 |
 |
 |
|
|
|||
|
|
||||
|
||||
|
Re: Uterine Rupture and HysterectomyFrom: Ed (anonymous@obgyn.net)Wed, 26 Jul 2000 20:43:02 -0500 (CDT)
At Wed, 26 Jul 2000, Lynn D. Montgomery, MD wrote: > >At Wed, 26 Jul 2000, Ed wrote: >> >>Hello. My wife recently gave birth to our only child. Her due date was >>July 15th and he was born on the 17th. She was told 3 weeks earlier >>that the baby was going to be 9 lbs 8 ounces. So the doctors did 2 >>sonograms one saying 6 lbs 11 ounces and the other 7 lbs 5 ounces. She >>we felt there was no reason for alarm so we continued as usual. When >>she went into labor and dialated to 10 cm she started pushing. She >>pushed for 2 hours and the baby didn't move. The doctor then went for a >>c/s. After the c/s in recovery my wife started passing enormous amounts >>of blood vaginally. The doctor had left and counldn't be found for an >>hour and a half while my wife was bleeding almost to death. After he >>returned they decided that a hysterectomy was inevidable much to all of >>our chagrin. The doctor told us that because of the size of the baby it >>caused her uterus to elasticate and unable to stop her from bleeding. I >>feel that pushing for too long during labor may have caused her uterus >>to rupture. Is this a possible senario? Or the possiblity that she bled >>for so long after her c/s (1.5 hrs)caused her uterus to hemmorage beyond >>repair. I am very unsure and would like some education on the subject. >>Thank you >> >> Respectfully, >> Edward Egan > >Ed, >First, are you sure the uterus was "ruptured". It sounds by your >description that your wife pushed for 2 hours and was taken for a >cesarean because of failure to progress. It the uterus were ruptured, >that is usually a surgical emergency and presents differently. >You don't mention the actual birth weight, only the antenatal estimates. >The fact that your wife went to completely dilated, then pushed for two >yours is very normal. Most standards recommend that as long as the baby >and mom are doing well, you allow AT LEAST 2 hours of pushing. You can >actually allow more if there is any progress, but you should assess at >two hours and if no change, it is reasonable to proceed with a cesarean. >It is true that large babies can result in the uterus not clamping down >the way it should following delivery. This is called uterine atony. In >some cases, when the bleeding is severe enough, hysterectomy is >required. As a matter of fact, I personally did one last Thursday... >Lynn > >-- >Lynn D. Montgomery, MD >Director, Maternal-Fetal Medicine >Rocky Mountain Perinatal Center >Missoula, Montana > >**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. > >**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response. > >**Thank you for your understanding ;-) >
-- Thank you very much for your reply Lynn. The word "rupture" was used to me so I am only going by that that I believe that it did. I could understand that pushing for 2 hrs is normal. My only concern is that 3 weeks earlier when they told me that if the baby was as large as they thought they were going to do a c/s. The sonograms said it was 6 lbs 11 ounces and 7 lbs 5 ounces. The baby actually came out at 9 lbs 8 ounces like they initially thought. It's hard for me to understand why they thought a c/s was the way to go initially and it was only an inacurate sonogram that changed there mind. Also if you could let me know how bleeded for an hour and a half could affect the uterus. I really appreciate your insight on this matter, your prompt responce, and honestly. It's a breath of fresh air.
|
| |
Women's Insurance Checklist from Auto Insurance Quote home | medical professionals | women | industry | forums | internationale-mail | about us | advertising | our sponsors | contact us | disclaimer | This information is provided for educational purposes only. Please read the disclaimer. ©1996-2008, all rights reserved. Do not reproduce without permission of MediSpecialty.com |
![[ Pregnancy & Birth Forum ]](/pregnancy-birth/pnb_forum_L.gif)