Whether to do a caesarean section. Is it possible to do a caesarean section "of one's own accord"? Can I ask for a c-section

Now artificial childbirth is not uncommon. Therefore, many women ask themselves the question of whether to do a caesarean section. But unfortunately, the baby cannot be born on its own and in such cases it is simply impossible to do without surgical intervention. And of course, the pregnant woman will worry about the fact that this operation can somehow negatively affect the health of the child or her. Also, a caesarean section is an operation, and an operation is always at least a little scary. Although doctors claim that this is done solely in order to save the life of the child.

Translated from Latin, cesarean section means “royal incision”, and the birth itself, with its help, was popularly dubbed royal. Some of the scientists and historians say that it was with the help of a caesarean section that Julius Caesar was born. Still others argue that he passed a law that forced doctors to cut open the bellies after the death of a woman so that the baby would not die too.

Today, caesarean section is becoming a very popular method of delivery. Very often it is used in relation to the famous "star" mothers. If earlier caesarean section was a rarity, now the percentage of these operations has increased to 27, and in some countries even to 80%. And this means that almost every 4 children are born artificially. This has led WHO to virtually ban caesarean sections in cases where a woman is able to give birth on her own.

Indicators for caesarean section

Usually, a caesarean section is done only on the recommendation of a doctor. And there may be several reasons for this.

1. Large fruit weight;
2. Inconsistency of the pelvic bones (narrow pelvis or there is a deformity);
3. Diseases of the heart or nervous system;
4. Poor eyesight;
5. Diseases of the internal and external genital organs;
6. Transverse presentation of the fetus;
7. Several scars on the uterus, which were left from previous pregnancies.

What to do on the day of the caesarean section

If the caesarean section was planned, then first of all, on the eve of this day, it is worth getting a good night's sleep. In the evening and in the morning, it is advisable to completely refuse to eat. Plus, a woman is also given an enema to completely cleanse the intestines. Before starting the operation, a catheter is inserted into the bladder, with which urine is pumped out and anesthesia is given.

But there are cases when a caesarean section is not planned. The following indicators can lead to this: hypoxia of the child, causes that threaten the life of the child and mother, bleeding, placental abruption, the complete absence of contractions.

Anesthesia for caesarean section

There are several methods of anesthesia for caesarean section: general and regional (spinal and epidural anesthesia). Under general anesthesia, the woman in labor is completely unconscious. This method is dangerous because when using several drugs, it can adversely affect the child. With regional anesthesia, the woman is conscious and can observe the progress of the operation. To date, these types of anesthesia are more used because they are less dangerous for the mother and child. A ban on their use can arise only if there are certain contraindications. Such as high blood pressure.

Period after surgery

After the operation is completed, the woman is transferred to the ward, where she is under the supervision of doctors for at least a week. In order for a woman to be discharged from the hospital, it is necessary to conduct several examinations and do an ultrasound scan. When the information that the healing of the scar on the uterus is going well, the mother and the child are allowed to go home. In most cases, threads are used for sutures, which dissolve on their own after a few weeks, so there is no need to consult a doctor about this.

Consequences of a caesarean section

After a caesarean section, it is imperative to monitor personal hygiene, change the diet. To do this, you must follow the advice of a doctor. And do not be upset, because most women who had a caesarean section during their first pregnancy almost always give birth on their own in the future.

Terms, duration and course of the operation

All pregnant women experience fear of childbirth. And even worse, if the birth will take place not in a natural way, but by caesarean section. But to make it not so scary, let's figure out why a caesarean section is done, how long the operation is usually performed, how long it takes and consider the entire course of the operation.

During pregnancy monitoring, the doctor makes a recommendation on how the birth should go. If a woman's pregnancy is proceeding normally, then most likely, childbirth will take place naturally. If there are any abnormalities during the course of pregnancy or during the birth itself, then doctors may decide to carry out the birth using a caesarean section.

Distinguish between emergency and planned caesarean section:

• given during pregnancy. In this case, the woman in labor prepares for the operation in advance, undergoes all the necessary examinations and, at a predetermined period of pregnancy, goes to the pathology department. The most common indications for a planned caesarean section are:
• premature detachment of the placenta;
• hemolytic disease of the fetus;
• multiple pregnancy;
• severe form of preeclampsia;
• absolutely narrow pelvis;
• transverse position of the fetus, etc.
• emergency caesarean section is carried out with unforeseen complications directly during childbirth that threaten the health of the mother or child. The health of both the child and the mother may depend on the timeliness of the decision to perform the operation. In such situations, the qualifications of the doctor and the determination of the woman in labor are very important (after all, the operation cannot be performed without her consent).

Optimal timing

A planned caesarean section is usually done at 40 weeks pregnant. This is the optimal time for the operation - with a sufficient mass, the fetus is already considered full-term, and the child's lungs are sufficiently developed so that he can breathe on his own.

With a repeated caesarean section, the timing of the operation is shifted down - it is done a couple of weeks earlier than the planned date of birth, usually this is the 38th week of pregnancy.

This approach avoids the onset of contractions, which reduces the risk of various complications during the operation. Remember that only a doctor can correctly determine how long to do a caesarean section in each case.

Preparing for the operation

A woman in labor scheduled for a planned caesarean is usually referred to the hospital about a week before the operation. If a woman wants to stay at home, then she can come to the hospital on the day when the operation will take place. But this is permissible only in the absence of severe complications and with good health of the mother and child.

Postoperative period

After the operation, painkillers are usually prescribed, as a woman experiences severe pain after a caesarean section. Also, depending on the condition of the woman, the doctor may prescribe various medications, such as antibiotics, or supplements that improve the functioning of the gastrointestinal tract.

You can get up after the operation no earlier than six hours later. It is also recommended to buy a postoperative bandage, which will greatly facilitate the condition when walking.

Nutrition after the operation should be special - on the first day after a cesarean section, you can drink only plain water.

On the second day, a woman can try soups, cereals and other liquid foods.

On the third day, with proper recovery, you can eat any food that is allowed during lactation.

If you are still scheduled for a planned caesarean section, then do not be afraid. Most often, the fear of a caesarean is due to a lack of awareness about the progress of the operation. Knowing what exactly she has to go through, it is much easier for a woman to psychologically prepare herself for the upcoming events.

A lot has been said about the possible harm of drugs that are used during a cesarean section, as well as the consequences of neglecting the need for a child to pass through the birth canal. But some mothers still think that “giving birth” on the operating table, thanks to the incision made by the doctor in the abdominal wall, is easier. A few go to the doctor to ask for a CS. Meanwhile, there are clear indications for caesarean section in the official 2020 list.

On the territory of the CIS countries, this includes Russia, Ukraine, and Belarus, there are unified medical protocols that clearly spell out absolute and relative indications for the appointment of a caesarean section. In most cases, they refer to situations where natural childbirth poses a threat to the health and life of the mother and fetus.

If the CS doctor recommends, you can’t refuse it, because, as they say, all the rules are written in blood. There are states in which the mother herself decides how to give birth to her. This is the case, for example, in England. We do not have such a practice, however, as well as laws prohibiting a woman from going under the knife, without explicit evidence.

Moreover, all these indications are conditionally divided into 2 groups:

• Absolute - they are not discussed, since if they are detected, the doctor simply appoints the day and time of the operation. Ignoring his recommendations can cause serious harm to the body of the mother and baby, even death.
• Relative. They combine cases in which natural childbirth is still possible, although it can also be harmful. What to do with relative indications is decided not by a woman, but by a council of doctors. They weigh all the pros and cons, necessarily explaining the possible consequences to the future woman in labor, and then come to a common decision.

And that is not all. There are unplanned situations in which other factors are identified during pregnancy or during childbirth, on the basis of which an operation can be prescribed.

Absolute maternal and fetal indications

• Placenta previa. The placenta is the baby's place. The diagnosis is made when it blocks the entrance to the uterus from the side of the vagina. In childbirth, this condition threatens with severe bleeding, so doctors wait until 38 weeks and prescribe an operation. They can operate earlier if bleeding begins.
• Its premature detachment. Normally, everything should happen after the baby is born, but it also happens that detachment begins even during pregnancy. In view of the fact that everything ends with bleeding, which threatens the life and health of both, an operation is performed.
• Irregular scar on the uterus, which is the result of another operation in the past. Under the wrong one is understood the thickness of which does not exceed 3 mm, and the edges of which are uneven with inclusions of connective tissue. The data is established by ultrasound. Do not allow caesarean with a scar and in cases where during its healing there was an increase in temperature, inflammation of the uterus, the seam on the skin healed for a long time.
• Two or more scars on the uterus. It is worth noting that not all women decide to have a natural childbirth after a caesarean because of the fear of scarring. Doctors can explain the pros and cons of the procedure, but no more. There is an order from the Ministry of Health, according to which a woman can write a refusal from the EP in favor of a caesarean section, even with a normal scar, and she will have to undergo an operation. True, the question of EP is not even raised if there were several scars. Even before the start of childbirth, a woman is simply operated on.
• Anatomical narrowing of the pelvic bone up to 3-4 degrees. The doctor takes measurements. Under such conditions, water can break in advance, contractions weaken, fistulas form or tissues die, and finally, hypoxia can develop in a baby.
• Deformities of the pelvic bones or tumors - they can prevent the crumbs from calmly coming out into the world.
• Malformations of the vagina or uterus. If there are tumors in the pelvic area that close the birth canal, an operation is performed.
• Multiple uterine fibroids.
• Severe preeclampsia, not amenable to treatment and accompanied by convulsive seizures. The disease entails a violation of the functions of vital organs and systems, in particular, the cardiovascular, nervous, which can affect both the condition of the mother and the condition of the baby. With the inaction of doctors, a fatal outcome occurs.
• Cicatricial narrowing of the uterus and vagina, which appeared as a result of previous births, surgical interventions. In such conditions, the stretching of the walls for the passage of the child endangers the life of the mother.
• Severe heart disease, nervous system, diabetes mellitus, thyroid problems, myopia with changes in the fundus, hypertension (it can affect vision).
• Genitourinary and enterogenital fistulas, sutures after plastic surgery on the vagina.
• Rupture of the perineum 3 degrees in history (damaged sphincter, rectal mucosa). They are difficult to take in, besides, everything can end with fecal incontinence.
• Pelvic presentation. In this condition, the risk of birth injuries, including trauma to the head, increases.
• Transverse position of the fetus. Normally, the baby should lie head down just before birth. There are times when he turns several times, especially for small children. By the way, it is not recommended to give birth on your own even to small ones (weighing less than 1,500 kg). Do you know why? It turns out that in such conditions, passage through the birth canal can squeeze the head or testicles (in boys), which will lead to the development of infertility.
  
• Age indication. Late pregnancy in primiparas in combination with other pathologies. The fact is that after 30 years, the elasticity of the vaginal muscles deteriorates in women, resulting in severe tears.
• Death of a mother. If for some reason a woman's life cannot be saved, doctors fight for her baby. It has been proven that he is able to remain alive for several hours after his death. During this time, the operation should be carried out.
• Threatened uterine rupture. Its causes can be both numerous births earlier, which have thinned the walls of the uterus, and a large fetus.

Dear mothers! Absolute medical indications for caesarean section should not be regarded as a sentence, and even more angry at the doctor. It's just circumstances that leave him no choice.

Relative maternal and fetal indications

There are situations when, when making a decision, doctors consult with a woman. Interestingly, in 80% of cases, they agree to surgery unconditionally. And the point here is not only the excitement for the child, although it also plays a crucial role.

Mothers weigh all the pros and cons, taking into account the qualifications of modern surgeons, the quality of the suture material, and finally, the conditions for performing operations, and consciously try to reduce any risks to nothing.

List of relative indications for CS:

There are situations when a woman going for a natural birth still ends up on the operating table. This happens if there are problems during the process itself.

Indications for emergency caesarean section

The decision to operate is made in the active stage of labor when:

• Absence of labor activity (if after 16 - 18 hours the cervix slowly opens).
• Prolapse of the umbilical cord. It can shrink, which will make it difficult for oxygen to flow to the baby.
• When hypoxia is detected. In such conditions, during contractions, the child may suffocate.

An emergency caesarean section can also be performed in other cases that pose a threat to the life and health of the woman in labor and her baby.

Note! Cord entanglement is not a clear indication for CS, although doctors may suggest this method to a woman in labor. It all depends on the length of the umbilical cord itself, and the type of entanglement (tight, not tight, single, double).

A caesarean section has not only disadvantages, but also.

Do caesarean section without indications

Due to the fact that caesarean section is a serious operation associated with a huge risk to the health of the mother, it is never performed at will. Neither fear, nor tears, nor hemorrhoids aggravated on the eve of childbirth will help a woman to dissuade doctors.

Everything will pass, and this will pass. The main thing is to pull yourself together and give birth. After all, there is no going back!

Now this operation is quite common. According to statistics, for 6-8 women who give birth on their own, there is one who is given a cesarean. At the same time, the risk to which a woman is exposed during a caesarean section is 12 times higher than during natural childbirth. A caesarean section can be either planned (the operation is prescribed during pregnancy) or emergency (such an operation is performed if complications arose during natural childbirth).

Where did the name of the operation come from?

The word "caesar" is the Greek form of the Latin "caesar" (monarch, ruler). It is believed that the name of this operation is directly related to Gaius Julius Caesar himself. According to legend, the mother of the future Roman emperor died during labor pains. The frightened obstetricians had no choice but to take sharp knives and open the womb of the pregnant woman: they hoped to save at least the child. Fortunately for them, the operation was successful, and a great monarch was born. Since then, such operations have allegedly been called "caesarean sections."

On the other hand, the name may be due to the fact that during the reign of Caesar, a law was first passed, which obligatorily prescribed, in the event of the death of a woman in labor, to save the child: to dissect the abdominal wall and uterus and extract the fetus. The first caesarean section on a living woman with a successful outcome was carried out only in 1500. Distinguished Swiss Jakob Nyufer, who made a living by castrating boars. When thirteen experienced midwives could not help his pregnant wife, he asked the city council for permission for the operation and performed a caesarean section on his wife. Everything went well - the wife and child were saved. According to statistics, for 6-8 women who give birth on their own, there is one who is given a cesarean.

When is a caesarean section performed?

Despite the fact that a caesarean section is not a very complicated operation, it is still an operation. During a caesarean section, the risk to a woman's health is 12 times higher than during a natural birth. Therefore, in order to send a woman to a caesarean section, doctors must have good reasons. Only in the event that spontaneous childbirth is impossible or dangerous to the life of the mother or child, the obstetrician-gynecologist gives the go-ahead for the operation. In addition, for a caesarean section, the consent of the patient is required.

The decision on caesarean section (planned) is made even before birth if a woman has:

• severe myopia with changes in the fundus;
• severe form of diabetes mellitus or Rhesus conflict;
• a narrow pelvis through which the child cannot pass;
• exacerbation of genital herpes and an increased risk of infection of the fetus during its passage through the birth canal;
• severe late toxicosis;
• there are malformations of the uterus and vagina;
• two or more scars on the uterus after previous births with a caesarean section;
• with an incorrect position of the fetus (transverse, oblique) or placenta previa (it closes the cervix and prevents the child from getting out);
• in post-term pregnancy.

Cesarean section * in the process of childbirth ** (emergency) is most often performed when a woman cannot push the baby herself (even after drug stimulation) or when there are signs of oxygen starvation of the fetus.

What happens during the operation?

During a caesarean section, the abdominal wall is opened, then the uterine cavity and the fetus is removed. The wound on the uterus is sutured with a continuous suture, the abdominal wall is restored, brackets are applied to the skin, which are removed on the 6th day after the operation. With a favorable course of the postoperative period, the patients are discharged home for 6-7 days.

A caesarean section is performed under anesthesia. Which anesthesia to choose is determined by the anesthesiologist depending on the condition of the pregnant woman and the fetus. Now, as a rule, two types of anesthesia are used: endotracheal (narcosis is carried out into the respiratory tract through a tube) or epidural (a needle is inserted into the spinal canal and an anesthetic medicine is supplied through it, after 10-15 minutes the part of the body below the injection site is anesthetized). The latter type of anesthesia is more popular, because the woman remains conscious and can immediately see the baby born.

Is it possible to do a caesarean section without indications, at will?

In some countries, caesarean section is practiced at the request of the woman. With it, some pregnant women hope to avoid problems such as labor pain, an increase in the size of the vagina, and perineal incisions. However, the World Health Organization (WHO) considers such tactics unjustified. This is due to the fact that, having avoided some problems, women can acquire others, often more serious, in particular, neurological disorders in the child, a longer postoperative period, difficulties with lactation, the inability to give birth in the “normal” way in the future ...

Cons of a caesarean section

• Psychological discomfort in a woman in labor. Many women suffer that they did not give birth to their child themselves.
• Unpleasant sensations when coming out of anesthesia: nausea, dizziness, headaches.
• The inability to immediately take care of your child on your own.
• Inability to breastfeed immediately.
• Pain in the wound, the need to stay in bed for several days after childbirth.
• Possible complications after surgery, mandatory antibiotic therapy.
• Possible neurological consequences in the child.

In addition, it is believed that babies who have seen the light as a result of a cesarean section are more difficult to adapt to environmental conditions, since they have been somewhat “simplified life” from birth and they do not learn to “fight”. And although according to Gaius Julius Caesar this was imperceptible, the conclusion of the doctors is unequivocal - a caesarean section is justified only when there is no way to conduct a natural birth that is favorable in all respects.

Each pregnancy in a woman proceeds in a new way, not like the previous one. Childbirth, respectively, also goes differently. If for the first time the baby was born with the help of gynecological surgeons, this does not mean that now everything will happen according to the same scenario. What if there is a second caesarean section? What is important for a woman to know? Can surgery be avoided? These and some other questions will be answered in today's article. You will learn about how long a planned second caesarean section is, how the body recovers after manipulation, whether it is possible to plan a third pregnancy, and whether it is realistic to give birth on your own.

Natural childbirth and caesarean section

We will find out how it is carried out and what indications the second caesarean section has. What is important to know? The natural appearance of a child is a process conceived by nature. During childbirth, the baby goes through the appropriate paths, experiences stress and prepares for existence in the new world.

Caesarean section involves the artificial appearance of a child. Surgeons make an incision in the woman's abdomen and uterus, through which the baby is taken out. The baby appears abruptly and unexpectedly, he does not have time to adapt. Note that the development of such children is more difficult and more difficult than those that appeared during natural childbirth.

During pregnancy, many expectant mothers are afraid of the caesarean section. After all, the advantage has always been given to natural childbirth. A few centuries ago, a woman after a cesarean had no chance of survival. In earlier times, manipulation was carried out only in already deceased patients. Now medicine has made a big breakthrough. Caesarean section has become not only a safe intervention, but in some cases necessary to save the life of the child and mother. Now the operation lasts only a few minutes, and the possibilities of anesthesia allow the patient to remain conscious.

Second caesarean section: what is important to know about the indications?

What does the doctor pay attention to when choosing this route of delivery? What are the indications for a second intervention in the natural process? Everything is simple here. The indications for the second caesarean section are the same as for the first operation. Manipulation can be planned and emergency. When prescribing a planned caesarean section, doctors rely on the following indications:

• poor eyesight in a woman;
• varicose disease of the lower extremities;
• heart failure;
• chronic diseases;
• diabetes;
• asthma and hypertension;
• oncology;
• traumatic brain injury;
• narrow pelvis and large fetus.

All these situations are the reason for the first intervention. If after the birth of the child (the first) the diseases were not eliminated, then the operation will be performed during the second pregnancy. Some doctors are inclined to this opinion: the first caesarean section does not allow a woman to give birth herself anymore. This statement is erroneous.

Can you give birth on your own?

So, you are recommended a second caesarean section. What is important to know about it? What are the real indications for the operation, if the woman's health is all right? Re-manipulation is recommended in the following cases:

• child has;
• after the first caesarean section, two more years have not passed;
• the suture on the uterus is untenable;
• during the first operation, a longitudinal incision was made;
• abortions between pregnancies;
• the presence of connective tissue in the scar area;
• the location of the placenta on the scar;
• pathology of pregnancy (polyhydramnios, oligohydramnios).

An emergency operation is performed with an unforeseen divergence of the scar, weak labor activity, a serious condition of the woman, and so on.

You can give birth on your own if a second caesarean section is recommended. What is important to know? Modern medicine not only allows a woman the natural process of childbirth, but also welcomes it. It is important that the expectant mother is carefully examined. Conditions for natural childbirth after caesarean section are the following circumstances:

• more than three years have passed since the first operation;
• the scar is wealthy (muscle tissue predominates, the area stretches and contracts);
• thickness in the seam zone is more than 2 mm;
• no complications during pregnancy;
• a woman's desire to give birth on her own.

If you want a second child to appear naturally, then you should take care of this in advance. Find a maternity hospital that specializes in this matter. Discuss your condition with your doctor in advance and undergo an examination. Attend scheduled consultations regularly and follow the recommendations of the gynecologist.

Management of pregnancy

If the first birth took place by caesarean section, then the second time everything can be exactly the same or completely different. For future mothers after such a procedure, there should be an individual approach. As soon as you find out about your new position, you need to contact a gynecologist. A feature of the management of such a pregnancy are additional studies. For example, ultrasound in such cases is done not three times for the entire period, but more. Diagnosis before childbirth is becoming more frequent. The doctor needs to monitor your condition. After all, the entire outcome of pregnancy depends on this indicator.

Be sure to visit other specialists before delivery. You need to address to the therapist, the oculist, the cardiologist, the neurologist. Make sure there are no restrictions on natural childbirth.

Multiple and conventional caesarean section

So, you still scheduled a second caesarean section. At what time is such an operation performed, and is it possible to give birth to yourself with a multiple pregnancy?

Suppose that the previous delivery was performed surgically, and after that the woman became pregnant with twins. What are the predictions? In most cases, the outcome will be a second caesarean section. At what time do it - the doctor will tell. In each case, the individual characteristics of the patient are taken into account. Manipulation is prescribed for a period from 34 to 37 weeks. With multiple pregnancies, they do not wait longer, as rapid natural childbirth can begin.

So, you are carrying one child, and a second caesarean section is scheduled. When is the operation done? The first manipulation plays a role in determining the term. Re-intervention is scheduled 1-2 weeks earlier. If the first cesarean was performed at 39 weeks, now it will happen at 37-38.

The seam

You already know at what time a planned second caesarean section is made. The caesarean is re-performed along the same suture as the first time. Many expectant mothers are very concerned about the aesthetic issue. They worry that the whole belly will be covered with scars. Don't worry, it won't happen. If the manipulation is planned, then the doctor will make an incision where he passed for the first time. The number of external scars you will not increase.

Otherwise, the situation is with the incision of the reproductive organ. Here, with each repeated operation, a new area for the scar is selected. Therefore, doctors do not recommend giving birth by this method more than three times. For many patients, doctors offer sterilization if a second caesarean section is scheduled. When they are admitted to the hospital, gynecologists clarify this issue. If the patient wishes, the fallopian tubes are ligated. Do not worry, without your consent, doctors will not carry out such a manipulation.

After surgery: recovery process

You already know about when the second caesarean section is shown, at what time it is done. Reviews of women report that the recovery period is practically no different from that which was after the first operation. A woman can stand up on her own in about a day. A newly-made mother is allowed to breastfeed a baby almost immediately (provided that illegal drugs were not used).

The discharge after the second operation is the same as during natural childbirth. Within one or two months, there is a discharge of lochia. If you have had a caesarean section, then it is important to monitor your well-being. Consult your doctor if you experience unusual discharge, fever, deterioration in general condition. They are discharged from the maternity hospital after the second caesarean section for about 5-10 days, as for the first time.

Possible Complications

With a second operation, the risk of complications certainly increases. But this does not mean that they will definitely arise. If you give birth on your own after a caesarean section, then there is a chance of a scar divergence. Even if the suture is well-founded, doctors cannot completely exclude such a possibility. That is why in such cases, artificial stimulation and painkillers are never used. It's important to know about this.

During the second cesarean, the doctor has difficulties. The first operation always has consequences in the form of an adhesive process. Thin films between organs make it difficult for the surgeon to work. The procedure itself takes longer. This can be dangerous for the child. Indeed, at this moment, potent drugs used for anesthesia penetrate into his body.

A complication of a second caesarean can be the same as the first time: poor contraction of the uterus, its inflection, inflammation, and so on.

Additionally

Some women are interested: if a second caesarean section is performed, when can I give birth for the third time? Experts cannot answer this question unambiguously. It all depends on the condition of the scar (in this case, two). If the seam area is thinned and filled with connective tissue, then pregnancy will be completely contraindicated. With wealthy scars, it is quite possible to give birth again. But, most likely, this will be the third caesarean section. The possibility of natural childbirth decreases with each subsequent operation.

Some women manage to give birth to five children by caesarean section and feel great. Much depends on the individual characteristics and technique of the surgeon. With a longitudinal incision, doctors do not recommend giving birth more than twice.

Finally

A caesarean section performed during the first pregnancy is not a reason for a second procedure. If you want and can give birth on your own, then this is only a plus. Remember that natural childbirth is always a priority. Talk to a gynecologist about this topic and find out all the nuances. Best wishes!