Caesarean section, is it risky to do it again?

Caesarean section is professionally called cesarean section. After a cesarean section, there will be a scar on the uterus, which is medically called [scar uterus]. For pregnant women with scar uterus, there is little difference between pregnancy and other pregnant women in most cases. The final delivery period is the real test.

If the scar uterus is pregnant again and gives birth smoothly, there is a risk of uterine rupture.

Some people may ask, in this case, wouldn’t it be enough to have another cesarean section? Anyway, I have already had a scar on my belly. Then let’s take a look at the details of cesarean section again.

Timing of Cesarean Section Again

Before talking about the timing of cesarean section, let’s look at the clues provided by various gossip news to see that [Spice Girl] sister-in-law Bei, who has undergone four cesarean sections, all underwent the operation in what.

    Sister-in-law Bei’s second son Romeo is due on September 2. It happened to be Benitez’s match day. In order not to affect Benitez, Sister-in-law Bei chose to have a cesarean section on September 1. Usually, The expected date of delivery is the 40th week, and the operation one day earlier should be the 39th week. Sister-in-law Bei gave birth to her third son Cruz. In order to catch up with her eldest son’s birthday party, the caesarean section was delivered one week before the expected date of delivery, which was almost 39 weeks. Sister-in-law Bei’s youngest daughter was tested for sex when she was more than 16 weeks pregnant, which was in late January. The time of cesarean section is July 4, National Day of the United States, which is estimated to be about 39 weeks.

A person like sister-in-law will definitely choose the best doctor and accept the best advice as far as possible when giving birth, and all three operations after her first cesarean section were performed in 39 weeks. I think it can explain some problems-ostensibly, it is a [meaningful day], in fact, it is based on science.

Mothers who have given birth to one child should all know the concepts of “gestational week”, “term” and “premature birth”.

In medicine, as long as you are pregnant for more than 37 weeks, you are already [full term]. Therefore, pregnant women with scar uterus are often encountered clinically, because they are worried, even when they are 36 weeks pregnant, they are thinking about having cesarean section. Just after the 37th week of pregnancy, I couldn’t wait to cut out the baby.

But this is not a very wise choice. Although the baby is already full term at this time, there is still a little difference between 37 weeks and 40 weeks: babies born at 37 weeks are at greater risk of [neonatal respiratory distress]; Moreover, under normal circumstances, if there is no uterine contraction, it is rare for the scar uterus to rupture itself.

According to statistics, Even for the first cesarean section, Children born also have incomplete lung development and maturity compared with children born naturally. That is, the risk of [wet lungs] is higher, Moreover, the child’s mastery of fine movements may also be slower. Newborns undergoing cesarean section again have more respiratory problems, which may be related to the timing of cesarean section again. If only because of worry, the cesarean section was done in advance to make the baby bear unnecessary risks, it would be too uneconomical.

Therefore, if there is no special reason for what, it is best to choose 39 weeks later for the time of cesarean section again.

Risk of re-cesarean section

Having said the timing of the operation, let’s look at the risks of cesarean section.

For pregnant women with scar uterus, cesarean section is no longer a strange thing in what. Doctors must have already introduced the risks and complications of cesarean section in detail during the last delivery.

So, another operation is not as simple as putting on clothes and unzipping?

It’s really different-the risk of the second cesarean section is much higher than that of the first, and an important reason is [adhesion]; In addition to adhesions, there is also the problem of uterine scars.

1. Adhesion is what?

After cesarean section, the patient himself can see, just a scar on the belly. If the scar looks good, the patient may think that the operation is done well and he recovers well. But in fact, the scar on the belly is just a beautiful problem, and the doctor is more concerned about the situation inside the belly.

In fact, it seems that only one layer of belly is also layered. Have you ever seen the fat and thin pork belly? People’s bellies look similar.

When the doctor operated on the belly, he could not see the situation inside. If he went down directly, he would probably damage the organs in the abdominal cavity. Therefore, each layer of [pork belly] should be cut separately.

Although after the operation is completed, the doctor sutures the abdomen layer by layer, but when the belly recovers, it does not necessarily grow layer by layer, but the two layers may merge together, which is [adhesion].

2. Adhesion has what trouble?

At the next operation, Adhesions can add trouble to doctors. During surgery, The chance of bleeding will increase. Some patients may not only have adhesion to the abdominal wall, but also the organs in the stomach may also stick to it. For example, some people’s intestines are stuck to the abdominal wall and some people’s bladder is stuck to a very high position. Although these conditions do not feel anything in daily life, the risk of injury increases during surgery.

Judging from experience, if the belly is a transverse scar, the adhesion on the abdominal wall is usually more serious than the vertical scar. Therefore, if the first cesarean section is a transverse scar on the belly, the difficulty of cesarean section again will be correspondingly greater.

3. Will uterine scars bring danger to what?

During the second cesarean section, although the belly is from the original scar into the abdomen, cut off the original scar, but the uterus is different, you can’t cut off the scar on the uterus or the uterus will be thinner. Therefore, the uterus is usually cut above the original scar of the uterus.

Therefore, some people in the uterus incision suture, will appear incision of the two edge thickness difference is very big. In addition, some patients uterus scar position is relatively thin, and the texture is relatively brittle, so the incision is easy to laceration when the fetus is delivered. These, will affect the recovery of uterus scar in the future.

It can be said that every time you do an extra operation, it will be more difficult for the doctor to operate again, and the corresponding operation risks will also increase. Therefore, when I saw sister-in-law Bei doing four cesarean section operations, what I paid more attention to was not that she finally got a daughter as she wished, but-how difficult her operation was!

Responsible Editor: Yidan