View source for Previous C-Section

{{Severity Banner
| level    = yellow
| card_no  = 15
| title    = Previous C-Section
| subtitle = A scar on the uterus means this pregnancy must end in a hospital
}}

{{Card Infobox
| card_no  = 15
| severity = yellow
| category = Pre-existing
| audio    = Previous_C-Section_Khasi.mp3
| call_108 = no
| pathway  = ASHA → Sub-Centre / District Hospital (register) → deliver at CHC / District Hospital
| image    = Card_15_Previous_C-Section.png
}}

== What is this? ==

When a baby was delivered by Caesarean section (C-section) in a previous pregnancy, a scar is left on the uterus. In the current pregnancy, this scar can sometimes tear open — especially if labour starts without the woman reaching a hospital first. This tearing is called uterine rupture and is a life-threatening emergency for both the mother and the baby.

This does not mean a normal vaginal delivery is impossible — but it means the delivery must happen in a hospital that can perform a C-section and provide a blood transfusion if needed. Register at the CHC or District Hospital as soon as possible. Plan transport well before the expected delivery date. If labour pains start at home, go to the hospital immediately without waiting.

{{Action Steps|
* Register at the Sub-Centre or District Hospital as soon as possible
* Tell the doctor or ANM about your previous C-section at every visit
* Plan your transport to the CHC or District Hospital before labour starts
* '''If labour pains start at home — go to the hospital immediately, do not wait'''
}}

{{Referral Pathway
| step1 = ASHA
| step2 = Sub-Centre (register)
| step3 = CHC / District Hospital (deliver)
}}

{{Risk Window|
The risk of the uterine scar tearing is present throughout the pregnancy and is highest when labour starts at home without medical support. If labour pains begin — no matter how mild — go to the hospital right away. '''There is no safe time to wait once labour starts for a woman with a previous C-section.'''
}}

== Khasi audio guide ==

{{Audio Guide|file=Previous_C-Section_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Vaginal_Bleeding|Vaginal Bleeding]] — uterine rupture causes severe internal bleeding
* [[Strong_Belly_Pain|Strong Belly Pain]] — scar tenderness or rupture presents as severe belly pain
* [[Twins_or_More|Twins or More]] — another reason for planned hospital delivery

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]