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The Connection Between Caesarean and Infertility?

Why are C-Sections Done?

A C-Section (also called a Caesarean section), is a surgical procedure used to deliver a baby. During a C-section, the baby is delivered through incisions made in the mother’s abdomen and uterus. This procedure is typically performed when a vaginal delivery would be considered unsafe or when certain medical conditions make it necessary.

Some common reasons for a C-section include:

  • Feta distress:
If the baby shows signs of distress, such as an abnormal heart rate, a C-section may be recommended to expedite delivery.
  • Breech presentation:
When the baby is positioned feet or buttocks first instead of headfirst, a C-section may be chosen to avoid complications during vaginal delivery.
In cases of twins, triplets, or more, a C-section might be recommended if there are complications or concerns about the position of the babies.
  • Maternal health issues:
Certain maternal health conditions, such as high blood pressure or certain infections, may necessitate a C-section.
  • Previous C-section:
A woman who has had a previous C-section may opt for another C-section for subsequent deliveries or attempt a vaginal birth after cesarean (VBAC), depending on her health and the circumstances.
  • Placenta previa:
If the placenta covers the cervix, a C-section may be recommended to prevent bleeding complications.
  • Labor difficulties:
If labor is not progressing as it should or if there are concerns about the baby’s well-being during labour, a C-section may be performed.

Can a C-Section Cause Infertility?

In general, a Caesarean section (C-section) is not directly associated with infertility. The primary purpose of a C-section is to safely deliver a baby when a vaginal delivery is not feasible or poses risks to the mother or the baby. While the procedure itself does not inherently cause infertility, there are factors related to C-sections that may have implications for future fertility:
  • Adhesions:
During a C-section, incisions are made in the abdominal wall and the uterus. As a part of the healing process, scar tissue or adhesions can form. In some cases, these adhesions may affect the normal function of the reproductive organs. However, the extent and impact of adhesions can vary, and not everyone will experience fertility issues as a result.
  • Uterine rupture:
Although rare, there is a small risk of uterine rupture in subsequent pregnancies following a C-section, especially if a woman attempts a vaginal birth after cesarean (VBAC). Uterine rupture can be a serious complication and may impact fertility, but this risk is generally low.
  • Placenta previa:
A history of C-sections may be associated with an increased risk of placenta previa in subsequent pregnancies. Placenta previa, where the placenta partially or completely covers the cervix, can lead to complications during pregnancy and delivery, but its direct impact on fertility is limited.

Should You Avoid C-Sections?

It’s important to note that the vast majority of women who have C-sections go on to have healthy pregnancies and deliveries in the future. Many women successfully conceive and carry pregnancies to term without experiencing fertility issues related to a previous C-section.

If a woman has concerns about fertility after a C-section, or if she experiences difficulty conceiving, it is advisable to consult with a healthcare provider or a fertility specialist. They can evaluate the individual’s medical history, assess any potential factors, and provide guidance on fertility options and treatments if necessary.

At Eva IVF and Women’s Centre in Chennai, they will do a proper assessment of your caesarean scar to decide when it may be the reason you are not above the measurement. They also have a laparoscopic surgery facility to cure the problems from the C-section.