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Re: PREGNANCY: Vaginal Birth after Perforated Uterus caused by IUD
From: Kellee Peall (anonymous@obgyn.net)
Sat, 13 Oct 2007 19:41:03 -0500 (CDT)
Thankyou for your quick reply.
The Gyn definately said that the perforation is at the lower part of the
uterus, because she showed me photos of it from the hysteroscopy. She
explained that the perforation is in a better place being lower down to
the cervix, because during pregnancy that part of the uterus won't need
to stretch/expand as much as as the top part, so won't get as thin.
There was no need for any repair of the uterine wall as it had begun
healing itself. For the laparoscopy they went through my belly button
and a small 3mm scar about 10cm below my belly button.
I am questioning the need for Casearian purely because you hear of women
who have had Caesarian then give birth successfully. Aren't their scars
a lot more 'risky' considering the size? Women everywhere who have had a
Caesarian before become pregnant again - what makes me so much worse
off?... In recommending Caesarian, I wondered whether she was just
covering herself for insurance purposes.
Thanks again, Kellee
At Sat, 13 Oct 2007, Pat Sonnenstuhl wrote:
>
>It will be interesting to hear what some of the others might say on this
>one. I know women who've had perforated uteruses from an IUD insertion
>and then gone on to have a baby. The fundus is the top of the uterus,
>so if you think about it, the IUD went up through the top. To me it is
>not the same as actually cutting into the uterus, like you would do for
>a fibroid. So, I am not quite sure about the need for a cesarean birth.
>I would suggest you go to someone else, and get a second opinion. Since
>you hat the laporotomy performed, that might change things. I would
>think it would heal, however. It is possible your GYN just doesn't want
>to take the risk.
>
>At Sat, 13 Oct 2007, Kellee Peall wrote:
>>
>>I had a baby boy 14 months ago, and had an IUD (Mirena)
>>placed in November that year, three months later. In September this year
>>(2007), I have had it removed via laparoscopy as the IUD had perforated
>>my uterus, and was found in my Pouch of Douglas. Now I have a small (5
>>mm) scar in my lower (fundal?) uterus.
>>The Gyno that performed the operation, suggested the need for a
>>caesarian birth in any future pregnancies. I had a vaginal birth with my
>>first child, with no complications and gas and 1 injection of pethidine
>>for pain relief. I would rather not have a Caesarian (if possible) and
>>would like to attempt Vaginal Birth in any future pregnancies.
>>Can you tell me anything about the risks involved, likelihood of uterine
>>rupture or in fact whether Caesarian is even necessary or the best
>>option in my case?
>>I am 27 year old primary school teacher, am fit and healthy, and would
>>like to start trying to conceive again in the coming months. Would you
>>recommend leaving trying to conceive for longer to allow the perforation
>>to heal/strengthen?
>>I am feeling quite anxious about my situation and would value
>>any information or advice you can offer.
>>
>>--
>>Thank you, Kellee
>>
>--
>Pat Sonnenstuhl, CNM, CHT
>
>Hypnosis for Healing and HypnoFertility Therapy
>http://home.comcast.net/~prebirthhealth/hypnosisforhealing.htm
>http://home.comcast.net/~prebirthhealth/birthcounseling.htm
>
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