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. If it is urgent to get your baby out, however, they may choose to make another incision to avoid delays associated with cutting through scar tissue.
As for whether your doctor will use the same C-section scar for a second pregnancy, it really depends on how thick the previous scar is. But don't panic. “It’s easy to remove a previous scar if necessary. The same procedure is performed to deliver the baby as the first go around. At times there is significant scar tissue that makes it a bit more challenging to deliver the second baby, but care is taken to ensure a safe passage.
"A vertical incision for a C-section is rarely needed — a low transverse incision is what is currently recommended when performing this surgery. However, some doctors will use a vertical incision if the C-section is an emergency delivery, and quick entry to the uterus is necessary. If a pregnant woman has had a previous abdominal surgery that was performed through a vertical scar, a vertical incision could still be used."
As long as the scar tissue isn't super thick, you're probably not going to have multiple scars for your repeat C-sections. If you're worried, be sure to ask your doctor if that's something they will be able to do — they should be able to check the density of your skin before going in for the operation.
Is second C-section cut in same place?