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Caesarian sections are becoming more and more common in this day and age. Many women who have c-sections want to have their children close together. There are recommendations for how long a woman should wait in order to ensure that both mother and baby are safe for childbirth.
Generally, there is a recommended wait of 18 to 23 months before women who have c-sections to wait before conceiving again. This is actually the allotted amount of time recommended to women who give birth vaginally.
It may seem like a long time to wait, but women who have caesarian's need to remember that this type of delivery is considered major surgery and it will take your body a bit of time to heal completely from it.
Many women who deliver by caesarian section conceive a baby before the recommended waiting time. This is not a major problem. The 18 to 23 months waiting time is just a recommendation to help limit the chances of complications for further deliveries. Most women who conceive before the time frame have uncomplicated pregnancies.
It is always best to speak to your physician to let him know you are interested in conceiving before the recommended time frame, just to get his opinion and advice.
This is a tricky question, because different studies have shown various degrees of safety vs. risk when more than one Caesarean is performed. With every Caesarean there is risk, as it is a major abdominal surgery. However, the more Caesareans that are performed, the more likely Placenta Accrete can develop. Placenta Accrete is a condition where the placenta actually imbeds into the muscles of the uterine wall. This increases the chances of hemorraging and even a hysterectomy.
Repeat Caesareans can also be more difficult to perform because of the increasing amount of scar tissue left from previous Caesareans.
So how many are actually safe? It isn't quite known just how many Caesareans are safe for both the mother and the baby. With Caesareans, the increased risk of persistent pulmonary hypertension in infants is to be considered.
If you are considering your second, third, or fourth Caesarean, it is important to discuss the risks with your doctor. The safety of repeat Caesareans is different for each woman.