TTC after classical cut c-section

[Rozzie27]

Hi there,

so sorry for your awful ordeal. I just wanted to share my story with you... almost a year ago my baby died in utero at 22 weeks and they induced me, but after an exam they discovered I had grade 4 placenta praevia and he had to be surgically removed. Because the lower segment of the uterus (which is what they cut in a normal C-section) doesn't form until 28 weeks or so they weren't sure where my scar ended up. I got pregnant again within 3 months and started seeing the high risk clinic. The doctor there was excellent, considered a leader in the field and he said my risk of rupture was somewhere between that after a normal Caesar and a classical but they didn't know know which. So I had another Caesar 10 days ago which went well, but they did say my lower segment was very very thin and actually opened up when they moved the bladder out of the way. They repaired it and said that I should wait 9 months to try again, and that after 9 months everything should be healed as good as it would ever be. The next time they can try monitor the uterine wall thickness through ultrasound but it's an imprecise art, only an indication and then look for an earlier delivery. I know he also said that with a classical that they would take the baby at 36 weeks. Also they monitored my cervix too because apparently a delivery late in the second trimester can weaken it, although it wasn't a problem in my case, and in yours you didn't go through labour either.

Anyway, this is obviously a different scenario to you but I just wanted to say that many women do go on to have perfectly healthy pregnancies after a classical incision and it sounds like your doctor is giving you good advice and support. I know in my pregnancy having a doctor experienced in complicated pregnancies made me feel much more confident, I hope you do as well.

Good luck!

[blessedatlast]

Hi there,

My pregnancy was considered high risk anyway cos of my heart condition then the fact it was a twin pregnancy too.. It is so ironic that I was only referred to Bris high risk due to my heart condition and my heart was perfect, no dramas at all yet I had obstetric problems.. If I didn't have a heart condition I would have just gone to Gold Coast and who know what kind of care I would have recieved.. I am just so glad that I feel confident and have full faith in Royal Bris hospital and the docs that looked after both me and my boys.. So 2 more months and I will be officially TTC.. I am scared but excited.. I have 2 months to get my health in check again as I have been smoking and drinking like a trooper since the boys died..

Rozzie Sorry for your loss and congrats on your new bubba Wow 11 months to the day! I did labour when I was preg with the twins so this is also why my doctor needs to check my cervix.. She said that labouring with a stitch can damage and weaken it and I laboured for 9 days.. and there is no chance for VBAC which doesn't worry me.. I just want a healthy baby i don't care how it gets here..

[labbiekisses]

Hi there,

so sorry for your awful ordeal. I just wanted to share my story with you... almost a year ago my baby died in utero at 22 weeks and they induced me, but after an exam they discovered I had grade 4 placenta praevia and he had to be surgically removed. Because the lower segment of the uterus (which is what they cut in a normal C-section) doesn't form until 28 weeks or so they weren't sure where my scar ended up. I got pregnant again within 3 months and started seeing the high risk clinic. The doctor there was excellent, considered a leader in the field and he said my risk of rupture was somewhere between that after a normal Caesar and a classical but they didn't know know which. So I had another Caesar 10 days ago which went well, but they did say my lower segment was very very thin and actually opened up when they moved the bladder out of the way. They repaired it and said that I should wait 9 months to try again, and that after 9 months everything should be healed as good as it would ever be. The next time they can try monitor the uterine wall thickness through ultrasound but it's an imprecise art, only an indication and then look for an earlier delivery. I know he also said that with a classical that they would take the baby at 36 weeks. Also they monitored my cervix too because apparently a delivery late in the second trimester can weaken it, although it wasn't a problem in my case, and in yours you didn't go through labour either.

Anyway, this is obviously a different scenario to you but I just wanted to say that many women do go on to have perfectly healthy pregnancies after a classical incision and it sounds like your doctor is giving you good advice and support. I know in my pregnancy having a doctor experienced in complicated pregnancies made me feel much more confident, I hope you do as well.

Good luck!

Hi Rozzie,

What state are you? Can you recommend the Dr you used? We are going to be seeing a second opionion and want the best after losing Sophie.

thanks
Kylie

[Rozzie27]

hi Kylie,

I'm in Canberra so prob not much help for you in Sydney. I think most major public maternity departments should have a high risk clinic though?