How long should the interval between cesarean births be?

This is an automatically translated article.

The article was consulted with Specialist Doctor II - Nguyen Thi Minh Tuyet - Head of Obstetrics and Gynecology Department - Vinmec Central Park International General Hospital.
A cesarean section is a major surgery in which a small incision is made in the mother's lower abdomen and uterus to easily remove the baby. Caesarean section poses many risks for mothers in subsequent pregnancies, if the interval between cesarean births is too close.

1. How many years after a cesarean birth can I give birth again?

Doctor Bach Cam An - Head of Obstetrics Department, Vinmec Ha Long International Hospital said that the reasonable interval between cesarean deliveries should be 2 years to give the mother's body time to recover. Stable supply to be able to ensure health for the next pregnancy. Otherwise, the mother and the fetus can be threatened by many different risks, affecting the life.
However, the recovery in each state is different. If you intend to get pregnant for the second time soon, you can go to the doctor, check the condition of the incision and consult the doctor.

2. How dangerous is early pregnancy after cesarean section?

Pregnancy early after cesarean section can threaten the life of the mother with risks such as: poking out old cesarean scar, fetus clinging to old cesarean scar, placenta with comb teeth, premature baby, undernourished child..
2.1. Old surgical scar podium If the pregnancy is too early, the scar in the uterus has not yet healed, and the mother may have an old surgical scar. This is one of the most common risks in women who have had a previous cesarean section. The pregnancy is getting bigger and bigger, the pressure that the uterus has to bear is increasing, especially when there is a natural labor contraction or during normal delivery, the old cesarean scar can be exposed, endangering the life of the mother. and unborn baby. If you suddenly feel sharp pain in the area of ​​​​the uterus or old incisions, the pain is increasing gradually, so you should go to the hospital as soon as possible.
2.2. The fetus clings to the old cesarean scar. The fetus can implant in the old incision and grow right there, causing the mother to bleed or have the placenta in place, having to abort the pregnancy. In more severe cases, the placenta is deeply rooted in the muscle and fibrous tissue of the uterus. at the old incision, causing the placenta to become combed, even the fetus penetrates the uterus, invades the internal organs, causing massive bleeding, causing the mother's death.
2.3. Adverse effects on the fetus Pregnancy too soon after cesarean section can greatly affect the development of the fetus such as: placenta previa, low frontal placenta, comb teeth, underdevelopment of the fetus. undernutrition, risk of premature birth, high neonatal mortality rate...

3. What to do when the second pregnancy is too soon after cesarean section?

Although knowing that having a second pregnancy after a cesarean section too soon can be harmful to the health of both mother and child, not everyone can take the full initiative in getting pregnant. When detecting pregnancy too soon after cesarean section, pregnant women should note:
Immediately go to medical facilities to check the status of the fetus and its own health. In case the pregnancy is small, the mother may consider aborting or keeping the pregnancy based on the advice of the doctor as well as the family's health and economic conditions. In case the pregnancy is more than 12 weeks old, the abortion can be dangerous for the mother because the old incision has not completely healed. If you decide to keep the pregnancy, you need to continue to have a health check, monitor the development of the fetus, prevent the risk of incision, uterine rupture, especially in the last months of pregnancy. Active cesarean section when the pregnancy is 39 weeks or there are abnormal problems.

4. Note when pregnant for the second time after cesarean section

Check the health and condition of the old incision before planning to get pregnant. When there are signs of pregnancy, it is necessary to go to the hospital for examination as soon as possible. Inform the doctor about the cesarean section status of the previous pregnancy, what is the reason for the cesarean section, the health development of yourself after the cesarean section, medical history (if any)... periodic negative, monitoring fetal development. Monitor the old incision regularly, promptly detect abnormal signs, especially pain in the old incision or pubic bone. Stay healthy, have a reasonable diet, control your weight. Take the initiative in cesarean section or continuously go to the hospital for check-ups within a few days before giving birth to avoid dangerous complications that can threaten the lives of both mother and child. At the Department of Obstetrics and Gynecology - Vinmec International General Hospital, many difficult cases have been solved such as: Polyhydramnios, placenta accreta, knotted umbilical cord, premature pregnancy... To make the pregnancy process more convenient, Vinmec has rolled out PACKAGE Maternity Packages, which include prenatal, intrapartum and postpartum care services. Pregnant women are monitored and carried out all necessary tests and ultrasounds to detect pregnancy abnormalities early. The birth will be "gentle" like going on vacation, at the hospital, there are fully equipped for mother and baby.
Vinmec International General Hospital gathers a team of highly qualified doctors at home and abroad as well as the quality of ultrasound machine system, modern equipped medical equipment, main prenatal examination procedures. Accurately, science will handle abnormalities during pregnancy and labor quickly, helping women have the safest pregnancy.

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