4 section

[Marissa9293]

Hi everyone, I’ve recently found out I’m pregnant with my 4th child. I’ve had 3 previous C-sections, so I know I’ll most likely need another one this time. I also have internal scar tissue/adhesions from my previous surgeries.

After my last C-section, I vaguely remember being advised not to have a fourth baby, but I can’t fully remember the reasons why or what the actual risks were. My partner and I are in a place where we would like to continue with the pregnancy, but obviously I also have my own health and my three children to think about.

My partner and I don’t have children together, as my three children are from a previous relationship, so this pregnancy means a lot to us. I’m just feeling really scared and overwhelmed at the moment and don’t want to make any rushed decisions based on fear or Googling.

I’ve booked an appointment with my GP next week and I’m hoping to be referred to a specialist so I can get proper advice, but in the meantime I can’t stop worrying or thinking about it.

Has anyone here had a 4th C-section, especially with internal scarring/adhesions? I’d really appreciate hearing other people’s experiences.

I haven’t. Of my two postnatal midwives, one had had 4 sections and one had had 3.

i think lots of factors affect it (ie how spaced out they are) but ultimately, it just makes it slightly higher risk. Still overall very safe (I’m speaking generally) as I understand but I don’t know about your specific situation & body/ scar issue.

they won’t refuse to care for you- you might just need extra monitoring!

a girl on tik tok has had NINE. The last few they’ve had to deliver early as her uterus wall was so thin.

i’m sure you will be fine but of course nobody can answer your individual circs. Congratulations ❤️

The main risks to consider are the placenta invading the body of the uterus, uterine rupture, surgical complications such as damage to bladder or bowel, and high risk of postpartum haemorrhage. Book early with your local maternity services so you can have regular scanning and consultant input.

I had four within nine years. Last one they said not to have anymore due to adhesions and thin skin. I think there’s general advice and then specific advice to you, so it’s good you’re seeing your GP to get that started.

I personally wouldn’t even have a 3rd, let alone a 4th. But that’s me.

The big issue here is that you were previously told not to have another baby so someone needs to check your previous hospital notes asap to confirm why.