Doctor insights on:
Low Transverse Cesarian Section
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?
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
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
Does after laproscopic myomectomy the delivery possible only thrgh c section? My fibroids small 2 cm, one intra mural another submucous. Am pregnant 26wks
Success rate of a version procedure on transverse baby? Two prior vaginal deliveries, really don't want a 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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
GYN witll decide: Depending on your situationGet a more detailed answer ›
Hav delivered baby no 2 via c sec 5mnths bak.have umbili hernia and weak uterus muscles.can we go for baby 3 w/o fixin the hernia.thx?
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
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
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
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