Related issues that need to be paid attention to when delivering a second child by caesarean section

Since the second-child policy was implemented, more and more families are planning to have a second child. What they are most concerned about are the issues that need to be paid attention to when delivering the second child by caesarean section, and how long it will take to have another child after a caesarean section. In fact, these are all very important, which affects the mother's health, so let me take you to look at the relevant issues that need to be paid attention to when having a second baby by cesarean section!

Regarding this issue, Chinese and Western obstetricians have slightly different opinions. Many foreign studies have shown that you should wait at least 6 months after a caesarean section before trying to get pregnant again. Many Chinese doctors are more cautious on this issue. They suggest that it is safer to get pregnant again at least 2 years after a caesarean section. This is because the development of the fetus causes the uterus to continue to grow and the uterine wall to thin. In particular, the incision of the caesarean section is connective tissue and lacks elasticity. If you get pregnant too early, the fresh scar will easily rupture in the late pregnancy or during delivery, causing massive abdominal bleeding and even life-threatening.

1. If you had a caesarean section for your first child, you must check the recovery of your uterus before pregnancy for your second child.

Nowadays, the vast majority of cesarean sections are performed through transverse incisions in the lower uterine segment. In otherwise healthy women, these incisions usually heal well. Several studies suggest that cesarean section scars on the uterus continue to grow longer after they have fully healed. The longer you have to recover from a cesarean section, the less likely it is that something will go wrong. A foreign study that surveyed 170 women showed that if the interval between two pregnancies is less than 6 months, the risk of scar rupture will greatly increase. Another study is more convincing. It surveyed 2,409 women who chose vaginal delivery after cesarean section. The results showed that women who became pregnant within 18 months of their last cesarean section were three times more likely to have scar rupture than women who waited longer between pregnancies. A third study showed that women who had a preterm caesarean section had an increased risk of scar disruption, especially if they had not given birth before the caesarean section and if the interval between births was less than 2 years. Although the above research results may sound a little scary, the risk of pregnancy scar rupture after a cesarean section is actually very low.

2. If the first child was delivered by caesarean section, must the second child also be delivered by caesarean section?

Many mothers who had a caesarean section for their first child want to choose a natural birth for their second child. In theory, this is possible. However, please note that if you choose a caesarean section for your first delivery, if you want to have another child, it is recommended to wait two to three years, and there will be certain risks, such as uterine rupture. Whether a natural birth is possible depends first on the condition of the fetus during delivery, and second on the contraction of the uterus. If the contraction function of the uterus is affected by the scar formed after a previous cesarean section, which is not conducive to the delivery of the fetus, then another cesarean section will be required; if the fetal condition and uterine contraction ability are both good, then a natural birth can be chosen.

In fact, every mother has different physical conditions. How long should she wait after a cesarean section to give birth again, or if she had a cesarean section for the first child, must she also have a cesarean section for the second child? These questions vary from person to person. Not everyone is like this. It depends on the recovery of the woman's uterus after a cesarean section. I hope that mothers can consider the real issues and then make a choice.