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Bicornuate and labor

From: Jennifer (anonymous@obgyn.net)
Mon, 17 Apr 2000 12:22:45 -0500 (CDT)


Hello - I'm 37w 2d (thank goodness!) and I'm wondering about labor. I had a c-section due to breech with many complications my first delivery (almost 12 years ago). I will be attempting a VBAC this time.

Given the following, can anyone with any experience give me some indication how labor will go? I know, it's different every time, but are there any things to be concerned about here? Anyone experienced a VBAC with any of these conditions? Was it successful?

1.) Bicornuate uterus, with partial septum, fetus in right horn (where I carried my daughter to full term). The fetus is in a heads down and engaged position right now.

Q - How effective is a bicornuate uterus in pushing the fetus out? Does this affect the ability to labor?

2.) LEEP procedure done 6 years ago to remove portion of precancerous cervical tissue. No complications afterwards.

Q - I truthfully didn't even think of this before (I'm not sure if my OB knows about it!) but I saw an old post about scarring causing the cervix to not dilate fully - is this something I should be aware/concerned of?

4.) Large amount of abdominal scar tissue - both from c-section, peritonitis, exploratory abodominal surgery and surgery to remove adhesions from bowel.

Q - How well does scar tissue hold up under labor? We are going tro "wait and see". Any exeperience?

Thanks, jennifer




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