How Many Caesareans Can a Woman Live?

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Towards the end of your pregnancy, you might have thought about the choice to give birth. There are several ways to give birth, such as by normal and caesarean section. In the normal way, you will give birth directly through the vagina, this method is the most recommended. However, sometimes when you have chosen the normal method, there are some obstacles, so you and the medical team must make other decisions, such as by caesarean section. Caesar is not the first choice that will be recommended by a doctor when the fetus is good enough to be born normally, because the risk of surgery is quite large. It takes experts with professional qualifications to have a caesarean section.

Then, if it is difficult for your first pregnancy to have a caesarean section, can you do a caesarean section again? How many caesarean sections can be done?

Why is Caesarean section an alternative choice?

Postpartum healing process for each woman is different. Some women can recover with the same time period after undergoing a cesarean. While some others undergo a longer healing process, some even experience healing that is difficult after surgery after carrying out a second operation. According to David Ghausi, D.O., chair of the department of obstetrics and gynecology at Los Robles Hospital Thousand Oaks, California, quoted by Fit Pregnancy, it is not uncommon to find those who are very easily cured after caesarean section.

According to some health sources, there are pros and cons about the limits of caesarean section. There are no definite rules about how many times a caesarean section can be done. According to Jason S. James, MD, chair of the Department of Obstetrics and Gynecology at the Miami Baptist Hospital, quoted Fit Pregnancy, "I have done six C-section (caesarean) in a woman with almost no complications or difficulties, and I have done second caesarean section with lots of adhesions and potential complications. "

How many times can a caesarean section be performed?

There is no limit on how many times caesareans have to be done. However, another opinion says that there is an increased risk after third caesarean section in some people. In addition, normal delivery is also not recommended after you have done a cesarean delivery three times. The following is the risk of women undergoing multiple caesarean sections:

Tissue sores along the uterus and surrounding organs. Tissue sacs resembling scar (adhesion) are formed with an increase in thickness after each abdominal surgery. This makes women difficult to give birth.
Bowel and bladder injury. Bladder wounds may occur, but very rarely at first cesarean, the risk is found in subsequent cesarean delivery. This increased risk is caused by attachment formed after the first or previous cesarean, which binds the bladder to the uterus. Adhesion can cause small bowel obstruction.
Great bleeding. It is very possible that there will be severe bleeding after several caesareans. To control bleeding, the risk of removing the uterus or hysterectomy is very likely to occur. The patient will also need a blood transfusion. Research shows that the risk of hysterectomy increased from 0.65 percent after undergoing the first caesarean section to 2.41 percent after undergoing a fourth caesarean section. If you have made the sixth degree, 99% of hysterectomy will be needed.
Problems with placenta. The more faults you make, the higher your risk of having problems with placenta. The case can be a placenta that is too deep into the uterine wall (placenta accreta), or the placenta partially or completely covers the opening of the cervix (placenta previa). The study showed the risk of placenta accreta increased from 0.24 percent when undergoing the first cesarean to 2.13 percent after undergoing the fourth cesarean.
Triggers hernias, diastasis recti (when the abdominal muscles separate and protrude into the abdomen) and numbness and pain in the incision area. Endometriosis (growth of endometrial tissue that can protrude from the uterus) in an incision can also occur.

Are there other options besides Caesarean?

To avoid cesarean delivery, normal birth is still the main choice. Normal births can also be undertaken after you have previously given birth by caesarean section. However, caesarean section will not be performed when the risk of uterine tearing during labor increases 2 to 3 percent.

If you do have to undergo a caesarean section, make sure the doctor explains about the risks. Having a cesarean at the first birth can be done, but to avoid complications, you need to wait until 6 months after the caesarean section until the pregnancy returns.

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