Delivery after cesarean section
It is clear that in a number of situations to give birth a second timeIs possible only with the operation of cesarean section. As a rule, these are situations when the same contraindications arise to ordinary childbirths, as for the first time, that is, when it is associated with the individual characteristics of the mother's organism.
This can be such evidence as deformationBones in the pelvis, too narrow a basin and other deformities. Also common are somatic diseases, that is, severe nearsightedness, retinal detachment, craniocerebral trauma. If there is one of these diseases, then a secondary cesarean section is most likely to be prescribed. If the pregnancy is prolific, then the birth in a natural way can be either too difficult or even impossible without the risk to the children.
Also, the secondary cesarean section may beIs prescribed for complications such as diabetes mellitus or high blood pressure. Indications for him will be the case, when for the first time the cesarean section was unsuccessful, leaving an inconsistent scar on the uterus or there are other complications. However, the very presence of a scar on the uterus by indication to the appointment of Caesarean section can not be.
Another caesarean section can be recommended whenThe onset of a repeat pregnancy less than 3-4 years after the first operation of cesarean section, or when abortions between the first cesarean section and a new pregnancy are performed, since scraping the uterus can make the scar incomplete.
Although the second Caesarean section was previously consideredThe only possible way out with repeated childbirth, in fact, carrying out another caesarean section is a much more complicated procedure than conducting the first caesarean section. First of all, after the second operation of cesarean section, more than half of women lose the opportunity to become pregnant, as the menstrual function is disrupted. It is clear that if a woman who underwent a cesarean section gives birth to a second child in natural childbirth, then the probability to remain able to become pregnant is much higher.
Also, a second cesarean section inMany cases lead to the appearance of such complications as injury of ureters, bladder, intestines. These complications appear due to changes in the anatomical relations of the organs, which are associated with the adhesion process occurring in the scar area.
The probability of appearanceSuch postoperative complications as endometritis, anemia, thrombophlebitis of pelvic veins. Also, the second caesarean section significantly increases the risk of hypotonic bleeding, which in many cases can not be stopped with the help of conservative methods, which leads to the need for removal of the uterus, which, unfortunately, is a fairly frequent outcome of a second cesarean section.
Therefore, as the first caesarean section, and repeated, can be carried out only when appointed by a medical specialist and only for medical reasons, and not the choice of the mother in the child.
Indications for a second caesarean section,Which can be recognized as absolute, not counting those indications that necessitated the first cesarean section, physicians refer to the longitudinal scar on the uterus, the predominance of connective, and not muscle tissue in the area of the uterine cicatrix, previa in the scar of the placenta.
In addition, after two (or more) operationsCaesarean sections of birth naturally are already contraindicated. And of course, if a woman herself expresses the refusal of spontaneous childbirth, a cesarean section is also performed. Although, as described above, the second caesarean section can hardly be considered the best choice, both for mother and baby.