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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Original poster

4 c section

16 replies

Shauna2866 · 04/01/2025 21:22

Hi has anyone had 4 c sections I’ve had 3 but all 3 was very close had them all in 2.5 years !
but my last one way 2 years ago!

Just found out I’m pregnant but I really don’t want to get rid of the baby but I am worried and scared incase anything goes wrong
I did ask the surgeon after my last c section does everything look okay and he said yes everything looks fine and that’ was it I never got told to not have anymore I know some women have

but I’m stuck on what to do I am gonna call the doctors on Monday and see what they say about it and then maybe try and talk to the midwife’s x

OP posts:
Weedoormatnomore · 04/01/2025 21:38

Only had 3 was sterilised while having 3rd as advised by Dr said was too risky to have 4th.. Thought was more to do with all mine being emergency even the planned 3rd section as DD wanted out early. I am sure if there was a problem they would have warned you while pregnant with your 3rd like they did me with my 2nd.

ZoeRuby · 04/01/2025 21:41

My aunt had 5 c-sections. Some fairly serious issues with the 5th one (I can’t remember exactly but the scar tissue adhered to something it shouldn’t have). Imagine it’s probably very different for every individual and worth discussing with an obstetrician.

Newyearsamebs · 04/01/2025 22:06

I had 4. All of them were emergency and I had a huge PPH on my first. It was ok. 4th took a long time and I needed a consultant and transfusion but it was ok.

Original poster
Shauna2866 · 04/01/2025 22:15

This is what I’m worried about incase anything bad happens I’m just gonna see what my doctor says
it wouldn’t of been around 33 months since my last one but the surgeon did say everything looked okay never said no not to have anymore I suppose everyone is different x

OP posts:
Original poster
Shauna2866 · 05/01/2025 07:46

@Newyearsamebs how far apart was your four ?

OP posts:
Ghostin · 05/01/2025 07:54

I’m about to have my second c-section and was advised in my pre-op meeting by my consultant to wait at least 18 months before getting pregnant again. Two years is a good length of time for your body to have recovered, but obviously c-section risks increase the more you have. A lot can be done to mitigate the risks with proper monitoring and management, however.

Speak to your medical team but don’t panic - you aren’t the first woman to have 4 c-sections, they will be able to manage the risks.

Bobbie12345 · 05/01/2025 08:09

They will have suggestions about the delivery (optimal timing, need for an experienced surgeon, need to have blood cross matched in advance in case you had a haemorrhage) but in reality if everything looked good at your last surgery ( which suggests you did not have many adhesions) then your risks are low.
As a PP said, you certainly are not the first person to have four caesarian sections. It will be more of a planning issue from their side.
But maybe ask for a tubal ligation while they are in there this time!!

MrBirling · 05/01/2025 08:15

Like a previous poster I was specifically told during my third section not to have any more. I had declined to be sterilised but they offered again while operating. So I think they would have said something to you previously. The most sections I've heard of in my circle is 5 and that was a while ago so if anything it's likely safer now.

Having multiple sections does increase the risk of placenta previa and placenta accreta. But you'll be well monitored for both.

Purpleturtle46 · 05/01/2025 08:50

I had 3 and was told after my 3rd it was 'Like sewing up wet paper towel' and not to have a fourth.

Newyearsamebs · 05/01/2025 09:48

Shauna2866 · 05/01/2025 07:46

@Newyearsamebs how far apart was your four ?

1.5 - 2 years. I was never told not to have a 4th and they wouldn’t sterilise me until no4.

Notmeagain24 · 10/12/2025 20:24

@Shauna2866 - I hope you are still here to let me know how you got on? I'm 7 weeks pregnant with my 4th and my youngest is only 18 months old. I'm terrified but also can't bring myself to terminate. I'm hoping you had a positive experience? Xx

Original poster
Shauna2866 · 11/12/2025 06:53

@Notmeagain24 hi yes all went absolutely fine had my baby bin august probably the best recovery out of them all i’m sure you’ll be absolutely fine they did say i could have more if i ever wanted
but im definitely done now four is enough for me xx

OP posts:
Patchymama · 11/12/2025 07:03

Bobbie12345 · 05/01/2025 08:09

They will have suggestions about the delivery (optimal timing, need for an experienced surgeon, need to have blood cross matched in advance in case you had a haemorrhage) but in reality if everything looked good at your last surgery ( which suggests you did not have many adhesions) then your risks are low.
As a PP said, you certainly are not the first person to have four caesarian sections. It will be more of a planning issue from their side.
But maybe ask for a tubal ligation while they are in there this time!!

Edited

"risks are low" - that's a bold statement. How do you get to that? The likelihood of placenta accreta, which is associated with major bleeding, and potential hysterectomy, is upwards of 50% with a 4th Caesarean. (Marshall et al 2011). I've known many women have a 4th CS, but very many extremely nervous operating rooms.

Notmeagain24 · 11/12/2025 07:23

@Shauna2866 thank you so much for replying! Congratulations on your lovely baby. I'm so so pleased it went really well. It gives me a lot of comfort. How are you finding life with 4? Xxx

Original poster
Shauna2866 · 11/12/2025 07:25

@Notmeagain24 tbh it’s not that bad at all she’s a really good baby so that’s helped a lot you’ll be fine i’m sure there’s women that have 5/6 c sections and are fine but i know how you feel as i worried all the way through and i worried for nothing xx

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Notmeagain24 · 11/12/2025 08:40

Yes that's going to be me! I keep wondering how on earth Im going to make it to July and still enjoy/focus on being a mum today whilst it's really quite an all consuming panic. Also dreading telling my parents and work again... but that's a whole other problem!

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