PREGNANCY-BIRTH Messages for September, 2001: Re: Previous C-section Scars (Someone please answer 3rd time posting!)

Re: Previous C-section Scars (Someone please answer 3rd time posting!)

From: Harvey S. Marchbein, M.D.

anonymous@obgyn.net

Sun, 30 Sep 2001 12:20:15 -0500 (CDT)

It appears that you had a silent abruption (not common at all) and a uterine incision dehiscence (separation). If the placenta was at the site of the incision, the dehiscence may have caused the abruption. That being said, once you have a dehiscence, you are at increased risk of future complications. Although biophysical profiles can be reassuring, I'm not sure from your history that it would have made a difference as you alluded to.

Unfortunately, the risk of recurrent dehiscence is there and the abruption, if directly related to the dehiscence, may be a one time thing. Exact statistics for your exact situation and possible scenarios in the future are not possible.

Hope this helps and write back anytime for more information.

Dr. M

At Sat, 29 Sep 2001, Barbara wrote: >
>I lost a son due to placenta abruption in Aug. and went for my
>postpartum visit on Wed. It seems that my placenta adhered to the top
>of my uterus and caused my previous c-section scar to weaken and it was
>starting to open. We spoke about future pregnancies and my Dr. told me
>that I would be considered high-risk and be on bedrest. I will also be
>followed up with biophysical profiles and the baby will be delivered at
>the first sign of a problem. My son that died never showed any signs of
>anything wrong, until they did the c-section and discovered my uterus
>was filled with blood. He suffered from severe HIE and died a week
>later.
>Has anyone else gone through this (a previous scar opening)? With proper
>care, is this a manageable thing or should I just forget about trying
>again?
>
>Thanks to all.

-- Harvey S. Marchbein, M.D. FACOG, FACS Great Neck, New York

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