The 5 Real Risks of a C-Section

Image via Kelly Sue/Flickr
Image via Kelly Sue/Flickr

Last week, I counseled a second-time mother on her upcoming scheduled cesarean section.

After a very difficult previous delivery that involved a fourth-degree tear (ouch!) and a baby that was larger than average, she and her doctor had decided that the best course of action for her to take was planning a c-section at 39 weeks. 

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Understandably, she was nervous about her first c-section and asked me many questions. I tried my hardest to calm her fears, but in reality, I completely understood. As an OB nurse, I've been in on countless c-sections, being the first person after the doctor to hold a baby fresh from his mother's womb, so in a way, the surgery seems pretty routine to me–but that doesn't mean I'm not aware of the risks that can accompany the procedure. 

So, just what are the real risks involved with a c-section?


scar tissue
Image via Tammra McCauley/Flickr

Scar tissue/uterine weakening. One of the biggest risks for a c-section is not necessarily within the surgery itself, but what comes after the surgery, especially for mothers who want to have more children. Because a c-section literally cuts through the uterine muscle, it weakens the muscle fibers. As the incision heals, scar tissue replaces the healthy tissue, making the uterus much more susceptible to splitting open, through what is called a uterine rupture. According to an article by the National Institute of Child Health and Human Development, the risk of uterine rupture increased by a factor of 5 for each repeated indicated c-section. Or, in other words, the more c-sections, the higher the risk of uterine rupture. Which makes sense. 

Image via Kelly in NC/Flickr
Image via Marie in NC/Flickr

Trouble breastfeeding. Unlike a vaginal delivery, where a mother can literally be breastfeeding her infant seconds after giving mother, a mother in a c-section often has a much longer recovery time. After the surgery itself, which can take upwards of 30 minutes to complete after the baby is delivered, a mother usually has a one to two hour recovery time where she is carefully monitored by a nurse. She may have received additional drugs that make her drowsy during the surgery and it is often very difficult and painful for her to hold her baby right away and/or initiate breastfeeding. One study by the Neonatal Medicine, Department of Medicine in London found that early initiation of breastfeeding was, predictably, much lower for mothers who had received c-sections. 

{ MORE: 5 Unexpected Ways a Doula Can Provide Support }


Image via Kelly Sue/Flickr
Image via Kelly Sue/Flickr

Respiratory problems for baby. The risks for the baby in a c-section are often two-fold, because many c-sections are usually “emergency” surgeries — wherein the baby has displayed some type of distress during labor or there is a dangerous condition with the mother — c-section babies are naturally more prone to have negative outcomes at birth, since that's what usually caused the c-section in the first place. Further complicating matters is that c-section babies are notorious among healthcare staff for having trouble breathing. Unlike a journey through the birth canal, when a baby will have all of the secretions of birth “squeezed” out on her way out, a baby delivered through c-section may swallow mucus or have a more difficult time clearing secretions, which can lead to respiratory problems. The American Association of Pregnancy reports that many studies have found an increased incidence of newborns needing breathing assistance after a c-section. 

Image via isafmedia/Flickr
Image via isafmedia/Flickr

Hemorrhage. Obviously, the risk of blood loss is elevated with any type of surgery and the American Pregnancy Association reports that 1 in 6 women receiving a c-section will require a blood transfusion. One of the most common fears with a c-section is that the bleeding might actually lead a woman to require an emergency hysterectomy — especially a worry for women who would like to have more children. However, according to the American College of Obstetricians and Gynecologists, the risk of an emergency hysterectomy for a mother with a planned c-section versus a mother having a vaginal birth is about the same; however, for mothers on their second or more c-section, the risks become much higher. 


Image via Kelly Sue/Flickr
Image via Kelly Sue/Flickr

Infection. Again, it might seem obvious, but infection following a c-section is definitely a risk that is much higher than with a vaginal birth. Opening the body up in an “unnatural” way, human error, and the use of surgical instruments all make a mother with a c-section more susceptible to an infection. Again, the ACOG states that maternal infection is increased in c-sections and can range from infections at the incision site to internal infections of the uterus.


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What do you think?

The 5 Real Risks of a C-Section

Chaunie Brusie is a writer, mom of four, and founder of The Stay Strong Mom, a community + gift box service for moms after loss. ... More

Tell us what you think!


  1. MARIA says:

    I’m scarred if I do get a infection .. For manny
    Reasons. I had an emergency c-section last month jan,18
    And the fist week I had really bad pain because
    All I did was bed rest. I have so much trouble breastfeeding
    My back hurts because I had a epidural put in 5 different times
    Because the person that did it could find the correct
    Spot. After a few hrs I was still feeling all my pain the
    Epidural didn’t work at all. So nw I get up and do my
    Daily life with out restriction and I’ve notice that my scar still
    Haven’t healed completely in the middle I have this small whole
    ? I wonder would I be able to have another baby but normal ? How long is it gonna
    Take for my scar to heal completely ? Is it normal for blood cults to come out ?
    First time mommy any advise or personal experience will help and thank you

  2. Kylie says:

    I have had 3 c-sections two of which we planned…. My last one was about 2 months ago…..I havent had any problems except the last time I had my tubes tied which caused increased cramping… and about 2 weeks ago I had to have my appendix removed

  3. Melanie says:

    So I had a c-section at 40 weeks. I quit dialating at 4. So after I was having serve abdominal pain with bad periods. After 2-3 years I had to have a hysterectomy because my uterus attached itself to my abdomen and was causing all that pain and discomfort. I only have one child and will never have anymore. Could that issue be because I had a csection?!

  4. Jamie25 says:

    I had 2 of them one was emergery and the other was one was planed so what r they saying what can go wrong? and even got my tube tied too anything on that

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