Multiple caesareans

Roughly one third of women having their first baby will have a caesarean. Nation-wide, those women are highly unlikely to birth vaginally in their subsequent pregnancy.  There are many reasons for this, but suffice it to say, less than 15% women who had a caesarean with their first baby will go on to birth vaginally again.

So what?  What does this mean?

New research has found that women who have had numerous caesareans suffer more life threatening complications.  The risk of major bleeding and the need for a blood transfusion were dramatically increased, and this can relate to the way the placenta implants in the uterus.  If the uterus is scarred, sometimes the placenta implants abnormally.  It can implant too low in the uterus, or it can implant too deeply in the uterus.  Either way, this can result in heavy bleeding, even resulting in hysterectomy.

Other complications can include infection, damage to the bladder and bowel, blood clots, pain and reduced milk supply.

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