Doctor insights on:
Avoid Multiple C Sections
YOUR doc: Who is going to do the csection or who is taking care of your pg should discuss all of that with you like I do with all of my pts , I have a consent form they sign outlining possible complications. Most people do very well, but possible complications are infection, bleeding , bowel ileus, bladder or bowel injury. You can also have complications after a vaginal delivery , even thoughmost peopledon'. ...Read more
Not likely: Multiple c/sections do not cause early menopause. Multiple c/sections are unlikely to cause infertility unless there there was a complication such as an infection, lots of blood loss or an injury to the fallopian tubes. Otherwise fertility is not affected by c/sections. Multiple c/sections do slightly increase your chances of complications during pregnancy such as abruption and accreta. ...Read more
Yes and No: If truly an emergency, the placental location does not matter. Ideally, placental location is known ahead of time. Once a cesarean is in progress, placental location becomes very evident if it is low and attached to the front of the uterine wall. ...Read more
Possibly: Research is limited but many women report that high doses of vitamin C (500 mg an hour) for several days taken in early pregnancy induces miscarriage. Thus, if one wants to avoid miscarriage then avoid high doses of C in early pregnancy. If one wishes to induce miscarriage it is safe to try but probably works less than 50% of the time. See http://www.sisterzeus.com/vit_c_ab.html for more info. ...Read more
28 wks pregnant, previous c section, placenta anterior, no acretta now- placenta is 4cm above c section scar. Could acretta still develop at this pt?
Multiple reasons: #1 Liability risks for prolonged labor with injury to child. #2 Fewer forcep deliveries. #3 Large groups with multiple MD's who schedule for convenience. #4 Premium babies of infertility or older patients who have labor dysfunctions or complications. #5 Patient requests to avoid "vaginal stretching" , pain or bladder prolapse. There are man more and these are just a few. ...Read more
Maintain Balance: Normal recommended amounts of Vit C is about 120mg per day. Normal amounts of Vit C does not induce abortion or periods. Taking large amounts of Vitamin C is not good. Amount greater than 2000mg a day can cause kidney stones and diarrhoea. It is best to stick to natural sources of VIt C. DO not use Vit C to induce abortion or period. It does not work and may cause harm. ...Read more
Not recommended: Controversy over vaginal birth after c-section has gone from one end of the spectrum (no) to the other (sometimes) . Your OB can determine if you are a candidate for vaginal birth after c-section and if you are your delivery will be very closely monitored and preparation for c-section will be in place in case you need it. The surgical team will be nearby throughout your labor and delivery. ...Read more
No and Yes: Having gestational diabetes does not mean that you will have to have a cesarean section. Lots of gestional diabetics deliver vaginally. Important to control your blood sugar because uncontrolled diabetes can lead to large babies which do need a cesarean. All gestational diabetics on medication typically deliver by 39 weeks or undergo induction at 39 weeks. One week prior to one's due date. ...Read more
Uterine rupture: Uterine rupture is when the scar of a previous c-section opens. It can cause the death of mother and baby if not recognized and acted upon quickly. It occurs in about 1-5/1000 women who have had one previous c-section. The risk is increased if you have had more than one c-section or if your labor is being induced. ...Read moreSee 1 more doctor answer
Good question: If your condition allows for you to be awake, and the obstetrician does not need too put you to sleep for other surgical reasons, the spinal gives you the advantage of appreciating to process of birth. On the other hand, your well being and that of your baby are top priority so discuss this with your doctor. When i delivered babies i used to joke with the parents that the birth was the easy part. ...Read moreSee 1 more doctor answer
What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?
Hyst'omy MANDATED: hello Annie-_777 I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more