This is an automatically translated article.
Questions in the article were answered by doctors of Obstetrics and Gynecology - Department of Obstetrics and Gynecology - Vinmec Ha Long International General Hospital.When having a caesarean section, what mothers always wonder is how many times they can give birth, and how much interval between births is to ensure the safety and health of both mother and baby. Doctor Bach Cam An - Head of Obstetrics Department, Vinmec Ha Long International Hospital, an expert with more than 40 years of experience in the field of obstetrics has the answers in the article answering questions from readers below.
Q: Hello doctor. I am 26 years old. I am 39 weeks pregnant and about to give birth, the doctor advised me to have a caesarean section due to high blood pressure. This is my first child. Dear doctor, I was told that once I had a cesarean section, the next births also had to be cesarean. My family wants to have a large number of children, so the doctor told me how many times a caesarean section is the maximum?
(Ms. Nguyen Minh Chau, Ha Long City, Quang Ninh)
Answer: Hi, your question is also the concern of many mothers, because according to statistics, there are about 40-60% of women Caesarean. To answer the question: "How many times have you had a cesarean?", mothers first need to understand the advantages and disadvantages of having a cesarean.
1. Advantages of C-section
In terms of obstetrics, cesarean section is the optimal method to reduce the risk of complications, ensure safety for both mother and fetus if the pregnant mother encounters abnormal problems such as cardiovascular disease, complications pregnancy symptoms, the fetus is too large or the fetus fails in labor. Caesarean section is a method of using an anesthetic injection into the spinal cord, or the epidural of the spinal cord, to make pregnant mothers feel no pain during childbirth. Therefore, pregnant women do not take much time or suffer labor pains. If a normal delivery can last up to ten hours, a cesarean section only takes about 30-45 minutes, In case the mother has some diseases during pregnancy such as ovarian cysts or uterine fibroids , ..., when cesarean section, depending on the conditions, it will be removed or left for next time treatment. In some cases, the elective cesarean section thanks to careful preparation in advance, the surgery will be safer.
Trong một só trường hợp việc mổ lấy thai chủ động nhờ có chuẩn bị chu đáo từ trước nên cuộc mổ sẽ an toàn hơn.
2. Disadvantages of cesarean section
Anesthesia used in surgery leaves many side effects such as affecting the quality of breast milk or lowering blood pressure, causing allergies. After a cesarean section, the mother's recovery level will be longer and more painful than a vaginal birth. Postpartum incisions, if not cleaned and cared for carefully, there is a risk of wound infection, cystitis , the placenta is placed on the old surgical scar if the mother is pregnant for the second time. In particular, if the next pregnancy is less than 2 years after the previous surgery, there is a risk of having a cleft palate. The more times a caesarean section is performed, the higher the complication rate, especially if the pregnancy is implanted at the incision site, the scar will be bad, and the surgery will be difficult. Because the body has not yet recovered, it takes a few days after giving birth for the mother's breasts to start producing milk. During a cesarean section, the baby is not exposed to the bacteria in the mother's vaginal environment, so the baby's immune system is also weaker. There is a higher chance of experiencing pregnancy complications in a subsequent pregnancy than having a vaginal delivery. Pregnant women who have had a cesarean section once will have to continue using the cesarean section in future pregnancies. The rate of babies born by caesarean section with respiratory failure is higher than that of vaginal births.
Tỷ lệ em bé sinh mổ suy hô hấp cao hơn so với sinh thường.
3. In which case should a caesarean section be performed?
Due to the disadvantages of cesarean section as above, the mother should only have a cesarean section in mandatory cases such as:
Mother with twins or multiples. Having the same pregnancy complications as preeclampsia, placental abruption, pre-eclampsia, fetal distress, umbilical cord prolapse, ... The mother had had a cesarean section in the previous birth. Mother has infections, kidney disease, high blood pressure, gestational diabetes, uterine fibroids, ovarian cysts,. .. The fetus is too big to give birth normally. The fetus has a birth defect. The throne is not favorable or the position is too high. Premature birth. Mom has a small, narrow pelvis.
Mẹ có khung xương chậu nhỏ, hẹp nên sinh mổ.
4. So, how many times can you have a caesarean section?
When you have had your first cesarean section and are also your first child, as usual, if you are healthy and the previous cesarean section was uncomplicated, you should only have 2 cesarean deliveries. This is to protect the health of the mother because in mothers after a cesarean section, the uterus is often damaged and harder to recover than a vaginal birth. The scar caused by a cesarean section has become a major defect on the uterine wall. The more cesarean births a mother has, the more likely she is to experience complications in the next pregnancy and childbirth. It can be pregnancy complications such as: placenta previa, placenta previa, placenta previa, uterine rupture,... or post-partum abnormalities such as: uterine adhesions, incision pain, surgical scars old viscera stick to the abdominal wall incision, especially the bladder. Those risks directly affect the mother's life.
Therefore, doctors recommend using caesarean section at most 2 times. In particular, mothers should have a pregnancy gap after cesarean section of at least 2 years, so that the incision can fully recover.
In some cases, many mothers still have a 3rd or 4th cesarean section. However, a 3rd or 4th caesarean section can be dangerous for both mother and baby. You should consider having many children, to ensure a future for both you, your baby and your family.
Understanding the pain of childbirth, Vinmec offers a full Maternity program with a complete "painless delivery" service during and after birth using non-morphine epidural and anaesthetic techniques. shy nerve. During the birth process, the mother will be guided by the midwives on how to push and breathe properly, the baby will be born in just 10-15 minutes. After birth, the baby will be cared for in a sterile room before being returned to the mother.
Pregnant women will rest in a high-class ward, designed according to international hotel standards, 1 mother and 1 room with full facilities, modern, airy space, comfortable as at home . Mothers will be consulted by nutritionists on how to feed the baby before being discharged from the hospital. Postpartum follow-up with both mother and baby with leading Obstetricians and Paediatricians.
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