PREGNANCY-BIRTH Messages for June, 2002: Re: More questions from your response on the herniated c-section scar

Re: More questions from your response on the herniated c-section scar

From: Laurie (anonymous@obgyn.net)
Sun, 30 Jun 2002 22:03:54 -0500 (CDT)

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In reply to: William F. von Almen, II, MD, FACOG: "Re: More questions from your response on the herniated c-section scar"

At Sun, 30 Jun 2002, William F. von Almen, II, MD, FACOG wrote: >
>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.
>Thank you so much for your insight! Laurie
>At Sun, 30 Jun 2002, anonymous@obgyn.net wrote:
>>
>>>Are you saying my uterus didn't heal properly, remained split 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? 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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In reply to: William F. von Almen, II, MD, FACOG: "Re: More questions from your response on the herniated c-section scar"

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