Doctor insights on:
Rupturing Uterus C 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?
Does after laproscopic myomectomy the delivery possible only thrgh c section? My fibroids small 2 cm, one intra mural another submucous. Am pregnant 26wks
Risks of uterine rupture? Had a c section 4 months ago and pregnant 7 weeks. Been advised to terminate pregnancy
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
If amniotic sac is intact during vaginal delivery or c section, Are chances of AMniotic Fluid Embolisim basically zero chance?
Yes: Actually, AFE is quite a rare event and, to a degree, independent of a patient's ruptured status. The general idea is that there is a breech and/or permeability of the of the natural blood-amniotic barriers. This allows products of pregnancy to, unaturally, enter the maternal circulation and cause catatrophic events (primarily in the lungs), culminating in death, oftentimes. ...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
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
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
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
23wks w/emergent cerclage at 21 weeks.week after stitch all closed 40mm cervix.today funneling 8mm.closed cervix 35mm.% chance of PPROM?
High: I would not give up but this is not a very encouraging development and you are still terribly early. Even every day is significant so good luck. ...Read more
How dangerous is a pregancy after uterine rupture? 1st baby born normally, 2nd c-section, 3rd vbac attempt which resulted in stillbirth.
1/1500: The chances of uterine rupture after one c-section is about 1/1500. It is rare but potentially deadly to both mother and baby if not acted upon quickly. For this reason anyone attempting to have a vaginal birth after a c-section should do so in a hospital that has an ob/gyn and anesthesiologist immediately available. ...Read more
How soon after a C-section is it safe to get pregnant again, if you want another baby? Is the uterus at risk for rupturing if you get pregnant too soon?
Many factors: Most studies find risks of rupture more associated with type of uterine incision, numbers of layer closures, uterine defects, and also number of c-sections. Timing has a small role & it's believed risks are slightly higher if pregnant under a year. Ask your OB what your risks are & more importantly what shape your uterus was in at the time of c-section. Prior dehiscence or rupture are higher risks. ...Read more
I had a csection & my uterus ruptured almost 2 years ago &ever since then I have a very bad pain on my left side of my belly. Should i still have pain?
No: I'm so sorry that happened to you. It's possible that some residual scar tissue from that surgery is causing your pain. I would recommend you make an appointment with a gynecolgoist to discuss and have an exam of the area. It's hard to detect scar tissue on ultrasound or ct or mri, so you and your doctor should discuss possible treatments for your pain. Again, so sorry you are having this pain. ...Read more
I was wondering if it would be safe to get pregnant after a uterus rupture..I am 36 with diabetes & three previous csection it's been 4 yrs ago?
How common is uterine rupture and is it always fatal?? I've had 1 vertical c-section and 2 horizontal, I'm not worried.
2%: The uterine rupture rate is about 1% in women with no uterine scars and 2% in those with previous uterine surgery and slightly higher in multiple surgeries. It is rarely fatal to the mother, but can be for the fetus. The type of incision in the uterus is the critical factor, not the direction of the scar on the abdomen. ...Read more
Increased risk: Women, who have had a previous c/section have an increased risk of experiencing the uterus to tear at the site of the scar than women, who have not had a c/section. ...Read more
Can a retroverted uterus cause a woman to go for a c section? Or can one have a normal delievery with a retroverted uterus?
Normal delivery OK: A retroverted uterus is one that's tilted towards your back, rather than your abdomen; it occurs in 20% of women and does not have symptoms, RARELY associated with discomfort. It can't be prevented and there's no need to treat b/c it won't affect your fertility/ability to continue a pregnancy/have a vaginal delivery. It can only be a problem if caused by past surgeries/endometriosis, otherwise OK. ...Read moreSee 1 more doctor answer
How long does it take for the stitches on the uterus to dissolve after having a c-section and if they are dissolved does that mean my uterus is closed?
Had C-section 5 months ago since then it feels like my uterus is ripping when I lift up on anything what could this be?
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. There are so many possibilities it would not be appropriate for us to guess. ...Read more
Issue after c-section i had a c-section about six weeks ago and I do not think my uterus has completely gone down to it's original size. I'm concerned that this may cause problems since my husband and i would like to start trying again for another baby in
Usually : Usually it takes 1 to 2 months for your uterus to involute or shrink down to a non pregnant size. However the size will always be larger after a term pregnancy and with a c-section the position of the uterus can change. It is only 6 weeks since your delivery so perhaps this is why but if it does not shrink soon you should go to see your health care provider to make sure there is not a uterine fibroid or other reason. Having a larger uterus because of a pregnancy does not prevent future pregnancies as long as the uterus is still a normal uterus. ...Read moreSee 1 more doctor answer
My uterus is attached to my C-section incision, can it be fixed , i want another child i don't want to have to have a hysterectomy . Please help?
Scar: You can have the area repaired to remove the attachment from the abdominal wall. Your doctor can use measures to reduce the risk of the tissue reforming after the surgery so that the chance of attachment is less. ...Read more
I have been told my uterus lining is thin after my 2nd c-section. Unfortunately, my 2nd child died and i want to have another child. What do I do?
Discuss with OB: A thin uterus could mean a higher risk of uterine rupture during the late stages of pregnancy or during labor.Please discuss this at length with the ob. If s/he thinks the risk in your case is small, pregnancy would be an easy option.If not, risk of your own life and the baby would be possible. ...Read more
I have a fibroid that measures 9cm and my uterus measures 12cm should I get it taken out by c-section or should I try the shot that reduces the size?
How long does it take for my low uterus (they said its still low) after giving birth via c-section to go up again to the right place and not be low?
Not usually: After about 6 weeks the uterus should be back to normal. However, having a cesarean delivery does increase the chances of developing endometriosis which can resul in persistent and sometimes increasing pelvic and uterine pain for months or years after a cesarean delivery. The abdominal wall (incision) may remain tender and have occasional pains for up to 6 months or so after a cesarean delivery. ...Read more
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