fundal/near-fundal incision and rupture

[readytobedone]

how increased are the risks of rupture during pregnancy if i have had this type of incision for a c/s? i don't mean during labor (because i would only ever have planned c/s for subsequent births), just during the pregnancy itself.

[readytobedone]

does no one know anything? i am really really wanting to know more about this and will talk to my OB when i see him--but i want to get info from more neutral parties as well. he has never told me there was an increased risk, and i'm not sure how forthcoming he will be about it if there is.

[egoldber]

Honestly, I don't think that there are good stats available on this. I had a UR and I've read almost everything there is to read on rupture. Most providers will estimate a rupture risk with a fundal incision as being the same, or higher, as with a classical C-section, 4-9%.

Typically the rupture risks you see printed are for during labor though. Given the relatively high risk for rupture with labor, most OBs and peris will typically recommend doing a planned cesarean prior to any risk of labor, usually 36-37 weeks.

You may have some luck trying to find stats for people who have had a myomectomy since this usually involves a fundal incision. The people I know who have had a pregnancy following a myomectomy have been told what I was told in my pregnancy after my rupture, early c-section before chance of labor.

Good luck in getting more solid answers.

[readytobedone]

what's a myomectomy?

thanks!

Originally Posted by egoldber

Honestly, I don't think that there are good stats available on this. I had a UR and I've read almost everything there is to read on rupture. Most providers will estimate a rupture risk with a fundal incision as being the same, or higher, as with a classical C-section, 4-9%.

Typically the rupture risks you see printed are for during labor though. Given the relatively high risk for rupture with labor, most OBs and peris will typically recommend doing a planned cesarean prior to any risk of labor, usually 36-37 weeks.

You may have some luck trying to find stats for people who have had a myomectomy since this usually involves a fundal incision. The people I know who have had a pregnancy following a myomectomy have been told what I was told in my pregnancy after my rupture, early c-section before chance of labor.

Good luck in getting more solid answers.

[egoldber]

A myomectomy is a uterine surgery to remove fibroids.

[pamamidwife]

You should check with ICAN - their stats are the only ones I'd trust: http://ican-online.org/