vba2c with "thin" uterus?

[kellij]

So the dr. I'm planning to transfer to so that I can do a vba2c finally got my post-op reports from my current/former ob. He said that the reports say that my incisions were horizontal (good), but that on the 2nd c/s they could see some thinning on my lower uterus from the previous c/s. He said that he still thought I would be okay for the vbac. Anyone else ever told anything like this, or know anything about it?

TIA!
Kelli

[mamatogirls]

I was told this during my second c-section, which I had wanted to be a VBAC. The Dr. said "Good thing you didn't have a VBAC b/c you are paper-thin" In hindsight, I think he just didn't want me to have the VBAC since he scared me into having to have the c-section at 37 weeks.

With my 3rd baby I decided I wanted an HBA2C. I told my midwife about what the Dr. had said, it also said it in my records. She said we could address it with diet and supplements to support tissue strenght and healing. I ate high protein w/lots of veggies/fruits. I took fish oil, Vitamens C & E that was aimed toward the scar issue. I also rubbed vitament E on the scar everyday when I got out of the shower, don't know if that did anything though. I was frightened b/c I was 42 1/2 weeks when I had her and had never gone past 38 in previous pregnancies. I thought going that much longer would for sure make my uterus even thinner and it was a concern. I did end up with a 3rd c-section instead of my HBA2C but while in the operating room I asked the Dr. if my uterus looked thin and she told me "Not at all, it looks great" In my personal experience, I believe it was diet and supplements that contributed to my uterus being strong. I am attempting a HBA3C with this pregnancy and rupturing is no longer my big fear. If you eat well and focus on strengthening tissue then you should be fine.

[GOPLawyer]

Sounds like your doctor has done his research. The few studies show that a thin uterus is not a predictor of a UR.

After my 2nd c/s, the OB was adamant that I never labor again due to both the thinness of my uterus and the J shaped incision (she actually said I should never get pg again...thank goodness for DD that I do my own research). For the next pg (homebirth turned hospital birth due to preterm labor), I had many u/s and the doctors all freaked out because my uterus was "so thin". They said it was so thin that they couldn't distinguish between my uterus and my bladder. Assuming they were telling the truth....it obviously didn't matter. My uterus held up just fine during the *very* intense labor. Along w/ my amazing DD, I had my VBA2C w/ a J shaped incision and thin uterus.

[spu]

when I gave birth to my third baby, I had attempted a vbac (first pgcy was with twins, failed induction, ended in c...). But once again, DS wouldn't come out. I had the chief o.b. perform the c, who is very midwife-friendly (he backs all the mw's at this practice.) During the c, as he was stitching me up, he asked if I was going to have any more children. I panicked thinking he was going to do a 'fix', so I said MAYBE! loudly so there would be no mistaking... but it was because he said my uterus was so thin, and that if i did become pg again, he I should have another c.

... well, just a mere 5 mos after that conversation, I became pg again, unbeknownst to me! I found out when I was 9.5 weeks pg. I went back to the same mw practice, which he is still the chief o.b, and they let me attempt a vba2c, and boy am I glad I did because this time it was successful! and I avoided pretty much every hospital protocol - ddn't even check in until after the fact! nothing in my veins... it was amazing.

I'm not sure if I would advocate always going against dr's orders, but I knew I didn't want surgery unless it was medically necessary, and fortunately, during my pregnancy and labor, things went well. From what I understand, a 9-month uterus with a babe inside is thin anyways.

I'd pay more attention to your health and your babe's health, and how you're feeling and progressing throughout your pregnancy and in labor. If you're concerned about anything at all, an internal monitor may help give you comfort knowing they can detect even the smallest blip before it becomes an emergency. Try not to look back. stay positive!