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How many times C-section is allowed?

A trial of labor isn't recommended after three or more prior C-sections. Deciding how you will deliver your next baby after a previous C-section can be a complex decision. Talk to your health care provider.

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How many C-sections can women safely have? Answer From Yvonne Butler Tobah, M.D. Each repeat C-section is generally more complicated than the last. However, research hasn't established the exact number of repeat C-sections considered safe.

Women who have multiple repeat cesarean deliveries are at increased risk of:

Problems with the placenta. The more C-sections you've had, the greater is your risk of developing problems with the placenta — such as the placenta implanting too deeply into the uterine wall (placenta accreta) or the placenta partially or completely covering the opening of the cervix (placenta previa). Both conditions increase the risk of premature birth, excessive bleeding, and the need for blood transfusion and the surgical removal of the uterus (hysterectomy). The more C-sections you've had, the greater is your risk of developing problems with the placenta — such as the placenta implanting too deeply into the uterine wall (placenta accreta) or the placenta partially or completely covering the opening of the cervix (placenta previa). Both conditions increase the risk of premature birth, excessive bleeding, and the need for blood transfusion and the surgical removal of the uterus (hysterectomy). Complications related to adhesions. Bands of scar-like tissue (adhesions) develop during each C-section. Dense adhesions can make a C-section more difficult and increase the risk of a bladder or bowel injury and excessive bleeding. Bands of scar-like tissue (adhesions) develop during each C-section. Dense adhesions can make a C-section more difficult and increase the risk of a bladder or bowel injury and excessive bleeding. Incision-related complications. The risk of incision-related problems, such as a hernia, increases as the number of previous abdominal incisions grows. Surgical repair might be needed. The number of C-sections you've had can also affect your future delivery options. A trial of labor isn't recommended after three or more prior C-sections. Deciding how you will deliver your next baby after a previous C-section can be a complex decision. Talk to your health care provider. He or she can help you weigh the risks of a repeat C-section against your desire for future pregnancies.

With Yvonne Butler Tobah, M.D.

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Does C-section damage stomach muscles?

Both vaginal and c section delivery affect the abdominal muscles and can cause postpartum diastasis recti. Some research has found that the condition is more common in women who have given birth by c section. The nature of c section delivery and recovery can weaken the core, resulting in diastasis recti.

The term diastasis recti doesn’t always surface in conversations about pregnancy and postpartum life. Yet nearly 60% of women develop the condition during one of these phases. Diastasis recti is characterized by an abdominal bulge between the right and left stomach muscles and a resulting protruding belly. It occurs when the rectus abdominis, or six-pack muscles, separate as a result of pressure on the connective tissues.

Risk factors for postpartum diastasis recti include if:

you’ve had more than one pregnancy

gave birth to twins or triplets

your baby had a large birth weight

There are also controllable risk factors, including poor breath control and postural misalignment. Postpartum diastasis recti may naturally resolve itself within eight weeks, typically in mild cases with less severe abdominal separation. However, 40% of those with the condition still have a separation at six months postpartum. As is often the case with postpartum complications, birthing people with long-lasting diastasis recti have to search a little too hard for the information they need to heal. To help you better understand this common and treatable condition, we’ve answered some frequently asked questions about diastasis recti.

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