A general rule is to wait for eighteen to twenty-three months after a caesarean before trying to conceive again. This is also the time length advised by doctors in case of a normal vaginal birth (VBAC).
It is important to note that the blood lost during a caesarean section surgery is twice of that of a normal vaginal delivery. This blood loss and the blood transferred to the placenta may make the mother anaemic. The body needs to replenish the nutrients lost before it can take on the burden of another pregnancy and this takes a while, which is why the gap is advised.
Studies have also shown that women who conceived less than six months after a caesarean section, risk the complication of uterine rupture or having the baby born pre-term usually due to the low iron count in the mother.
Complications after a caesarean section delivery are rare. Sometimes there may be an infection due to the surgery, but this can be treated. The second pregnancy is not affected by this if the treatment is complete.
The general guidelines to be followed are the above, but women who conceive before the recommended eighteen to twenty-three month gap after the caesarean section surgery may have an entirely safe and uneventful pregnancy. The overall health, skill of the doctor, size of the baby all are factored into the pregnancy. Women who may have had the first child by caesarean section at an advanced age (after thirty-five years) may opt to plan for another sooner rather than later. The health care provider or physician is the best guide for every specific circumstance.
The second pregnancy after the first delivery through caesarean section may be an entirely normal one without any complications whatsoever. Due to the history of c-sec, the pregnancy will be monitored more closely. It is possible to have a vaginal birth after a caesarean one if the complications present in the earlier pregnancy are not present in the second one, and if there are no other medical reasons such as a breech presentation or a large baby.
A second pregnancy after a caesarean delivery is not a cause for worry and with proper care and vigilance may be without any complication.