QuestionI have 3 girls and long for a boy. my 1st child was born naturally, the second an emergency C-section and left me with adhesion. i miss-carried a boy at 19 weeks, my third was born early at 32 weeks by c- section she was fine but i was very ill, lost loads of blood needed a blood transfusion and it was touch and go. The surgeon said that all the bleeding was caused by an infection and past scar tissue causing problems, instead of cutting across my womb they had to do a J cut( which goes up the womb)
he said it would be a difficult procedure if i wanted more kids because of the scar tissue. 2 years later i still have some pain(manageable) caused by Adhesions (my womb, uterus, stomach wall and bowls are suck together).
is it impossible for me to have another baby?
would i be able to have a natural birth?
Would my womb contract even with the scaring?
i think i could do it!
iv asked different doctors and they all tell me something different. PLEASE PLEASE HELP
AnswerWhile a natural childbirth may be possible, it would absolutely carry much higher risk of uterine rupture due to your unusual scar (4-7% as opposed to 0.5%). Considering your unique situation with extensive adhesions (making a c-section more difficult and dangerous), the additional risk may be worth it, especially if you take care to have plenty of monitoring and emergency surgery available in the event of rupture. You would have to accept the possibility of a hysterectomy or other serious complications if you did rupture and require an emergency c-section.
Your biggest difficulty will be finding a doctor willing to allow you to take this risk. Most doctors are very risk-averse, largely due to insurance and malpractice concerns, and therefore may not be willing to let you take an educated risk like a vaginal birth after a J-incision. Do your own research, and don't be afraid to shop around for a supportive doctor.
Even if a vaginal birth is ruled out, you may find doctors wanting to deliver you as early as 36 weeks in order to avoid additional rupture risks. This is something that is not set in stone and protocols will vary from practice to practice. Again, shop around, and find somebody you are comfortable with.
Also, while childbearing is very important emotionally and psychologically, don't forget that surrogacy and adoption are also excellent options that would not pose any additional risk to you or to the baby.
