third time? Specialists can not answer this question unambiguously. Everything depends on the condition of the scar (in this case, two). If the seam area is thinned and filled with a connective tissue, then pregnancy will be completely counter-indicative. With well-founded scars it is quite possible to give birth again. But, most likely, it will be the third C-section. The possibility of natural childbirth is reduced with each subsequent operation.

Some women manage to give birth to five childrenwith caesarean section and feel great. Here much depends on the individual characteristics and techniques of the surgeon's work. With a longitudinal section, doctors are not recommended to give birth more than twice.

Finally

Conducted cesarean section at the firstpregnancy - not an occasion for a repeat 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 the gynecologist on this topic and find out all the nuances. Good luck!