U.S. doctors online nowAsk doctors free
A 45-year-old member asked:

what is the difference in complications or approach for a first time cesarean section, and the second or third one?

2 doctor answers4 doctors weighed in
Dr. Rakhi Dimino
Specializes in Obstetrics and Gynecology
Scar tissue: Scar tissue from a previous csection or any other pelvic surgery can make a repeat csection more complicated and difficult. It may take longer to do and their is a slightly higher risk of injury to mom's surrounding organs. If the placenta implants over the previous uterine scar, it may not detach at delivery causing mom to bleed and need a hysterectomy. Even so, most repeat sections go well.
Dr. Nikolaos Zacharias
Maternal-Fetal Medicine 26 years experience
Incrementally worse.: The first c-section should be pretty safe; the second usually almost as safe. The third and beyond c-sections get too risky for mother and baby and should be avoided with proper contraceptive techniques.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
$30 per visit with
membership

Similar questions

A 40-year-old member asked:

What are the chances of having consecutive c-sections?

2 doctor answers7 doctors weighed in
Dr. Megan Bird
Obstetrics and Gynecology 19 years experience
Depends: It depends on how many c-sections and why you had them. In general, after two c-sections the risks get higher and higher. If you had a c-section for breech or abnormal position, your risk of a second c-section is lower. If you had one because your cervix didn't dilate or the baby wouldn't come down, your risk is higher.
A 39-year-old member asked:

What are the risks associated with c-sections?

2 doctor answers4 doctors weighed in
Dr. Kevin O'neil
Urogynecology 28 years experience
Generally low risk: In general the chance of any complication is low. The risks during the surgery are infection, bleeding, anesthetic complication, injury to the uterus, bladder or other internal organs. The risk for future pregnancies include scar tissue formation, uterine rupture during labor and placenta accrete (where the placenta grows into the outer muscular layer of the uterus).
A 40-year-old member asked:

What do they mean by planned or elective c sections?

1 doctor answer1 doctor weighed in
Dr. Gurmukh Singh
Pathology 49 years experience
Not an emergency: Often a C-section is done as an emergency due to fetal distress or some complication. Elective C-section is planned due to known risks to mother or baby. A common reason for an elective C-section is history of previous c section.
A 34-year-old member asked:

Will a doctor honor my wishes if I am looking for a cesarean section?

1 doctor answer3 doctors weighed in
Dr. Marlon White
Obstetrics and Gynecology 34 years experience
Needs discussion: If you are seeking an elective C-section for your first pregnancy, you should know that the american college of obgyn advises against this. However, you have the right with informed consent to choose this. You will need to research your physician as some will decline this. If you want a repeat c section, most physians are likely to honor your request after full discussion.
A 41-year-old member asked:

Do you get sedation during cesarean section?

2 doctor answers4 doctors weighed in
Dr. Nikolaos Zacharias
Maternal-Fetal Medicine 26 years experience
Generally no.: Most cesarean sections are performed under spinal or epidural anesthesia and sedation is not typically used. Rarely c-sections are under general anesthesia. Sedatives can affect fetal/neonatal behavior as well, so they are best avoided. In certain cases and typically after the infant is delivered, low doses of sedatives may be used to alleviate maternal anxiety/stress.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
$30 per visit with
membership
Last updated May 1, 2018

People also asked

Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
$30 per visit with
membership

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.