Bicornuate Uterus with natural childbirth?

[Ish'smom]

I would like some info on pregnancy and bicornuate uterus' from a midwives point of view. My sister in law has a bicornuate uterus and is about 8 weeks pregnant. Can she recieve care from a midwife? Would it be possible for her to have a midwife assisted birth if she carries to term or atleast past 35 weeks? Is the only reason she is more likely to have a Csection because the baby is likely to be breech and if likely couldn't a midwife help avoid that and if not deliver the baby breech?
I really want to help her avoid having a negative birth experience or an unneccessary c-section if possible.

Thanks for any advice/info you can give.

[teachinmaof3]

Not a midwife (yet ), however I know a lady on another message board with a bicornuate uterus. Her first baby was breech so she had a Csection. This time around she really wanted to VBAC. She is under the care of a midwife and currently with her EDD on Monday, her baby is vertex!!!

So yes, a woman with a bicornuate uterus can use a midwife. Delivering a breech will depend on the midwife and hospital.

[maxmama]

My mother has a fully septate ute, and carried us wayyyyy past our due dates and had vaginal births. FWIW, we were both breech until labor, when we flipped.

Our midwives take care of women with Mullerian issues (bicornuate, septate and duplicated uteri -- and vaginas). I can't imagine why, in the absence of another risk factor, she couldn't have a midwife.

[mamallama]

The first birth I ever attended (other than my own) was a mom with a bicornuate uterus. Her baby was vertex. She had a quick and relatively easy birth. She did go with an ob/cnm practice, but that was her inclination anyway. Had the CNM been on call when she went into labor, she would have attended.

[mountainmidwife]

My last baby was born to a mom with a bicornuate uterus. Her first birth was a csection due to her baby being breech and preterm. Second time around, she first saw an OB who told her she would never carry to term and should just schedule her csection then. Boy, was he wrong. She carried 10 days past due, baby was vertex, quick, easy birth at home in the water. I always knew she could do it. The way I see it....how many women in this world have given birth vaginally with a BU without ever even knowing they had a heart shaped uterus? The answer is probably hundreds of thousands if not more.
She can use a midwife. In fact she is probably better off using a midwife. Hopefully, she can find a great lay midwife that will not medicalize her condition. Rather, treat her like her heart shaped uterus is normal...cause it is for her.

[chandasz]

I had a student with a bicornate uterus recently have a vertex presentation birth with a midwife.

I have understood that once you overcome the hurdle of getting pregnant in the first place-- the other issues are less likely! But have heard there is a higher risk of IUGR and breech

[DoomaYula]

I have a friend that had a vaginal birth with a heart-shaped uterus.

However I have another friend that has two complete... everythings, and she has had scheduled c-s.

I believe there are a lot of different variations of Mullerians.