Patient's question:
Medical history and symptoms: I have had two cesarean sections, both of which were performed via a horizontal incision, and both times I was stitched with catgut suture. During my third pregnancy, the doctor said my uterus was very adhesive, so I didn't want to have a child and underwent an induced abortion. Now I am 36 years old and still want to have a child. Please ask the expert, can I still have a cesarean section?Past medical history and effectiveness: I have given birth to two children and had one induced abortion. After the second cesarean section, I sometimes feel as if I am about to urinate incontinently.
What kind of help do you want: I want to have another child and undergo another cesarean section.
Doctor's answer:
Vertical incision generally has mild abdominal adhesion. You can have a third cesarean delivery, as the technology is advanced and cesarean delivery can generally be performed three times. For this lady, pregnancy is usually possible only 2 years after a cesarean delivery. Since she has had two cesarean deliveries, there is a higher risk of uterine rupture during the third pregnancy. If the placenta grows on the anterior wall, there may also be conditions such as placenta previa or placenta accreta, which can lead to severe bleeding. In severe cases, the uterus may not be salvageable. It is best not to have any more children. If you insist on giving birth, it would be better to wait 2-3 years. And it is essential to have regular prenatal check-ups.