Many women who experience the cesarean section during pregnancy are unsafe to have a normal birth in the next pregnancy. Although worry is important to discern about the singularities of your pregnancy, normal birth is often the most appropriate in situations like this, because it presents fewer risks than performing a second surgery.
According to the Dr. Manjula Anagani – Gynaecologist in Hyderabad explains after the first cesarean, the birth of a second baby can bring risks to the woman. However, the specialist points out that, although the risks exist in both birth routes, the rate of complications is lower at vaginal delivery.
Is Uterine Rupture a Risk?
Still, according to the doctor, the most significant concern for labor after a cesarean section is the possibility of a uterine rupture and the resulting complications, both maternal and perinatal. The rupture can occur because the region of the scar left in the uterus does not have the same resistance of the intact tissue and, therefore, becomes a point of fragility.
But despite the concern, experts assert that the risks of normal birth need to be weighed against the risks of repeat cesarean section, which include both immediate complications such as bladder injury, hemorrhage, and hysterectomy; as late as pelvic pain, placenta previa, placental accretion, among others.
Another issue to be considered is that since after the first cesarean section the uterine tissue loses some of its resistance, from two cesarean sections, i.e., two cuts in the uterus, the chance of a scar rupture occurring during the third labor increases and the risks, from then on, come to resemble those of a third or fourth surgery.
Also because of this, the option of normal delivery in the second pregnancy will be decisive in increasing the chances of a third or fourth vaginal delivery.
Normal Childbirth as the First Choice
For Dr. Manjula Anagani, the idea is that there should be efforts to have the first cesarean surgery avoided. According to safe and internationally accepted studies, vaginal delivery is the safest birth route for healthy mothers and fetuses. In addition to being less aggressive, the process further decreases the chances of maternal bleeding and prepares the baby’s respiratory system to the external environment.
How is Recovery from Cesarean Delivery?
Everyone has heard that recovery from cesarean delivery is usually more painful than normal delivery. Although any type of pain is quite variable for each body and woman, it is scientifically proven that the postoperative period of cesarean surgery tends to be more painful than normal postpartum.
In the delivery of cesarean surgery, an abdominal incision is performed, above the pubic bone, which is closed with internal and external points. “Among these points, there may be a greater accumulation of gas, which can be painful for up to ten days,” says obstetrician Dr. Manjula Anagani.
Some women may remain in pain for a few weeks after giving birth. Others, more sensitive, may need more time for analgesic medication. However, after a maximum of two months, there should be no further annoyance.
For the recovery of cesarean section, the woman should remain at rest for six to 12 hours after surgery. Also, you must stay for at least 48 hours before you are discharged from the hospital.
“Depending on the recovery rate of the woman, this period can be extended up to 72 hours. Then, to assist in recovery, the gynecologist can indicate painkillers and anti-inflammatories to relieve pain,” says the specialist.