What should I do if I get pregnant less than a year after having a caesarean section?

What should I do if I get pregnant again within one year after a caesarean section? This problem is a headache for many young mothers, because after the caesarean section, the doctor clearly tells them to wait two years before getting pregnant again, but a sudden unexpected pregnancy often leaves mothers at a loss. In fact, for the sake of the safety of pregnant women, it is best not to give birth within one year after a caesarean section. Also, if you want to get pregnant again two years after a caesarean section, you need to pay attention to the following points.

1. After a caesarean section, you need to wait two years before getting pregnant again. Because the incision on the uterine wall after cesarean section does not heal well in the short term. In premature pregnancy, the uterus continues to grow due to the development of the fetus, and the uterine wall becomes thinner, especially the surgical incision is made of connective tissue and lacks elasticity. Fresh scars can easily rupture in late pregnancy or during delivery, causing massive abdominal bleeding and even life-threatening. Therefore, it is safer to get pregnant again two years after the operation.

2. Prevent abdominal compression in late pregnancy. To prevent the scar from cracking, it must be protected and not squeezed. In daily life during the late stages of pregnancy, you should avoid crowded places when riding in a car or walking, do housework appropriately, sleep on your back or side, and have a moderate sexual life to avoid pressure on your abdomen.

3. Seek medical attention as soon as possible if abdominal pain occurs. Some scarred uteri may rupture spontaneously in the late stages of pregnancy, with abdominal pain being the main symptom. As the uterine scar heals poorly during pregnancy, the intrauterine pressure increases. Even without any inducement, the uterus may swell and rupture from the scar. When the uterus ruptures, abdominal pain of varying severity may occur. Sometimes the abdominal pain is mild but the uterus has already ruptured, so you must be vigilant.

4. Pay attention to fetal movement. Fetal movement is the irregular movement of the fetus in the uterus. The speed of fetal movement is one of the early manifestations of the fetus's safety in the uterus. Generally, during pregnancy, there should be 3 to 5 fetal movements per hour or at least 10 times a day (12 hours). After a caesarean section, if the scarred uterus has a slight rupture or placental abnormalities, it will lead to fetal death. At this time, the fetal heart sounds disappear. 24 to 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.

5. It is advisable to be hospitalized in advance 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, you should be hospitalized two weeks in advance to prepare for delivery so that problems can be discovered and dealt with in a timely manner.

6. The next delivery should be by caesarean section. For women who become pregnant again after their first cesarean section, 80% of them have a cesarean section for the second delivery, which is safer than vaginal delivery. The timing of the second cesarean section should be chosen appropriately. 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.

7. When a caesarean section is performed again, tubal ligation should be performed. A person can only perform a caesarean section twice. To ensure the mother's health, tubal ligation is performed at the same time as the second caesarean section to achieve the purpose of sterilization.