Cesarean section. Caesarean section: consequences and recovery after surgery

A man, especially a woman, is measured by God with many difficulties. Both the birth process and pregnancy do not apply to exceptions. Often there are situations that force the doctor to get the child out of the womb of a woman by caesarean section.

Such termination of pregnancy is considered preferable by many representatives of the weaker sex, as they do not know or forget about the potential consequences after a caesarean section.

And, of course, a woman should remember how long and hard it will take her to recover from the operation, how much strength, perseverance and patience she will need. About the consequences of caesarean section and recovery after it - our article.

Negative aspects of abdominal delivery

Undoubtedly, a caesarean section is no longer an operation of despair, when all other possibilities were used to facilitate the birth of a child, and therefore the risk of complications during and after the operation, as well as the consequences, was significantly reduced.

However, it is possible and necessary to prevent the development of potential consequences after the removal of the baby by means of abdominal surgery. The percentage of postoperative consequences is directly proportional to:

• surgical technique
• time spent on the operation
• antibiotic therapy after caesarean section
• suture quality
• experience of the surgeon and many other factors influencing the operation and the course of the postoperative period

It is worth noting that any, even a perfectly performed caesarean section, does not pass without a trace for a woman and a child. Only quantitative indicators of consequences vary.

Caesarean section - consequences for the mother

Seam on the anterior abdominal wall

Oh, how many negative emotions carries such a rough and unaesthetic scar on the anterior abdominal wall. I would like this negative moment after the operation to remain the only one for the woman, the main thing is not physical beauty, but the health of the young mother and her baby.

Do not be upset about the "disfigured abdomen", at present there are several methods that allow you to take in the skin of the abdomen either with a cosmetic (intradermal) suture, or make a transverse incision in the suprapubic region, which will allow a woman to flaunt in an open swimsuit.

The formation of a skin (imperceptible or convex, wide) scar depends on the production of certain enzymes in the body. And, unfortunately, someone produces more of them, and someone less, which leads to the formation of a keloid scar. But even in this case, do not despair, at present there are many ways to get rid of reminders of the operation (for example, “polishing” the scar or laser).

Adhesive disease

Any surgical intervention in the abdominal cavity leads to the formation of adhesions in it. The risk of developing an adhesive process is especially high when blood and amniotic water enter the abdominal cavity, a rather long and traumatic operation, with a complicated course of the postoperative period (development of endometritis, peritonitis and other purulent-septic diseases).

Connective tissue strands, or adhesions, pull the intestines, which disrupts its functions, tubes, ovaries and ligaments that hold the uterus. All of this can lead to:

• permanent constipation
• development of intestinal obstruction
• tubal infertility
• improper location of the uterus (its bend or bend backwards), which affects menstruation (see painful periods: causes).

After the second, third caesarean section, the consequences in the form of adhesive disease and its complications are most likely.

Postoperative hernia

The formation of a postoperative hernia in the area of ​​the scar is also not excluded, which is associated with insufficient comparison of tissues during wound closure (in particular, aponeurosis) and the course of the early postoperative period. In some cases, diastasis (divergence) of the rectus abdominis muscles may be observed, that is, their tone is reduced, and they cannot perform their functions:

• as a result, the load is redistributed to other muscles, which is fraught with displacement or prolapse of the internal organs (uterus and vagina),
• education umbilical hernia(the umbilical ring is a weak point in the abdominal wall),
• digestion is disturbed and pains in the spine appear.

Consequences of anesthesia

The decision on anesthesia during caesarean section is made by the anesthetist. It can be either intravenous anesthesia with tracheal intubation or spinal anesthesia. After endotracheal anesthesia, women often complain of sore throat, cough, which is associated with microtrauma of the trachea and accumulation of mucus in the bronchopulmonary tract.

Also, after leaving general anesthesia, nausea, less often vomiting, confusion, drowsiness are disturbing. All of these symptoms disappear within a few hours. After spinal anesthesia, headaches may occur, so the patient is advised to remain in horizontal position at least 12 hours.

When conducting epidural and spinal anesthesia, damage to the roots of the spinal cord is possible, which is manifested by weakness and trembling in the limbs, back pain.

Scar on the uterus

The transferred caesarean section will forever leave a memory of itself in the form of a scar on the uterus. The main criterion for the uterine scar is its consistency, which largely depends on the quality of the operation and the course of the postoperative period.

An inconsistent (thinned) scar on the uterus can cause a threat of pregnancy and even rupture of the uterus, not only during the next birth, but also during pregnancy. That is why doctors recommend sterilization (tubal ligation) to women who are planning a second caesarean section, and insist on this procedure after the third operation.

endometriosis

Endometriosis is characterized by the fact that cells similar in structure to the endometrium are localized in atypical places. Often, after a cesarean section, endometriosis of the scar on the uterus develops, since in the process of suturing the uterine incision, the cells of its mucous membrane can enter, and in the future grow in the muscle and serous layers, that is, endometriosis of the scar occurs.

Problems with lactation

Many women report problems with the development of lactation after abdominal delivery. This is especially true for those who were taken for a planned caesarean section, that is, before the onset of labor. rush of milk after natural childbirth and caesarean section in women who are "let" into childbirth occurs on the 3rd - 4th day, otherwise the arrival of milk occurs on the 5th - 9th day.

This is due to the fact that during childbirth, oxytocin is produced, which causes uterine contractions. Oxytocin, in turn, stimulates the synthesis of prolactin, which is responsible for the production and release of milk.

It becomes clear that a woman after the operation is not able to provide for the baby breast milk in the coming days, and he has to be supplemented with mixtures, which is good. Often, after a cesarean section, postpartum women have hypogalactia (insufficient milk production) and even agalactia.

The consequences of a caesarean section for a child

Cesarean section affects the newborn. Caesarean babies often have breathing problems.

• Firstly, if the operation was performed under intravenous anesthesia, then part of the narcotic drugs enters the child's bloodstream, which causes depression of the respiratory center and can cause asphyxia. In addition, in the first days and weeks after birth, the mother notes that the child is lethargic and passive, does not take the breast well.
• Secondly, mucus and fluid remain in the lungs of children born through surgery, which are pushed out of the lungs when the fetus passes through the birth canal. In the future, the remaining fluid is absorbed into the lung tissue, which leads to the development of hyaline membrane disease. The remaining mucus and fluid are an excellent breeding ground for pathogens, which subsequently leads to pneumonia and other respiratory disorders.

During natural childbirth, the child is in a state of hypernation (that is, sleep). In a dream physiological process They flow more slowly, which is necessary to protect the baby from a sharp pressure drop during birth.

With a cesarean section, the child is removed immediately after the uterus is cut, the baby is not prepared for a sharp change in pressure, which leads to the formation of microbleeds in the brain (it is believed that in an adult such a pressure drop would cause pain shock and death).

Caesarean children adapt much longer and worse in the external environment, because they did not experience birth stress while passing through the birth canal and they did not produce catecholamines - hormones that are responsible for adapting to new conditions of existence.

Long-term effects include:

• poor weight gain
• hyperactivity and hyperexcitability of cesarean children
• frequent development of food allergies

There are problems with breastfeeding the baby. A child who was fed artificial mixtures all the time while the woman was recovering from anesthesia and taking a course of antibiotics has no motivation to breastfeeding, he is reluctant to take the breast and does not want to make efforts to obtain mother's milk from the breast (from the nipple is much easier).

It is also believed that there is no psychological connection between mother and child after caesarean section, which is formed during natural childbirth and is fixed by early (immediately after birth and cutting the umbilical cord) attachment to the breast.

Recovery after caesarean section

Immediately after the operation, the woman is transferred to the intensive care unit, where she is under the vigilant attention of medical personnel during the day. At this time, ice on the abdomen and painkillers are needed. After a caesarean section, recovery of the body must begin immediately:

Physical activity

The sooner the new mother starts moving after the operation, the sooner she can return to her usual rhythm of life.

• The first day, especially after spinal anesthesia, the woman should be in bed, which does not exclude the possibility of moving.
• You can and should turn from side to side in bed, do leg exercises:
  • stretching your fingers
  • foot rotations in different directions
  • tighten and relax the buttocks
  • press your knees together and relax them
  • alternately bend first one leg at the knee joint and straighten, then the other

  Each exercise should be performed 10 times.

• It is also necessary to immediately start doing Kegel exercises (periodically compress and relax the muscles of the vagina), which strengthen the muscles pelvic floor and prevent urinary problems.
• When can I sit down after a caesarean section? Getting out of bed is allowed after the first day. To do this, you need to turn on your side and lower your legs off the bed, then, resting your hands, lift the upper end of the torso and sit down.
• After a while, you should rise to your feet (you can hold on to the back of the bed), stand for a while, and then take a few steps, trying to keep your back straight.
• Getting out of bed should be under the supervision of the sister. Early physical activity stimulates intestinal motility and prevents the formation of adhesions.

seams

Skin sutures are treated daily with antiseptic solutions (70% alcohol, brilliant green, potassium permanganate), and the dressing is changed. The sutures are removed on the 7th - 10th day after the operation (an exception is an intradermal suture, which dissolves after 2 - 2.5 months on its own).

For better resorption of the skin scar and prevention of keloid formation, it is recommended to lubricate the sutures with gels (Curiosin, Contractubex). You can take a shower after the skin scar has healed and the stitches have been removed, that is, for about 7-8 days (avoid rubbing the seam with a washcloth), and taking a bath and visiting the bathhouse are postponed for 2 months (until the scar on the uterus heals and suckers stop).

Nutrition, intestinal gases

The passage of intestinal gases is of no small importance for the restoration of bowel function. After the operation, you must follow a certain diet. On the first day, you can only drink mineral water without gas, water with lemon juice, on the second day you can take meat and chicken broths, low-fat cottage cheese, rolled meat, kefir.

After an independent chair, usually after 4-5 days, the woman is transferred to a common (regular) table. You should not keep gases in yourself, to facilitate the discharge of gases, you need to stroke your stomach in a clockwise direction, then turn on your side and raise your leg and relieve yourself. If constipation occurs, you can use glycerin suppositories or Microlax (see suppositories for constipation), which can be used by lactating women.

Bandage

Wearing a bandage will greatly facilitate life, especially in the first days after the operation. However, do not abuse this device, for a full and quick recovery muscle tone of the anterior abdominal wall, the bandage must be removed periodically, gradually lengthening the "bandage-free" periods.

Cough

After a caesarean section, a woman is often worried about coughing, especially after endotracheal anesthesia. However, the fear of rupture of the seams during coughing inhibits the desire to cough. To strengthen the seams, you can press a pillow to your stomach (an excellent replacement is a bandage or bandage with a towel), then inhale deeply and then exhale completely, but gently, making a sound like: “woof”.

Physical activity and restoration of abdominal elasticity

After a caesarean section, weight lifting is limited to no more than 3-4 kg for at least three months. Raising a child and caring for him is not prohibited and even encouraged. All household work, especially those related to bending and squatting (washing floors, washing) should be entrusted to another family member.

One month after the operation, you can start light exercise gymnastic exercises. After a cesarean section, to restore the abdomen, you can start pumping the press no earlier than six months later. In principle, a sagging belly will return to normal after 6-12 months (skin and muscles will gain elasticity, their tone will be restored).

To restore the figure after a cesarean section, sports (fitness, aerobics, body flex, yoga) must be carried out according to individual program with an instructor and only after consulting a gynecologist (not earlier than six months after the operation). Bodyflex classes 15 minutes a day perfectly help to restore the figure and tighten the stomach.

sex life

You can resume intimate relationships 1.5 - 2 months after abdominal delivery (the same period after independent childbirth). This period of abstinence is necessary for the healing of the wound surface in the uterus (the site of attachment of the placenta) and the uterine suture.

It is important to attend to the issue of contraception even before the onset of sexual activity. Every woman who has undergone surgery should remember that the intrauterine device can be installed only 6 months after cesarean, and abortions (consequences) are strictly contraindicated for her, as they injure the suture on the uterus and can cause scar failure.

Menstrual cycle

Differences in recovery menstrual cycle after abdominal delivery and independent childbirth no. In the case of breastfeeding, menstruation may begin six months after childbirth or later. In the absence of lactation, menstruation begins after 2 months.

Next pregnancy

Obstetricians recommend refraining from a new pregnancy after surgery for at least 2 years (optimally 3). This time period allows a woman not only to recover physically and psychologically, but is also necessary for the full healing of the suture on the uterus.

Observation at the gynecologist

All women who have undergone a caesarean section are registered in the antenatal clinic, where they are observed for two years. The first visit after the operation should be no later than 10 days, with the obligatory ultrasound of the uterus. Then, after the end of the lochia (6-8 weeks), and in half a year, in order to assess the condition of the scar on the uterus, then a visit to the gynecologist at least once every six months.

Obstetrician-gynecologist Anna Sozinova

In this article:

Expecting a baby is perhaps the most exciting time in a woman's life. So many worries and plans for the future. But the main subject of the expectant mother's worries is the upcoming birth. Great if the girl good health and no pathology is observed.

But what if the doctors recommend a caesarean section for pregnancy? The question, of course, is complex, because surgical intervention can hardly be called a natural process. Despite the fact that there is much controversy about this difficult operation, in recent times she gained considerable popularity. No pain during childbirth, painful contractions and long hours of waiting - these are the reasons women are guided by, agreeing to surgery.

But it is worth understanding that such an operation has its consequences for both the baby and the mother. In addition, despite the professionalism of doctors, various complications can occur both during cesarean and in the postoperative period: bleeding, infection, poor healing of the suture, trauma to the connective tissues, and many others.

Anesthesia - danger exists

If you decide to have a caesarean section, it is worth noting that the first danger may lie in wait for you during the procedure. The fact is that modern medicine offers two types of anesthesia:

• General anesthesia.
• and spinal anesthesia.

However, each of these types of anesthesia can lead to unpleasant consequences of a caesarean section. Therefore, it is worth seriously considering what type of procedure to choose, because it affects not only the woman in labor, but also the baby. When exiting general anesthesia, a woman may feel: a sharp headache, nausea, dizziness, muscle pain, confusion. During epidural anesthesia, serious damage to the spinal cord and nerve endings can occur, in addition, there is a sharp pain in the back, trembling in the limbs.

Possible risks

Remember, each operation carries a certain risk for a person. The most common consequence of a caesarean section for the mother is an infection that can penetrate with the intervention of doctors. Bleeding and blood clots are also dangerous. In rare cases, due to the lack of professionalism of doctors, injury occurs to neighboring organs and tissues. Many note that after the operation, there may be problems with intestinal patency, and as a result, the woman in labor will suffer from constipation and experience pain. There are cases when surgeons seriously damaged the patient's bladder.

Stitches after surgery

Unfortunately, no operation is possible without stitches and scars. But the problem lies deeper: the aesthetic defect fades into the background. Indeed, in our time it is easy to get rid of such “marks” by grinding and special treatment. However, a woman in labor may experience diastasis, in which the edges of the seam diverge and heal poorly. In this case, you should immediately consult a doctor.

But the seam on the uterus requires much more attention - after all, the success of the next pregnancies will depend on its condition. One of the most unpleasant consequences after a caesarean section can probably be called a ban on conception for the next 2-3 years. This also applies to the abortion procedure - it is not advisable to carry it out. Doctors say that during this period, damage or injury to the walls of the uterus should not be allowed, in order to avoid divergence of the seam. If these recommendations are not followed, the risk of miscarriage and the development of a number of diseases increases.

physical recovery

Despite the fact that childbirth during surgery is painless, the mother will face the main problems in the postoperative period. The fact is that a woman needs almost 1.5-2 months to fully recover from the operation. And such restrictions bring serious inconvenience:

• In the early days, it is very difficult to take care of the baby.
• Do not take baths (prefer showers).
• Do not overexert yourself physically - training, lifting weights, running are prohibited.
• Intimate life requires restrictions - sex is possible only 5-6 weeks after birth. Be sure to consult with your doctor if your body is ready for sexual activity after surgery. In addition, it is worth resorting to reliable contraception. It is necessary to exclude the onset of pregnancy for the next couple of years.

Menstrual cycle

If the caesarean section was successful, mommy should not worry - menstruation will come at about the same time as during natural childbirth. But the absence of this "event" may indicate the onset of complications. In such a situation, it is necessary to undergo an examination by a gynecologist. Note that sometimes the recovery of the cycle can be from 3 to 6 months, depending on the complications that have arisen after a cesarean section.

Breast-feeding

Many mothers do not want to have surgery, fearing that they will lose the opportunity to breastfeed their child. There is a rational "grain" in this - immediately after surgery, the baby is not applied to the breast, for fear of getting drugs into milk. They can cause serious harm to a child. But the problem is that they begin to feed the baby with a bottle, after which he is in no hurry to take his mother's breast. You should not overstrain and make efforts to “extract” milk when the baby refuses natural feeding. If mommy is patient and persistent, practicing several times a day in natural feeding, the baby will soon take the breast.

Consequences for the baby

Unfortunately, the operation does not pass without a trace, not only for the mother, but also for the baby. When the time comes to be born, the so-called period of hypernation begins - the state of the fetus, in which it “falls asleep”, adapting to the upcoming passage through the birth canals. All physiological processes slow down, becoming more "economical" for the body. Such a mechanism is a natural process that was invented by nature in order to protect the child from severe stress during a sharp pressure drop during birth.

With a caesarean section, the consequences are completely different: the baby does not undergo training, but is immediately subjected to incredible pressure. This process can lead to the formation of microbleeds in the brain. There are also cases of reduced brain activity in "caesarites". American scientists say that if an adult had to experience pressure during a cesarean section, he would simply die from pain shock. Another problem for such children may be the entry into the bloodstream of drugs that are used to relieve the mother. They can negatively affect nervous activity infant, cause heart and intestinal problems.

First breath

Based on many studies, doctors made an important conclusion: a caesarean section is fraught with consequences for the child. Before the moment of birth, the amount of hormones - catecholamines - sharply increases in children. It is these substances that trigger the breathing process and “drain” the lungs from fluid. During surgery, such a process simply does not occur and the risk of suffocation increases, the child's lungs open with difficulty.

heart little man starts to work very quickly, trying to provide the lungs with blood, and there is fluid present. Because of this process, the baby may develop dystrophic atrophy in the heart, like in the elderly. The respiratory rate of "caesareans" is almost 2 times less than that of naturally born.

Another theory says: the baby does not pass through the birth canal, and as a result, there is no compression chest. It is this pressure that helps to get rid of the amniotic fluid in the lungs.

Psychological component

There is a theory that has not found its practical confirmation: babies born during surgery are much more difficult to adapt to the world around them. It is believed that the so-called stress hormone was not produced and the baby simply does not know how to adapt to new conditions. But scientists say that mental health depends more on upbringing than on how you were born. Often such children suffer from excitability and hypertonicity.

Features of caring for babies "cesareans"

• With such children, it is recommended to start walking outside later. They need to be swaddled more long time than normal babies. Hypothermia or, conversely, elevated temperatures should not be allowed.
• Due to the fact that children can suffer from hyperactivity, they sleep worse at night, often cry and get scared for no reason.
• It is recommended that in the first month of life the child sleep with his mother, so he quickly adapts to the world around him.
• "Caesarites" gain weight very slowly, so it is necessary to breastfeed as long as possible.
• To strengthen the immune system, it is recommended to perform daily gymnastics, gradually increasing physical exercise. Water procedures must be present: swimming, and later hardening of the child.

To do or not to do the operation decides, not only future mom alone, but also a doctor. But do not think that a caesarean section is an easy procedure that cannot harm you and your baby. However, if there are serious risks to the life of the mother or baby, it will be better and safer to perform such an operation.

Useful video about caesarean section

A caesarean section is a birth operation in which the baby is removed through an incision in the abdominal wall and uterus. Nowadays this species childbirth is increasingly common; The reason for this is the increase in the number of complications during pregnancy.

Like every surgical intervention, a caesarean section is performed under anesthesia and entails a long recovery period. How to bounce back after such an operation and what needs to be done for this, we will consider further.

How is a caesarean section performed?

Produced under general anesthesia or with the use of epidural anesthesia, caesarean section involves a layer-by-layer opening of the anterior abdominal wall and an incision in the uterus, through which the fetus is removed, and then the placenta. Children after caesarean section are no different from those who were born naturally. Unless in the first days their adaptation to life outside the mother's womb can be slowed down due to the effects on them of anesthesia and other drugs that were administered to the mother.

The abdomen after caesarean section is sutured with several layers of sutures, using absorbable or non-absorbable threads, and sometimes metal staples.

Modern methods of surgical interventions allow minimizing complications after caesarean section. However, sometimes as a result of this operation, the following phenomena may occur:

• increased blood loss;
• the occurrence of intestinal adhesions and other internal organs;
• endometritis (inflammation of the uterus);
• violation of uterine contraction.

These complications lead to the fact that recovery after caesarean section becomes longer, medication is required, and in some cases, repeated curettage of the uterine cavity.

Postoperative recovery

In the absence of serious complications on the first day after operative delivery, the woman in labor remains in the intensive care unit under close medical supervision. She immediately undergoes rehabilitation measures: correction of blood loss, antibiotic therapy to prevent infections, stimulation of the gastrointestinal tract to resume digestion.

On the second day, the patient is allowed to eat a little: chicken broths, boiled meat chopped with a blender or meat grinder, low-fat cottage cheese, yogurt without additives, unsweetened fruit drinks. Gradually the woman returns to normal diet, considering all nutritional restrictions for breastfeeding.

Activity of a woman in labor after caesarean section

As a rule, on the second day, the newly-made mother is transferred to the postpartum ward, where she gradually returns to a completely active lifestyle. It is important for a woman in labor to get out of bed, walk and, most importantly, breastfeed her baby. You can sit down only 2-4 days after the operation.

Health workers constantly monitor the condition of the patient's abdomen, process stitches, change bandages. About a week after the operation, a scar forms, only then is it allowed to take a shower without using a washcloth. So far, only local hygiene procedures have been shown. Discharge in the absence of complications is made on the 7-10th day after operational delivery.

How to lose weight after a caesarean section?

Often women who have had this operation, are interested in when it is possible to start restoring the figure. The question of how to lose weight after a cesarean section worries almost every young mother. The answer to it is purely individual, because each organism tolerates surgical interventions differently. As a rule, after the operation, doctors do not recommend lifting weights weighing more than 2-3 kg in the first months.

The rules for how to lose weight after a caesarean section and after natural childbirth are significantly different. After all, after the operation, a woman can do muscle exercises. abdominals not earlier than in a month and a half. Then when, after a normal birth, this can be done almost from the first days and weeks.

It is important to wear a bandage after a caesarean section. Such a slimming belt will not only help you move in the first days after the operation, but also restore the tone of the abdominal muscles. The bandage is worn only as prescribed by the doctor. After all, in the first days a woman experiences severe pain after a caesarean section, so it will be difficult to put it on. And in some cases, such a belt is generally contraindicated. It is also impossible to abuse the bandage, because the abdominal muscles must independently learn to work again.

sex life

Sexual activity can be resumed 1.5-2 months after operative delivery. It is after this period that women usually stop discharge after a cesarean section. In addition, the mucous membrane of the uterus after childbirth is an almost continuous wound surface, and early resumption of sexual activity can lead to infection on it. It will heal only 6-8 weeks after the operation; then you can have sex without forgetting about contraception.

Pregnancy after caesarean section

After surgical delivery, the scar on the uterus remains for life. This can negatively affect subsequent pregnancies. Therefore, the second pregnancy after a cesarean section should occur no earlier than 2-3 years later and take place under the close supervision of a gynecologist.

There is no consensus on whether a woman can continue to give birth naturally after a cesarean section. Each case is purely individual, but the scar on the uterus itself is already an indication for repeated surgical delivery.

If a subsequent pregnancy after a caesarean section goes well and the woman wants to have a natural birth, doctors may allow her to do so. But it all depends on a lot of factors; in particular - on the type and condition of the postoperative scar. In any case, the course of both pregnancy and childbirth in such a patient is under increased attention obstetrician-gynecologists.

It is also worth paying attention to the fact that the number of caesarean sections is limited. After all, each subsequent operative delivery negatively affects the condition of the uterus and can be a threat to both the mother and the fetus in her womb. Therefore, pregnancy after a second caesarean section is not recommended, although it is not prohibited. It is believed that without complications, a woman's body is able to endure two such operations, and further ones increase the risk of various health problems for the mother and child. Therefore, usually after the second operative birth, doctors suggest that the woman be sterilized.

Recovery after a caesarean section is a long and difficult process, so it is important to approach it responsibly so as not to provoke complications and threaten the health of a young mother.

Content:

Every repeated (whether planned or unexpected) pregnancy after a caesarean section is invariably associated with a certain share risk. However, this does not mean at all that after such a serious and important operation it is forbidden to give birth at all. Some babies even manage to be born on their own, without surgical intervention.

According to statistics today a large number of women successfully carry and give birth to babies some time after CS. However, in many ways, the successful outcome of the case depends on how healthy the young mother is and whether she listened to the opinion of doctors when planning pregnancy and during the cherished 9 months.

Prevention of re-pregnancy

In certain cases, a second pregnancy after a caesarean section is strictly prohibited by doctors. These are exceptional situations when there are significant problems with a woman's health that directly threaten her life. If the operation had to be performed for the following medical reasons, it is unlikely that she will be allowed to give birth in the future:

• heart disease: arterial hypertension, malformations, rheumatism - lead to intrauterine, placental abruption, childbirth ahead of time(premature);
• diseases of the genitourinary system: chronic pyelonephritis, stones in bladder, cystitis - threaten, intrauterine infection of the baby, preeclampsia;
• problems with respiratory system: asthma, chronic bronchitis - provoke oxygen starvation of the fetus, a delay in its development, intrauterine infection;
• diabetes mellitus is fraught with malformations of a different nature in the fetus;
• thyroid diseases threaten miscarriages, decreased intelligence of the baby, fetal malformations.

If the section was performed for one of these medical indications, doctors give the young mother recommendations regarding future plans. They explain that childbirth is contraindicated in such diseases. In some cases, right there, in the maternity hospital, even before the operation, they can offer a radical method of preventing a new pregnancy - sterilization. If consent is given from the side of the married couple, the tubes are tied during the CS so that an unexpected unwanted pregnancy, fraught with complications and consequences, does not occur.

Statistics. Cesarean section is no longer a rare, frightening operation. It is used in 20% of cases.

Why can't you give birth right away?

If the reasons for surgical intervention in the natural process of childbirth are associated with the complications of this particular pregnancy (malformed presentation of the fetus, etc.), in the future the woman is not forbidden to have more children. However, after the operation, the doctor warns the young mother about mandatory contraception in the next few years. This is due to the fact that an emergency pregnancy immediately after a cesarean section will entail irreversible consequences. Complications can even be unpredictable.

1. After cesarean, there is a scar on the uterus, the complete healing of which requires just such a period of time: at least 1.5 years, and even better - 2 years or more. If conception occurs earlier (for example, already 3 months after the operation), the scar will not be able to resist the load that has fallen on it. Pregnancy will stretch the walls of the uterus, which will lead to its rupture.
2. After a surgical operation, the body is under stress, so it needs a rehabilitation period. If it gets complicated new pregnancy, there may simply not be enough strength to bear a child. In this case, everything will end in a miscarriage.
3. May begin serious problems with a placenta that is completely unprepared. Often in such cases, its detachment is diagnosed, which entails the death of the fetus.

That's why pregnancy after a caesarean section is dangerous if you don't plan it in advance. If you do not take into account the recommendations of doctors, do not use protection immediately after childbirth, you will have to terminate the pregnancy in order to avoid serious complications. Of course, there are cases of successful bearing of a second baby if he was conceived immediately after an operative birth (after 4-5 months, or even earlier). But you need to understand that these are exceptions, not rules, and you need to keep in mind all the consequences that you expose yourself and the unborn baby to.

For your information. If after caesarean woman withstood the recommended time, the risk of scar rupture is only 0.5%.

Pregnancy planning

It is possible to avoid all these complications, thanks to careful and reasonable planning of pregnancy in 2 years, which will pass after a caesarean section. If there are no medical contraindications for childbirth, after such a period of time, if you want to become a happy mother again, you need to seek the advice of doctors, but even before conceiving a child. Preparation will include several necessary activities at once.

1. If you want to safely give birth to a baby, you will have to carefully protect yourself over the next two years.
2. After this probationary period you need to visit a gynecologist. He examines the condition of the scar and connective tissue on the uterus, makes sure that he has healed and is ready for new trials, and only after that will he allow you to conceive again.
3. Since you will know why you had a caesarean the first time, you need to try to exclude this reason, that is, do prevention, and if necessary, treat all your sores before you conceive again.

Competent, mandatory planning of pregnancy after a caesarean section will prevent risks and complications, and will allow you to experience the happiness of motherhood once again. Any initiative in this matter, non-compliance with the recommended deadlines threatens with sad consequences.

The course of pregnancy

If you feel that you have conceived a baby and unexpectedly pregnancy came a month after a cesarean section, try not to hesitate to visit the appropriate doctor. In this case, it will require immediate medical interruption to avoid complications, if time permits (5-6 weeks). Otherwise, one has to resort to instrumental termination of pregnancy, and this jeopardizes the woman's ability to have children in the future. If more than a year has passed since the operation, the significant 9 months will only slightly differ from the usual course of pregnancy. Here you will have to adhere to the following rules:

1. Register with a gynecologist as soon as possible.
2. During the onset of pregnancy after cesarean, excessive, unbearable physical (and any other) stress is contraindicated, even despite the healed and seemingly strong scar.
3. You will have to visit the gynecologist more often and follow all his instructions.
4. Concerning general condition women, the sensations during such a pregnancy are no different from ordinary ones, if everything is in order. With the insolvency of the scar (if conception occurred after 6-7 months, or even earlier), if the child was left at your own peril and risk, pulling, sometimes even unbearable pain in the back and lower abdomen.
5. Ultrasounds are performed much more frequently.
6. in this case, it is strictly contraindicated.

The later conception occurs after such an operation, the more successful and prosperous both the bearing of the baby and the delivery itself will be. You need to understand that it is better in this case to get pregnant after 5 years (if age allows), so that the scar heals completely and the uterus is able to withstand all the stress that it will have to experience.

Special cases

Life can be so unpredictable that even the most prudent and prudent people cannot foresee everything. Especially when it comes to the female body. Often diagnosed special cases pregnancies after CS, which require a professional medical approach and vigilant attention of the woman herself.

• Two cops in a row

If pregnancy occurred after the second caesarean section, get ready for the operation again. Those who give birth in such cases naturally are few, and complications can almost never be avoided. The connective tissue at the site of the scar loses its elasticity, which does not allow the uterus to withstand the load during delivery. In this case, the operation can be carried out earlier.

• Three CS in a row

If you have a pregnancy after 3 caesarean sections, don't even count on it. In addition, in recent weeks, given the repeated recurrence of scars, the doctor will suggest that you lie down for preservation. The risk is too great that the uterus will not withstand such a burden for the fourth time and may burst with an increase in the weight of the baby. Observing the condition of the fetus, mother and scar, the gynecologist may decide to perform the operation a little earlier. The modern level of medicine allows at the same time to reduce the risks to a minimum.

• multiple pregnancy

There are frequent cases when it is diagnosed after a caesarean section, and in this difficult case, a young mother will also not be allowed to give birth herself, since the uterus cannot bear such a burden. Especially if there are three (four, five, etc.) fetuses in the womb. Throughout pregnancy, you will have to be under the vigilant supervision of doctors, do a constant ultrasound, and last dates be sure to go to the hospital.

A caesarean section is a serious abdominal operation that disrupts the course of natural childbirth, so it cannot but have consequences. If pregnancy after that came too early or was complicated by some processes, repeated surgical intervention cannot be avoided. At least in most cases, it saves lives. Although, with the normal bearing of a baby, a woman can give birth herself, that is, in a natural way.

Legend or fact? There is an opinion that after CS, repeated pregnancies often turn out to be multiple. However, there are no exact statistics on this, and scientifically this fact is not confirmed or explained in any way.

Childbirth: natural or surgery again?

The debate about whether the next pregnancy after a caesarean section will necessarily end in an operative way does not subside. Or is normal, natural childbirth possible? Everything will depend on the state of health of the young mother, the course of pregnancy and how much time (months, years) has passed since the surgery.

Natural childbirth is allowed:

• when at least (even more than) 2 years have passed after cesarean;
• with absence serious illnesses at mother;
• if the course of pregnancy passed without complications and pathologies;
• short-term pregnancy after the second caesarean section, when they did not have time to prepare the woman in labor for the operation;
• with the correct presentation of the fetus;
• if pregnancy occurs a year after cesarean section, but the condition of the scar is not in doubt among doctors (everyone has a different healing rate), a woman may be allowed to give birth on her own, but this happens only in 30% of cases; so if you find the first signs that you will have a baby, already 8-9 months after the operation, you will most likely be offered an interruption.

The operation is again inevitable if:

• came early pregnancy after a cesarean section (approximately after 1-11 months), in which the scar has not yet healed - in this case, you are expected (medicated or instrumental) or, if you want to leave the baby at all costs, a second cesarean, if you report before the due date;
• the mother has chronic, serious, untreated diseases that are medical indications for surgery;
• pathology of pregnancy (improper presentation of the fetus, placenta, etc.);
• age after 30 years;
• the third pregnancy after two caesarean sections will definitely end exclusively with an operation, since in this case the risk of rupture of the uterine walls is maximum;
• pathologically long healing of the scar under the influence of some factors (sexual infections, unhealthy lifestyle, physical activity);
• if during the previous CS a longitudinal incision was made in the uterine wall;
• Several babies are expected at once.

If there are fears for the life of a mother or child, the opinions of doctors are almost always unambiguous: planned operation. If no complications are expected, there are no pathologies, gynecologists, obstetricians, neonatologists only welcome the natural outcome of events and will provide all necessary assistance.

Today, a repeated pregnancy after a caesarean section does not surprise anyone if it was planned according to the recommendations of doctors. Only in this case it is possible to avoid any complications with guarantee. In other situations, a woman should understand all the responsibility that she takes upon herself, unable to withstand the time interval of several years after the CS. There are chances for a successful outcome in this situation, but they are minimal. Happy delivery in this case is very rare and is the exception, not the rule.

Caesarean section is a routine operation that is performed in each maternity hospital several times a day. As a rule, the condition after cesarean in a young mother is satisfactory, already within a day she can begin to get out of bed and take care of the baby. However, we must not forget that there are also possible complications after cesarean, which can adversely affect the condition of the mother and child. That is why it is necessary to carry out the operation only according to indications, so as not to expose yourself to unnecessary risk.

Complications after caesarean for mom

Every mother wants to know what complications can occur after a caesarean. Among the most common are large blood loss, infection and the development of inflammation. Also caesarean complications may be related to the condition of the seam. This is suppuration, a hernia after a cesarean section, or even a ligature fistula after a cesarean. Prevention - careful suture care and antibiotic therapy after surgery.

In addition, it is necessary to remember the risk of thrombosis and deterioration of the venous system. This can lead not only to swelling of the legs after a cesarean section, but also to more serious consequences. Therefore, within a day after the operation, doctors recommend that the mother start getting up and walking.

Complications are also possible in subsequent births, for example, a hematoma after a cesarean or a placental polyp after a cesarean, which can also lead to complications and detachments, for prevention, a thorough ultrasound examination is necessary and, if necessary, treatment.

Caesarean section - complications for the baby

Unfortunately, complications after surgery can be not only for a young mother, but also for a baby. Among the most common problems is prematurity. In order for the operation to take place in a planned manner without a period, it is done on average two weeks earlier than the natural birth. Usually, by 37-38 weeks, the fetus is already ripe, but there are problems, for example, with the setting of the term or with the development of the baby. That is why one of the most frequent complications is the unpreparedness of the baby for extrauterine life. In this case, special measures may be required, for example, placing the child in an incubator for nursing. With the right tactics, in the future, such a complication will not affect the health of the baby.

Among the others possible problems- some drowsiness of the baby after childbirth as a result of the use of anesthesia and, as a result, an increased risk of developing pneumonia. Another problem is the refusal of the vast majority of doctors to put the baby to the breast immediately after birth, which can cause problems with establishing breastfeeding. However, some doctors still do not mind putting the baby to the breast already in the operating room, which also reduces the likelihood of complications.

What to do if you have a complication after a caesarean?

In the event that a complication after a caesarean section is revealed directly in the maternity hospital, then specialists will take all measures to stabilize the woman's condition. The necessary drugs will be prescribed, medical procedures will be carried out, and the young mother will be given recommendations on further treatment, lifestyle and how to prevent problems in the next pregnancy. However, complications do not always manifest themselves immediately. Sometimes they can appear after the young mother is discharged from the hospital home.

For example, festered. A young mother can consult in a antenatal clinic, and in difficult case- go to a hospital or maternity hospital for a course of antibiotic therapy. In case of any suspicion of deterioration in well-being, it is also necessary to consult a doctor.

The doctor in the maternity hospital will definitely tell you about what complications are after a cesarean. Also, after a cesarean, discharge occurs no earlier than after 7-10 days, this is also associated with the prevention of complications and the need to monitor the condition of the mother and baby. By following the recommendations of doctors, you can be sure that the situation will be resolved safely.