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Pregnancy After C-Section: Risks, Timeline & What to Expect


Question
I am 22 years old.  I have 1 daughter, she is 4 months old.  I have been breastfeeding her so I haven't had a period, only some spotting about 1-2 months ago, maybe.  I delivered my baby via c-section (my passageway was too small to fit her, only a 10% chance she would come out of me) and my doctor told me to wait 2 years between deliveries.  I am not sure why.  I am concerned because I suspect that I may be pregnant again and I do not know what to think about it.  I do not know if it is something to worry about since it has not been long enough yet.  I really do not believe in abortion either.  Should I be worried?  What can happen if I am pregnant?  I would appreciate your help.  Thank you very much.

Jenette

Answer
ACOG (American College of ObGyn) recommends that a woman who has had a cesarean section should not consider having a vaginal delivery (VBAC) until 18 months after the original cesarean. HOwever, if you find yourself pregnant, and the baby will be born within 18 months from the cesarean, schedule a repeat cesarean section for 37-38 weeks gestation.,  There is no other risk for this pregnancy. The risk of uterine rupture at the site of the previous incision (in the uterus) is 1%. (That means that one woman in 100 can rupture her uterus at the previous scar).