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Pregnancy After C-Section: Although bringing a new life is an amazing experience, women who have had a caesarean section (C-section) might face dangers when they consider pregnancy again. The previous dictum of once a caesarean always a caesarean does not hold now. Women who had previous surgery for a non-recurrent indication can opt for vaginal birth after caesarean is provided.

In a conversation with Jagran English, Dr. Meenakshi Banerjee, Senior Consultant- Obstetrics and Gynaecology, Madhukar Rainbow Children’s Hospital, Delhi explained risk factors associated with c-section delivery and tips women should follow for their next pregnancy.

Pregnancy After C-Section

The criteria for safe delivery are met. It is important for women to be aware of risks associated with pregnancy afterwards and to adhere to the recommended waiting period before conceivingagain to allow for complete healing. The chances of delivering naturally post caesarean increase if women come into labour, though the need for monitoring throughout labour is a must to pick up.

The previous history, indication for caesarean, the mother's present medical condition with the baby's presentation and last but not least the mother's motivation are the major factors contributing to the success of vaginal birth after caesarean section. Few risks associated with pregnancy right after C-section:

Uterine Rupture: One of the greatest dangers connected to getting pregnant again after a c-section is uterine rupture. It happens when a previous c-section scar breaks during labour, putting women and the unborn child at risk. The risk of this amounts to about 1/200 deliveries.

High Blood Pressure: C-Section pregnancy also leads to a higher chance of hypertension, or high blood pressure, and pre-eclampsia, a dangerous disease which is high blood pressure and protein in urine. Preeclampsia may result in poor foetal growth and organ damage.

Pregnancy After C-Section (Image Credits: Canva)

Gestational Diabetes: For women who do not currently have diabetes, this kind of diabetes can develop during pregnancy. It can lead to complications for both mother and baby which include large birth weight also known as macrosomia. Increased Risk of Repeat Caesarean Section: Pregnant women who have previously undergone a C-section are at a higher risk of doing it again. While some women may be able to have a vaginal birth later, there are hazards involved that should be carefully examined under the advice of a medical professional.

How Long To Wait?

Doctors often recommend waiting between 18 and 24 months following a C-section before attempting to conceive again. The interpregnancy interval of a minimum of 18 months is mandatory to give a trial of normal birth post caesarean. This waiting period lowers the possibility of any health issues during future pregnancies and births by allowing the uterus to recover.

Besides helping women heal physically, this period allows mothers to create a bond with the child, supports their emotional and mental recovery from their previous delivery experience, and gives them strength before starting a new pregnancy.

Navigating Next Pregnancy

Navigating pregnancy after a C-section requires careful planning, close observation, and help. Women should be open with doctors about any concerns they may have, as well as about their past medical conditions and delivery experiences. This covers screenings, ultrasounds, and
regular check-ups. If required, women should seek emergency medical attention. It is also important for women to get thorough prenatal care. They should also be alert for any warning signs or symptoms, such as unusual bleeding or changes in the movement of the foetus, that
could indicate problems. Ultimately, to guarantee the best possible results for mother and child, choices about further pregnancies should be made carefully.