Is the second caesarean section still done on the original incision? Is the second caesarean section more painful than the first?

With the opening of the second-child policy, more and more families are welcoming second babies. Today, the editor of No. 5.com will introduce to you whether the second-child caesarean section is still on the original incision? Is the second-child caesarean section more painful than the first?

Should the second caesarean section be performed on the original incision?

Many mothers worry that if they had a caesarean section for their first child, will there be two scars on their belly when they have their second child? Don't worry about this. Generally, the location of the caesarean section for the second child is the same as that for the first child, so there will not be another wound on the belly of the mother who has a second child. The skin surface will still be cut from the original position, and your last scar will be removed, so after healing, the scar will still be left at the old position.

Is a second caesarean section more painful than a first?

A second cesarean section will not necessarily be more painful, as anesthesia will be administered, so the pain may be similar. The pain of the second cesarean section is basically the same as the first, because both are anesthetized, and the second operation will generally be cut along the original wound, so that no new scars will be formed. Compared with the first cesarean section, the healing speed of the second wound may be slower than the original, but it doesn’t matter. You just need to pay attention to rest and recuperate for a while. In addition, it does not mean that the first baby must be cesarean section, and the second baby must also be cesarean section. You need to make a comprehensive judgment based on the actual physical condition and fetal condition. Relax your mind, the doctor will also give you advice, so don’t be afraid.

You can have a second child at least 2 years after a caesarean section. The delivery method of the second child is determined based on the results of B-ultrasound and other examinations. If the fetal condition of the second pregnancy meets the conditions for a normal delivery, and the interval between the two pregnancies is more than two years, and the uterine scar heals well after the last caesarean section, you can consider a normal delivery. A second caesarean section will not necessarily be more painful, as anesthesia will be given, so the pain may be about the same, but the healing speed of the second wound may be slower than the original.

Can the second child be born naturally?

1. The previous cesarean section was a transverse incision of the lower uterine segment, and the patient recovered well after the operation;

2. Ultrasound examination showed that the lower uterine segment was well connected and the scar thickness was ≥3 cm;

3. The delivery interval is ≥ 2 years;

4. The previous cesarean section indication does not exist, and no new surgical indications have appeared;

5. Cervical Bishop score ≥ 6 points, no relative cephalopelvic disproportion;

6. Have good medical monitoring equipment, can perform surgery at any time, neonatology, blood transfusion and rescue conditions. In addition to the above conditions, the specific decision needs to be made in conjunction with the obstetrician's full assessment.

In summary, if the first child was delivered by caesarean section, the second child can still be delivered naturally, but there are many risks, and if you choose to deliver the second child naturally, you must not use drugs to induce labor, otherwise it is easy to cause uterine rupture. Because of these factors, it is recommended that women who plan to have a second child should choose the right delivery method for the first child. If all physical conditions allow, it is best to have a natural birth to avoid entanglement when giving birth to a second child.