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There are no hard a fast rules. In theory, a women should be able to have as many children by cesarian as she wants. In reality, it all comes down to how well a woman's body heals. UTERUS: for some women, the uterus heals with a thick lower segment. In this case, many sections are possible. For others, the lower segment becomes very thin and attenuated. In such cases, labor/contractions should be avoided because of risk of rupture of the uterus. Keep in mind that a very thin uterus can rupture even before labor begins. Doctors will sometimes counsel women to avoid future pregnancy if the lower segment becomes too thin. SCARRING: Another consideration is the amount of scarring within the abdominal cavity. Whenever any surgery is performed in the abdomen, raw surfaces are left behind and adhesions (things stuck to other things) can form. This is very individual. In some patients, they can have multiple abdominal surgeries with almost no adhesion; in others, they can have huge numbers of adhesions, involving uterus, omentum, bowel and bladder. In the second case, surgery (including cesarian section) becomes very difficult and there is a risk of bowel perforation and damage to other organs. PLACENTA: The more cesarian sections a woman has, the more likely it is that the placenta may implant in the uterine scar. If it does so, it will not develop properly, but will grow into the uterine muscle and not just the endometrium. Such a placenta is called an accreta (part way through) or percreta (all the way through), and will not separate properly from the uterus after the baby is delivered. In many cases, especially with a deep accreta or percreta, a hysterectomy is necessary (because removing the placenta is not possible without causing massive bleeding and potential maternal mortality).

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15y ago
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15y ago

Are you asking how many c-sections you can have? Most doctors that I have spoken with do not like to perform more than 5 c-sections. However if you space your pregnancies well, allowing for plenty of time to heal, the decision on how many c-sections can safely be performed on your body would be up to you and your OB.

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16y ago

A good doctor that is looking after your health wouldn't want to do more than three cesareans. It's evident you can't give birth naturally. This is something you are going to have to discuss with your doctor.

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16y ago

one of my old girlfriends had 3 separate cesareans and the doctor told her she could not have anymore the scar could not be cut anymore

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14y ago

there are only 3

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Q: How many children is it safe to have by c-section?
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