Advertisement
An Ob/Gyn explains the question of timing
You’ve finally gotten through the sleepless newborn months (mostly). You’re at least not feeling quite so sleep deprived that the thought has crossed your mind: “Is now a good time to start planning for (another) brother or sister?”
Advertisement
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
Before you rush things, consider this. Ob/Gyn Salena Zanotti, MD, says research shows that too little time in between pregnancies is associated with increased risks for both mom and baby.
“Research has shown that you want to give your body at least 12 to 18 months to recover between pregnancies,” Dr. Zanotti says. Many studies have shown that if you don’t allow for at least that much time, there’s an increased risk for pre-term labor with the next pregnancy. There can also be increased risk for growth issues in your baby, and increased risks for mom too.
One recent study that looked at 148,544 pregnancies found an increased risk of death or serious illness in moms who had pregnancies less than a year apart.
The risks for their babies were also higher ― including spontaneous preterm delivery and complications before and after birth.
Women need to allow their bodies time to recover after the strain of pregnancy and childbirth, Dr. Zanotti says. Plus, breast-feeding also depletes a woman’s body of nutrients, especially when she nurses for the recommended first year of baby’s life.
Ideally, women who have had a healthy birth with no complications should wait at least 12 months before becoming pregnant again, Dr. Zanotti says.
Advertisement
However, she notes women who’ve had a C-section should wait longer.
Women who have had a C-section have a scar on their uterus, and that scar really has to heal. We’re recommending that those women wait at least 18 months between pregnancies because there can be an increased risk in what we call a uterine rupture, which is that scar opening up, which is devastating.
The risks for both mom and baby are highest in pregnancies that occur less than six months after a previous birth. That’s why Dr. Zanotti says it’s important for new moms to talk about contraception with their healthcare provider and have a plan in place to prevent unintended pregnancies.
Advertisement
Learn more about our editorial process.
Advertisement
Botox isn’t your best choice during pregnancy — try topical vitamin C and moisturizers in the meantime
Pregnancy hot flashes are normal and usually caused by hormonal changes
Fatigue is a result of hormones and the physical toll of pregnancy — eat well, stay hydrated and sleep when you can
First things first: It doesn’t mean anybody did anything wrong
The urge to get your home ready for baby often hits in the last trimester — but not everyone experiences it
Baby’s caregivers should be up-to-date on flu, COVID-19 and Tdap vaccines to protect the newborn in their lives
Intermittent fasting could impact your milk supply and energy levels, so it’s best to wait until you’ve weaned your baby from nursing
Ob/Gyns are trained physicians who can care for more complex medical needs than midwives, but which you choose depends on your health and comfort
If you’re feeling short of breath, sleep can be tough — propping yourself up or sleeping on your side may help
If you fear the unknown or find yourself needing reassurance often, you may identify with this attachment style
If you’re looking to boost your gut health, it’s better to get fiber from whole foods