Doctor insights on:
C Section Complications Uterine Inversion At Birth
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?
Too soon : It's too soon to determine the need for a c section at 33 weeks. Your baby could still change its position over the next 5-6 weeks. If your baby remains transverse or becomes breech late in pregnancy, you will need a c section. However, it is simply too early to tell right now. Discuss this with your obgyn. Good luck! ...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
Depends: It depends on what type of arrhythmia you have. Most arrhythmias are okay for vaginal delivery, but you need the advice of your ob/gyn or a maternal fetal medicine specialist to give you advice on your specific case. Most women do better with vaginal delivery because cesarean is major surgery and has it's own risks for heart problems following delivery of the baby and venous return to the heart. ...Read moreSee 2 more doctor answers
Risks of uterine rupture? Had a c section 4 months ago and pregnant 7 weeks. Been advised to terminate pregnancy
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
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
Baby with some risk: If the labour is prolonged and not progressing well, the baby may develop respiratory distress,will have low oxygen level and it may affect the brain of the baby .But if labour process progressing well as expected,then there is no risk in having vaginal birth. Your doctor will explain to you wether you should have vaginal delivery or not. ...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
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
Very definitely: Unfortunately, placenta accreta is often diagnosed at the time post delivery when a cotyledon(plug) of placenta is missing or the placenta itself does not detach normally. At that point, aggressive measures to 'detach" the placenta may result in massive hemorrhage and the resultant post apocalyptic diagnosis of placenta accreta. ...Read more
Success rate of a version procedure on transverse baby? Two prior vaginal deliveries, really don't want a c-section.
I'm O+, my husband is AB+. What's the likelihood of our baby having neonatal anemia? High risk pregnancy w/ maternal anemia and planned c-section cutting through anterior placenta previa.
Possible: There is some possibility of an A/O or B/O reaction with jaundice and hemolytic disease but that part of this is usually minor and easy to manage. An OB with quick hands can limit the other issue. I would try to relax and figure out what your life will be like with 3 kids running around. ...Read moreSee 1 more doctor answer
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
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