Multiple C-Sections: How Many Is Too Many?

Multiple c-sections are very common, especially nowadays. When a woman is considering having more children after having her first via cesarean delivery, she may have some concerns about several things including: the type of birth(s) she’ll have in the future, the size of the family she can have, potential risks of complications along with concerns about her body image.

 

There was a time when doctors recommended a woman had no more than three c-sections and back then, a vaginal birth after cesarean delivery was practically unheard of due to the fear of risk to mother and baby. Even the way that cesareans were performed was generally different with a midline incision vertically on the woman’s abdomen. Today, most deliveries via c-section are lower uterine sections that involve a much smaller scar horizontally on the lower abdomen.        Read more »

C-Section Recovery

Recovering from a c-section is nothing to take lightly.  It’s probably the single biggest concern women and their families have.

 

How long it takes for you to recover depends on several things, your overall health, how prepared you are and how well you take care of yourself, but the single most important element to a quick recovery is your attitude.

 

   - Maintain fitness
   - Keep a positive attitude
   - Talk with close friend and family members
   - It’s all about what works for you, but I will tell you, the more exposure you have to ideas, tips and helpful assistance the better!

 

This is a very special time for your baby and bonding is extremely important but I also believe that you must not lose sight of your own health. Make time for yourself, get the help you need, make healing a priority and do whatever it takes to stay positive. You can’t care for a baby if you don’t start with yourself first. 

 

Keep in mind that if you aren’t healthy, happy and feeling well YOU not only suffer but so does baby.

 

C-section Recovery Tips:               Read more »

C-Section Risks

A c-section requires delivering a baby surgically, of course as with any surgery there are risks, some risks are minor yet some may be more severe.

The biggest issue surrounding c-sections today is that approximately 1 in 3 mothers have their baby by c-section. That’s a lot!  There are certainly medical reasons that justify having a cesarean but we’re also seeing many c-sections being performed by choice. Choosing to have a c-section can stem from meeting personal deadlines, work schedules or convenience. This has been on both the part of the doctor and the mother. 

Don’t get me wrong, I am not against performing c-sections; I’ve dedicated my book, the Worry Free C-Section to the topic of helping women prepare, get through and recover from a cesarean in the easiest, stress-free way possible, however awareness is important.         Read more »

Common C-Section Complications

If you are expecting to have a C-section there are a few side effects and complication you should be aware of.

These side affects that could occur following a c-section however many of these complications rarely occur at all.   Having said that, staying aware of possible complications could help you avoid them.

Postpartum depression after a c-section
After having a baby it’s quite common to go through some depression and mood swings due to hormone changes.  Normal post natal blues last about 3-10 days following birth and should subside without treatment, however any of the following indicates you should contact your doctor immediately:

  • Depression lasting longer than 2 weeks could mean full post partum depression and can include:
  • Strong feelings of depression, anger, doubt, guilt, or helplessness that gets worse over time
  • An inability to care for themselves or their baby
  • Change in appetite
  • Anxiety or panic attacks
  • Intense concern or perhaps no interest at all in your baby
  • Suicidal thoughts

Bleeding after a c-section
Following a c-section some bleeding is normal.  However heavy, persistent bleeding is not. This could mean postpartum hemorrhage caused by placenta or uterine problems.

For example, the placenta can attach itself more strongly to the uterine wall preventing easy separation of the placenta after delivery causing it to bleed.  Placentia problems occur more often in women who have had at least one previous c-section or have had Placentia problems in the past.

Infection after a c-section
Infections occur in about 10-20% of c-section surgeries.  Infections can occur in or around the incision site, urinary tract infections can occur as well as uterine infections

The easiest infection to avoid is around the incision site.  Proper and careful care can help avoid this type of infection. Internal infections are rare however they are often more serious. 

Nerve injury after a c-section
Since a c-section is surgery you will have cut nerves in your skin.  The good news is these nerves will heal along with the healing of your skin; the bad news is some nerves do not heal.  Symptoms can result in loss of feeling in your skin, pain in muscles or problems controlling muscles.  Symptoms often go away in time but some do not and may even require additional surgeries.

Adverse reactions to medication after c-section
Anytime you have surgery you will receive medications.  In some cases reactions to medications or anesthesia can occur causing itchiness or rashes.  Serious or fatal reactions are rare, however be sure to tell your doctor about all allergies and answer questions as accurately as you can.

Delayed bowel function after Cesarean
This is common after surgery. If your bowel function slows after a c-section you will be given clear liquids until activity re-occurs. Once you begin passing gas this will mean normal functions are returning.

Blood clots following c-section
Blood clots are generally your friend.  When you bleed, either inside or outside your body, you blood will clot in order to stop the flow of blood. The problem occurs if the blood clot flows away and gets stuck in blood vessels. If a clot gets stuck in an artery or vein it can block the flow of blood.

After having a c-section blood clots can occure in the veins of the leg. This is known as deep venous thrombosis. This type of clot more often occurs in extremely heavy patients or patients that don’t move soon enough after surgery; it also has a tendency to occur if you’ve had previous blood clots.

Be aware that blood clots after a c-section can move from blood vessels to your lungs causing shortness of breath known as pulmonary embolus.  In such cases blood thinning medications work very well.

Adhesions following c-sections
An Adhesion is the scar tissue that forms a connection between tissues or organs.  This connection can form between the uterus, fallopian tubes, bladder, intestines or other organs. Adhesions can occur and cause no problems at all, however in some cases they can cause pain, vomiting or even severe abdominal or pelvic pain and in some cases even bowel obstructions.

Treatment depends on the seriousness of the complications.  If there is significant pain or obstruction you may need another surgery, however another surgery to remove the adhesions can cause even more adhesions making the situation worse.  Having multiple c-sections increases the risk of adhesions; this is because each surgery causes more scar tissue.

Older Women, Pregnancy & C-Sections

For various reasons, more and more women today are getting pregnant at a older age, specifically over 35. 

For many women starting a family at a later age is a conscious decision and often times the best decision for personal reasons such as juggling career and family however, it’s important to note that a first time mother over 35 is at greater risk of pregnancy & labor problems which puts her at greater risk of having a c-section as well.

Why is over 35 a critical time?               Read more »

C-Sections & Higher Insurance Costs

An article in the nytimes.com posted the dismal news about a woman who was seeking health insurance and abruptly turned down. 

At first she didn’t understand how that was possible since she had been in perfect health and only 39, but later learned that she was turned down because she had had a prior c-section birth.       Read more »

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