QuestionMy first child was born at 24 weeks and past away a few days latter. The amniotic fluid was infected causing my labor and placenta abruption. I have since then had 2 more girls they are 2 and 4. My first born would be 5. With my 4 yr old they took her 2 days early because I developed preclampsia. I had no complications with my 2 yr. old. My question is can I safely have another classical c-section?
AnswerDear April,
With classical incisions, there is definitely a higher risk of rupture due to weakening of the tissues around the incision line. Have you had the same OB for all deliveries? He/she made have made some notation in the surgical note regarding the condition of the uterus - whether there was any noted thinning near the scar line, etc,... You might want to ask that physician what his/her observations were during the last surgery.
The risk of rupture is most often associated with the onset of labor. Most doctors who have pregnant moms with a history of previous C-Sections remain aware of this complication and avoid allowing the uterus to begin laboring. Most often the delivery will be scheduled at 37 or 38 weeks, or as soon as the doctor is assured the baby is ready and healthy enough to deliver.
Again, your best resource in making this decision will be your OB who performed the last C-Section. He or she will have the most current knowledge about your physical condition and the potential for carrying another baby to term without incident.
I wish you the best and hope I've helped. Have a blessed Christmas season!
Brenda
