At what week should the 3rd caesarean section be performed?

Caesarean section affects the mother's health more than vaginal birth. Especially the second caesarean section, the third caesarean section will be more dangerous than the first caesarean section.

Cracked, ruptured uterus In the mother's abdomen there is always a scar after a cesarean section. Normally, it takes up to 3 months for the wound to heal, depending on the mother's health condition. However, this scar is the cause of danger in the 3rd cesarean section. The cesarean scar can be broken out during pregnancy, especially when the pregnancy interval between the 2 pregnancies is less than 6 months. . And when the scar is broken, it will lead to the phenomenon of cracking and rupture of the uterus, endangering the life of the mother and the fetus.
Placental abnormalities The 3rd cesarean section increases the likelihood of women experiencing abnormal placental phenomena such as: placenta previa, placenta previa, placenta previa,... requires doctors The doctor during the cesarean section must handle it very carefully. In particular, the phenomenon of the placenta is related to the organs around the uterus (bladder, intestines, ..), which can lead to postpartum hemorrhage or the need to remove the uterus.
Slow recovery after birth Because of 2 previous cesarean births, the mother's health is much weaker in the 3rd time, suffering more pain, leading to a very slow recovery. After giving birth, the mother needs to use pain relievers, antibiotics, etc., which affects the quality of milk for the baby.
Higher risk of infection The mother's postpartum cesarean wound, if not cared for and handled well, can become highly infected not only in the incision but also in the uterus and other pelvic organs, make the mother's hospital stay longer, have the risk of some other gynecological diseases and also affect the next pregnancy.
The phenomenon of intestinal adhesions One of the dangers in the third caesarean section that pregnant women may encounter is intestinal adhesions. Mothers who have had multiple cesarean deliveries are more likely to stick their intestines to the abdominal wall, bladder, and intestines.
High risk of death When giving birth by cesarean, the risk of death in pregnant women is 2-4 times higher than during vaginal delivery. In addition, the dangers in the 3rd birth that the mother may encounter during a cesarean section are the risk of injury to other organs, increased complications in the next pregnancy, diseases related to the endometrium, etc.

If the mother wants to give birth to a third child with a cesarean section, she should have a thorough consultation with an obstetrician and pay attention to the pregnancy interval between cesarean births, which should be 3-5 years for the mother's body to be normal. fully recovered to complete the pregnancy in the best way. At this time, the doctor will appoint a cesarean section without waiting for other signs because the mother's body at this time can hardly give birth without causing damage. However, the cesarean section at this time needs to be done very carefully and closely follow all the progress of the body to ensure safety.
When determining the fetus is mature - that is, when the fetus is about 38-39 weeks old, the doctors will perform a caesarean section (otherwise the fetus will have complications of prematurity such as respiratory failure, endometrial disease.. .); unless there are signs of labor before this point. Note that it is advisable to go to the doctor earlier at 37.5 weeks pregnant to monitor and advise as well as prepare for the surgery better.
Currently, Vinmec International General Hospital is developing a package of maternity health care services. When registering for a package maternity program, pregnant women will be monitored and examined by qualified doctors. Regular check-ups and examinations will help detect abnormalities in the fetus early. Mothers will have periodic ultrasounds, 3D/4D ultrasounds to screen for fetal malformations at important weeks such as: week 12, week 18, week 32... Depending on each maternity package, pregnant women can also do pregnancy tests. blood tests, urine tests, Double test, Triple test... support detecting abnormal signs. At Vinmec, the ultrasound system, modern medical equipment, along with the experience of the doctors, will screen and detect early problems and pathologies such as: placenta, slow growth of fetus, etc. Renal calyx, knotted umbilical cord... Specific cases will be planned for treatment, combining specialties to help pregnant women have a safe pregnancy. Therefore, with this reproductive health care package, parents can rest assured about the pregnancy process and welcome their baby in a healthy way.