Daily Health Tips: Can I Deliver Vaginally After Two Caesarian Sections?


Q: Please ma’am, I delivered my first baby in 2012 through Caesarian Section, due to placenta previa, type 2. After 10 months, I conceived. I had another Caesarian Section because the baby is too big….and after 1 year, I am pregnant again and I’ve worked on how to achieve a small baby. Please, I want to know…are there any chances of me delivering through the vagina?

A: Hello dear, thanks for writing in. I’m a bit curious about how you are working on achieving the small size for your baby! I hope you’re not one of those funny ‘lemon and ginger’ or ‘tea only’ fad ‘diets’. They are absolutely useless! Eat well…nutritious, balanced diet with more fruits and vegetables. Remember that causes of big baby include diabetes, excessive weight even before pregnancy etc

For more on this subject, please click on this link: https://chatwithdrketch.com/2014/02/17/daily-health-tips-help-im-pregnant-and-my-doctor-says-my-baby-is-too-big/

Can you deliver vaginally? Yes, you can. A few years back, having had one C-section meant you could still try for a VBAC (pronounced Vee-Back and means Vaginal Birth After a Caesarian) but once you’d had two C-sections, you could only have subsequent children with the same procedure. That thinking has changed now and having had 2 C-sections may not be an automatic sentence to the knife, anymore 😀 However, there are a few factors that influence the decision for or against a VBAC. An important factor is that people who have had a transverse cut C-section (Lower Segment C-Section in which the cut on the abdomen is made from in the lower abdomen running from left to right) are more likely to be successful candidates for VBAC than those with vertical cuts (classical C-section in which there is a longitudinal cut on the abdomen). So, be guided by your doctor and remember that just because your doctor has said it is okay to try for a vaginal birth after a Caesarian Section does not necessarily mean that it will be successful. The woman may very well still end up having a Caesarian Section if a vaginal delivery is tried and it fails.

Generally, there’s really no specific number of C-sections that a woman is meant to have (especially in centers with significant technological advancement), though about 3 used to be the mark. There are women who have had than 3 and are alive to tell the story. Having said that, the more the number of sections, the more the risks and complications the woman is exposed to.

Common risks and complications include:
• Weakening of the wall of the uterus wall with risk of uterine rupture!

• Healing after a C-section comes with development of scar tissue which may subsequently cause adhesions as they cause abdominal organs to stick to each other. This may lead to obstruction of the bowel or even block the fallopian tubes, leading to infertility. These adhesions may develop between the uterus and the bladder making it easier to injure the bladder with subsequent C-sections.

• Placental problems may occur in people who have had C-sections as the placenta may be implanted too deeply into the womb or there may be placenta previa. In these instances, removing the placenta presents a challenge and may result in profuse bleeding which requires blood transfusion.

For more on placenta previa, please click on these:
https://chatwithdrketch.com/2015/03/09/daily-health-tips-can-placenta-previa-recur-in-my-pregnancy/

https://chatwithdrketch.com/2014/06/29/daily-health-tips-placenta-previa/

Have a good night, y’all 😀

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