The main risks of a cesarean delivery are pulmonary embolism, thrombosis, hemorrhage, infection and breathing problems for the baby. In addition, this procedure slows down the breastfeeding milk, makes the baby less reactive at birth and has more difficulty in suckling than the babies born from a normal birth.
However, in some situations the cesarean section is still indicated and the doctor can indicate when it is really needed.
Complications of cesarean delivery
In addition to the risks during surgery, cesarean delivery can also bring complications such as:
- Poor healing, especially in overweight women;
- Keloid formation;
- Difficulty in breastfeeding;
- Placenta accreta, which is when the placenta is attached to the uterus after delivery;
- Placenta previa;
These complications are more common in women who have had 2 or more Caesarean sections, since repeating the procedure increases the chances of complications in childbirth and fertility problems.
Despite the risks of cesarean delivery, it is still indicated in the following cases:
- Baby sitting in mother’s belly;
- Obstruction of the vaginal canal, preventing the baby from leaving;
- Placenta previa;
- Displacement of the placenta;
- Baby in distress, identified through ultrasound examination;
- Very large baby, with more than 4500 g;
- Presence of infectious diseases that can pass into the baby, such as genital herpes and AIDS.
In addition, this procedure can also be done in cases of twins, depending on the position of the babies and their state of health, and should be evaluated by the physician as the best option of delivery for the mother and the children.
Normal childbirth after cesarean delivery
It is possible to have a normal delivery after a cesarean section, because the risk of complications is low when the delivery is well controlled and accompanied, bringing advantages to the mother and the baby.
However, two or more previous Caesarean sections increase the chances of uterine rupture, and it may be safer to avoid normal delivery. In addition, it is important to note that repeated cesarean sections increase gestational risk, regardless of the type of delivery the woman has.
Thus, the ideal is to choose between normal delivery and cesarean section taken together with the obstetrician, being done mainly based on the health of the mother and the baby.