Cesarean section is an operation performed by women giving birth if there are certain reasons why a woman can not give birth on her own. After cesarean section, the cicatrix is formed on the uterus and, under the condition of repeated surgical delivery, the incision is made along the rumen. If a woman is planning a pregnancy after cesarean section, then she should be planned no earlier than 3 years. With earlier planning after cesarean section, the scar may not be strong enough and lead to a serious complication that can end fatal for the mother and fetus.
Pregnancy planning after cesarean delivery
Repeated pregnancy after caesarean section should be necessarily planned. Preparation for a woman's pregnancy after cesarean section should be performed by an experienced obstetrician gynecologist. Such a woman is recommended to undergo hysteroscopy to be sure of the possibility of repeated pregnancy after cesarean section and predict its course.
A pregnant woman after a cesarean section should be registered as early as possible and in time to undergo all necessary examinations. During planned ultrasound examinations, the doctor must necessarily assess the condition of the postoperative scar. According to the new obstetric-gynecological protocols of 2011, women who have a scar on the uterus can offer natural births after cesarean section . However, each individual case must be approached individually, carefully examining the indications for the previous operation during childbirth. So, if indications for operative delivery were short-sightedness, anomalies of the pelvic development, or weakness of labor, then such a woman should not be offered to give birth alone.
If the second pregnancy after cesarean excision also ends with an operation, then such a woman is offered to sterilize the fallopian tubes. The third pregnancy after the second Caesarean section is 100% complete with surgery. Such a qualified obstetrician will never offer independent birth, since the risk from such births is much higher than from the operation of the third caesarean section .
The pregnancy of twins after caesarean section deserves special attention, in which the uterus grows much more strongly, since it simultaneously grows 2 fetuses and the risk of thinning of the rumen is high. Pregnancy after two cesarean sections should be completed promptly at 37-38 weeks.
Interruption of pregnancy after cesarean section
Pregnancy after cesarean section, which occurred earlier 2 years after surgery, is recommended to be discontinued. After the onset of pregnancy six months after cesarean section, a woman is offered an instrumental or drug abortion. Medication termination of pregnancy after cesarean section is carried out in a period of up to 49 days. Of the characteristics of this abortion, we can note an increase in the duration of bleeding
Thus, we examined the features of the preparation of a woman for the planning of pregnancy after cesarean section, the choice of delivery, as well as the peculiarities of abortion in women who underwent operative delivery.