FAQ - uterine rupture
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uterine rupture?

I am 18 weeks pregnant with my second baby and my belly is pretty big and i feel the baby move alot at times.I have a high risk pregnancy because of incompetent cervix and my first daughter was also high risk and i had her by c-section at 34 weeks thank God she was born 8 pounds though she was fine.After that my incision got infected and they had to reopen and pack iit with gauze and dressing until all the tissue grew back.So it took like 4 more months to heal.Now on one side of my cut especially the left side cuzthey also made a nick to my bladder and now i have a problem that i cant empty my bladder and i constanly have to go to the bathroom and like push my pee out i try to be very careful with my cervix though because its incompetent im already 1 cm dilated at 18 weeks. So now my incision hurts more than ever especially on the left side do you think when im like 7 or 8 motnhs my uterus can rupture it hurts so much!

wow that sounds pretty bad i think you should talk to your GP
how ever i think that maybe it could be where the baby is sitting maybe it will move and you will feel better . i would be careful not to strain yourself. maybe if it gets bad buy some night time pads and let little trickles go softly rather then pushing.????  (+ info)

Uterine Rupture?

What are the odds of miscarraige, hysterectomy, and death associated with 4 cesareans within 4 years with scarring problems?

My uterus ruptured when having my youngest. I had a previous C section with my other child.
I had been in a car accident when I was 4 months along with my youngest. Dr. determined that it caused a pin hole leak in the scar tissue causing a slow leak of amnio fluid. This fluid was eating my uterus.
We were attempting V-back with this one. Luckily my rupture occured after I had my epidural.
I suddenly had a bad burning sensation that hurt like hell up high on my tummy. I was rushed into emergency surgery. I recall after she was born, my doctor suddenly went to the phone and called several people. The door opens and about 5 doctors come into the room. They were looking at and taking pictures of my uterus trying to decide whether or not to put it back in or not since the outside of it was "eaten" by the amnio fluid that had been surrounding it. They opted to put it back and see how I healed which ended up healing great.
I did not know until after this was all over that a uterine rupture can be fatal not only to the woman but the baby as well.
Needless to say, no more kids for me. I would be on complete bedrest and that is not for me. So 2 kids is it!  (+ info)

What are the chances of a uterine rupture?

I will be almost 3 years since my last c-section. (34 months to be exact) My hospital does not have an anesthesiologist available 24-7, so I am considering having another c-section. Does anyone know the chances of having a uterine rupture 34 months after having surgery? I just don't want to undergo surgery if my chances are very slim of having a complications, especially if a VBAC would be safe. My doctor has left the decision up to me. If anyone has had to make this decision, I am interested in why you chose either way.

If you do have a rupture and the anesthesiologist isn't in-house when it happens, you WILL have a C-section with local anesthesia, and you won't enjoy it.

The hospitals near me don't allow VBAC without a full C-section team in-house.

Why did you have the first C-section? That can influence your risk.

ACOG recommends having personnel for C-section immediately available. Any physician who disregards that advice is playing with fire.  (+ info)

What do you mean by uterine rupture when you took cytotec?

I read that cytotec can cause abortion one of the danger of taking it is uterine rupture. Any doctors or anyone who can explain it in lay mans term. What does it mean? Is there anything to do with gall bladder damaging it?

Uterine rupture means the uterine (womb) wall actually tears open. Cytotec for abortion or labor induction is only given under controlled circumstances in a hospital...The uterus can contract uncontrollably and the muscle rips causing immediate hemorrhage and possibly death...  (+ info)

What exactly is a uterine rupture?

It happens if your have a VBAC but what exactly happens during a uterine rupture? does it mean the previous c-section incision splits open!? or. . . .

A uterine rupture is a tear in the wall of the uterus, most often at the site of a previous c-section incision. In a complete rupture, the tear goes through all layers of the uterine wall and the consequences can be dire for mother and baby. Fortunately, these ruptures are relatively rare events — exceedingly rare for women who've never had a c-section, a previous rupture, or other uterine surgery. The vast majority of uterine ruptures occur during labor, but they can also happen during pregnancy.  (+ info)

Has anyone had a successful birth AFTER a uterine rupture ?

My uterus ruptured during induced labor with no prior scarring/C-Section. My Dr is trying to encourage me to get my tubes tied or a vasectomy for my husband. There is no info available that I can find on the web for this particular situation. Any info etc would be much appreciated. I'm looking to find out what is involved with a subsequent pregnanct after this type of scenario. Thanks !

I found this:

Apparently from these answers, it seems that it would depend on the severity and location of the laceration.

I might recommend that you get a second opinion, but frankly doctors are doctors because they are EXPERTS in the field of medicine, and I'd recommend that if your second opinion comes back similarly that you consider abstaining from another pregnancy. It's not worth your life or that of the baby!  (+ info)

I want to have a Vbac, but I'm scared of a Uterine rupture. What is your opinons?

My first pregnancy ended in a c-section due to complications from pre-eclampsia. This time around i'd like to have a vaginal birth, but I am scared that I may have a uterine rupture. I know the risks and the benefits of both a c-section and a vbac. But, i'd like more opinons on it. Please, anything would help. :)

Well pre-elampsia often reoccurs, but doesn't always end in a c-section. I have one almost 2 years ago due to FTP (failure to progress). I went to the Dr. for the irst time with this pregnancy last week and my Dr. almost immediatly was like "so we're doing a c again?" My decision, and he agreed, is that if by 38 weeks I haven't even started to show signs of labour I'll have a second c-secion. But if I am showing any signs of progress then I will be allowed to go as long as everything seems safe. I will not be induced and not allowed to go past 39 weeks without serious progress. There are as much of a chance of something happening either way, it just depends which set o chances you'd rather take. For me as long as it appears safe; I think the benefits to the baby are more for VBAC.  (+ info)

How rare is it for a woman in labor to get a uterine rupture if she is not induced and has never had a c-sec?

Someone we know got a ruptured uterus and lost the baby and nearly died. She was not induced and had never had a c-sec. How rare is this?

What causes uterine rupture?

Ninety percent of uterine ruptures happen at the site of a scar from a previous c-section. And ruptures are most likely to occur during labor because a scar is more likely to give way under the stress of contractions.

If you've had one c-section with the typical low-transverse uterine incision and are considered a good candidate for VBAC, most studies estimate the risk of rupture during labor to be less than one percent. On the other hand, if you've had a "classical" c-section, in which the incision extends vertically to the upper, more muscular part of the uterus, you have a much higher risk of rupture and should be scheduled for c-section before the onset of labor. The same is true for women who have had other kinds of uterine surgery, such as an operation to remove fibroids or to correct a misshapen uterus, or repair of a previous rupture.

It's possible for an unscarred uterus to rupture, but that happens in fewer than 1 in 15,000 pregnancies, almost always during labor. Risk factors include having had five or more children, a placenta that's implanted too deeply into the uterine wall, an overdistended uterus (from too much amniotic fluid or carrying twins or more), contractions that are too frequent and forceful (whether spontaneous or from medication such as oxytocin or prostaglandins, or as the result of a placental abruption), and a prolonged labor with a baby that's too big for the mother's pelvis.

Trauma to the uterus, from such things as a car accident or a procedure such as an external cephalic version or a difficult forceps delivery, may also cause a uterine rupture, as can a difficult manual removal of the placenta.

Hope this helps!  (+ info)

Should I be worried about uterine rupture?

Hi, I had an emergency c-section 14 months ago and I am currently 20 weeks pregnant with my second. I have been experiencing some cramping down where I had the incision. I told the doctor and midwife and they said it's fine and that it would go away on it's own. I am really concerned about uterine rupture since I only left a 9 month gap before falling pregnant again. Anyone had this before? Am I at risk?

Yes you are at risk. If you are concerned it would be a good idea to get a second opinion.
Good luck with your pregancy.  (+ info)

What are my chances of surviving a uterine rupture during my c section?

Ok you have officialy scared the hell out of me. Im about to have a c section on tuesday. My baby is expected to be large. I didn't even know that was a possibility. Well, tell u what, u wish the best for me and I will for you. hopefully we will both come away alive and with our uteruses in tact and with healthy, happy babies!! Good Luck to you.  (+ info)

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