Uterine Rupture

4 Replies
Wondering! - October 20

My son was born 3 years ago with an emergency c-section. From the first day that I had him the dr's didn't hesitate to tell me that if ever I were to be pregnant again I would have to have another c-section because I was cut both ways due to it being an emergency. They told me that I would be at risk for uterine rupture if I went into labor and they would more than likely take the baby a few weeks early so I wouldn't go into labor. I have looked several places to try to find out more information about uterine rupture but am not able to find more info. Was hoping someone here may be able to give me a little more info. I go back to the dr. next week and want to have a list of questions for him but am really, just confused on the whole issue. Thanks!!


STARR - October 21

uterine rupture is when the uterus tears during pregnancy or labor,if this happens the mother loses blood and the babys oxygen supply is decreased.immediate surgical intervention is required to remove the baby and to repair the tear.sometimes the doc is unable to repair the rupture and the only way to control the bleeding is to have a hysterectomy.


djh - October 21

Your risk for rupture is actually still small..even with a vertical internally. I had 4 c-sections in 4 years and I went into labor with each baby...no rupture even with an incredibly thin uterine scar through which the doctor could see my daughter. Anyhow, ask the doctor: Why do you feel like I am going to risk rupture? What are you going to do the ensure my baby is COMPLETELY ready to be born and what are the risks to her of a section done before natural labor occurs. My advice is to demand an L/S ratio before they do a scheduled c/s, it stands for lecithin and surfactant, the two most important substances in your baby's lungs. They help keep the lungs inflated and from sicking to each other. That is a much better test than an ultra-sound!!!!! My preemie weighed 6 # 10 ozs at birth (7 weeks early) and was huge for his dates, but he was very very ill and required a heart monitor for 6 months afterwards at home...so size doesn't mean anything. Hang in there, be careful and keep the communication open with your doctor!


Christine - October 21

Thank you so much for the replies helps tremendously! DJH my son was born @ 26 weeks - weighed 2# 4 ozs and we went thru the surfactant thing in the NICU but how do they do this L/S ratio? I'm gonna look it up, but have you had one done? Thanks again to you both for the replies.


djh - October 21

Hi Christine, first off, how is your teeny preemie now? The NICU experience is a whole other story, huh? Especially after surgery and all hell broke loose. The L/S ratio is not the most pleasant thing in the world, but it is an amniocentesis procedure. They puncture the sac with a long needle (you are numbed first!!!) and draw out a tiny bit of amniotic fluid and test it for L/S levels. There is a small risk of triggering labor, but then if they do it the day before your scheduled c-section there is no problem, right? I mean I would rather do that then go in with just a guesstimate sonogram. I had 3 ratios done with my 4th child. He tried to escape at 28 weeks. Stayed in hosptial for a week with labor starting and stopping 5 times, went home with his ration at no where near ready and Ritodrine pills to keep labor at bay (nasty medicine, but not as bad as the magnesium!!!) Well, we monitored him one more time with ratio test. Then at 32.5 weeks I went into full b__wn labor and delivered him at 4 in the morning via my 4th c/s. So I think you have every right to determine with as much precision as possible when to deliver your baby that is safe for you and safe for him/her. You know as well as anyone how much grief you feel when your baby is struggling so hard to breathe and stay alive so get the facts kiddo! Good luck!



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