When to give birth vaginally after cesarean section?

The article was professionally consulted by Specialist Doctor Obstetrician and Gynecologist - Department of Obstetrics and Gynecology, Vinmec Hai Phong International General Hospital

Early pregnancy after cesarean section will lead to risks affecting the health of both mother and baby such as old caesarean scar podium, pregnancy clinging to old caesarean scar or placenta previa, tooth comb...

After cesarean section, depending on the location and health status of each person, the incision can recover quickly or slowly. Normally, a cesarean section will take about 7-10 days to dry and close the wound and then after 2-3 weeks, scars will start to form, but it will take at least 3 months, even 6 months or 1 year. Only then can the wound be considered to have completely healed the outer structural layers.
The inner uterus needs at least 1.5 years to 2 years before it can fully recover its structure and stabilize its functions. Not to mention vaginal birth or cesarean section, early pregnancy after cesarean section will easily lead to risks affecting the health of both mother and baby such as: old caesarean scar, clinging to old caesarean scar or pregnancy placenta previa...
More than 80% of women will repeat caesarean section in subsequent births. However, after a cesarean section, the mother can still have a normal delivery if the following factors are ensured:
The baby is not too big.

The occipital position, if it is another position, but still gives birth vaginally, it will cause many difficulties for the mother and greatly affect the uterus, especially the old incision. The mother's pelvis is completely normal, the mother does not have any genital diseases that obstruct the child's exit such as: prostate tumor, uterine fibroid... The old incision has completely recovered, no and pain at the incision site. The previous cesarean delivery was at least 18 months ago. History of previous cesarean delivery is 1 time (if a woman has had 2 or more cesarean births, it is recommended that all subsequent births be re-cesarean to avoid endangering the lives of mother and baby, and at the same time limit the risks of complications. complications after cesarean section). The old incision is a horizontal incision in the lower part of the uterus, so it is possible to have a normal delivery. But if it is a longitudinal incision, a cesarean section is indicated because the longitudinal incision has a higher risk of tearing and breaking than the transverse incision. It is advisable to give birth in a medical facility with professional, experienced medical staff and an operating room with adequate facilities and prestige to be able to ensure that all means of timely handling of complications occur during the procedure. born.

After a cesarean section, the incision takes a long time to fully heal, but this recovery is not 100%. If a pregnant woman has had a cesarean section once and this is her second pregnancy, this may lead to a normal delivery if all factors on the mother's side and the fetus's side are favorable for the normal delivery process. . But on the contrary, if you have had a cesarean section 2 times before, even 3 or 4 times, having a normal delivery in this pregnancy will have risks including:
Scars of 2 cesarean sections are still new means The elasticity of the uterus will be very poor, and vaginal delivery will become extremely difficult. If the placenta is low, it is likely that the placenta will cause a lot of bleeding, which can damage the organs in the abdomen, and if it is severe, it may be necessary to have a hysterectomy. Multiple cesarean births will not be good for the health of the mother, can leave many complications at the incision and outside the incision such as: prolonged pain, swelling, bleeding, inflammation and infection of the incision and other parts. Multiple surgeries can cause uterine adhesions and other complications caused by the anesthetic.
Customers can refer to the package maternity care program at Vinmec International General Hospital with a route of scientific examination for pregnant mothers before - during - after birth with experienced doctors in the field of pregnancy. obstetrics and gynecology, ensuring close follow-up helps women have a healthy pregnancy and safe labor.