Is it necessary to have a caesarean section for the second child?

Is it necessary to have a caesarean section for the second child if the first child was born by caesarean section? For many mothers who have given birth to one child, since they have no experience in giving birth to the first child, many mothers will choose a caesarean section. Although there is no pain during the caesarean section, the pain in the later stage is endless, especially the scar, which is difficult to eliminate and is itchy and ugly on the belly. When the second baby is about to be born, mothers will have a question: if the first child was delivered by caesarean section, is it necessary to deliver the second child by caesarean section? For this question, let’s take a look at the following introduction.

1. Although the risk of uterine rupture during natural delivery for pregnant women who have undergone cesarean section is 0.3%, natural delivery is still recommended in developed countries. Therefore, whether you can give birth yourself depends on your physical condition and medical level.

2. If the first birth was a caesarean section, you can try vaginal birth if you get pregnant again three years later. Because it is a scarred uterus, during vaginal delivery, if the uterus contracts too strongly or the elasticity of the previous scar of the uterus does not recover well, it may cause uterine rupture. Therefore, the risk of vaginal delivery for women with a history of cesarean section is greater than that for normal women. The risk depends on the size of the fetus and the condition of the birth canal. If you get pregnant again within 3 years after a caesarean section, vaginal delivery is not recommended.

3. If a pregnant woman with a scarred uterus chooses a cesarean section, the risk of surgical complications such as injury, infection, aggravated adhesions, and poor wound healing will increase; if she chooses a natural birth, the risk of uterine rupture and resulting heavy bleeding will increase.

4. Obviously, firm belief is not enough to guarantee a successful birth of the second child. Whether pregnant women choose cesarean section or natural birth, they need to weigh the pros and cons and evaluate in advance which one has lower risks and greater benefits. But he also reminded everyone that no matter which one they choose, pregnant women can only avoid the greater risk, but cannot avoid all risks.

5. Of course, doctors will also conduct strict prenatal assessments on pregnant women. The hospital will ask pregnant women to fill out a form, truthfully stating the reason for their first caesarean section, the hospital where the surgery was performed, the choice of incision and suturing technique, postoperative recovery, etc. In the late pregnancy, the doctor will evaluate again to see if the pregnant woman still has the same reason for the previous cesarean section.

6. If a pregnant woman who had a caesarean section for her first child wants to have a natural birth for her second child, the management during pregnancy must be more stringent:

● Go for prenatal checkups on time. Compared with other pregnant women, the frequency of their prenatal checkups should be appropriately increased.

● Control weight more strictly. A baby that is too large is very unfavorable for a natural birth of the second child. The best weight for a baby is around 3100 grams.

● Visit the nutrition clinic several times during pregnancy.

● Build trust in your doctor and establish good communication with him/her.

The above content is about the introduction of "If the first child was delivered by caesarean section, is the second child required to be delivered by caesarean section?" It seems that women who had a caesarean section for their first child face greater risks when giving birth again. But this does not mean that they will never have the chance to give birth naturally. Basically, insist on exercising every day and follow what I said above as a reference to make yourself healthier and prepare for a normal birth. In this way, if the first child is born by caesarean section, there is no need to have a caesarean section for the second child.