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Re: VBAC Risks and Prior PolyhydramniosFrom: anonymous@obgyn.netWed, 30 Jul 1997 12:26:28 -0400 (EDT)
Hi Mary! I'm not a doctor, but I did have a similar experience with my pregnancy and wanted to relate to you what my OB-GYN told me. I have only been pregnant once, but was diagnosed with gestational diabetes. Of the side effects and possible complications, I had both a large baby and a lot of excess fluid (I never heard the term polyhydramnios used, but I'm suspecting that at least in part!). I had enough fluid that at 36 weeks my OB couldn't tell size or position by palpation, so he sent me for an ultrasound (baby at that point was at 9 lbs and breech!). Anyway, I delivered by c-section. I asked him at my annual appointment about VBACs and the risks of scar ruptures, etc. and the fact that I was likely to have gestational diabetes again and what if I have excess fluid again? He told me that (a) the rate of uterine rupture is less than 1% and that most incisions are in an area that doesn't really expand. The incision is done in a very thin area that stretches easily, however. (b) he told me that the increased fluid actually made it LESS likely that I would have the scar tissue separate (I'm looking forward to hearing one of our wonderful doctors elaborate on that one!). The uterus is one incredible organ, isn't it? It stretches incredibly during pregnancy and reverts back to "normal" so rapidly. No ill effects seem to remain from one pregnancy to the next! I don't think the polyhydramnios of the last pregnancy should affect this pregnancy, Mary (at least that's my non-medical opinion!) and it sounds like if the problem occurred again that it wouldn't increase the rate of dehiscence at all. So, personally I think you can rest a little more easily. Enjoy your pregnancy (I know you will!) and best wishes for a healthy full-term delivery and a positive birth experience! Darcy Johnson Co-Moderator, Women's Health Forum
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