When C-Sections were not yet an option, women used to deliver 5 or more babies via the vagina. Even today, some women in certain parts of Nigeria give birth to 10 or more children. No one asks about the problem with the delivery route here. Spontaneous vaginal delivery is natural and should probably have no limit. With C-Sections, it is a different case. Many women want to know, how many can I have?
There is no set limit to the number of C-sections a woman can have. No one has a defined answer to this question yet. Why? The first problems that arise are the peculiarities of each pregnancy. Next, we move on to those of the woman. No two pregnancies are the same, even in one woman. This makes it quite difficult to predict the outcome. This is also why some women may have 7 C-sections while some are told not to have more than 3. In this article, we will try to explain the interplay of factors in this situation. First off, does one C-Section mean that a woman must always undergo C-Sections?
The Concept Of VBAC( Vaginal Birth After C-Section)
The title preceding this paragraph should give you the idea that vaginal births after cesarean sections are a ‘thing’. You can read more about this in our article on VBAC. VBAC is not always possible, but if the conditions are favourable, it is a course of action to take. One huge influence on this is the type of uterine incision that a woman had. The best are the highly cosmetic, low transverse Pfannenstiel scars. This is because the risk of uterine rupture in these cases is reduced compared to what one might expect in vertical scars.
How Many C-Sections Are Possible?
We can not say. Some women have only one and things get quite troublesome during the second. However, there’s a general idea that C-Sections should not be more than 2-3. One reason this might be is that VBAC is not much of an option after 3 C-Sections. One thing to know is that every C-Section comes with risks and they may increase with every repeat.
Uterine rupture is a possible problem following repeat sections. Uterine rupture happens just as it sounds- the uterus ruptures. The uterus tears excessively during contraction and this can be fatal if not promptly attended to. Vertical incisions on the uterus are implicated in this. Adhesions are another problem of repeat sections. The intestines or other abdominal structures can stick together following handling during surgery. The more the handling, the more the adhesions. Some women bleed excessively and require blood transfusions. Some develop bladder complications. All of these are possible problems with repeat sections.
What Can You Do About It?
Discuss your options with your doctor. If a C-section is necessary, then you need to know more details. Doctors are trained to consider a wide range of factors before deciding on the line of management. Do you want a large family? Your doctor needs to be aware. This will influence the process. You need to know about the type of incision they will make, the risks to you, the risks to your baby and the possibility of a VBAC. These answers will help you understand the process better.