Uterine Adhesions and Pregnancy: A Patient's Concern

Question
Hi Kristy.  I am 5.5 weeks pregnant.  In March '06 I had a laproscopic
appendectomy and the surgeon discovered my uterus is adhered to my
abdomen wall.  I went to see my OB/GYN after the surgery to talk with him
about it.  He asked me if I was in any pain, had pain during sex, or was
needing to urinate often.  I answered no to all the questions.  He said that he
thought we should just leave it alone, because he couldn't guarantee that if
he went in and surgically separated my uterus from my abdomen, that it
wouldn't get stuck all over again due to scar tissue.  It's stuck right at the site
of my c-section incision (I've had two c-sections).  I asked him if it would
cause complications if I were to get pregnant again, and he said no.  BUT, I
can't help but worry about the uterus rupturing when it gets all stretched out
and heavy from the weight of the fetus.  Do you have any information on this?  
I keep picturing my uterus breaking open, like pulling tape off an inflated
balloon!

[Just in case you need the info, I'm also on Prometrium, due to 2 miscarriages
(blighted ovum) between my two term pregnancies.  I was on Prometrium
through my 12th week of my last pregnancy, and everything turned out fine,
she was born in 2003, so I'm on it again (200mg/day), just in case.  ALSO, I'm
37 years old, so obviously advanced maternal age.]  

Answer
Hi Karen :)

Hope this makes you breath a little easier. You are only at risk by 1% of an uterine rupture. So its extremely rare that this happens, especially in this day in age.

As your progress into your pregnancy, they will carefully monitor your scar, just to make sure there are no complications. They will do ultrasounds, to take a peek at your scar, as well as ask you questions as well. Questions such as, are your experiencing a severe pulling pain in, or around the area  of your previous incision.

If they feel you are at possible risk for a rupture, or if you begin to show symptoms, and doctors are concerned, you will just end up having an c-section a little earlier then you expected. Again, I cant stress enough, that the risk of this happening, is extremely low.

Hope this answers  your question, and thanks for writing :)

-Kristy