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#21
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How many c/s can you safely have?
"Amy" wrote in message ... It is likely that any future children she has, given her history, will also be born by c/s, so how many can you safely have? Does the risk of uterine rupture etc or risks to the baby go up with each c/s? Any stories/experiences appreciated. I actually spoke to my midwife about this at my last appointment. She told me that there's no set answer that applies to all women. She says it depends on how well the incision heals from the previous c-section and depends on what type of uterine incision was used (vertical or horizontal). She says it also depends a lot on the skill of the doctor performing the c-sections. She said that if a woman uses the same doctor for each section and the doctor is highly skilled at performing c-sections that they have a better chance of having more children than a woman who uses a variety of varuously skilled doctors (i.e. technique has a lot to do with it). Melody #2 due 1/12/2005 |
#22
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How many c/s can you safely have?
I had a similar pronouncement in the operating room after my thrid
section. The OB (who was the one on call, since it was a transport after a failed homebirth) said I was stretched so thin it wasn't safe to have any more children. Totally freaked my husband out. He backpedaled just days later and by my six week checkup was more or less acting like he never said it. I think he was just ****ed over the whole homebirth thing and trying to show off his medical credentials. Explain to me how it can be safe to carry a baby around in your stretched out uterus for nine months but not to labor. I mean, if they are all that sure that you would rupture in labor, shouldn't they be advising against pregnancy at all? Andrea explained that once. Something to do with when you have contractions the bottom of your uterus gets sucked up, causing the rupture. Makes sense to me why pregnancy is okay but not labor. Not that you were "talking" to me What do you plan, if you don't mind my asking? Are there more babies in your future? Leslie |
#23
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How many c/s can you safely have?
Leslie wrote:
Andrea said: Go you! ;-) Thanks! :-) I expect six will be it--if we have anything to say about it, which given our track record so far is debatable. ;-) Leslie Yeah well I was stopping after 3...lol A |
#24
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How many c/s can you safely have?
Leslie wrote:
Explain to me how it can be safe to carry a baby around in your stretched out uterus for nine months but not to labor. I mean, if they are all that sure that you would rupture in labor, shouldn't they be advising against pregnancy at all? I agree if you can get to 9 months without incidence you have pretty good odds of getting the rest of the way, but then labour does tax the uterus a little more than just carrying the baby so I won't claim it's completely the same. What do you plan, if you don't mind my asking? Are there more babies in your future? I'm still thinking about it ;-) Leaning more to no than yes (gasp) but who knows, I change my mind monthly, weekly even on the subject. A |
#25
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How many c/s can you safely have?
Sophie explained:
Andrea explained that once. Something to do with when you have contractions the bottom of your uterus gets sucked up, causing the rupture. Makes sense to me why pregnancy is okay but not labor. Not that you were "talking" to me I guess I can see that, but it still seems to me that if docs really consider the uterus to be so weak, they wouldn't want to chance you even carrying a baby. Plus the whole rupture risk is so overblown anyway. Leslie |
#26
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How many c/s can you safely have?
Sophie wrote:
Andrea explained that once. Something to do with when you have contractions the bottom of your uterus gets sucked up, causing the rupture. Makes sense to me why pregnancy is okay but not labor. Not that you were "talking" to me Oh yeah I do vaguely remember having this conversation before..lol The lower uterus gets pulled up into the upper, which is what the contractions do to dilate the cervix and cause downward pressure on the baby. In cases of obstructed labour, or unnaturally strong labour such as an induced one, this thinning out of the lower uterus gets to a point where a ring forms called bandles ring, sometimes you can feel it through the skin, I had one but mine was only noted once I was operated on you couldn't tell from the outside. This can occur on an unscarred uterus though as well as a c/sectioned one, it's generally an obstruction that causes it not having a scar. It makes sense to me that the scar would just pull up with the segment of uterus it was on, probably thin a little too, but it's surrounded my contractile muscle so it's going to move with it, get pulled along by it if you can sort of picture that. Also spontaneous ruptures when they occur are often in the upper segment I think, I remember reading that somewhere, I should do more reading on this stuff I may need to know it one day ;-) A |
#27
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How many c/s can you safely have?
Andrea said:
I agree if you can get to 9 months without incidence you have pretty good odds of getting the rest of the way, but then labour does tax the uterus a little more than just carrying the baby so I won't claim it's completely the same. I suppose that's true, but I still think the risks are overinflated. And they always want to blame sections and VBACs and don't talk about pitocin-induced ruptures of unsectioned women. Leslie |
#28
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How many c/s can you safely have?
Melody, I'm not sure how many scars she had but can you imagine? A
different incision site every time? She passed away two years ago so I can't ask her about it but I know she had to go to a certain doctor an hour or two away from where she lived because he was the only one she could find who would do so many. Wendy |
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