QuestionI have had 4 ectopics. 1 tubal and 3 cornual. With my last cornual, the doctor did a cornual resection, in hopes that with all the scar tissue gone, I could conceive a baby and have it implant in the right spot of my uterus. My question is, I know I at risk for rupture, but do ruptures occur spontaneously during pregnancy? I know I can't go into labor, but I am concerned that I will just rupture at anytime? Do you have any info on this for me?
AnswerI do not have a lot of information on cornual pregnancies; in fact, I was unfamiliar with the term until you brought it up. However, in regards to uterine rupture, I can tell you that a certain percentage (some say half, some more or less) of uterine ruptures do occur before labor starts, usually in the last few weeks of pregnancy as the uterus is stretched to the fullest extent. Women who are at extreme risk for rupture may have their babies taken by cesarean at 35 or 36 weeks (instead of the usual 38-40 weeks) to avoid this possibility; however, these premature babies will almost always require at least some stay in the NICU until they are fully able to breathe, eat, and regulate their body temperature. Only your surgeon can tell you for sure what your individual risk for rupture is, based on your surgical history.
