How Many C Sections Can A Woman Have ? | सीज़ेरियन सेक्शन | Is It A Safe Procedure ? Recovery Time ?

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Dr. Heena Chawla
Gynecology

How Many C Sections Can A Woman Have ? Is it a safe procedure? And recovery after C Section 

How many c sections can a woman have? In this video, SimpliHealth expert Dr. Heena Chawla, Consultant Gynecologist at CHD City Hospital, Chandigarh, is talking about the risks involved in C sectio. She aslo answers common questions like: 

  • How many cesarean sections are possible for women? 
  • What is the maximum number of cesarean possibilities? 
  • What are the risks associated with cesarean section? 

How many C section can a woman have?

It’s very difficult to say how many C-sections a woman can undergo. Many females have undergone five to seven cesarean sections, and few have complications after one cesarean. 

So every patient is different; hence we need to individualize it for everyone. 

For every patient, we need to set other criteria. Like this patient can undergo a cesarean or not. 

Risks involved in C section 

The incidence of cesarean was 15% in early times; then, it gradually increased to 25%. Increased maternal complications and fetal risk are the most probable reasons for the rise in cesarean delivery. However, every cesarean comes with few risks. 

Adhesions (How Many C Sections Can A Woman Have ?)

Adhesions form after every surgery, like the anterior abdominal wall or the intestine sticking to each other, and the omentum may stick together. 

Injury to nearby organs 

Whenever we do any operation, there is an increase in the operative time, and the risk of injury to the nearby structures also increases. 

Damage to urinary bladder 

Damage to the urinary bladder is always one of the risks during a cesarean, and this risk factor increases with every cesarean. 

Stitches and chaces of rupture 

Also, we make a scar or incision in the uterus during a cesarean and then stitch. Eventually, these stitches heal, so there is a probability of developing weakness in these areas. As the pregnancy increases as the baby grow, it puts pressure on the weak spots, resulting in more weakness and increased chances of rupturing. 

Mothers are at very much risk if there is suppuration in the uterine layer. 

Accreta 

Apart from this, often placenta may stick to the scar area and may start growing there, this condition is known as accreta, which may invade the uterus wall and start growing there, or it may come out and start growing in the bladder. 

Post Partum Hemmorhages 

And there is a probability of a low-line placenta which means it is more towards the lower side. So this situation may result in excessive bleeding in the next cesarean. As a result, there are more chances of bleeding and PPH. 

There is an increased risk of blood transfusions. If we cannot control bleeding in the patient on the table, irrespective of trying all methods to save the patient’s life, we might need to perform a hysterectomy.

The risks depend on the previous pregnancy. 

So these are a few risk factors associated with recurrent cesarean section. 

  • As the number of cesarean sections increases, these complications also increase.
  • Apart from this, it also depends on the condition of the previous pregnancy. 
  • If in the last pregnancy, there were complications in the wound. 
  • Or the stitches did not heal well correctly. 
  • Stitches came out before the time or duration of hospitalization. 

Risk of Hernia 

Was there any bleeding or injury to the nearby structure, or did some patients develop a hernia? 

Suppose someone has undergone more than two cesareans, then the probability of developing hernia increases to three times. 

If someone has six cesarean sections, there is six times more risk of developing a hernia. Also, it largely depends upon the type of incision made to the uterus. Some may provide vertical incisions. 

How to decide for a C section 

In such cases, we don’t decide to do cesarean delivery for the second time easily. So all these factors are taken into consideration. If the current pregnancy is high-risk, we count all the factors to consider whether to opt for a cesarean section in the following delivery or not. And if you don’t have a high-risk pregnancy, it is a low-risk pregnancy. 

You didn’t have any problems the last time; the previous cesarean was uneventful, recovery was good, and there was no problem healing the stitches then. We can easily decide on a cesarean section for the subsequent pregnancy.

How many C sections are safe? 

 If I have to say a standard figure, then I would say three cesareans are very safe, but therein is an increase of risk with each passing surgery.

 Thank you 

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