Risk of re-pregnancy within 1.5 years of cesarean section

Generally speaking, if a woman gave birth to her first child by caesarean section, she will need to wait at least two years before getting pregnant for her second child. If she gets pregnant one and a half years after the caesarean section, the risk is very high and it is very harmful to the woman's health. If the pregnancy reaches the late stage, it can easily cause uterine rupture, and both the fetus and the adult may be in danger of life.

Can I get pregnant again one year after a caesarean section?

If the cesarean section is done well, there is no infection or other problems after the operation, and the pregnant woman recovers well, conservatively speaking, she can get pregnant again in about a year, and there is no need to wait for 2 years or more. An article with a large sample analysis showed that the incidence of uterine rupture in subsequent pregnancy after cesarean section has nothing to do with the length of time after the operation. That is to say, there is no difference in the chance of uterine rupture in subsequent pregnancy within 1 year after surgery and 2 years after surgery. Many of my patients became pregnant within 1 year after surgery, and the shortest was 3 months after surgery.

Although it is not recommended, if you really have an unexpected pregnancy and really want a child, you can still continue the pregnancy under close supervision. It is inappropriate to terminate the pregnancy hastily. There are also some older pregnant women who have to wait 2-3 years after surgery before they can get pregnant again. The chance of having a malformed baby will increase significantly during the waiting period without them noticing. Rather than risking giving birth to a fool, it is better to get pregnant early and give birth to a healthy child under the supervision of a doctor. Once you are pregnant, is it really necessary to have another cesarean section? The answer is also no. Cesarean section is not beneficial to either the mother or the child, and the long-term sequelae are much higher for the mother and child than for a natural birth. Therefore, it is recommended to build confidence and conduct trial production.

Can I still have a natural birth after a caesarean section?

1. Look at the condition of the fetus in this pregnancy. In this pregnancy, the fetus is of moderate size, the fetal heart rate is good, and there is no obvious narrowing of the maternal pelvis, so vaginal trial delivery can be considered. If the fetus is large, vaginal delivery may be difficult. Patients who require emergency cesarean section due to fetal heart rate conditions and those with signs of threatened uterine rupture need to undergo cesarean section.

2. Check the physical condition of the mother. Natural delivery is encouraged for mothers who are in good health and have no pregnancy complications. If the mother is too obese, has complications such as heart disease, gestational hypertension, and cannot tolerate natural childbirth, cesarean section should be considered. Cesarean section is recommended for mothers with congenitally narrow pelvis or pelvic deformity caused by acquired trauma who are unable to give birth naturally. If the mother has a history of multiple cesarean sections or has undergone uterine surgery, such as surgery on a larger uterine fundus, the risk of uterine rupture during vaginal delivery increases, and cesarean section is recommended.

3. Check the medical conditions of the delivery hospital. Throughout the natural labor, doctors are available at all times to monitor labor and perform emergency cesarean sections. For those who can be anesthetized immediately and emergency cesarean section personnel are available at any time, vaginal trial delivery can be considered. Otherwise, a cesarean section is performed.

4. For women who had a cesarean section for the first time, whether to choose vaginal delivery for the second time is mainly due to the concern of uterine rupture. According to research, a history of vaginal delivery can significantly reduce the risk of uterine rupture. The longer the interval between births, the lower the risk of uterine rupture. Women whose last delivery was less than 24 months ago have a 2 to 3 times higher risk of uterine rupture during vaginal trial delivery than those whose last delivery was more than 24 months ago.