The first child is delivered by caesarean section, the second child does not necessarily have to be delivered by caesarean section, if the physical condition of the pregnant woman allows is possible to try a normal delivery.
If the interval between the two births is more than two years, the pregnant woman is in good health, the uterus recovers well, there is no abnormality of the fetus in the uterus, and the weight and head circumference of the fetus are moderate, it is possible to try to have a normal delivery.
However, if the pregnant woman is not in good health and the fetus is relatively large, especially in the case of dangerous placenta praevia, placental implantation, placental abruption, etc., it is not possible to try to have a normal delivery, and it is necessary to choose a cesarean section to end the labor.
Pregnant women are advised to monitor the fetal heartbeat and fetal movement, and to seek regular obstetric checkups to understand the development of the fetus and the condition of the mother, as well as to take rest and avoid strenuous activities in their daily life.