WOMENS-HEALTH Messages for March, 1998: Re: 2nd C-Section

Re: 2nd C-Section

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Tue, 3 Mar 1998 15:05:01 -0600 (CST)

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In reply to: Karen: "2nd C-Section"

At Tue, 3 Mar 1998, Karen wrote: >
>Is there a recommended amount of time to wait
>before becoming pregnant with a 2nd child?

Being pregnant twice within a year increases the risk of prematurity and low birth weight.Also since the American Academy of Pediatrics recommends breastffeding for a full year, you should wait until your first is a year old before getting pregnant again.

>If the 1st child was a C-Sec. and the Dr. has already
>said that the next one probably will be too, does this
>change the time period?

No. Why did your doctor say the next would probably be a cesarean? About 70-80% of women who attempt to deliver vaginally after a prior c-section do, depending on hte reason for the original c-section. For example, over 80% of women who had a first c-section for breech will be able to deliver vagianlly next time, compared to only 12-15% who had a c-section after being unable to push the baby out. >
>How many children can one have safely if all are
>delivered by Caesearean?

The more times the uterus is cut, the weaker that area can become and the higher the risk of the uterus rupturing during late pregnancy. As all women are different, there is no absolute number that applies to all women --I've delivered a woman who had 8 prior c-sections and her uterus looked fine, and I've deliverd some with only one or two prior c-sections whose uterii looked like tissue paper. At the time of a c-section we can often tell if the lower part of the uterus is abnormally thin, and may recommend caution in another pregnancy.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered.

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