Is it possible to give birth after cesarean?

Many women who underwent such an operation as a caesarean section are interested in the question of whether it is possible to give birth after the second pregnancy. A few decades ago a similar question was inappropriate, because if a woman had a history of Caesarian, then subsequent deliveries were carried out only in this way. Everything consisted in the fact that earlier doctors used a slightly different technique of operation (vertical incision of the upper segment of the uterus), at which the risk of complications was high. Currently, during cesarean section, access to the fetus is effected through the lower cross section, which in itself is less traumatic. It was the change in the technique of conducting such a surgical intervention that made the natural delivery after the Cesarean section a reality.

What are the advantages of having a natural birth after cesarean before re-performing this operation?

In addition, that an independent birth after cesarean section in the anamnesis is possible, they also have a number of advantages.

So, first of all, it is necessary to say that in itself cesarean is a cavitary operation with many complications and consequences that are inherent in almost any surgical intervention (inflammation, infection, hemorrhage, damage to nearby organs - intestines, bladder, etc.). ). In addition, any anesthesia - this in itself is a risk, because. there is a high probability of complications, the most frequent of which is anaphylactic shock. Therefore, the anesthetists themselves say that there is no "easy" anesthesia.

When carrying out delivery by caesarean, problems can arise in the baby. In particular, violations of the respiratory system are quite common. It is also necessary to take into account the fact that the child can be born earlier than prescribed, if the term of birth was determined incorrectly.

In addition to all of the above, with natural birth, the lactation process is much better, which is important for the normal growth of the baby, and strengthening its immune system.

What problems can occur with the second natural birth after cesarean section?

In some Western countries and today doctors are afraid to conduct natural births after cesarean. The thing is that local insurance companies simply forbid them to do so, fearing the development of possible complications.

The most common of these is the rupture of the uterus, which is caused by the formation of a fragile scar after a cesarean. However, the probability of developing such a situation is very small, only 1-2%. At the same time, American scientists in the 80s of the last century proved that the risk of developing such a complication is equally likely, as women with a cesarean in the history, and those who give birth in a re-classic way.

It used to be that natural births after two cesarean sections are simply impossible. However, western obstetricians proved the opposite. The main condition for the birth in the classical way in this case is the presence of well-formed scars on the uterus. For this it is necessary that at least 2 years have passed since the last cesarean.

Thus, the answer to the question as to whether natural births are possible after cesarean section is positive, provided that the following conditions are met:

• Access at the first caesarean section was carried out through the lower transverse incision of the abdomen and uterus;
• Absence of absolute indications for cesarean;
• the desire to give birth independently.

Thus, more than 80% of women are capable of independent delivery after a previous cesarean section.