One rule of thumb, DeAngelis said, is if a woman who previously had a cesarean should spontaneously go into labor with her second baby, chances of having a vaginal delivery increase. If she goes beyond her due date though and her body isn't showing any signs that it is ready for labor, a cesarean may be recommended.
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.
If you've already had a cesarean birth (also called c-section), you may be able to have your next baby vaginally. This is called a vaginal birth after cesarean (also called VBAC). Cesarean birth is surgery in which your baby is born through a cut that your health care provider makes in your belly and uterus.
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.
There's usually no limit to the number of caesarean sections that you can have. But the more caesareans you have, the longer each operation will take, and the higher your risk of complications becomes. If you've had a caesarean in the past, it's still possible to give birth to your baby vaginally.
Getting pregnant after a c-section
It's important to give your body time to recover before you start trying to get pregnant again. You will need to wait at least 6 months but your doctor or midwife may advise you to wait for 12–18 months. The longer you leave your scar to heal, the stronger it will be.
Some women request C-sections with their first babies. They might want to avoid labor or the possible complications of vaginal birth. Or they might want to plan the time of delivery.
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.
Many health care providers won't offer VBAC if you've had more than two prior C-sections. When did you last give birth? The risk of uterine rupture is higher if you attempt VBAC less than 18 months after your previous delivery.
In some situations, a C-section is not only preferable but mandatory—situations involving conditions like placenta previa, in which going into labor would precipitate life-threatening hemorrhaging, or cord prolapse, which can cause the death of a baby if a C-section is not performed in a manner of minutes.
Conclusion: For women with ≥2 cesarean deliveries, elective delivery at 38 0/7 to 38 6/7 weeks' gestation likely represents the optimal balance between neonatal and maternal risk while decreasing the likelihood of an unplanned cesarean delivery.
Answering the question of whether the second cesarean section is more painful, the answer is: Usually no more pain depending on the condition of the old incision with little or no adhesion, and the surgical technique, and pain relief of the doctors.
How long does it take to recover after a c-section? It usually takes about 6 weeks to recover from your c-section but this will depend on your individual situation. If you had any problems during or after your c-section, or if you're looking after other children at home, you may feel you need more time to recover.
The average hospital stay after a C-section is 2 to 4 days, and keep in mind recovery often takes longer than it would from a vaginal birth. Walking after the C-section is important to speed recovery and pain medication may be supplied too as recovery takes place.
Item 16519 covers birth by any means including Caesarean section. If, however, a patient is referred, or her care is transferred to another medical practitioner for the specific purpose of birth by Caesarean section, whether because of an emergency situation or otherwise, then Item 16520 would be the appropriate item.
The typical C-section takes about 45 minutes from start to finish. After your provider delivers your baby, they'll stitch your uterus and close the incision in your abdomen. Different types of emergencies can arise during a delivery.
-If women aren't too tired, allow them to push at least two hours if they have delivered before, three hours if it's their first baby. They may push longer if they had an epidural as long as the doctor can see progress.
Many women develop issues with their c-section scar after their second or third pregnancy. Even if you didn't have pain before your second pregnancy, you might start to develop pain along the lower abdominal region, specifically around your scar, as you get farther along in your pregnancy. This issue is not uncommon.
What Are the Risks of Getting Pregnant After a C-Section? Research shows that getting pregnant less than six months after a C-section can increase your risk of complications, such as ruptured uterus or a low birth weight baby.
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.
The Night Before Your C-section
You will not be allowed to eat, drink or smoke after midnight. This includes candy, gum and water. Try to get a good night's sleep. You may brush your teeth in the morning.
Babies born early (called premature babies) may have more health problems at birth and later in life than babies born on time. This is why it's important to wait until at least 39 weeks for a scheduled c-section.
Under most circumstances, undergoing a c-section via Spinal Anesthesia or Epidural Anesthesia (rather than General Anesthesia) is preferred since it involves less risk and has the advantage of allowing you to be awake during your baby's birth.
In a typical C-section, a drape is set up to provide a sterile operating field, meaning you can't see your baby being born. In a “gentle C-section,” we offer the option of using a clear drape or a drape that has a clear window, allowing you to get that first glance of your baby.