Doctor insights on:
C Section Complications Fibroids
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?
Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...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
Does after laproscopic myomectomy the delivery possible only thrgh c section? My fibroids small 2 cm, one intra mural another submucous. Am pregnant 26wks
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
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
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
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
Depends on situation: If your initial cs was due to big baby/small pelvis & you face the same with the next delivery a vbac may be unwise.If the initial cs was for breach or monitor irregularities & your pelvis is considered adequate by the ob, a vbac may be a reasonable choice. Discuss this with the OB & see what what your options are. ...Read more
Had myomectomy-lap 7 months back.Removd 2 fibrds 3*4cm submocus intramural.Now pregnant 16 wks.Is it must to deliver through c-section after myomectomy?
It might be: A c/s is generally recommended following a myomectomy that required entry into the endometrial cavity of a full thickness myometrial repair. The doctor that did the myomectomy is the person that can best advise about the need for a c/s. If they recommend that you have a c/s then i would recommend that you have a c/s. If the doctor is not available then your OB should review the op note. ...Read moreSee 1 more doctor answer
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
Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?
Placenta Previa: Placenta previa occurs when the placenta is covering the opening of the cervix. Vaginal delivery is possible in mild cases of previa. Placenta accreta is a different condition where the placenta gets "stuck" to the uterus. While the risk of accreta increases when you have previa, that risk is low if you have never had a c-section before. Follow-up with your obstetrician regarding delivery dates. ...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
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