Questionhi iv just found out im pregnant with my 7th baby .this pregnancy wasnt pland as im on the pill and i found out at a colposkapy examination were i was diognosed with cin 3 .my first two children were normal v births but i did hemorage after my first and needed a transfusion after .then in 2002 with my 3rd child i had a magor conceled abruption at 34 weeks and my son was deliverd by emergency c section but sadly was stillborn .my other 3 children were born by c section all were prem but i recoverd quickly after althow my last pregnancy i had pelvic sinfacise disfunktion and was bed bound i only got 2 30 weeks my son spent 3 weeks in the neonatal unit but otherwise is fine its been 3 years since my last child and im genraly in good health i have protine s defisency and have just started taking fragmin again as i have in all my pregnanseys im worryed about going to see my concultant at the hospital as i fear he will advise me to terminat my pregnancy and i strongly disagrey with abourtion i couldnt have the treatment for the cin 3 but the nurse sed she,ll keep a close eye on me during my pregnancey in your opinion wat are the risks to me and the baby if i continue this pregnancy?
AnswerHi Jenny,
If you are opposed to termination, tell him right from the start that you are pregnant and are not considering termination.
Yes, there are risks, but they are similar to the risks you had with your last pregnancy.
A study that looked at the risks after multiple cesareans (http://www.ncbi.nlm.nih.gov/pubmed/16738145) found that after five cesareans, placenta accreta was present in 2.33% vs 0.24% for a first cesarean.
Hysterectomy was required in 3.49% of 5th cesareans vs. 0.65% of first cesareans.
Adhesions are much more common after 3 or more cesareans.
And although the risks are higher, most women do not experience these complications.
The risks for the baby include being twice as likely to experience respiratory distress at birth as well as twice the risk of developing asthma by age eight.
Because it's been three years since your last cesarean, your uterus has had time to heal,which is good news as far as lessening the risk of complications with this pregnancy.
I hope that your pregnancy goes well.
Sincerely,
Dorothy H, LCCE
