He Jie first talked about the experience of cesarean section and 3 births in 5 years: the first child was dissected, and the rest could only be dissected
Original | Pregnancy
The first child is caesarean section, does the second child have to be dissected?
This should be the most concerned issue for many caesarean section mothers who are preparing to have a second or third child.
One child is a caesarean section, which is indeed a delivery method that will affect the later pregnancy, and there are many mothers who have a cesarean section and choose to have a cesarean section later.
For example, He Jie, a mother of three children.
Recently, He Jie talked about her experience of cesarean section and 3 children in 5 years on social platforms for the first time, because the first child was cesarean section, and she could only dissect the second and third children in the future.
He Jie explained the reason for her three caesarean sections.
Because of the placental calcification of the first child, the baby has no intention of starting, so it can only be transferred to a caesarean section.
The first child was delivered by caesarean section, and the interval between the second child was too close (the first child was born in July 14, and the second child was born in November 15), and the second child could only choose to be delivered by caesarean section.
After that, the 3rd child could only be dissected due to physical reasons.
Is it possible to have a caesarean section for one child and a second child?
What should I pay attention to when I get pregnant after the caesarean section? Today, the pregnant mother will talk about it in detail.
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Wu Chenjun: The first child was dissected because of the fetal position
The second child was successfully delivered!
Do I have to continue the autopsy after the autopsy?
In fact, it is not necessarily, it mainly depends on the condition of the pregnant mother and the baby.
If the physical condition does not allow it, it is true that it can only be dissected.
For example, Liu Xuan, who gave birth to two babies, did have both babies by caesarean section.
One fetus can only be dissected for safety reasons because the umbilical cord is around the neck + the fetal position is not correct.
In order to be able to be smooth for the second child, she made a lot of efforts, insisted on exercising to control her weight, etc.
But the second child can only be dissected because the baby's abdominal circumference is too large.
For example, Xie Nan, she had a baby because of low amniotic fluid at 35 weeks.
In order to have a smooth delivery of the second child, she made sufficient preparations, insisted on fitness, controlled diet, and when it came to labor, the fetal position conditions, fetal size, pelvis, and physical reserves were good.
However, because the first fetus was cut at 35 weeks, the uterine wall was dissected without sufficient stretching, so the elasticity of the second fetus deteriorated.
After the doctor assessed the risk, the second child could only be dissected.
However, if the physical condition of the pregnant mother allows, the baby's fetal position is also positive, the first child is a mother who was born by caesarean section, and the second child can also be delivered naturally.
Wu Chenjun, the actor of Kong Ci, succeeded in dissecting one child and having two children.
She had a caesarean section because of an abnormal fetal position.
Everything is normal with the second child, although the baby is a little bigger, but she has successfully delivered naturally.
Her experience is that if you work hard to control your diet and keep exercising during pregnancy, you will also have the opportunity to have a caesarean section and then turn to a natural birth.
There are also many fans of pregnancy, and the mother has a cesarean section and a second child, which is a success.
There is a mother who is pregnant at an interval of 2 years, and the doctor told the second child to control her weight, walk more, and try to give birth smoothly if she has the conditions, and finally the second child was successfully delivered.
There is also a mother who also did her homework during the second pregnancy, controlled the weight of the fetus, and the thickness of the scar was greater than 3mm, and finally successfully delivered naturally, with the baby 5 pounds and 8 taels.
Therefore, it is not impossible to say that the first child is cesarean section and the second child should be smooth.
The mother who had the first child was born by caesarean section, and the second child had the opportunity to be delivered naturally, not the first child, but the second child.
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One Child, Two Babies Want to Be Shun (VBAC)
You can try it if you meet the following conditions
The Chinese Society of Obstetrics and Gynecology has developed a guideline: "Expert Consensus on the Management of Vaginal Delivery in Second Pregnancy after Cesarean Section 2016", which proposes several indications for trial vaginal delivery of second pregnancy (TOLAC) after cesarean section:
●Pregnant women and their families are willing to have a smooth delivery.
●The hospital has the conditions and corresponding emergency plans for the rescue of complications (vaginal delivery of another pregnancy after cesarean section) and the corresponding emergency plan.
●The first caesarean section was a lower transverse incision, and the previous caesarean section was successful, the incision was not prolonged, the incorporate was recovered as scheduled, there was no late postpartum hemorrhage, postpartum infection, etc., and there were no other surgical scars in the uterus except for the cesarean incision.
●Positive fetal position (cephalic position).
●There are no indications for a previous cesarean section and no new indications for cesarean delivery.
●The interval between deliveries ≥ 18 months
●Ultrasonography of the inferior musculature of the anterior anterior wall of the uterus is continuous.
●The estimated fetal weight is less than 4000 g.
To sum up, the first child is a cesarean section and the second child is smooth, the requirements are still very strict, if the first child is a mother who was born by caesarean section, and the second child meets the above conditions, the second child can try to have a smooth birth.
However, if you have ever had any of the following, then VBAC is not the right choice:
●The last C-section was a high vertical (classic) uterine incision, which is more likely to cause uterine cleavage.
●Previous uterine rupture.
●Have had uterine surgery, such as myomectomy.
●If more than two previous cesarean births have been performed, the physician may not recommend VBAC, and VBAC is usually not a good option if you are pregnant with triplets or higher.
According to studies that try vaginal delivery after a caesarean section, about 60% to 80% of mothers in foreign countries have VBAC success.
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If you are a mother with the following conditions:
It is not a safe choice to think about it after the dissection!
There are many factors that reduce the likelihood of VBAC, and doctors do not recommend VBAC if:
●Arrest or lack of progress in the previous labor
●Advanced maternal age (35 years old or older)
●Pregnancy over 40 weeks
●Body mass index greater than or equal to 40 (severe maternal obesity)
●Excessive weight gain during pregnancy and overweight fetus
●Early period of childbirth
●The interval between pregnancies is less than 18 months
●History of two or more cesarean sections, no history of spontaneous delivery
●Labor induction is required
Just like Liu Xuan, an elderly mother and a large fetus, VBAC is not a safe choice.
Expectant mothers should also know that VBAC is risky.
VBAC was associated with fewer complications than elective repeat caesarean sections, but failed birth trials after cesarean section were associated with more complications, including uterine rupture, which rarely occurred.
If the uterus ruptures during labor, an emergency caesarean section is required to prevent life-threatening complications such as heavy bleeding in the mother, and the uterus may need to be removed if the rupture is complicated or to stop the bleeding.
But the odds aren't high: it's usually less than 1%, so moms shouldn't be overly anxious about that.
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After the dissection, the pregnancy is carried out
The method of delivery must be as directed by the doctor!
If you've had a previous C-section and are now pregnant, discuss the VBAC with your doctor at your first prenatal visit to make sure you have a complete medical history, including records of previous C-sections and other uterine surgeries.
Doctors weigh the likelihood of VBAC based on the medical history, and it is important to continue to discuss the risks and benefits of VBAC during pregnancy, especially if certain risk factors are present.
Doing these things well can increase the success rate and safety of VBAC.
First: Learn about VBAC. Participate in the delivery course on VBAC, VBAC has strict requirements for fetal weight and maternal physical condition, and you can have a healthier pregnancy by understanding it in advance.
Second: planned delivery in a well-equipped hospital. Find a hospital that can handle an emergency C-section.
Third: Let labor start naturally, if you can. Induction or induction of labor reduces the likelihood of VBAC occurring, medical induction of labor makes contractions stronger, and strong contractions increase the chance of uterine rupture.
Fourth: Scientific weight gain and healthy pregnancy. To have a smooth birth, you must first meet the conditions for a smooth birth, have regular prenatal checkups, communicate with the doctor, and follow the doctor's advice to have a healthy pregnancy.
Fifth: After having surgery for uterine fibroids, it is best to wait a year before getting pregnant.
Sixth: The interval between the first child and the second child is best 2~6 years. Studies have shown that the degree of uterine scar muscleization can only be achieved after 2~3 years after cesarean section, so it is recommended to wait more than 2 years. However, it is not safer for a longer period of time, if the cesarean section lasts for more than 6 years, the scar of the uterine incision will gradually become thinner, the muscle fibers will turn into connective tissue, and the tone will deteriorate.
Seventh: Uterine scar assessment using ultrasound or MRI before pregnancy. See if the condition of the uterus is suitable for pregnancy.
Eighth: 36~38 weeks of pregnancy color ultrasound to check the healing of uterine scars. Whether the uterus will rupture in the scarred uterus is not a simple thickness, too thin is afraid of rupture, and the thicker one may not be safe, but it should be related to elasticity.
If the fetus is overweight, the mother is older or more than 40 weeks pregnant, please continue to consider caesarean section, safety first at any time.