第一胎剖腹产第二胎能顺产吗（The first fetus caesarean section, the second child can be spontaneous delivery）

第一胎剖腹产第二胎能顺产吗（The first fetus caesarean section, the second child can be spontaneous delivery） 第一胎剖腹产第二胎能顺产吗(The first fetus caesarean section, the second child can be spontaneous delivery) Many mothers first birth caesarean section, the second child wants a natural delivery, but worried that natural childbirth will have problems. What should I do? Expectant mother first do not worry, generally speaking, the second child is natural, and only the following circumstances, will lead to the second child's natural labor is not smooth. Situation 1. The last laparotomy was thin or poorly healed A Caesarean wound thin or poor wound healing, such as uterine incision, incision uneven sore mark is too thin, there are hard crack or rupture of uterine incision, or first incision for longitudinal uterine incision, ? incision or uterine incision with severe laceration, repair surgery etc.. Clinical experience, some sewing uterine muscle layer is thin, two degrees in the production, caesarean section, you can see the fetal uterus is stretched, the wound suture is as thin as plastic bags are generally easy to rupture of uterus, and sewing thick laparotomy wound, uterine rupture occurred more opportunities low. What are the risks of rupture of the uterus? The rupture of the uterus is the rupture of the uterus and the extent of the rupture. The complete rupture of the uterus is the connection between the uterus and the abdominal cavity, or the incomplete rupture of the uterus or the ligament of the uterus. The fetus may stretch out or out of the uterus, or completely into the abdominal cavity. The severity of the rupture of the uterus may vary between the course of production and postpartum hemorrhage. Severe conditions may cause massive bleeding, shock, and death. Fetal fetal heart sounds will have irregular changes, even if the supplement bit by bit, given oxygen, maternal left lateral decubitus can not improve the fetal heart sound. But if close to the production or malposition (about 5%), seek to help physicians. If the breech pregnant women, estimated fetal weight less than 3000 grams, no abnormal fetal maternal pelvis, in good condition, can also be vaginal delivery; to estimate the weight more than 3000 grams of the breech, majority of cesarean section, so as to avoid the difficulties after severe head. A transverse fetus must have a caesarean section. 2 positions will help position positive 1, chest and knee horizontal Arm elevation, calf and thigh become 90 degrees right angle, hand support Kaiping, put on the ground, chest as far as possible ground 2, lateral horizontal Used to sleep on the left side of the mother, you can change the right side sleep; originally used to sleep on the right side, you can change to sleep on the left side. Reminder: A method of 5~10 minutes, two times a day to do a long time, the success rate is not high, so do not be too nervous. Situation two. Indications for the first caesarean section are still present If you first cesarean section indications still exist, such as narrow pelvis, head disproportion, fetal malposition, soft birth canal deformity or stenosis, and surgical complications, such as heart and had prolonged labor pregnant women. Case three or second pregnancy with severe obstetric complications Severe obstetric complications such as severe pre eclampsia, placenta previa, placental abruption and so on were not associated with vaginal delivery during the second pregnancy. Situation four. The delivery process is not smooth The second pregnancy during vaginal delivery trial if the delivery process is not smooth, Or fetal hypoxia, suspected uterine incision (or already cracked), emergency caesarean section. Situation five and second pregnancy, fetal baby problems The second pregnancy, fetal problems, such as fetal hypoxia, multiple pregnancy, intrauterine infection, fetal and other large. Case six, the second child uses oxytocin when she is in labor "New England journal" has published a paper, the Washington State women for the survey, collected during the past ten years, more than twenty thousand first cesarean section, the second child of singleton mothers, they were chosen in the second production: cesarean section and natural childbirth pain to the production and use of four methods, ecbolic not the birth of production. The rupture of the uterus, which is produced by the vagina, is indeed high, especially the risk of uterine rupture that may result in an increase in the risk of rupture of the uterus. Case seven, the second child labor induction A report published in the American Journal of Obstetrics and Gynecology notes that the rate of spontaneous rupture of the uterus after cesarean section is 1%— 6%, and most of the women who have used labor during the birth process. The findings suggest that the mother of the second born mother, if she is a crosscut surgical incision, should select a hospital that provides adequate strain equipment for production. In addition, it is better to have a successful natural birth experience during the first laparotomy, to perform a painless delivery, to install a fetal monitor, do not induce labor, and to make a good pre consultation and consent signature. Eight, the last caesarean section is taken by slitting operation Longitudinal incision cesarean section, pregnant women have a great chance of rupture of the uterus, especially in the middle pregnancy, late pregnancy and delivery. Case nine, the interval between pregnancy after caesarean section is too short If you are pregnant after three years of caesarean section, this is very dangerous for pregnant women, so that the chances of rupture of the uterus during pregnancy are very high. Because of the complete healing of uterus after cesarean section and abdominal wall layers wound needs a long period of time, only in healing wounds, with the same function and normal tissue, can re pregnancy, so that it can ensure the process in the fetus in the uterus is not broken. And this healing takes about three years.