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Re: Bicornuate Uterus and labour - prg ment, child ment, long

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Hi ,

Congratulations on your pregnancy! While I am technically SU, my RE

tells me my uterus functions like BU so my labour & delivery story

may be of interest to you. My septum extends virtully to my cervix,

but it is muscular rather than fibrous as is the norm with SUs. If I

wanted to have my septum removed I would have to have major abdominal

surgery, which I have opted not to do.

Okay, to your question. I have an almost 10 month old daughter, my

first child & first pregnancy. At the 29 week u/s she was head down

and she stayed that way (yeah). Also at 29 weeks they discovered that

my previously solid cervix was " dynamic & funnelling " , so I was taken

off work. My ob/gyn feared PTL and told me at 29 weeks that she

expected I would make it to 32 weeks, but not likely 34 weeks (the

medical goal I guess). Anyway, I took it easy but was never on

complete bedrest. I went into labour naturally on my due date, right

at 40 weeks and delivered my daughter Zoya vaginally (after 27 hours

of hellish labour, but anyway ... ;)!

Zoya was in my left horn throughout my pregnancy, although mid way

through the third trimester I increasing felt her moving in the lower

half of my right side. Certainly she was restricted in movement, but

that didn't seem to bother her too much. She weighed 7lbs 13 oz at

birth, 21in.

The complication I had with l&d related to bleeding and retained

placenta, apparently a more common complication with MAs. I lost quite

a bit of blood, nearly needed a blood transfusion & had to stay in the

hospital an extra couple of days. I also had retained placenta that

wasn't completly 'delivered' until two weeks after Zoya was born. Not

nice, but we both survived!

That is it in a nutshell. My docs didn't consider inducing early

provided everything looked normal, so I did make it to 40 weeks. Zoya

stayed head down and was the first vaginal delivery from an MA uterus

they had seen in a couple of years at the hospital (all others had

been C-sections due to breech presentation).

Please let me know if you have any other questions I can answer.

Congratulations again and good luck!!!

a

SU (functions like BU)

DD Zoya will be 10 months old on Tuesday!

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Hi a,

Thanks for your great story, I think I am pretty much exactly like

you I have two complete horns with a muscular division that goes

right down to just above my cervix. . . Which has completely moved

over as the bub is taking up all the space he needs haha!

Fortunately this Pregnancy hasn't been that " hard " but with bleeding

at various stages and a in the last few weeks mucous discharge they

are assuring me that my Cervix is still 3.11cm and tightly closed.

(though my OBs are very AWARE of the risk of PTL, and watching me

fortnightly) I am still paranoid.

So having a vag delivery can still pose some problems with the

placenta? Did they give you a injection for the placenta to come

away?

How did you feel? Was the ordeal really painful and hard whilst

having a newborn baby. How long were you in hospital for?

I guess I feel I won't cope with all the intervention and pain

whilst trying to learn breastfeeding and handling a newborn (my

hubby to be and I are young I am 22 and he is 29) also having no

experience with this it is very daunting.

:o) Congrats on you little girl, I bet she is a real treasure. My

best friend has a 10mth old boy who's birthday co-incides with my

actual due date so we are hoping I make it full-term :o)

Thanks for your help,

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Hi again,

Sorry to hear about your bleeding episodes. I too had spotting and

heavy bleeding at 14 weeks - scary, but everything turned out okay. I

think retained placenta is rare even with an MA, but just a little

more likely. Still probably less risk than a C-Section. I only had to

stay in the hospital 3 days, not too bad. Eventually I was given

medication (vaginally, sorry if TMI) to expel the remaining placenta

(this was two weeks after Zoya was born). The retained placenta wasn't

so painful as worrying. The loss of blood immediately after labour &

delivery made me quite severely anemic & Zoya didn't latch on until

she was 5 weeks old, so the first few weeks were hell I'm afraid. I

was ill, pumping 8 times per day, trying to get her on the breast,

etc. etc. The good news is she eventually latched, I healed & we're

both doing fine today!

It is shockingly difficult the first few days and weeks. (none of us

has enough experience, no matter what our ages - with the first born

its a massive learning curve for everyone!) I advise you to line up

all the help you possibly can - lots of frozen meals, someone to help

around the house, someone to help with the babe between nursing so you

can sleep. Sleep is critical. I also worked with lactation consultants

who were able to come to my home the first few days & help with breast

feeding.

You sound like you're well prepared - I hope you don't have any

complications (you probably won't) - but it is good to be loaded with

information just in case.

Take care & enjoy these last few weeks. Strangely enough, I quite

enjoyed the third trimester - I was off work, taking it easy,

preparing - I would recommend this if possible! As you get nearer to

your due date sleep as much as you can - before labour or a c-section

try to get several hours good sleep any way you can - that will be one

thing that really will help you after the baby is born.

Cheers,

a

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