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Wednesday, February 08, 2012

DON'T PANIC EVEN THERE IS RISK!


Ok....0.07%...Ya Allah....janganlah Engkau masukkan aku ke dalam golongan 0.07% itu...Aamiiinnn...

If you do get pregnant within a year of having a c-section, don't panic.

Many mothers who are pregnant after a cesarean only 4 months previously have healthy pregnancies and healthy babies. There are thousands of variables in play here: the healing of the first incision, your overall health, skill of the doctor, size of the baby... all contribute new and unique ingredients to the pot. Trust your doctor to give you good advice on the state of your pregnancy and don't worry. (Worry is bad for baby!)

There are at least two potential risks commonly associated with having multiple pregnancies in a short period of time. Studies have defined "closely spaced" as anything from getting pregnant 3 months after a C Section to nine months after a C Section.

1)Your baby has a higher risk of being premature. This is linked to the low iron count due to previous pregnancy.
2)The chance of an uterine rupture is higher if you get pregnant after a cesarean within 6 months (0.07% risk, 1 out of 1536 pregnancies).

How long should I wait after a cesarean section before getting pregnant again to avoid pregnancy complications?

Waiting at least a year after a cesarean allows the uterine wall to heal the best it can and reduces the risk of abnormal placental attachment. It also reduces the risk of rupture of the uterine wall.

Studies have shown that a prior cesarean increases the chance of pregnancy complications, such as abnormal attachment of the placenta, in future pregnancies. When the placenta attaches to the scarred area of the uterus, it can cover the cervical opening or cause placenta previa (when the placenta is blocking the baby's exit). The presence of the placenta over the cervix blocks the cervix and would require a repeat cesarean section for delivery.

When the placenta attaches to the scarred area of the uterus, it is also more likely to attach to deeper layers of the uterus than the placenta normally would. This is a pregnancy complication called placenta acreta. Since the placenta is more deeply "rooted" in the uterus, it sometimes does not detach completely after delivery of the baby. This can cause severe bleeding that can even require hysterectomy for control of the subsequent bleeding.

All women (whether they delivered by cesarean or vaginally) who wait a year or longer to conceive again will have fewer pregnancy complications, including preterm labor, in their subsequent pregnancies.

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