Re: More questions from your response on the herniated c-section scar
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 30 Jun 2002 19:57:42 -0500 (CDT)
Laurie
It means there is thinner than normal tissue in the area of the scar.
Whether it is too thin or not, no one can tell. If the new preg
implants high, it should be of no consequence, however, if it implants
low near or over the scar, that could be more of a problem. A low
transverse scar is in the thinner, non contractile part of the uterine
muscle, so it does not stretch until the end of the pregnancy, nearly
when you were set up for your repeat c-section is scheduled.
At Sun, 30 Jun 2002, anonymous@obgyn.net wrote:
>
>>Thanks for such a prompt response! Unfortunately, it created more questions. I guess I need baby steps. Are you saying my uterus didn't heal properly, remained split (any or all of the incision)and is closed over with scar tissue only? Can it be safe to be pregnant with a uterus that is already ruptured? As it grows will the scar tissue grow as well and will it hold? I would definitely have a repeat section, but how can a uterus that is not whole hold a growing baby? Would my uterus continue to split as it grows since it is technically split already? And how does the placement of the placental attachment figure in? What does this mean regarding my safety and that of my baby. What happens if the scar splits while I'm pregnant? Thanks again. Laurie
>
>At Wed, 26 Jun 2002, Laurie wrote:
>>>>>I recently had a sono showing I had a herniated section scar. Is it safe to get pregnant again? Do herniations hold? Does scar tissue stretch or grow as my uterus grows? Does scar tissue shrink? My ob/gyn said he has never seen anything like it before. Thanks! Laurie
>>
>>At Wed, 26 Jun 2002, R. Daniel Braun, MD wrote:
>>
>>You are talking about an opening in the uterine incision site. If you
>>get pregnant again, what happens will depend a lot on where the
>>fertilized egg implants in the uterus. If it is high up, it should have
>>no consequences except that you will already have a uterine rupture and
>>I would rec a cesarean with no trial of labor.
>>
--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.
*Please understand I can not respond to private emails.
*These comments are for educational purposes only. They are
not meant to take the place of an examination by a qualified
health care provider. They are not intended to be the start
of a physician-patient relationship.
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