Can I still get pregnant one year and four months after a caesarean section?

With the opening of the national two-child policy, many families have put the second child on the agenda. However, women who give birth by caesarean section are different from those who give birth naturally. If a woman gave birth to her first child naturally, she can keep the child if she becomes pregnant after one year and four months. However, if she gave birth by caesarean section, it is generally not recommended to keep the child. If you do, the risk is very high and you must think it over carefully. For safety reasons, it is better not to take risks.

How long does it take to reproduce after a caesarean section?

How long after a caesarean section can you have a second child? Generally speaking, you can have a second child two years after a caesarean section.

Under normal circumstances, caesarean section does not affect pregnancy and you can have a normal pregnancy. However, if the uterine incision does not heal well after a caesarean section and the woman becomes pregnant too early, it may affect the mother's physical recovery and the safety of the fetus. If a cesarean section is performed too early in the pregnancy, the development of the fetus will cause the uterus to continue to grow and the uterine wall to become thinner. The connective tissue at the cesarean section incision lacks elasticity, which is not conducive to the safety of the fetus. In addition, scars are easily left after cesarean section. Fresh scars can easily rupture in the late pregnancy or during delivery, causing massive abdominal bleeding and even life-threatening risks. Therefore, it is best to have a second child after a caesarean section two years after delivery, so that the mother's body has fully recovered, which is conducive to pregnancy. After pregnancy, you should go to the hospital for check-up and delivery to avoid danger.

However, for some women, their uterus recovers well after cesarean section or their own recovery ability is strong, so they do not need to wait two years for regeneration after cesarean section, but they should consider pregnancy at least one year later. It is worth noting that if you want to get pregnant again after a caesarean section, you must go to the hospital to check the recovery of the uterus.

Precautions for regeneration after cesarean section

After choosing to have a cesarean section and then give birth, you should pay attention to the precautions both in the pregnancy stage and the delivery method. Generally speaking, during pregnancy after a cesarean section, you should pay attention to fetal movement. If abdominal pain occurs, remember to seek medical attention, and pay attention to prevent abdominal compression. Generally speaking, it is not advisable to choose natural birth after caesarean section, and you need to go to the hospital in advance to wait for delivery.

1. Pay attention to fetal movement. The irregular movements of the fetus in the uterus are called fetal movements. The speed of fetal movements can be used as one of the indicators of whether the fetus is safe in the uterus. Under normal circumstances, there should be 3-5 fetal movements per hour or at least 10 times a day (12 hours). After a woman's first cesarean section, if the scarred uterus ruptures slightly or the placenta is abnormal, it may cause fetal death, and the fetal heart rate will disappear at this time. 24-48 hours before fetal death, fetal movement slows down or disappears. Therefore, paying attention to changes in fetal movements can help detect fetal abnormalities in advance so that timely measures can be taken.

2. Seek medical attention promptly if abdominal pain occurs. Almost all women who undergo cesarean section have uterine scars. If the scar does not heal during pregnancy, it is prone to tearing, which can cause abdominal pain and may also lead to uterine rupture. Therefore, if you experience abdominal pain during pregnancy, you must be vigilant and seek medical attention as soon as possible.

3. Prevent abdominal compression. During pregnancy, to prevent the scar from cracking, you should pay attention to protecting your abdomen and avoid squeezing it. Especially when riding in a car or walking, you should be careful to avoid crowded places, do housework appropriately, sleep on your back or side, and have a moderate sex life.

4. Go to the hospital early to prepare for delivery. The closer the scarred uterus is to delivery, the greater the risk of rupture. To prevent uterine rupture or fetal death, it is best to be hospitalized two weeks in advance so that problems can be discovered and dealt with in a timely manner.

5. For rebirth, cesarean section is the best choice. 80% of women who become pregnant again after their first cesarean section need a cesarean section for the second delivery to prevent scar tearing or even uterine rupture. The timing of the second cesarean section should be chosen appropriately to avoid being performed too early or too late. If it is too early, the fetus is unlikely to survive; if it is too late, it may easily cause uterine rupture or stillbirth. As long as the fetus is mature, surgery can be performed without having to wait until delivery.

6. When a caesarean section is performed again, tubal ligation should be performed. Generally speaking, a person can only have two caesarean sections. To ensure the safety of the mother, tubal ligation must be performed at the same time as the second caesarean section to achieve the purpose of sterilization.