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The article was professionally consulted by Specialist II Lai Thi Nguyet Hang - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Ha Long International HospitalIf the physical conditions allow, pregnant women can completely give birth naturally after cesarean section without leaving any complications.
1. Cases that can give birth naturally after having a cesarean section
Many women for some reason are forced to have a cesarean section in a previous pregnancy. In the second pregnancy, if there is a need for a vaginal birth, it is necessary to consult and allow a doctor. Wanting to give birth naturally after a cesarean section also depends on many factors such as: the mother's health, fetal status, amniotic fluid status, fetal position...Cases that can give birth naturally after giving birth Caesarean section includes:
Pregnancy when the old incision has healed, over 24 months, the mother's health has completely recovered
Single pregnancy. If you are pregnant with twins, you should give birth by cesarean section to ensure the health of the mother and the fetus. The throne is favorable. Old incision scar across the lower segment: There are 2 types of uterine incision in cesarean section including: horizontal incision in the lower uterine segment and incision along the body of the uterus. This is an incision in the uterus, not an incision in the skin of the mother's abdomen. To find out what the old incision in the uterus is, the mother can check the medical record of the previous hospital birth. If it is a longitudinal incision, the woman cannot give birth naturally because the risk of rupture of the incision is very great. If you don't know what type of old surgery scar you have, don't risk your life by trying to give birth naturally. There are no other surgical scars on the uterus. Stable health, no abnormal pelvic problems. Has been equipped with the knowledge of birth, giving birth before. Born in hospitals that have operating rooms and have a team of highly qualified and experienced medical professionals who can promptly handle unusual problems.
2. Circumstances in which a vaginal birth should not be performed after a cesarean section
Pregnancy when the old incision has not yet healed, the distance from the previous cesarean section to the date of this birth is too close (under 18 months). Had cesarean section two or more times. Cases of multiple pregnancy: twin pregnancy, triplets, quadruplets. The fetus weighs more than 3.6 kg. Cases of having had surgery on the body of the uterus such as: hysterectomy, hysterectomy... Cases with pelvic problems that hinder the normal delivery process. The case of the fetus has abnormal problems such as: premature rupture of membranes, abnormal fetal position, breech position, transverse position... In addition, the possibility of a normal birth after a cesarean section is no longer considered based on the rationale. due to previous caesarean section. If the previous birth, the woman had a cesarean section because the baby was too big or the baby was lying upside down, she can give birth naturally in the next pregnancy. However, if the woman has previously tried to give birth naturally with spontaneous labor but failed to give birth, this time should also have a cesarean section to ensure the health of the mother and the fetus.To make the delivery of pregnant women easier, Vinmec International General Hospital now has PACKAGE Maternity packages, including prenatal care, during delivery and after birth. 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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