I am 20 weeks pregnant with my second baby and diagnosed with complete placenta previa. I had a classical cesarean section with my first child, and my doctor suggests I consider a tubal ligation. She has assisted at over 1,000 births and is currently teaching in the nurse-midwifery program at the University of Minnesota.
Classical incisions are rare today.
It is a vertical incision into the uterus itself. The skin incision is often vertical, however, but this has no bearing on the type of incision used in the uterus. Because a classical incision increases risk of rupture with a subsequent pregnancy and labor, a repeat cesarean is usually done. Therefore, a third pregnancy would be at increased risk of a repeat previa. Both this one and the next would need to be delivered by cesarean.