Women can safely have 3 c-sections even though there is no research to support the specific limit. Each repeat C-section is more complicated than the previous.

Some women experience slight complications such as heavy bleeding with  every c-section . If you suffered from a long and difficult labor before your first c-section, a repeat c-section wont be a big problem. The healing process will take as long or longer if you had complications.

In women such as those  who develop serious uterus scarring and adhesions, the risk associated with each c-section is high.

What are the concerns of a repeat c-section ?

A repeat c section increases your risk for the following complications.

Placenta problems : The increased number of repeat C-section you have, the higher your risk of developing problems with the placenta such as placenta previa and placenta accreta.

Heavy bleeding : This is possible after any c-section however the risk increases with every repeat c section. The risk of needing a hysterectomy (surgical removal of the uterus ) to control life-threatening bleeding increases with each c-section.

Weak uterine wall : Each uterine incision leaves a weak spot on the uterine wall. This may have an effect on future pregnancies.

Injuries to the bladder : Bladder injuries are not common with initial c-sections. Your risk increases  as the number of c – sections increases.  This increased risk may be due to  scar-like tissues that developed after a previous c-section, binding the bladder to the uterus.

Adhesions : These are bands of scar-like tissues that develop during the healing process of a C-section. They form  between two surfaces inside the body and cause them to stick together. Your risk increases significantly with each repeat c section.

It is very important to discuss thoroughly with your doctor the risk associated with having more than 3 C-sections.
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