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Maternal (Expert Forum)
recent c-section & new pregnacy
Patient medical question and answer from The Maternal and Child Health Forum. Health topic area and articles about newborn care
recent c-section & new pregnacy
by joel__0, Jan 29, 1999 12:00AM
Hello. My wife had a c-section this summer do to labor not progressing. She is very small and our son
was (and still is) a big baby. He was over 10 lbs and 23" long. It has been 6 months since his birth.
Now, my wife is late (not by much) and is getting concerned about being pregnant again. Her main
fear is that her incisions have not completely healed and that they could rupture, especially if this child
is as big as our son (assuming she's pregnant).
Obviously, her OB/GYN can answer these questions for her, but she will be worrying about this until
she gets in to see him. What can you tell me about this situation that will help me ease her mind until
she can see here doctor?
We want more children, but this would be earlier than we had planned for. Of course the new additioin
would be welcomed and loved, but I'm sure you understand my point. Hopefully, this is a false alarm
and your answer will be for "future reference" only. But, if not, any assistance will be greatly
appreciated! Thanks in advance!
-------------------
Dear Joel,
Your wife's concerns are understandable. Fortunately, her incision should be essentially completely healed at 6 months. Experience has shown that
the appropriateness of attempting a normal vaginal delivery depends on several factors. Probably most important is the type of uterine incision that was made at the time of the original cesarean. The vast majority of cesarean births at full-term are the low-transverse type of uterine incision which is favorable for an attempt at labor. Overall, the rate of uterine scar separation or rupture in women with low-transverse incisions has generally reported to be approximately 1.5%. Obviously, most important is that you discuss the individual factors in your case with the obstetrician.
