Should I have a 4th cesarean section when the old incision is 19 months old?

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Hello doctor. I was 15 months old by caesarean section, but I didn't know I was pregnant, and now I've been pregnant for 4 months. Currently 4 months pregnant and the incision is 19 months old. This time is the 4th caesarean section, I ask the doctor's advice should I have a 4th cesarean section when the old incision is 19 months old? My incision is vertical to the navel. Thank you doctor for helping me.
Tran Thi Nhung (1990)
Reply
Hello. The doctor would like to answer the question "Should I have a 4th cesarean delivery when the old incision is 19 months old" as follows:
My case is an old caesarean section 3 times, the 3rd time was 19 months ago. This pregnancy is now 16 weeks. The issue of pregnancy monitoring will of course have a lot of risks and complications for the mother and the fetus in the next stage. Because more and more fibroids surgery, the scar in the uterus will increase, and the vertical or horizontal incision in the abdominal wall is not a problem. However, at this stage of pregnancy, the doctor did not advise her to stop the pregnancy for fear of the risks ahead.
Ideally, you should go to the doctor for examination as well as in-depth advice on health status as well as pregnancy health monitoring for the 4th caesarean section. You can go to the hospital under Vinmec Health System. Looking forward to meeting you to discuss more. I wish you a healthy pregnancy.
Answered by Master, Doctor Trinh Thi Thanh Huyen - Doctor of Obstetrics and Gynecology - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital