Guest guest Posted June 14, 2005 Report Share Posted June 14, 2005 Thank god - my blood test shows I ovulated so hopefully no need for clomid this time! Is a progesterone level of 42.5 good? Janine Experience of Labour/VBAC with Uterus Didelphys > Hi there, > > I have Uterus Didelphys (with 2 cervixes (cervices?) and complete vaginal > septum). I'm pregnant for the fourth time (2 previous pregnancies ended > in > early m/c c. 8 weeks; 1 lovely boy born 5 years ago by elective C-section > at > 38 weeks). > > I live in the UK, where medical attitudes/protocols might be slightly > different from the US, but wondered whether any of you with UD have > experiences of labour (and VBAC). A bit of background: in my second > pregnancy (the one that went to term) I had very relaxed antenatal care. > I > was under the care of a hospital rather than my family doctor/midwife > because of the UD, but apart from that didn't have any special tests or > treatments. I asked about having a cervical stitch, but was told that > because my previous m/c was early there was no reason to think I had IC. > All the way through pregnancy I was told by hospital doctors (registrars > and > senior house officers, below the level of consultant) I could have a > 'Trial > of Labour' but because of my funny uterus I might not labour well in > which > case I might need help (i.e. C-section). However at 37 weeks (and more or > less by accident - I had changed my appointment time!) I saw the > consultant > who told me that I shouldn't risk going into spontaneous labour because of > the possibility of uterine rupture. I asked how likely uterine rupture > was, > but didn't get any clear information and in the end was so scared by her > telling me 'your baby might died, you might die, even if you don't die you > could need a hysterectomy' that I agreed to an elective C-section. I was > really upset because I felt I'd been falsely reassured by the more junior > doctors and terrified that I would have a rupture before the surgery - I > felt my uterus was like a dangerous ticking bomb waiting to explode! > > I'm now 20 weeks pregnant in the same uterus in which I had the successful > pregnancy. I'm under the care of a consultant at a different hospital > (different part of the country), but the care is similarly laid-back and > I've seen lovely doctors and midwives who all say the fact I've been > pregnant to term before is a very good indication that all will go well > and > no need for special treatment or tests in pregnancy. My consultant says > that UD doesn't increase my chance of uterine rupture, but that having had > a > previous C-section does. Obviously, it comes as a shock to be told that > the > original reason for having an elective C-section wasn't valid, especially > since having had the surgery does increase my chance of having uterine > rupture. My consultant says there's no reason why I shouldn't try for a > VBAC if I want to. He says there's no predicting how effective my uterus > (uteri? Although I guess there's just one actively involved) will be in > labour and I might end up with 'failure to progress' but that all > first-time > labouring women are a bit unpredictable. > > Does anyone know of studies on women with UD who have been allowed to go > into spontaneous labour? What about VBAC? What are your experiences - > what > happens with the second cervix, vaginal septum - did you tear? Any > thoughts > most welcome. > > Best wishes > > Judith > > > > > Share bookmarks: http://groups.yahoo.com/group/MullerianAnomalies/links/ > > Share files: > http://groups.yahoo.com/group/MullerianAnomalies/files/ > > The Congenital Uterine Anomalies Home Page: > http://www.wegrokit.com/uterineanomalies/ > > > > es/ > > The Congenital Uterine Anomalies Home Page: > http://www.wegrokit.com/uterineanomalies/ > > > > > Quote Link to comment Share on other sites More sharing options...
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