Pregnancy after cesarean section - the second operation is inevitable?

June 20, 2010

  • Pregnancy after cesarean section - the second operation is inevitable?
  • Observation of pregnant women with a uterine scar

 pregnancy after cesarean section
 Pregnancy after cesarean section may cause the flow of questions and emotions Emotions and culture: how to decipher the emotional code  Emotions and culture: how to decipher the emotional code
 . When it is too early to think about the pregnancy? Is it even possible to get pregnant again after cesarean? All these fears are mixed in a cocktail anxious arousal.

Women tend to get pregnant again soon after giving birth for several reasons:

  • a woman about 40 years old, and she wants to have children before the pregnancy increases the risk of complications;
  • woman wants children to be close in age;
  • shortly after birth was a tragedy, and the newborn died.

All these reasons are pushing a woman's desire to have another child.

But when it is time to move from the abstract to the desires of its practical implementation? When can I get pregnant after cesarean section without risk to health?

 Pregnancy after cesarean section - the second operation is inevitable?

How long should I wait before getting pregnant after cesarean section?

When planning the next pregnancy should take into account a number of factors to think about whether it is safe for you and the newborn.

Your body has just been subjected to the strongest stress and passed a thorough overhaul. To return to the normal form and complete recovery after pregnancy and delivery will take time. Do not expose the body new challenges, when he was still not ready for them.

The general rule for pregnancy after cesarean section: from the moment of conception until birth should go from 18 to 24 months (by the way, this time it is recommended to wait and women who give birth in a natural way).

Before you despair because as long term, think about a few important factors.

  • Your body - the delicate finely tuned mechanism that does not tolerate abuse.
  • Your body needs this time to recover and become strong enough for another powerful stress How to beat stress? Create an oasis  How to beat stress? Create an oasis
 Which is pregnancy and childbirth.
  • During cesarean woman loses twice more blood than the natural (vaginal) delivery. This blood loss can cause anemia Anemia - when you do not have enough blood  Anemia - when you do not have enough blood
   (iron deficiency). This condition of the body is not too good for the pregnancy, because the iron - one of the most important minerals needed growth and development of healthy children (especially in the first trimester).
  • Your emotional state is unstable.

If you have lost a child, first pregnancy only worsen your condition, since it takes time to recover from this loss and come to terms with it. The pain of loss will remain with you forever, but if you hurry, you will harm not only themselves but also their families and the future of the child. If you feel that you are psychologically prepared for the next pregnancy, consult your doctor and discuss with him your situation. He may suggest ways to increase the likelihood of conception and pregnancy to accelerate, but the decision is yours.

If you feel that you just can not wait the recommended 18-24 months to get pregnant after a caesarean section, consult a gynecologist.
  Since conception rarely occurs the first time, consult your doctor when you personally can start planning the next pregnancy. This important decision you and your spouse need to take together with your doctor.

 Pregnancy after cesarean section - the second operation is inevitable?

Risk of pregnancy after cesarean section

Pregnancy shortly after cesarean (3 months after elective caesarean section, and 9 months after unplanned Caesarean section) associated with at least two risks.

Chances of early childhood development, including high levels of respiratory problems (respiratory distress syndrome). This is due to a deficiency of iron in the mother's body.

Chance of uterine rupture is higher if the pregnancy occurs earlier than 6 months after cesarean section.
  If you become pregnant within a year after cesarean section, do not panic. Many women become pregnant only 4 months after cesarean, nurturing pregnancy without any complications and give birth to healthy children.
  In this equation, thousands of variables: healing scars after cesarean section, the overall health of women, professional obstetrician, size and position of the baby.

 Pregnancy after cesarean section - the second operation is inevitable?

Is it possible to infertility after cesarean section?

Fortunately, this complication of cesarean section is very rare. However, in some rare cases, after surgery in women may develop an infection that can cause abnormalities in the lining of the uterus and the formation of adhesions in the fallopian tubes and ovaries.

If you have tried unsuccessfully to get pregnant after a caesarean section, maybe your problem is not undergoing surgery, and due to other factors.

In this regard, in the first place there is the problem of possible re-evaluation of the risk of pregnancy and the health of the future baby and mother. There are questions on the management of pregnant women with a uterine scar (after cesarean section history) and their subsequent delivery (if possible separate delivery or reoperation).

Such patients should be carefully planned next pregnancy, a new pregnancy should occur not earlier than two years after the operation. The uterus during pregnancy experienced more stress on the muscular system, stretches during labor decreases, because the scar is very important consistency. If there is a thin, consisting of more than connective tissue scar during labor may cause complications such as uterine rupture, which would result in the death of the fetus and the mother. In the interval between the operational delivery and the new pregnancy should not be carried out medical abortion and medical-diagnostic curettage of the uterus Curettage - how dangerous it is?  Curettage - how dangerous it is?
 . These manipulations attenuate scar on the uterus, thus exacerbating its inconsistency.

Augmentin during pregnancy - used with caution

September 27, 2012

 Augmentin during pregnancy
 Augmentin - a combined broad-spectrum antibiotic. Its use during pregnancy is not contraindicated, but Augmentin should be used with caution, especially in the first 12 weeks of pregnancy when there is a bookmark of organs and tissues of the fetus.

 Augmentin during pregnancy - used with caution

Infectious and inflammatory processes during pregnancy

During pregnancy, under the influence of hormones causes low immunity, which is a physiological response aimed at preserving the pregnancy - a woman's body is always striving to get rid of the alien embryo for him.

Immunocompromised lead to the fact that during pregnancy a woman may develop a variety of infectious and inflammatory diseases and worsen existing chronic inflammatory processes. But this is not all women, some, on the contrary, during pregnancy forget their earlier often exacerbated by chronic infections.

During pregnancy, women may experience complications from respiratory infections and often develop infectious and inflammatory diseases of the kidney - pyelonephritis. In these diseases sometimes require antibiotics, and the drug of choice in this case is often Augmentin.

 Augmentin during pregnancy - used with caution

As Augmentin effect on pregnant women

Augmentin is a combined antibacterial preparation, which includes semi-synthetic antibiotic of the group of broad-spectrum penicillins amoxicillin and clavulanic acid, which protects amoxicillin from the action of enzymes (beta-lactamases), allocated to certain types of bacteria. The presence of clavulanic acid, inhibits the action of beta-lactamases, significantly expands the already broad spectrum of antibacterial activity of amoxicillin, so Augmentin is considered one of the most effective antibiotics capable of killing pathogens of upper respiratory tract infections, urinary tract, skin and subcutaneous tissue, joints and others.

Laboratory studies of the action of the drug, conducted in animals during pregnancy, did not reveal his teratogenic effects, ie the ability to cause malformations in the fetus. Augmentin and intravenous use (as well as taking it orally) in clinical practice in pregnant women also showed no toxicity, teratogenicity, and the ability to cause reproductive dysfunction in women.

However, it was found that amoxicillin and clavulanic acid to penetrate through the placenta to the fetus, and may have some impact on it. Thus, in case of premature rupture of membranes augmentin use for the prevention of infection of the fetus may increase the risk of necrotizing enterocolitis in the newborn - inflammation of the walls of the small and large intestine with necrosis of tissue. In connection with this application augmentin during gestation only recommended for health reasons. Of course, the danger of his appointment in the first trimester (12 weeks), when there is a bookmark fetal tissues.

 Augmentin during pregnancy - used with caution

Which diseases during pregnancy may be appointed Augmentin

Augmentin is prescribed in the case where there is a real threat to the life of women under such infectious and inflammatory diseases such as severe bronchitis Bronchitis - protection if the body has malfunctioned  Bronchitis - protection if the body has malfunctioned
 , pneumonia Pneumonia - Symptoms and Causes  Pneumonia - Symptoms and Causes
 , Pleurisy, purulent sinusitis (sinusitis, sinusitis), purulent otitis Purulent otitis - why develop complications  Purulent otitis - why develop complications
   and so on.

Assign Augmentin and inflammatory processes of urogenital organs of the female, which may threaten her life and health, - pyelonephritis, cystitis, inflammation of the uterus and its appendages.

Sometimes, the need for the appointment of augmentin occurs in other diseases, such as inflammation of the joints Inflammation of the joints - how to relieve the pain?  Inflammation of the joints - how to relieve the pain?
 , Bones, abrasions, purulent wounds and so on.

Do not use Augmentin if you are hypersensitive to it, and hepatic dysfunction. If the kidney function in pregnant women it is prescribed with great caution and at a daily dose.

 Augmentin during pregnancy - used with caution

What side effects can be

The most common and most dangerous side effects are allergic reactions augmentin. These can be light and can be very difficult as anaphylactic shock or severe lesions of the skin and mucous membranes. Therefore, if you suspect an allergy Augmentin immediately overturned.

Augmentin can irritate the stomach and intestines, which manifests itself in the form of nausea, vomiting and diarrhea. These phenomena are reduced, or if you take Augmentin just before eating. Adverse effects on the liver appears to transient disturbances of its functions and jaundice.

Moreover, Augmentin can cause headache, dizziness, agitation, seizures, and other unpleasant effects in the central nervous system. In the blood, under its influence reduced number of white blood cells, red blood cells and platelets, decreased blood clotting.

Augmentin is well tolerated by most pregnant women, but it may appoint a doctor.

Galina Romanenko

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  • Augmentin