Kristina House (USA) has given birth to 11 children (six girls and five boys) all by Caesarean section between 15 May 1979 and 20 November 1998.
Health risks increase with each subsequent Cesarean, yet some people get six or more without complication.
“So, every patient is different and every case is unique. However, from the current medical evidence, most medical authorities do state that if multiple C-sections are planned, the expert recommendation is to adhere to the maximum number of three.”
There's usually no limit to the number of caesarean sections you can have. But the more caesareans you have, the longer each operation will take and the higher your risk of serious complications becomes. You will have scar tissue where your wounds have healed after each operation.
There's usually no limit to the number of caesarean sections that you can have. But the more you have, the longer each operation will take, and the higher your risk of complications becomes (Biler et al 2017, RCOG 2016).
Women who've given birth by caesarean section (C-section) usually have the option to deliver their next baby vaginally. But if your doctor thinks there are health concerns or risks with a VBAC, they may recommend an elective caesarean.
If you've already had a cesarean birth (also called c-section), you may be able to have your next baby vaginally. This is called a vaginal birth after cesarean (also called VBAC). Cesarean birth is surgery in which your baby is born through a cut that your health care provider makes in your belly and uterus.
Compared with primary cesarean delivery, repeat cesarean delivery could be associated with additional risks. Uterine rupture is one of the most catastrophic complications of pregnancy and can also present as an asymptomatic scar dehiscence.
Ideally, your doctor will cut through the same scar so that you don't have multiple scars on your abdomen and uterus. Sometimes scar tissue can be difficult to cut through but your doctor should be able to cut through it.
Women who give birth via C-section have an increased risk of issues with subsequent pregnancies, including the risk of the incision scar tearing open during a later pregnancy or labor (uterine rupture), placenta previa (the growth of the placenta low in the uterus, blocking the cervix), placenta accreta, placenta ...
Once the baby is delivered the uterus is closed with a double layer of stitching. Four of the five remaining layers are stitched with a single layer of stitching, but one layer is not restitched as it heals better – with no buckling and reduced chance of scar tissue developing, without restitiching.
Victoria Beckham has given birth three times by scheduled caesarean, for her sons Brooklyn, Romeo and Cruz.
Women can reproduce for about half of their lifetime and can only give birth about once every year or so. So it makes sense that women can only have a fraction as many children as men. One study estimated a woman can have around 15 pregnancies in a lifetime.
Cesarean section also requires a longer recovery time, and operative complications such as lacerations and bleeding may occur, at rates varying from 6% for elective cesarean to 15% for emergency cesarean.
Furthermore, emergency Cesarean section operations had a greater impact on neonates' sense of touch compared to those born by planned Cesarean section. Children born through emergency Cesarean section were prone to tactile resistance due to the experience of birth trauma.
Slow recovery ability: Due to having had 2 previous births by cesarean section, in this 3rd time, the mother's body is much weaker, the ability to recover is slow, and her ability to endure a lot of pain is also worse.
Giving birth to your baby vaginally after several caesareans (VBAC) is possible. Most women who have had up to four caesarean births are able to have a successful VBAC without any complications (NHS 2019, NICE 2021, RCOG 2015).
Pain intensity, wish for more analgesics and most interference outcomes were significantly worse after CS compared with hysterectomies.
While a successful VBAC is associated with fewer complications than an elective repeat C-section, a failed trial of labor after a C-section is associated with more complications, including a uterine rupture. Uterine rupture is rare, happening in less than 1% of women who attempt a trial of labor after cesarean.
More Children after C-Section
If you've already had a c-section, you may wonder if you can have more children. After one, possibly even two cesarean sections, Dr. Boswell said it is safe to attempt to have a vaginal birth. This is known as a Trial of Labor after Cesarean Section (TOLAC).