Expert: Dorothy H, LCCE - 1/24/2010

Question
DEAR  SIR

IAM  A   37  YEAR OLD  MALE AND  MY  WIFE  IS  33  YEARS  OLD   .WE  HAVE  TWO  CHILDREN  DAUGHTER 7  YEARS   OLD   AND  SON  3  YEARS  OLD .BOTH  THE     KIDS  HAVE  BEEN  BORN  AFTER  THE  `C,-SECTION   OPERATION .  

NOW  THE   PROBLEM  IS  THAT   WE  WANT   TWO  MORE  CHILD.BUT     I   HAVE    HEARD  THAT     IT  IS  RISKY  TO  HAVE   MORE  THAN  TWO  CHILD   AFTER      OPERATION BUT WE   STILL   WANT TO  HAVE     TWO  MORE  CHILD.
MAY I  REQUEST   YOU   TO  GUIDE  ME   HOW  CAN    I   HAVE  TWO  MORE   CHILD
                                     THANKING  YOU
                                                              REGARD        
                                                                          SANDY.

Answer
Multiple cesareans do present additional risks - these studies:

http://www.journals.elsevierhealth.com/periodicals/eurold/article/PII00282243949...

http://www.webmd.com/news/20060607/more-c-sections-more-complications

outline some of the risks - the major ones being adhesions and risk of placental accreta.  Most doctors in the United States do not start getting concerned about those risks until a woman has at least 3 children, although the risks do increase with every pregnancy.  Consult your doctor to find out if there are any additional risks to your wife's situation.

I don't know if it's an option in your country, but many women are excellent candidates for VBAC, or vaginal birth after cesarean.  That might be an option you can look into as well.

Talk to your wife's doctor and find out from him or her what the actual risk to your wife would be with any subsequent pregnancies, especially if attempted VBAC is not an option for her.