Ideally, your doctor will cut through the same scar so that you don't have multiple scars on your abdomen and uterus. Sometimes scar tissue can be difficult to cut through but your doctor should be able to cut through it.
A repeat caesarean section usually takes longer and is more difficult than a first operation because of scar tissue. It carries a possibility of wound infection and blood transfusion. A higher risk of developing a blood clot (thrombosis) in the legs or lungs.
Compared with primary cesarean delivery, repeat cesarean delivery could be associated with additional risks. Uterine rupture is one of the most catastrophic complications of pregnancy and can also present as an asymptomatic scar dehiscence.
There are two types of incisions a surgeon may use during a C-section: vertical and horizontal. Both incisions are equally likely to scar, but the scar will look different depending on its direction.
A low-transverse incision (or a “bikini cut”) is used in 95 percent of C-sections today. That's because it's done across the lowest part of the uterus, which is thinner — meaning less bleeding. It's also less likely to split if you try to have a vaginal birth after a C-section (VBAC) when delivering a future baby.
After the anesthetic wears off, each woman's pain is different. Pregnant women are only prescribed more pain relievers if they feel pain, persistent pain, and affect the breastfeeding process. So the thoughts about "the second caesarean section is more painful than the first" are completely unfounded.
The advantages of elective repeat caesarean birth include: virtually no risk of uterine scar rupture (12 per 10,000 women 0.12%) it avoids the possible complications associated with labour.
The more C-sections you've had, the greater is your risk of developing problems with the placenta — such as the placenta implanting too deeply into the uterine wall (placenta accreta) or the placenta partially or completely covering the opening of the cervix (placenta previa).
Kristina House (USA) has given birth to 11 children (six girls and five boys) all by Caesarean section between 15 May 1979 and 20 November 1998.
It's going to hurt like heck when you get out of bed and walk for the first time, which they make you do relatively soon after surgery. You will feel like you are 100 years old and you can't stand up straight. You will likely shuffle around as you remain hunched over. This is NORMAL.
C-section pain typically spikes 18 hours after delivery. "That's when the pain medication you were given with your spinal anesthesia wears off," says San Diego perinatologist Sean Daneshmand, MD.
We know that every patient has a different labor and delivery experience, but in general, it takes around six weeks to completely heal from your C-section.
There's usually no limit to the number of caesarean sections you can have. But the more caesareans you have, the longer each operation will take and the higher your risk of serious complications becomes. You will have scar tissue where your wounds have healed after each operation.
These are normal. 8-16 Weeks: Pulling on scar tissue from a previous cesarean section. This pain can feel like sharp pinching or burning pain and is often located in the belly wall, under the skin, right or left, to the side of and slightly above the skin scar from a previous cesarean section.
Low transverse.
This cut is ideal because it causes the least amount of pain and gives your healthcare provider the best view of your lower uterus. A lower transverse C-section incision typically creates a strong scar that heals well.
While a successful VBAC is associated with fewer complications than an elective repeat C-section, a failed trial of labor after a C-section is associated with more complications, including a uterine rupture. Uterine rupture is rare, happening in less than 1% of women who attempt a trial of labor after cesarean.
VBAC may offer several health advantages over another C-section: lower risk of hemorrhage and infection, likelihood of a shorter hospital stay and a faster recovery, and reduction in risk of negative outcomes related to multiple cesareans.
It's important to get out of bed and walk around within 24 hours after surgery. This can help ease gas pains, help you have a bowel movement, and prevent blood clots. You can try gentle exercises a few days after the C-section: Deep breathing: Take 2 or 3 slow, deep breaths every half-hour.
Vaginal birth is much safer than a C-section for most women and babies. Sometimes a C-section is the only safe option, like when the baby is positioned side-to-side in the belly (transverse lie) or the placenta is covering the cervix (placenta previa).
Scar tissue
An incision, like the one created during a c-section, disrupts this fascia. This disruption can cause scar tissue adhesions to form, disrupting muscles and organs as well. These adhesions can cause many issues, one being back pain.
Two-plus months after a C-section
You may still have some tingling and numbness around your incision. This can take months to years to go away, as the little nerves in the skin take a long time to heal. There's nothing to do to expedite the process, but it's perfectly normal.
Sometimes, your arms will be strapped down in a T-position away from your sides. This is done to prevent you from accidentally interfering with the surgery. You may also have a catheter placed. There will be a drape placed at your abdomen to keep you from seeing directly into the incision.
What happens if I go into labour first? About 1 in 10 women whose planned caesareans are scheduled for 39 weeks will go into labour first. That means their waters break or their contractions start. If this happens, you will have an emergency rather than a planned caesarean.