Pregnancy After Dehiscence? - Mothering Forums

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#1 of 9 Old 06-09-2007, 02:08 PM - Thread Starter
 
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Does anyone here have any links/info on the safety of getting pregnant again after having an incomplete rupture from a VBAC? I'm not looking to VBAC again, just hopign that getting pg would be safe. The OB who did my surgery and repair said it wouldn't be a good idea, and I'm going to have a high-risk consult in a few months or so but I want to do my research.
Thanks

Christine, mama to Daniel & Abby, 9 and Patrick, 4. Wife to a rockin' train engineer. Gluten and nightshade-free. Multiple kiddie food sensitivities.

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#2 of 9 Old 06-09-2007, 02:26 PM
 
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I know someone who had a dehiscence (found during her 3rd c-section which was scheduled). The doctors insisted she get her tubes tied, and told her it would be unsafe to have more children. Fast forward about 6 years, she reversed the tubal and went on to have another baby. (We all thought she was nuts, haha)

I think she had the 4th by c-section as well, but she did have a healthy baby and was healthy herself.

Hope that helps.

Danell - Craft Savvy mama to Evan (3/31/06) and Andre (8/29/07)
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#3 of 9 Old 06-09-2007, 05:58 PM
 
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I don't know - I imagine it would have a lot to do with just how much of a rupture it was, and how well it was repaired. Can you get your hospital report so that you know precisely what happened?

Was it an emergency-causing rupture? Not all of them are, sometimes it's just that the rcs happens for another reason (eg FTP) and the surgeon observes a dishesience while doing the surgery that wasn't actually causing a problem, and they would never have known about it if they hadn't ended up doing the rcs kwim?

So I guess what I really think is that the answer to your question is VERY contingent upon what happened with your rcs, what kind of a separation it is and why, and whether it was repaired or just left to heal itself (and who knows which is better, of those two). I would get hold of your hospital report, and proceed to get a 2nd & 3rd opinion.

xo Robin
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#4 of 9 Old 06-09-2007, 11:35 PM
 
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I had a catastrophic uterine rupture in my second pregnancy and lost my baby. I went on to become pregnant again 9 months later and had my third child this past October. I belong to a Yahoo group for women who have had a pregnancy after a rupture (PAR).

Usually people are encourage to wait anywhere from 6 months to 2 years depending on their specific situation and their OBs confidence level. I was told to wait 9 months and became pregnant exactly 10 months after losing my baby.

Most women I know who have a PAR, see a high risk specialist on a consulting basis. The typical protocol is nothing special until 32 weeks-ish. At that point most high risk specialist like to do an ultrasound or MRI to observe your lower uterine segment to see if it is thin. If not, then delivery is typically planned around 36 weeks following an amnio for lung maturity.

If people have complications in their PAR its usually from pre-term contractions or pre-term labor. These are usually managed with medications (e.g., nifedipine, terbutaline) and/or bedrest. They pretty much don't want you contracting at all. If they can't stop the contractions they will typically do steroid injections and try to get you to at least 34 weeks and then deliver. Sometimes they will do hospital bedrest depending on the situation and any additional risk factors.

With my PAR baby, I did have pre-term contractions starting at 30 weeks. We ended up doing the c-section at 34 weeks. She spent 11 days in the NICU but has been happy and healthy since then.

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#5 of 9 Old 06-09-2007, 11:56 PM - Thread Starter
 
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Beth - I am so sorry for your loss. That is heartbreaking. Do you know what caused your rupture?

In a few months i'm going to get my hospital/surgical records and have some consults, starting with the OB that did the repair/RCS and then at least 2 peri's.

Christine, mama to Daniel & Abby, 9 and Patrick, 4. Wife to a rockin' train engineer. Gluten and nightshade-free. Multiple kiddie food sensitivities.

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#6 of 9 Old 06-10-2007, 12:08 AM
 
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Quote:
Do you know what caused your rupture?
No. It happened suring labor, we think during pushing. Thats when her heart rate plummeted and I was rushed for an emergency section. Prior to that her heart rate had been fine. I didn't have any real risk factors for the rupture. Sometimes terrible things just happen.

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#7 of 9 Old 06-10-2007, 03:11 AM - Thread Starter
 
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Was it a VBAC?

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Originally Posted by egoldber View Post
No. It happened suring labor, we think during pushing. Thats when her heart rate plummeted and I was rushed for an emergency section. Prior to that her heart rate had been fine. I didn't have any real risk factors for the rupture. Sometimes terrible things just happen.

Christine, mama to Daniel & Abby, 9 and Patrick, 4. Wife to a rockin' train engineer. Gluten and nightshade-free. Multiple kiddie food sensitivities.

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#8 of 9 Old 06-10-2007, 11:17 AM
 
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Yes, it was a VBAC attempt. Spontaneous labor, no induction, no epidural.

New WOHM to DD8 and DD3
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#9 of 9 Old 06-10-2007, 02:28 PM
 
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Quote:
Originally Posted by egoldber View Post
Yes, it was a VBAC attempt. Spontaneous labor, no induction, no epidural.
Beth I'm so sorry for your loss. You're right - sometimes terrible things just happen.

xo Robin
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