Natural delivery after cesarean section

At the present time, independent repeated childbirth after Caesarean section is being promoted. However, such decision of the woman should be well weighed and thought over. In this situation, it is very important to find an experienced doctor, whom the woman will trust, and who will support her in the desire to give birth herself, and subsequently be able to take delivery.

To give birth alone after cesarean section is not possible for every woman. For such births to take place, certain rules must be observed.

Is it possible to give birth naturally after cesarean section?



Most importantly, for cesarean section, both absolute and relative indications should be absent. The type of section that is carried out at the first birth is very important. In the classical type, implying a longitudinal scar, natural births are impossible. And in case the scar is transverse, it is quite possible to give birth to it, under other favorable conditions.

It is very important, according to what indications, a cesarean section was performed in the first birth. If they were caused only by the peculiarities of the course of pregnancy, in particular, toxicosis of the second half, a narrow pelvis, incorrect presentation of the fetus, placental abruption, then with repeated pregnancy a woman can give birth independently.

There must be a certain period between pregnancies. Pregnancy after caesarean section can be no earlier than three years later. And in this interval, it is necessary to avoid abortions, their negative impact on the uterine scar is an extremely unfavorable indication for independent childbirth. Too large a gap between pregnancies (10 and more years) is an argument for a second cesarean section, conditioned by the age of the pregnant woman.

One of the most powerful indications for independent childbirth is the condition of the scar after cesarean section. Its final formation is completed one year after the operation and no longer changes. The most favorable, if scar is almost not visible on the uterus, it confirms that the body has recovered as much as possible. No less important, from what tissue the scar is formed. The predominance of muscle tissue is required, but not mixed, the scar from the connective tissue is dangerous for the life of a pregnant woman.

With natural childbirth, a deadly complication is the rupture of the uterus tissue, therefore the scar consistency is checked instrumentally.

At the period of pregnancy 35 weeks it is possible to judge the possibility of carrying out independent births. US provides an opportunity to assess the consistency of the scar, the position, size and presentation of the fetus, as well as to reveal how the placenta is located relative to the scar on the uterus and its internal throat.

The woman's ability to give birth after the caesarean section is confirmed by with a planned, correctly occurring, full-term, repeated pregnancy. The fetus must be in the singular, the body weight is not more than 3500 grams. Its position should be longitudinal, of course, with a head presentation, and the placenta should be located outside the scar, preferably on the bottom or back of the uterus.