In the Aftermath of a Cesarean Section: What to Watch For

If you have had a Cesarean Section chances are you healed quickly and feel well, but you may want to be generally aware of what the newest studies are saying about your longer term risks of medical complications from the surgery. Cesarean Births have become the most frequent operation performed in the US today, so based on sheer numbers gynos are beginning to see more complications that are directly related to that operation. The surgical technique used in the United States always enters the abdominal cavity, although there is a way to actually perform this surgery without doing so. It was always thought that the incidence of causing scar tissue in the abdomen was very low because the Cesarean operation cuts into the cervix which is located very low so the place where the cut is into the cervix is actually a fairly confined space between the abdominal wall and the uterus in the lower part of the abdomen itself. While scaring internally in the pelvis and the abdomen after the C-section is now found to be more common than we thought, it is not universal by any means. Dr. Michael Diamond in an editorial about the post C-section scarring explains that perhaps the shrinking of the uterus itself as well as the expanding and contraction of the nearest structure which is the bladder, as we fill it during the day, are two of the reasons that scar tissue isn't always formed. Other problems from the scar tissue may occur including chronic pelvic pain, and even tubal pregnancies. Gynos have started to investigate the health of having your second, third, or even more babies by C-section and they have found there are more cases of premature birth and smaller babies and even greater numbers of stillbirths.We also worry about a rare medical condition of the placenta growing within the wall of the uterus which can happen a bit more commonly if that part of the uterus has a scar from a prior C-section. So if you have had this operation, have a discussion with your gyno on what tests you may need to have to investigate any longer term problems.


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