Sesi Tanya Pakar Bersama Dr. Nicholas, Pakar Obstetrik dan Ginekologi

Usually we will advise for VBAC (vaginal birth after caesarean) after two years, ideally. That means you get pregnant again after your baby’s first birthday. By the time you’re expected to deliver your second baby, your elder baby should be around two years old. Anything less than that, I won’t encourage for VBAC. Your doctor must assess and discuss with you thoroughly before allowing for VBAC. I notice that your height is 143cm, which may be slight below our normal asian height. So your doctor may need to assess if there’s an element of cephalopelvic disproportionate (CPD) in your case. Meaning your pelvic may be too narrow for the baby’s heat to go through, in simple tense.

So you’ve had a VBAC two years after Caesarean. Congratulations. Feeling of pain at the scar may indicate nerve involvement at the scar tissues. Don’t think the scar will breakdown now. If it persists, you may need to go check it up and certain painkillers may be prescribed as steps taken to determine any underlying causes, if any.

Thank you so much doctor for the advice

Please refer to my similar replies to other moms about VBAC. Thanks.

You need all the nutrients and proteins for healing after Caesarean section. Normal proteins like eggs, chicken and fish is advisable. It won’t cause infection. However, I’d advised against shellfish as some mothers may get allergic reaction and that may cause scar itchiness and discomfort. Studies have also shown over consumption of ‘ikan haruan’ May cause excessive skin scarring or keloid. Try limit intake of this species of fish after Caesarean

You can start having abdominal massage starting 1 month post-Caesarean. Anything before that I won’t recommend. As for scar lightening massage, I’m not aware of its efficacy. Instead, you can try applying some scar lightening gel or patch to reduce the scarring. As for the full recovery, it depends on for what issues. If it’s physical recovery, about 6-8 weeks. However, skin starts recovering from 7-10 days onwards and showering without protection of the plaster is safe. If it’s for a VBAC, ideally two years after the birth of the baby or C-Sect

ok , tq for the answer ☺

I usually use suture. Never tried the glue. It works well every time

Oh i see. Tqsm doc for ur answer

Usually the full recovery is about 2 years but I can recommend to start light exercises ftom 6 weeks after your Caesarean section and gradually increase it.