Nowadays, the country has relaxed the policy of having a second child, and many eligible families have also included having a second child in their plans. But the problem that troubles most mothers is how long it takes for the first child to have a second child after a caesarean section. Can the second child choose a natural delivery? Obstetrics experts suggest that women should use contraception for 2-3 years after cesarean section.
Have you ever heard of the saying 'one birth, one lifetime'? The meaning is that as long as a caesarean section is chosen, subsequent delivery must be carried out by caesarean section. Obstetricians have different opinions on this issue. Some doctors believe that a first cesarean section and a second birth cannot be delivered naturally. This is because the uterus was cut open during a cesarean section and then healed to form a scar uterus. The ability of the uterus to tolerate dilation during cesarean section is significantly reduced. If delivered naturally, it is highly likely to cause uterine rupture and massive bleeding during delivery.
Some experts also suggest that this mainly depends on the physical condition of pregnant women. Many studies abroad have shown that it is necessary to wait at least 6 months after a cesarean section before attempting to conceive again. For example, obstetricians in the UK believe that women should not have more than 3 cesarean sections, and after a cesarean section, they should wait for 1 year to conceive again. Compared with western doctors, many Chinese doctors are more cautious on this issue. They suggest that it is safer to have a second pregnancy at least 2 years after caesarean section. This is because the development of the fetus makes the uterus grow larger and the uterine wall thinner. In particular, the incision of caesarean section is made of connective tissue, which lacks elasticity, leads to premature pregnancy, and fresh scars are easy to burst at the end of pregnancy or during childbirth, Causing massive abdominal bleeding and even life-threatening. The uterine rupture caused by the choice of natural delivery for the second child is related to the thickness of the suture of the uterine wound during the first cesarean section. After a cesarean section, doctors usually perform a two-layer suture on the mother's uterine wound. The thick wound sutured during the second delivery was also supported by the fetus, but the degree of uterine rupture was significantly lower than that of the thin wound sutured.
So the first child is delivered by cesarean section, and the second child can still be delivered naturally, but the risk is high. Moreover, when the second child chooses to deliver naturally, medication should not be used to induce birth, otherwise it is easy to cause uterine rupture. In fact, each mother's physical condition is different. How long a cesarean section lasts for regeneration depends on the recovery of the uterus after the woman's cesarean section. If the woman's uterus recovers well after the cesarean section or the woman's own recovery ability is strong, the regeneration after the cesarean section can be done without waiting for two years.
When you become pregnant again after a cesarean section, if the following situations occur, it is highly likely that natural childbirth will not be successful during delivery. At this time, you need to carefully consider.
1. Insufficient interval between second pregnancies after cesarean section
Pregnancy can occur again within three years after a cesarean section, which is very dangerous for mothers as the risk of uterine rupture during pregnancy is very high. This is because it takes a long time for the complete healing of the wounds on the uterus and abdominal wall after cesarean section. Only after the wound is completely healed and has the same function as normal tissue can the fetus be conceived again, which ensures that the uterus does not rupture during the process of conceiving the fetus. This time will take about three years.
2. Serious obstetric complications when pregnant again
During the process of re pregnancy, there are serious obstetric complications, such as severe preeclampsia, placenta previa, placental abruption, etc., which are not suitable for vaginal delivery.
3. Fetal problems during pregnancy
When pregnant again, there may be problems with the fetus, such as intrauterine hypoxia, multiple pregnancies, intrauterine infections, fetal overgrowth, etc.
Nowadays, many women choose caesarean section only to avoid pain or to cater to the time of birth. Feihua Health Network reminds all expectant mothers to pay attention to the way of delivery for the first time. As long as it is not because the pelvis of the pregnant woman is too small, the fetal position is not correct, the amniotic fluid is muddy, the fetal umbilical cord is around the neck, the fetus is too large, and other reasons for the abnormalities of the pregnant woman or the fetus, it is better to choose natural delivery, which is not only good for the fetus, The harm to pregnant women's bodies is also minimal, and postpartum recovery is also fast.