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Doctor insights on: Low Transverse Cesarian Section

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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?

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?

Yes but low risk: Acretta can develop even in women who have never had a c/section. Fortunately this is rare. The risk is much higher if the placenta is covering the prior c/section scar. With the placenta 4cm from the scar, your risk is very low (but not zero). Best wishes! ...Read more

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What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?

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

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Enlarged skull delivered by c section?

Enlarged skull delivered by c section?

Possibly: In cases where there is the suspicion of a large baby or a baby with a significantly enlarged head a c section would allow for less risk and possibly less harm to the baby since c sections permit a larger opening than the limited space of the birth canal. ...Read more

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Previous post partum haemorrage and c section, is vaginal birth an option instead?

Previous post partum haemorrage and c section, is vaginal birth an option instead?

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

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Does the povider offer vbac (vaginal birth after previous cessarean section)?

Does the povider offer vbac (vaginal birth after previous cessarean section)?

No: Due to a combination of hospital policies and practicing at several hospitals in the community our practice does not feel that we can currently provide for vbac or tolac safely at this time. This may change in the future. ...Read more

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Cesarean section or vaginal delivery is better ?

Cesarean section or vaginal delivery is better ?

Vaginal: it depends , vaginal is preferred , unless you have contraindications for it i would check with your OB first ...Read more

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Type of c- section for vasa previa?

Type of c- section for vasa previa?

Usually low transver: It should be ok to perform a low -transverse cesarean section with a vasa previa. Regards Dr M ...Read more

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What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?

What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?

About 4% but rising: The most common reasons for c section of a second twin are heart rate problems and the baby coming down in a position other than head first. Many doctors used to be willing to deliver a second twin either butt first or by the feet, but few still have much experience in doing this. There is also a risk of injury to the nerves of the arm or learning disability in any baby that is born breech. ...Read more

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Previous c section, placenta anterior 4-5 cm above scar, no acretta now but can it develop in 3rd trimester?

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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Which is safer, vbac or repeat cesarean (2nd cesarean) ?

Which is safer, vbac or repeat cesarean (2nd cesarean) ?

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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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?

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 more

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UTZ report at uau19 wks 5 days shows fetus in transverse position,placenta posterior grade 2,previa totalis.will this improve? or cs is the option

UTZ report at uau19 wks 5 days shows fetus in transverse position,placenta posterior grade 2,previa totalis.will this improve? or cs is the option

Likely to improve: placenta previa diagnosed in second trimester most often resolves by 3rd trimester. Usually by that time, the fetus is head down and vaginal delivery is an option. Follow closely with ultrasounds this pregnancy to help guide your decision. Unlikely but if the placenta previa persists, then a csection is needed ...Read more

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Pain in c section area after 1 yr.is this normal.planning for pregnancy.

Pain in c section area after 1 yr.is this normal.planning for pregnancy.

Pelvic pain: Pelvic pain is complex as there are several organs in the pelvis. The ovaries, fallopian tubes, uterus, cervix, bladder, appendix, intestines, colon and rectum can all be the source. Pelvic pain requires and examination to help organize the evaluation. If your pain is specifically in your c section scar you should schedule an examination to evaluate for an incisional hernia and other causes ...Read more

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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.

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 more

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Appendicitis after c section, is that possible?

Appendicitis after c section, is that possible?

Yes, possible: Appendicitis could happen any time including during and after pregnancy. The pain associated with a c-section might make it difficult to diagnose appendicitis. If the symptoms suggest the diagnosis an ultrasound or ct scan could provide confirmation. ...Read more

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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?

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