The C-section rate in China is over 50%, and there are many reasons for this, so I won’t go into them here. Some people who chose to have a cesarean section because they were afraid of the pain of their last child began to regret it with the “comprehensive second child”, alas, they had to receive another knife!
Is this the case? More than that! There are many problems that you may not have heard of.
1, a scar on the belly
This is basically a problem that people who have had a cesarean birth have to encounter. But fortunately, the current choice of lower abdominal horizontal incision is mostly, for the appearance of the impact is not much, outsiders have the opportunity to see after all not much, except for the pool, the beach when the cool clothes.
But what if it is a vertical incision in the lower abdomen? Or scar body? The crab’s foot-like scars on the belly, even if no outsiders see, they will be very concerned. Girls with a literary temperament may get a tattoo on it to cover up the scar with an artistic pattern.
The abdominal wall incision scar has no effect on the second child, and if another C-section is performed, it will be opened in from the original scar, so there is no need to worry about an additional scar. However, if the literary girls, the tattoo pattern is estimated to be scrapped.
2, the abdominal wall incision endometriosis
When the active endometrium runs into the abdominal wall tissue, with the fluctuations of the menstrual cycle hormones, but also cyclical growth, slowly grow a mass near the incision. Miraculously, when you have your period, this mass will hurt and get bigger; when your period is gone, it will not hurt and the mass will be smaller.
The most common cause of cesarean delivery is that this problem is becoming more common, and if you are unlucky, cancer can occur!
If the incision is not serious, the block is small, the pain is light, but you can not deal with it, directly try to conceive.
If the mass is large and painful, it is better to cut it first. In most cases, you can try to conceive after the wound recovers in a few months after the surgery, because after all, it is only a wound on the abdominal wall, which does not hurt the uterus. If the endometriosis is deeper and the abdominal wall has a large area of fascia cut, or even repaired with a patch, then the recuperation time should be appropriately lengthened.
If you find that you are pregnant when you are ready to undergo surgery, it’s okay, you don’t need to have surgery first. Because pregnant, without the hormonal stimulation of the menstrual cycle, this lesion will not progress, but will have a certain degree of atrophy, and when it comes time to dissect again, it can be chipped off together.
3.Uterine incision diverticulum
This is a problem that has received much attention in recent years. After cesarean delivery, for various reasons, the tissue at the location of the uterine scar is defective, forming a depression called diverticulum.
Some studies have reported its incidence to be nearly 10% or even higher, which is one of the long term complications of cesarean section. The most common effect is dripping menstruation. Moreover, this diverticulum may get bigger and bigger as time progresses.
What should I do if I have a diverticulum? Is it impossible to get pregnant again?
If the diverticulum is small, less than 2 cm, and does not cause a change in menstruation, it may not need to be treated. If you accidentally get pregnant, don’t be nervous. You should have an ultrasound during early pregnancy to find out where the embryo is implanted, so that it is not in the scarred area.
If the diverticulum is large, or if the menstrual flow is incomplete and no other explanation can be found, then surgical repair is necessary. The surgical procedure can be laparoscopic combined with hysteroscopic repair, simple hysteroscopic repair or transvaginal repair depending on the case, which is decided by the specialist. However, it is necessary to wait 1-2 years after surgery to get pregnant again, and in one or two percent of cases, diverticula may form again.
4. Pelvic adhesions
This is not unique to cesarean surgery, but many surgeries into the abdominal cavity may cause pelvic adhesions, including intestinal adhesions, large omental adhesions, bladder adhesions, etc. Some people may experience chronic pelvic pain as a result.
In general, this can be left alone. However, care should be taken to prevent intestinal or bladder damage if a second cesarean delivery is performed.
Some may also cause adhesions to the fallopian tubes and ovaries, which may lead to infertility or ectopic pregnancy.
5.If everything goes well and you get pregnant successfully
The following issues need to be taken into consideration.
(1) Uterine incision pregnancy
If the embryo happens to be planted on the incision of the uterus during the cesarean section, then the “second baby” can only be scraped off with tears and cannot be wanted. Moreover, you need to be hospitalized.
Because the incision of the uterus is not as complete as the uncut one, and even the scar tissue is defective, the embryo may penetrate the scar and bleed easily when scraping.
In serious cases, the uterus will rupture, and this will not only cause the loss of a second baby, but also intra-abdominal hemorrhage, shock, and the mother’s life.
(2) Uterine rupture
In addition to the uterine incision pregnancy can cause rupture at the incision, if the pregnancy is not incision, but as the fetus grows, if there is a defect in the scar, there is a possibility of uterine rupture in the middle and late pregnancy, and the late discovery is also the end of “one body two lives”.
However, this is less likely to happen, and the risk is greater if the cesarean is close to the last baby. If you are not careful, and you get pregnant again a few months after the cesarean, or even when you are breastfeeding, the risk is too great and abortion is recommended. Therefore, doctors usually recommend contraception for 2 years after cesarean section.
(3) Placenta praevia, placenta implantation
When you get pregnant again after a cesarean section, you are prone to placenta praevia, sometimes combined with placental implantation, and the more cesarean sections you have, the higher the incidence of placental implantation. If the placenta grows right at the uterine incision, the condition is very dangerous and is called a fatal placenta praevia.
What exactly is the risk? Bleeding!
Bleeding during pregnancy, especially in the late stages of pregnancy, when there is a lot of bleeding, requires emergency surgery to get the baby out early. It is also dangerous when the baby comes out, especially if there is placenta implantation, which is more likely to affect uterine contraction, postpartum hemorrhage, removal of the uterus, and even endanger the mother’s life.
(4) Postpartum bleeding
In addition to placenta praevia and placenta implantation, which affect the contraction of the uterus, postpartum hemorrhage can occur. The uterus of a cesarean delivery is a scarred uterus, the contraction of the uterine muscles at the scar will be affected, even if there is no placenta praevia, it is still prone to bleeding.
6.Can I still deliver my second child by myself?
If everything goes well and there are no complications and comorbidities, can a person who had a cesarean section in her last pregnancy have a normal delivery on her own?
This needs to be evaluated by a specialist and cannot be generalized. Some of them can try on their own, but the process requires great care, close observation of the labor process to prevent uterine rupture and change to cesarean delivery as soon as there is an aura.
In most cases, doctors will still recommend another cesarean section, after all, the risk of a normal birth is higher.
In conclusion, cesarean delivery is not a normal physiological process, it is only a complementary means of terminating a pregnancy. If you have not yet had a baby and your last baby was not a cesarean, try to choose to deliver by yourself; if you have already had a cesarean, then pay attention to yourself and see your doctor when you have a condition.
Of course, if there are complications and complications that prevent you from having a normal birth, or even if you need a cesarean section to save the life of the adult or child, don’t refuse to have a cesarean section for the sake of a normal birth, listen to your doctor, yes!