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Maternal (Expert Forum)
pregnancy after 2 c-sections and a ruptured uterus?
Patient medical question and answer from The Maternal and Child Health Forum. Health topic area and articles about newborn care
pregnancy after 2 c-sections and a ruptured uterus?
by Tamy-Caloway, Dec 07, 1998 12:00AM
I have had 2 c-sections and with my second child I had a lot of problems. During labor he ruptured my uterus and caused some damage. My husband and I want
to have another child but have had conflicting reports. We have been told that we could carry another baby, but would have to have another c-section. The
other thing that we were told was that it would not be wise for us to try again because we would be putting the baby and myself in danger. Do you know of any
reserach or places that I can look to find some information so that my husband and I can make an informed decision? Thank you for your time. Tammy
Dear Tammy:
I do not have a specific place to direct you. I did perform a search of the medical literature since 1990. It did not identify any report that is identical to your situation.
The risk of uterine rupture following cesarean section is sited in the medical literature as 8/1000. I am not finding any statistic on uterine rupture following a prior uterine rupture: one must presume it is higher than following a surgical incision.
The risk of uterine rupture for mother is loss of the uterus and need for blood transfusion. Maternal mortality is very rare. In contrast, approximately 25% of babies will not survive a uterine rupture.
Most uterine ruptures occur during labor: hence an elective cesarean section prior to labor avoids this event.
This information is provided for education purposes only and is not a medical consultation. If you have specific questions, please contact your physician.
Keywords: uterine rupture
