Avoiding Pregnancy After Intercourse - Avoiding Pregnancy After C-Section

bint ji

hmm

Re:

Trial Of Normal Vaginal Delivery After Caesarean Section:

Vaginal Birth After first Caesarean section (V.B.A.C) is considered more safer than attempting a second caesarean section especially if the female gets pregnant minimum after 2years of her first pregnancy however as much more it could be is appreciated

The whole thing is to keep in consideration the Reason of the first caesarean section:

If the reason was such that it was limited to the first pregnancy then definitely vaginal birth is attempted for the female presenting at 2years and 9months or later for next delivery . For example: baby was lying upside down(breech presentation) ,    poor progress of first labour,    baby engulfed its waste, Female was underage (mother) and her pelvis was not formed properly etc...

If the reason was such that its going to repeat in second pregnancy then trial of normal vaginal delivery is not attempted. For example: mother pelvis shape is not the sort to have normal deliveries, placenta was adherent to the uterus or very low lying placenta ...etc..

So the decision of 2nd caesarean is on The gap from first pregnancy as well as the cause of 1st c-section. Gap is required to Bring Uterine Strength back to take load of labour pains. Healing completes within 3-6months that's not the issue.

Caesarean Section: when necessary?

choice of contraceptive after c-section

else condom aur safe period coitus method.

Har method har couple ke leye nai hota so ap khud doctor se mashwara karo

Agar ap munasib gap doge aur depending ke kya reason Thei apke C-section ke peh Next depend karta ha k apke normal ho sakti ha. . .

Choice of Contraception

Reason of my C-section

immature pelvis and poor labour progress.

ho to cal safe periods after C-sec

a case study

How to cal safe days after C-section

re: choice of contraceptive method after c-section

apka chounke waisey he under age pregnancy aur operation huwa ha tou best ha k ap minimum risk lo aur jubtak hormonal method nai krti ya apke period regular nai hote for safe period calculation condom ke option tou ha na

jo low dose maine btaya wo capusle hote hain jo arm ke skin ke ander rakh daite hain. Ye long term 2yr etc ke leye han aur safe han hormones han magar intahai low dose aur slowly release hote hain capsule se so inke side effect min han . .

waisy low dose injection (3monthly),pills(daily) b ati han.

how to avoid recurrent c-section

Labour as such he power play ha passenger (baby) aur passage (uterus to birth canal) ke darmeyan . .

World over aur especially under developed countries mai bhe c-section ka rate barhney ke wajah mai mother ke malnutrition jo keh maternal fatigue aur exhaustion karti ha ka bohat role ha plus family start karne ka trend late age mai above 30years.

Caesarean section 2nd time avoid karne ke leyeh

1) sub se zada zarouri tou ye ha k next pregnancy minimum 2yr baad ho Best 3years gap ha

2)REASON pata houna c-section ke impt ha agar tou underage mother, baby upside down, premature weak baby due to Maternal malnutrition, prolonged labour leading to fetal distress , hypertension in pregnancy etc thein tou zarouri nai k yea next pregnancy mai houn

agar placenta adherence, Cord prolapse , low placenta , small pelvis of mother , gestational diabetes aur large baby , mother ke koi medical illness cause ha tou next time most chances c-section ke he han . .

Agar koi bhe definative Reason ha 1st time operation ke tou next time bhe must he hoga

jo chezain operation ke risk ko karti han wo han

a) Under 18yr pregnancy . . . Above 35yr pregnancy

b) Short height mother (below or exact 5feet)

c) Male type pelvis

d) Malnourished.  Obese or underweight mother

e) Previous 2 c-section or one due to absolute or recurring reason

f) Diabetic mother or other mental physical disease that makes her unable to undergo labour like polio etc

g) Birth defect in previous baby

Twin pregnancy (operated previously)

As such the decision to do vaginal birth after c-section depends on doctor

Uterine Rupture is NOT an issue as such these days after 1 c-section if normal labour is done as scar is transverse and don’t rupture much. The  issue is to prevent placenta adharence to previous operative scar and the ability of uterus to take labour rigors.

Key is to have proper gap, Good nutrition to mother, healthy weight and age factor is taken into account lastly no Absolute recurring reason of operation