Is it dangerous to have more than 3 cesareans?

Answer 1

As a labor and delivery nurse, and currently 2 weeks away from my 4th c-section, I can tell you a bit about the risks of a 4th c-section. Generally, the scar requires a good 2 years to heal until another c-section would be preformed for a subsequent pregnancy. The concern here is related to rupture of the previous scar from the first c/s. Scar tissue is never as strong as the way our uterus' fibres are designed to withstand labor. After your first c/s, the risk of rupture goes up slightly, rupture can occur, as the uterus enlarges from a growing fetus, extra fluid or a multiple pregnancy, and from putting the uterine scar under stress like labor. Many obstetricians used to measure the thickness of the scar itself prior to the next c/s, but the thickness predicted very poorly whether someone would rupture or not. With a 4th c/s you are also more at risk for placental placement issues. Placenta percreta/accreta are more likely to occur, as well as a placenta previa. This is something found out usually into the 2nd trimster with ultrasound, so with good prenatal care, will be able to be detected and managed safely. With the percreta/accreta, it does put you at risk for an emergency, if not planned hysterectomy, where the Dr. will remove the whole uterus once baby #4 is delivered. This is because the placenta has planted it's "roots" right into the muscle of the uterus, which if was removed conventionally, would lead to massive amounts of bleeding. The 4th c/s is also generally a more difficult procedure for an obstetrician to perform. Due to previous abdominal surgeries, adhesions, make access to the uterus difficult, while also trying to avoid damage to the bladder and bowel. I know it sounds all doom and gloom, but with good prenatal care, and a previous "go ahead" by a reputable obstetrician, should relieve you that most of the risks can be managed well.

Answer 2

Well, not really. C-sections are usually performed when there are dangerous complications during the labor. And mothers can always give birth naturally after having a c-section cause the 2 forms of birth don't affect one another in any way

Answer 3

That's very individual so you need to speak to your doctor about it. but the risks are the same as with the other 2: excessive bleeding, uterus rupturing etc.

Answer 4

They dont like you having more than three but my mum had 4 and someone my mum knows had five.