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Am I at risk for a ruptured uterus?From: biggy (anonymous@obgyn.net)Tue, 31 Oct 2000 18:51:36 -0600 (CST)
I have searched the net on this subject and it is so "unusual"? that I cannot find information other than what my OB has told me. Does anyone else have knowlege or personal experience with an overly larger uterus. I am pregnant with my 7th baby; my last child was 20 months ago. She was my first C/S. I was induced after my uterus was much larger than normal, >49+ cm at 38 weeks. I labored 14 hours and she never was even in the pelvis. My Dr. said when he went to do the C/S, the lower segment of the uterus was abnormally thick. He says I probably have fibroids and they kept my baby from coming down (one 5cm was seen on early u/s in cervix). Here's the question. When I got pregnant this time, I talked to him re: VBAC and he said he wasn't sure that the abnormally thick uterus would have healed the scar well, due to the demands on blood supply of fibroids. Again, my uterus is at the umb. at 14 weeks. I look almost term! My last visit we talked re:whether I was at risk for my scar rupturing before labor due to an over expanded uterus, since it appears it may be close to 50cm size at term again. I agreed not to risk a VBAC but am concerned re: rupturing when I get closer to term due to poor healing of scar and mega uterus. He said we may consider doing an U/S at 36 weeks and checking maturity of lungs and doing the C/S early if I am growing as big as last time. Can anyone tell me if they've experienced this scenario? Am I concerned without cause. I don't think he was trying to scare me from a VBAC because I'd already consented that I didn't want to take the chance if I'm at high risk. I also have 9+ lb size babies. Thanks and sorry this is so long~I felt history was important here.
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