And that possibility is what leads to the question of how many C-sections are considered safe. There are also risks to the placenta that increase with multiple C-sections. These include placenta accreta , placenta previa , and placental abruption. Although death is a risk associated with any surgical procedure, a study found no remarkable difference in very serious complications associated with repeat C-sections more than three when compared to C-sections in general.
The most common complication — which was significantly more prominent in those with multiple C-sections — was adhesions. The length of time you should wait to get pregnant again after a C-section will depend on several factors. That said, the U. Department of Health and Human Services recommends waiting at least 12 months for any type of delivery, and this is the minimum.
Any sooner than 1 year and you increase the chance that your new baby will be born too soon. You may need an even longer period between delivery and the next pregnancy. To give your body adequate time to recover, your doctor may say 18 months is the minimum. But there is no hard number or consensus among doctors. And a study found people of all ages have an increased risk for poor pregnancy outcomes with shorter time periods between pregnancies.
These shorter time periods were defined as 6 months compared to 18 months. There was no significant difference in the Apgar score of the baby, neonatal admission rate, incidence of caesarean hysterectomy, uterine scar rupture, placenta praevia, placenta accreta, bladder injury, incidence of postpartum pyrexia, wound infection and urinary tract infection between the two groups.
There was no maternal death in the study group but one mother died in the control group. Accessed Feb. American College of Obstetricians and Gynecologists. Committee Opinion No. Mayo Clinic Press Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Legal Conditions and Terms Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below.
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Reprint Permissions A single copy of these materials may be reprinted for noncommercial personal use only. What's the problem with inducing labor? The process doesn't always work as well as natural labor, so in those cases there's a 35 to 50 percent chance that you'll need a Caesarean, Montgomery estimates. Inducing with drugs, manually stripping the membranes connecting the amniotic sac to the uterine walls, or rupturing the amniotic sac to cause contractions doesn't always do the job.
And with inductions at an all-time high, making up more than 22 percent of births, according to the American College of Obstetricians and Gynecologists ACOG , it follows that Caesareans have spiked, too. Once you have a C-section, doctors generally advise that you have one with subsequent deliveries.
Vaginal birth after a Caesarean VBAC , which used to be widely available, is rarely performed these days, after a study showed a slight chance that the scar could give way, posing "a catastrophic risk to the mother and baby," Ricciotti says. Spencer, M. Plus, there are liability concerns for doctors if a VBAC goes wrong.
This trend may reverse itself, however. There's really no way to percent know which is a safer way to deliver. Macones, who led a large study on VBACs last year that found it was impossible to determine whether a vaginal delivery would be safe for women who had had a prior Caesarean, seconds Spong's assessment.
Scientists have batted around the idea of conducting a study that would compare a planned vaginal birth with a planned C-section. But such a trial would have to control for all sorts of variables, and, even more daunting, Spong says, "you'd need people who'd be willing to have their birth method chosen for them randomly by a computer. When a normal pregnancy takes a turn for the worse, few procedures work better or are easier for doctors to master than a C-section.
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