Do I need to check before having a caesarean section for my second child?

Giving birth is a very important thing in a woman's life. There are two ways for women to choose to give birth: natural birth and caesarean section. Generally speaking, if the fetus does not have any special conditions, it is better to choose natural delivery. However, if the pregnant woman has some special conditions, a caesarean section is required. But you can have a second child by caesarean section, but do you need to check before getting pregnant with a second child? Because many people have the idea that if the second child is delivered by caesarean section, there is no need to pay too much attention to prenatal checkups. This is a wrong understanding.

1. After a caesarean section, you need to wait two years before getting pregnant again. Because the incision on the uterine wall after cesarean section does not heal well in the short term. In premature pregnancy, the uterus continues to grow due to the development of the fetus, and the uterine wall becomes thinner, especially the surgical incision is made of connective tissue and lacks elasticity. Fresh scars can easily rupture in late pregnancy or during delivery, causing massive abdominal bleeding and even life-threatening. Therefore, it is safer to get pregnant again two years after the operation.

2. Prevent abdominal compression in late pregnancy. To prevent the scar from cracking, it must be protected and not squeezed. In daily life during the late stages of pregnancy, you should avoid crowded places when riding in a car or walking, do housework appropriately, sleep on your back or side, and have a moderate sexual life to avoid pressure on your abdomen.

3. Seek medical attention as soon as possible if abdominal pain occurs. Some scarred uteri may rupture spontaneously in the late stages of pregnancy, with abdominal pain being the main symptom. As the uterine scar heals poorly during pregnancy, the intrauterine pressure increases. Even without any inducement, the uterus may swell and rupture from the scar. When the uterus ruptures, abdominal pain of varying severity may occur. Sometimes the abdominal pain is mild but the uterus has already ruptured, so you must be vigilant.

4. Pay attention to fetal movement. Fetal movement is the irregular movement of the fetus in the uterus. The speed of fetal movement is one of the early manifestations of the fetus's safety in the uterus. Generally, during pregnancy, there should be 3 to 5 fetal movements per hour or at least 10 times a day (12 hours). After a caesarean section, if the scarred uterus has a slight rupture or placental abnormalities, it will lead to fetal death. At this time, the fetal heart sounds disappear. 24 to 48 hours before fetal death, fetal movement slows down or disappears. Therefore, paying attention to changes in fetal movements can help detect fetal abnormalities in advance so that timely measures can be taken.

The above content is about the issues that need to be checked before caesarean section for the second child. We can understand that caesarean section for the second child also needs to do a serious pregnancy check-up, because there are many issues to pay attention to for the second child. If the fetus cannot be detected well, miscarriage and stillbirth will occur. Therefore, caesarean section for the second child is a very critical first child, and you must pay attention to ensure normal pregnancy check-ups.