How many cesarean sections can a woman have? & bull; hello healthy

Towards the end of your pregnancy, you may already be thinking about options for childbirth. There are several ways of giving birth, such as the normal way and caesarean section. The normal way, you will give birth directly vaginally, this method is the most recommended. However, sometimes when you have chosen the normal method, there are several obstacles, so you and the medical team have to make other decisions, such as by caesarean section. Caesarean section is not the first choice that will be recommended by doctors when the fetus is good enough to be born normally, because the risk of this surgery is quite large. It takes experts with professional qualifications to perform a cesarean section.

Then, if in your first pregnancy it was difficult to have a cesarean section, can you do another cesarean next? How many cesarean sections can be done?

Why is a caesarean section an alternative option?

The post-caesarean healing process for each woman is different. Some women recover within the same length of time after having a cesarean section. While some others undergo a longer healing process, some even experience difficult healing after the second operation. According to David Ghausi, D.O., head of the obstetrics and gynecology department at Los Robles Thousand Oaks Hospital, California, as quoted by Fit Pregnancy, it is not uncommon to find those who recover very easily after cesarean section.

According to some health sources, there are pros and cons regarding caesarean section. There are no definite rules about the limit on the number of times a cesarean section can be performed. According to Jason S. James, MD, chair of the Department of Obstetrics and Gynecology at Miami Hospital Baptist, as quoted by Fit Pregnancy, “I have had six C-sections (caesarean section) on a woman with almost no complications or difficulties, and I have had second caesarean section with lots of adhesions and potential complications. "

How many times can a C-section be done?

There is no limit to the number of caesarean sections that must be performed. However, other opinions suggest that there is an increased risk after the third cesarean section in some people. In addition, normal delivery is also not recommended after you have had three cesareans. The following are the risks of women who have had multiple cesarean sections:

• Tissue injury along the uterus and surrounding organs. Scar-like tissue pockets (adhesions) form with an increase in thickness following each abdominal surgery. This makes it difficult for women to give birth.
• Bowel and bladder injury. Injury to the bladder is possible, but very rarely at the first cesarean, the risk is found at a later cesarean. This increased risk is due to adhesions that form after the first or previous cesarean, which binds the bladder to the uterus. Adhesions can cause small bowel obstruction.
• Heavy bleeding. It is possible to have heavy bleeding after several cesarean sections. To control bleeding, the risk of removing the uterus, aka hysterectomy, is very possible. Patients will also need blood transfusions. Research shows that the risk of a hysterectomy increases from 0.65 percent after having the first caesarean to 2.41 percent after having a fourth cesarean. If you have had your sixth caesarean, then 99% of the hysterectomy will be needed.
• Problems with the placenta. The more cesareans you have, the higher your risk of having problems with the placenta. Cases can be the placenta that is too deep into the uterine wall (placenta accreta), or the placenta partially or completely covers the cervical opening (placenta previa). Research shows the risk of placenta accreta increases from 0.24 percent when having the first cesarean to 2.13 percent after having the fourth cesarean.
• Trigger hernias, diastasis recti (when the abdominal muscles separate and protrude into the abdomen) and numbness and pain in the incision area. Endometriosis (growth of endometrial tissue that can protrude from the uterus) at the incision may also occur.

Are there any other options besides caesarean section?

To avoid having a caesarean section, a normal birth is still the main choice. A normal birth can also be undertaken after you previously delivered a cesarean section. However, a caesarean will not be performed when the risk of uterine tearing during labor increases by 2 to 3 percent.

If you do have to have a caesarean section, make sure your doctor explains the risks involved. Having a caesarean at the first birth is okay, but to avoid complications, you need to wait up to 6 months after cesarean section for the pregnancy to return.