The risk of uterine rupture after cesarean section

Nowadays, many couples are preparing to have a second child, and many women chose cesarean section when giving birth to their first child. When it comes to having a second child, all aspects meet the requirements for a natural birth, so I really want to choose a natural birth, but choosing a natural birth will increase the possibility of uterine rupture. Now let’s study, is there a high probability of uterine rupture if one chooses natural birth after a cesarean section?

If the childbirth is natural after hysterectomy or cesarean section of the previous pregnancy, there will be a small risk of rupture of the uterine scab (20% 0.8% if the previous pregnancy was a lower segment cesarean section, and 20% 4.7% if the previous pregnancy was a classical cesarean section). More than 20 percent, 60 to 80 percent, of pregnant women will have a successful vaginal birth. But if this method is unsuccessful, an emergency cesarean section will be required.

Caesarean sections are usually only performed twice, and the interval between pregnancies must be more than three years to allow the injured uterus to recover before taking on major tasks. Having already had two caesarean sections, it is not recommended to do a third caesarean section as the risks would be very high, and natural birth is not an option. There is even a risk of uterine rupture during pregnancy, which seriously endangers the life of the fetus and yourself. In addition, a deeply scarred uterus may cause excessive bleeding or abnormal contraction during surgery, which will also affect your health.

If a woman with a scarred uterus becomes pregnant again, many people know that they can only have a caesarean section because they are worried that choosing a natural birth will cause uterine rupture. It is generally recommended to wait two years after a caesarean section before having a second child, so that the uterine wound can grow firmer and prevent early uterine rupture. Even if it looks relatively firm, the wound is still scar tissue. Especially in the late pregnancy, you need to be careful and rest in bed. If you have abdominal pain or other discomfort, you should go to the hospital immediately.

If the pregnant woman is older, it is even less suitable for her to choose natural birth. Because women have greater risks when they have children when they are older. When pregnant women give birth to their second child, they should not feel lucky just because they have experience in childbirth, but should strictly follow the doctor's instructions.

Finally, for vaginal delivery after cesarean section, the biggest risk is uterine scar rupture. Among the many risks that may be encountered when getting pregnant again with a scarred uterus, one of the most prominent ones is uterine rupture.