Everything You Need to Know About C-Section
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Childbirth is a tremendous feeling that is encoded in every woman’s genes and is desired to be experienced by most women. Whatever your mode of birth, the moment of reunion with your baby is priceless. You feel ready both physically and mentally for the big family you have always dreamed of; but for any reason, you have had a c-section and one of the first things that come to your mind is how many c-sections can be delivered. For this, first of all, it is useful to examine the issue of c-section delivery.
What is C-Section?
C-Section delivery is the surgical removal of the baby from the mother’s womb by external intervention, not naturally, as a result of any medical risk or the mother’s request. C-section birth has been increasing in our country in recent years. While there are many reasons behind this, one of the most important is not preparing the expectant mothers for birth well. Expectant mothers often say that they are afraid of natural birth in births where optional c-section increase. However, it is best to end every pregnancy period where the life of the mother or baby is not risky, with natural birth.
Why Is C-Section Delivery Preferred?
C-section is not a form of delivery, it is an operation. For this reason, c-section delivery should not be preferred unless there is a medical necessity. In our country, a movement has started against giving birth by c-section, even though it is not necessary, led by the Ministry of Health. So, why is there a c-section delivery, and in what situations should it be applied?
- The first criterion that determines the birth by c-section is the narrowness of the baby’s head and the pelvis of the expectant mother, or the roof as it is known among the people. Unfortunately, this cannot be determined until recent weeks; because the baby of the mother whose roof is suitable for natural birth may be larger than normal and therefore a c-section delivery may be required. In the same way, the roof is narrow and the baby is small, so the birth can take place easily.
- The baby may not be in the proper position when the birth approaches. In order for labor to begin, the baby must enter the birth canal with its head. If the baby is in the breech position or on the side of the birth canal, a c-section is definitely applied. In some cases, vaginal delivery may be allowed at rectal presentation; however, the health status of the mother and baby should be examined very well and the doctor should be experienced in breech delivery.
- Another important issue is the location of the placenta in the uterus. If the placenta is in a position to close the cervix, it is absolutely necessary to have a c-section delivery. Since the position of the placenta may change even in the last weeks of pregnancy, the mode of delivery can only be decided after the 36th week. In addition, a c-section is applied as a result of the early and spontaneous separation of the placenta in the uterus.
- Emergency c-section may be required as the health of the baby or mother is at risk.
- Progression of labor is another reason.
- Diseases such as diabetes in the mother, Herpes Simplex Infection, and the presence of fibroids or cysts in the birth canal that will prevent the baby’s progress are the reasons for a c-section delivery.
- In multiple pregnancies, a c-section is usually applied as a result of the babies not being able to enter the birth position.
- In cases such as vaginismus or fear of childbirth, expectant mothers may apply to c-section voluntarily because they cannot prevent their anxieties.
How Many Times Can You Give Birth By C-Section?
Whether it’s a c-section or natural birth, changes occur in the mother’s body with every birth. So, how many births by c-section?
- It is not possible to give a specific number for two births; However, what should be known is that the risks will increase as the number of births increases.
- Obstetrician and gynecologist Prof. Dr. As Ahmet Göçmen stated, c-section deliveries in the lower segment type are at most eleven in the literature.
- He stated that in classical c-sections where the uterus was cut to length in the past, it was risky after three, and pregnancy was not allowed; However, he added that today there is no limit and the important thing is whether the current health status of the pregnant woman is suitable.
- The risks increase after the third c-section delivery, but there is still the possibility of giving birth.
The first thing to consider here is whether the body of the expectant mother is ready for the c-section. Every woman’s body structure is different, so a decision should be made after a detailed examination of the doctor before each pregnancy. There is no rule that says that many c-sections are done; However, it should be noted that a c-section is an operation and there are some risks for women as a result of performing it repeatedly.
The risks that may occur as a result of consecutive c-sections are as follows:
- Problems occur when the placenta closes the birth canal or sticks to the uterine wall.
- Injuries to the bladder, intestines, and uterus may occur.
- It can lead to surgery to remove the uterus, called a hysterectomy.
- Vital problems such as the mother being taken to intensive care may occur.
- The risk of infection increases.
How Much Time Should Pass Between Two Births?
When you are considering a second baby, you and your partner need to review both your financial and spiritual situation. You try to get pregnant the moment you think you can take charge of a second child, but the most important point you should pay attention to is whether your body is ready for it. In addition to the issue of how many times a c-section delivery can be made, the most important detail is the time between births.
According to the World Health Organization, you should wait at least 2 years between two pregnancies in order to maintain your body health.
A pregnancy that occurs before this puts both your and your baby’s health at risk. In case of getting pregnant before 2 years because the mother’s hormones and metabolism are not regulated yet; While the mother may experience an ailment such as anemia, premature birth, stillbirth, or miscarriage, autism may occur in the baby. It should not be forgotten that every pregnancy and birth has risks. As a result, the important thing is the health of the mother and baby.
Is Vaginal Birth Possible After C-Section?
As a result of the risks mentioned above, mothers may consider vaginal delivery after a c-section as a different option. This is a possible form of birth, but care must be taken:
- There are some risks with vaginal birth after c-section (VBAC) and these risks can endanger the lives of both the mother and the baby.
- The greatest risk is uterine rupture (uterine rupture). It is inconvenient for a woman who has had a c-section before due to a narrow roof and who has had a c-section with a vertical incision to perform VBAC. The risk of uterine rupture is less in c-sections with horizontal incisions, which are more common today.
- The delivery process of the pregnant woman considering VBAC should occur naturally. The risk of rupture in the uterus increases in cases where the birth does not start naturally, the cervix is not ready for birth, and there are situations that will disrupt the natural flow, such as artificial pain.
- Before taking the decision of VBAC, you must have a detailed examination with your doctor. While some doctors do not support or experience this, some doctors consider the possible risks and accept VBAC without putting you or your baby’s life at risk. It is possible to do VBAC after the conditions are determined to be suitable. The most important point to be considered here is that the hospital where such a birth will take place is appropriate. Your baby’s and your lives will not be put at risk by the presence of a team that can take a c-section with emergency intervention when a condition unsuitable for VBAC occurs at the last moment.
There are many situations that women who give birth by cesarean section are anxious before and after. Fear of childbirth, fear of not being able to have a healthy baby are also situations that lead women to cesarean delivery. For this, it is necessary to encourage women to experience a miraculous situation such as natural birth; but you should never blame yourself for having a cesarean for any medical reason.
Regardless of your birth type, the important thing is to have a healthy baby. In this article, we sought an answer to the question of how many cesarean deliveries can be made. Well, do you think there should be a number limit for cesarean deliveries? You can share your ideas with us in the comment section.