If you have delivered through cesarean section (C-section), you might have questions about having a larger family. You're not alone—there are approximately 32% of all U.S. births that are C-sections, according to the Centers for Disease Control and Prevention (CDC).
While a C-section will likely impact future pregnancies, that does not mean you cannot have a future normal pregnancy. In this article, we're going to demystify how quickly you can become pregnant after a C-section, the dangers involved, and what to ask your doctor when you decide to become pregnant again.
How Soon Can You Get Pregnant After a C-Section?
Most doctors recommend waiting 18 to 24 months after a C-section before getting pregnant again. This gives your body time to heal from the surgery and reduces the likelihood of complications in your next pregnancy.
"We look at the interpregnancy interval (IPI)—from the time of birth until the start of the next pregnancy," says Dr. Pamela Promecene, OB-GYN and McGovern Medical School professor. "The evidence suggests that an IPI under 18 months could be risky for complications."
There are a few who may become pregnant sooner and have a healthy pregnancy, but it is something one should discuss with a health expert who knows your medical history.
Risks of Becoming Pregnant Too Soon After a C-Section
Becoming pregnant within six months after a C-section can increase your risk of the following complications:
- Uterine rupture – A rare but dangerous condition more likely to happen if your uterus has not yet healed from the previous incision.
- Placenta accreta– When the placenta grows too deeply into the uterine wall or scar tissue.
- Low birth weight or preterm birth – Faster recovery period may lead to pregnancy complications.
If considering a vaginal birth after cesarean (VBAC), it is all the more important to have the gaps between pregnancies. Studies show VBACs are safer if you have a gap of at least 18 months, since the risk of uterine rupture is higher when intervals are short.
Does a C-Section Affect Your Fertility?
There is still research underway into whether a C-section has an effect on subsequent fertility. Some studies indicate no effect, some indicate potential problems from uterine scarring, and these may influence implantation.
But in most instances, issues with fertility are more likely to be connected with the condition that necessitated the C-section (e.g., fibroids or difficulty with labor) than with the surgery itself.
What If You're Over 35?
If you're older than 35 years of age, you may be concerned with declining fertility at advanced age and may not want to wait the full 18–24 months to get pregnant again.
In that case, it's time to have a heart-to-heart with your OB-GYN. If your previous pregnancy and delivery were uncomplicated, your physician will probably suggest a shorter interval based on your overall health and your fertility requirements.
Questions to Ask Your Physician About Pregnancy After a C-Section
Before booking your second pregnancy, you should consider asking your medical practitioner the following:
- How long should I wait before trying another child?
- Am I a candidate for VBAC, or do I need to book a repeat C-section?
- Are there any more tests or ultrasounds that are recommended during my next pregnancy?
- What are my risks related to my age, health, or surgery?
Every case is unique. Your physician can take you through a safe and healthy pregnancy plan tailored to your needs.
Last Words
Pregnancy after C-section is always possible, but timing and planning are necessary. Whether you wish for VBAC or another C-section, being aware of the risks and talking to your trusted OB-GYN can guide you in making the right decisions for growing your family.
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