WOMENS-HEALTH Messages for May, 2002: Re: 29wks pregnant, pain at previous c-sec incision site

Re: 29wks pregnant, pain at previous c-sec incision site - is uterus about to rupture?

From: Richard Chudacoff, MD, FACOG (anonymous@obgyn.net)
Sun, 19 May 2002 22:18:40 -0500 (CDT)

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In reply to: Rebecca: "29wks pregnant, pain at previous c-sec incision site - is uterus about to rupture?"

At Sun, 19 May 2002, Rebecca wrote: >
>I am 29 wks pg. My first was deliver via c-section in 10/99.
>low-transverse. This past week I have been experiencing pain at my
>incision site. It is deep, not on the skin. Sometimes it is sharp, but
>mostly it is tender to touch and aches. I am worried that this is a
>sign that my uterus is thinning at the original inscision site. My
>midwife thinks it is adhesions that are strectching. The tenderness is
>there most of the time. When I walk, I catch myself holding my stomach
>right at the site because it hurts/aches. Until today it had been
>mainly on my left side, but it has progressed to my right as well. Can
>an ultrasound show if there is thinning of the wall of the uterus? What
>kind of u/s should I ask for if one is needed. I would hate to have a
>premature rupture and loose this baby. Thanks for your help.
>Rebecca

Rupture of the uterus is one risk of pregnancy after c-section. I agree that adhesions are most common cause of pain in this circumstance. An ultrasound may be of help if the uterus is already ruptured, but not before. Do your kick counts to reassure the baby is doing well. Personally I would not allow my wife, sister or daughter to be followed by a midwife in this situation

-- Richard Chudacoff, MD, FACOG Chudacoff Obstetrics & Gynecology, PLLC Sugar Land, TX

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 emails cannot be entertained due to time constraints; consequently, they will receive no response.

**Thank you for understanding :).**

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In reply to: Rebecca: "29wks pregnant, pain at previous c-sec incision site - is uterus about to rupture?"

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