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Re: Uterine rupture, pregnant againFrom: Arthur W. Curtis, Jr. (artcurtis@juno.com)Sat Jan 4 11:11:59 1997
On Sat, 4 Jan 1997 10:02:37 -0600 "Geffrey H. Klein, MD" <gklein@bcm.tmc.edu> writes: >I have commited a cardinal sin.. This case was submitted to me via e-mail. >>I am currently 9-10 weeks pregnant and have had two previous >>C-sections. ..the uterus ruptured along the old incision (lower horizontal >>incision).. The newer incision is the classical one. I find >>myself pegnant again (quite by accident). I would >>normally never terminate a pregnancy and I want to know as much >>information as possible before I consider doing that. Questions?? 1. At the time of the 2nd CSection (the classical), was the rupture of the first LCT CSection able to be adequately repaired or was the lower segment just thin transparant tissue? Does it matter? (It must). (Gotta get the previous op note). 2. As a side issue in addition to the primary query regarding the risks with continuing this pregnancy, what is the added risk of uterine rupture at the time of an abortion at 9-10wks with a previous ruptured LCT CSection followed by a Classical CSection? Presumably far lower risk than the risk of rupture at term? Best of Luck -- ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Arthur Curtis, MD FACOG 100 Central Street Worcester, MA 01608 ArtCurtis@Juno.com ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
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