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Dr. review please:adhesions, bicornuate uterus, lost pregnancyFrom: Jennifer (anonymous@obgyn.net)Mon, 29 Nov 1999 14:17:45 -0600 (CST)
Could someone please give me any feedback on this situation? Background: (11 years ago) Preg. #1 delivered 40 weeks full breech by c-section. Bicornuate uterus discovered at that time. Subsequent peritonitis developed which resulted in a (long and horrible) 6 week hospital stay fighting infection and collapsed lung, then full abdominal surgery to drain multiple abcesses. (9 years ago) Preg #2 early bleeding and then premature labor at 22 weeks. Pregnancy lost. No cause given. (7 years ago) Abdominal adhesions caused looped bowel and severe blockage. Additional abdominal surgery required to release bowel. Surgeon recorded large amount of abdominal adhesion throughout. (Current) 17 weeks pregnant. (Finally got my courage up!) All fine - no bleeding. Pregnancy is on the larger (right) side of uterus. Questions: 1.) I've been experiencing sharp, stretching pains over the last week. I've just started getting larger and I wonder if the adhesions have bound my uterus somehow? Is there any way to tell? 2. I'm scheduled for an amnio next week (age 35 - no bad genetic history). Is it going to be difficult to get through the scar tissue? (I have a lot!) Does my history make the risk of amnio any greater? Does the risk of premature labor increase? 3. What are any other risks associated with abdominal adhesions throughout pregnancy? Bicornuate uterus? 4. Given this history, would you recommend VBAC? Thanks in advance.
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