Doctor insights on:
C Section Adhesions Symptoms
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?
Adhesions are scar tissue which can form after any abdominal surgery. The severity depends on whether infection/inflammation was present at the time of surgery. Adhesions are like bands or spider webs that form around the abdominal organs/intestines. Sometimes adhesions are light and cause no problems, sometimes tremendous problems, like crazy glue in the abdomen. Can ...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
1st csection 4wks ago I've read what issues Csec cause numbness scar tissue adhesions hernias intestinal issues ect do all women have these problems?
Not all women: Those are potential negative consequences as a result of a c/s, but most women do not experience any of these issues. Numbness at the site of the scar is probably more common than the other things listed, which are rare. If you are concerned about anything, call and see your OBGYN. ...Read more
40yo endo, pcos, ulcerative c. childbirth via c-section, 2 surgeries to remove endo from rectus muscle. Many meds over 15y. Hysterectomy pro and con?
Complicated Surgery: Your history of surgeries makes me worry that another surgery for you might be difficult if you have a physical exam that shows a uterus that's fairly stuck in the pelvis. If you haven't tried medical methods of care for endometriosis, I would do that first. Consider continuous pills, Depo, Lupron, (leuprolide) etc. ...Read more
Several things: The Cesarean section itself should not involve the bladder or the rectum. However there may be a irritation of the bladder from possibly having a catheter at the time of the procedure. It is also possible to have developed a urinary tract infection. One reason for anal pain could be constipation from pain medication if one was taking Percocet or Vicodin or something similar. There are of course surgical complications that might account for the complaints. For that reason it is important to speak to your obstetrician so that a definitive diagnosis can be made. ...Read more
Very, very rare: A true bowel obstruction is a mechanical blockage of the small intestine, usually due to scar tissue (adhesions) from prior surgery. An ileus is a functional obstruction of the intestine often due to inflammation within the abdominal cavity. While I have seen women with an ileus after c-sections, the only time I have seen a woman with an obstruction was associated with crohn's disease. ...Read moreSee 1 more doctor answer
Swelling: Dvt can occur in the deep veins anywhere. But we usually think of the legs after pregnancy, weight gain, dependent posture and surgery swelling, tenderness, and venous congestion and some discoloration= blueness from the congestion can occur. Ultrasound is a way to make the diagnosis and lead to treatment. ...Read moreSee 1 more doctor answer
Hi, I had partial hysterectomy due to placenta accreta & previa also adhesions removed operation done abdominal vertical & I'm am bleeding irregularly?
Talk to MD: Frequently, granulation tissue at the vaginal cuff will cause annoying vaginal bleeding. Easily corrected in the office. I know some people refer to a 'partial' hysterectomy incorrectly but if by partial you mean a supracervical or subtotal hyst, then your cervix is still present and that explains the bleeding easier. ...Read more
Cervical Stenosis Hematometra post menopausal pelvic pain Fibroids.Dr wants 2wait 6wks b4 D and C. No thickening or blood. Can this resolve by itself?
Possibly yes: If your cervix is stenotic, you can accumulate "fluid" in your endometrial cavity which may be mucus, not blood? Bleeding will usually not occur if your cervix is closed The fact that " no thickening" of your endometrium was noted on sonogram is reassuring and means you probably do not have " hematometra" and that the "fluid" may resolve spontaneously in weeks to months.Ask for an office Pipelle ...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
Infertile daughter.I m post menopausal 4 c sections, internal mesh for hernias.Bad back with vertebral slip in lumbar. Could I still be surrogate?
Complex: You should be evaluated by the real experts in the field, this is a team approach, and probably your daughter is not infertile, hope you will find the right advice , ...Read more
Previous c section, placenta anterior 4-5 cm above scar, no acretta now but can it develop in 3rd trimester?
It may!: You need repeat sonograms during pregnancy to evaluate the situation. The problem would be if you develop placenta increta, or percreta because these could make your anatomy more difficult to deal with, especially if this would occur at the previous incision site! Be vigilant and know your situation! ...Read more
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