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i am not a birth professional. a good friend of mine had FOUR vaginal births before having a csec for #5. she is now 6mos pg with baby #6. there will be about 20 or so mos between the csec and the next birth.<br><br>
of course the csec was not planned. it also was not emergent. it was due to horrible mismanagement of a labor that deviated from the mother's normal. the next day the OB told her she would never again be able to have a normal birth. he gave no explanation other than to say that bc she was 8cm and had been pushing for 2 hrs, the way the baby got stuck necessitated a special type of cut into the uterus.<br><br>
today we looked at her operative report, which she got to give to her HB MW. the notes said something like "low transverse incision. the hysterotomy extended below the right lower segment of the uterus".<br><br>
i assume that below the lower segment is the cervix. does this mean he cut her cervix?<br><br>
we took this to mean that his hand slipped and he cut too low on one side. (the same OB messed up my planned vbac 8 yrs ago. my 1st skin incision from a different OB is straight and the 2nd one from this guy is mostly straight but veers up on one end like he slipped with the scalpel, thats why we wonder if he might have jacked up her uterine incision) would vbac be safe in this situation? is this a risk-out in FL?<br><br>
she will be seeing the MW again soon just to drop off the records, and the MW is making her consult with a supposedly vbac friendly OB who is from out of town but travels to our town to do consults for the HB MWs. the consult is not until july and she is due end of aug/early sept. so if she risks out she wont have much time to decide if she should pursue hospital vbac or ERC. she absolutely is not willing to accept the responsibility of UC.
 

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If I understand what you're describing correctly, my incision is the same. A low transverse incision, but because I'd been pushing for so long and my dd was so low in my pelvis, when they were getting her head loose the incision ripped more on both sides, downward, toward (into?) my cervix. I got the same crap from the OB, before I was even off the operating table. That I could never VBAC because of it. I took my records to a VBAC friendly OB (who even has home births herself!) for a second opinion. She told me it was a variation of normal, and because it extended DOWN that its okay. If it went up into the fundus, that would be a risk factor though. But from the sounds of it, your friend 's incision extends downward too.<br><br>
I had a successful HBAC 1 year ago <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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right, thats what i thought, as long as it doesnt go up into the muscular part. i'll tell about your vbac! thanks <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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<div>Originally Posted by <strong>LiLStar</strong> <a href="/community/forum/post/15429814"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">If I understand what you're describing correctly, my incision is the same. A low transverse incision, but because I'd been pushing for so long and my dd was so low in my pelvis, when they were getting her head loose the incision ripped more on both sides, downward, toward (into?) my cervix. I got the same crap from the OB, before I was even off the operating table. That I could never VBAC because of it. I took my records to a VBAC friendly OB (who even has home births herself!) for a second opinion. She told me it was a variation of normal, and because it extended DOWN that its okay. If it went up into the fundus, that would be a risk factor though. But from the sounds of it, your friend 's incision extends downward too.<br><br>
I had a successful HBAC 1 year ago <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"></div>
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I am so glad to hear that. My last c/s the incision also ripped down a little on both sides, because he was so low and hard to get out, and I've wondered how that will affect my chances of future vbac.
 

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<div>Originally Posted by <strong>blessedwithboys</strong> <a href="/community/forum/post/15428386"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">today we looked at her operative report, which she got to give to her HB MW. the notes said something like "low transverse incision. the hysterotomy extended below the right lower segment of the uterus".<br><br>
i assume that below the lower segment is the cervix. does this mean he cut her cervix?</div>
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No, he didn't cut her cervix. The lower uterine segment is where they usually do a low transverse incision, the cervix is below that. Can't find a pic at the moment. I don't think it necessarily sounds (from reading what you quoted above) like his hand slipped either, though it's possible. Incisions "extend" all the time, not a big deal, did they mention a measurement on how much it extended? If no measurement was mentioned it might not have been very big. No idea what part of Florida you are in, but if you need a second opinion, see if you can find Dr. Magloire. I think she's in Miami, but I'm not sure. PM me and I'll see if I can get her info for you.<br><br>
Good luck to your friend.
 
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