Re: Removal of Vaginal Septum during Pregnancy???

[Guest guest]

In a message dated 8/10/2001 4:12:30 AM Central Daylight Time,

sheasthe1@... writes:

> The problem is

> that my new doctor has a very different view on the

> vaginal septum than any other doctor I have seen. He

> says that when I arrive in Memphis (at 28 wks pg), he

> wants to REMOVE the vaginal septum. Is this wise to

> do during pregnancy? Is it even necessary? I know

> that some of you have had babies vaginally WITH the

> septum and that it has torn, but has it ever caused a

> problem during delivery?

>

>

What the he**!!!!!!

He wants to remove it now??? Run, run as fast as you can and dont stop.

I read this and almost flipped my breakfast this am.

I have been doing a lot of research and reading on metroplasty as of late in

non-pregnant uterus, and let me say that the majority of what I have been

reading suggests that it is risky at best and a chance of restoring fertility

or extending pregnancies is slim. It seems there is a great debate on

repairing septums, unless they are severe.

To be honest I have not read the first thing that even suggests that this

surgery to remove the septum be done during pregnancy. This would definitely

compromise the pregnancy, and irritate an already compromised uterus. PLEASE

don't be this doctors guinea pig. I also have never heard of a septum being

removed during a csection either -- just in case that comes about and that is

suggested.

Prayers sent your way!!!

Kim2

[Guest guest]

In a message dated 8/10/2001 4:12:30 AM Central Daylight Time,

sheasthe1@... writes:

> I just don't know how I feel about it. I mean, it

> would be good for future conception reasons, ie. the

> sperm would be accessing BOTH cervices instead of only

> one. But, I feel like I shouldn't do it for some

> unknown reason. Any thoughts or advice on this would

> be appreciated!

>

>

Ok, brain fart. I read this again, and realized that you were not talking

about a septum in the uterus. DUH.

See what is happening to me without caffeine!

Ok, I still wouldn't do it. I wouldn't do anything to risk my unborn child,

or compromise the pregnancy in anyway.

Feeling dumb as dirt,

Kim2

[Guest guest]

I don't think the removal of vaginal septum is necessary during pregnancy. I

still have a partial vaginal septum, only the upper part right above the

cervix and my doctor would not remove it because it would help a lot with the

pregnancy. I'm not sure exactly how but I can ask her and let you know.

Anyone else has ideas??

Rita

[Guest guest]

Hi ,

I am one of the people that had a vaginal delivery with a vaginal

septum. My doctor seemed totally unconcerned, saying that it

would " move aside " during the delivery. Now if you think about the

mechanics of this, it is VERY unlikely since the septum is made out

of " non-stretch " tissue - what I mean is it's just regular tissue,

doesn't have the folds and elasticity to stretch like vaginal

tissue. So if you picture a baby's head going through, the odds of

it stretching and moving are slim. But anyway, I guess it COULD

happen. My take would be that most of these doctors haven't ever

experienced a vaginal UD delivery so they really have no experience

and are guessing about how it would go. My doctor was also skeptical

that I would even deliver vaginally. The baby turns head down

(vertex) position sometime after 32 weeks and if there isn't enough

room in the uterus, will remain breech, which generally warrants a c-

section, especially in a UD, as I was told. I believe this was the

TRUE reason my doctor didn't care about the septum, she didn't think

it would even be an issue.

Having said that, mine tore during the delivery, but I had an

epidural and didn't even know it until after the fact. My doctor

didn't think any type of " repair " was needed and I didn't experience

any kind of after-effects, such as soreness or infection or anything

like that. Given my experience, that's how I would do it all over

again. Any kind of surgery that COULD irritate my cervix or cause an

infection close to the baby or require any type of drugs in that area

would make me VERY nervous. Ask your doctor whether he wants to

remove it to avoid the tearing or because he thinks it will interfere

in the delivery. If it's the former, I wouldn't do it, the tearing

is not a big deal and I would rather chance that than any

complications due to surgery. That's just my experience, I know

everyone is different. All I can say is PLEASE PLEASE be careful.

Personally I would be too afraid to do it, but if you decide to go

ahead, try to do some more research and really be convinced it's

necessary, not just a " nice to have " . Best of luck.

[Guest guest]

>Ok, brain fart. I read this again, and realized that

>you were not talking

>about a septum in the uterus. DUH.

>See what is happening to me without caffeine!

>Ok, I still wouldn't do it. I wouldn't do anything to

>risk my unborn child,

>or compromise the pregnancy in anyway.

>Feeling dumb as dirt,

>Kim2

Hahaha! You definitely made me laugh today! I just

got done writing that just in case that's what you

were thinking! Thanks again!

EDD 12/1/01

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[Guest guest]

> I still have a partial vaginal septum, only the

upper

> part right above the

> cervix and my doctor would not remove it because it

> would help a lot with the

> pregnancy. I'm not sure exactly how but I can ask

> her and let you know.

> Anyone else has ideas??

Maybe it would somehow weaken the cervix to get too

close to it in removing the septum? Maybe it will

lend strenth/stability to the cervix by remaining? I

have no idea! Just a thought, though.

THanks for your response! I think I am going to tell

him I don't want it removed, that I will take my

chances in it tearing or in having to have a

c-section.

kelly

EDD 12/1/01

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[Guest guest]

> I just don't know how I feel about it.

Surgery during pregnancy is one of those things that I'd want a 2nd

opinion on. I'd also have a frank talk with him about why he wants to

do it and why he feels its worth the potential risks. You aren't

being over-nervous, I would be concerned too!

I'm so glad that, other than this, you've found your md. It must seem

like you keep hitting one challenge after another! How exhausting!

Take care!

[Guest guest]

, I second everything said in the above unsigned post (lia). I just want

to add that my vaginal septum never caused any problem, and several doctors

have advised me against having it removed. My baby tore it out. I didn't have

an epidural, just a local, and I didn't realize it tore until my doc told me

the next day. Hope my experience is helpful to you. Kim R.

[Guest guest]

,

I think you are making the right decision by insisting your doc explain why

this is needed. No, I didn't need any repairs. My post-delivery records say I

had a " midline vaginal septum that had been completely transected at the time

of delivery. It was inspected and noted to be hemostatic. There were no

vaginal lacerations noted. " That's it.

I know that the tearing of tissue sounds awful and painful, but I can't

overstate how painless it was with a local anesthetic.

Kim R.

In a message dated 8/11/01 8:54:17 PM Central Daylight Time,

sheasthe1@... writes:

> I

> have decided to tell him I would rather leave it as is

> for now. When your baby tore your septum, was

> anything left of it, did you have to have the

>

[Guest guest]

,

I think you are making the right decision by insisting your doc explain why

this is needed. No, I didn't need any repairs. My post-delivery records say I

had a " midline vaginal septum that had been completely transected at the time

of delivery. It was inspected and noted to be hemostatic. There were no

vaginal lacerations noted. " That's it.

I know that the tearing of tissue sounds awful and painful, but I can't

overstate how painless it was with a local anesthetic.

Kim R.

In a message dated 8/11/01 8:54:17 PM Central Daylight Time,

sheasthe1@... writes:

> I

> have decided to tell him I would rather leave it as is

> for now. When your baby tore your septum, was

> anything left of it, did you have to have the

>

[Guest guest]

Hi, Kim. Thank you for your input, it does help! I

have decided to tell him I would rather leave it as is

for now. When your baby tore your septum, was

anything left of it, did you have to have the

remainder removed? Just curious. Obviously, the

thought of it tearing is not a pleasant one, even

though you say you didn't feel it, but I'd rather take

that chance than the chance involved in surgery during

pregnancy!

Thanks again!

EDD 12/1/01

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