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Pregnancy (Expert Forum)
Pregnancy after ablation
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
This forum is for questions and support regarding pregnancy issues such as: Alcohol/Drugs, Bleeding, Caesarean Section, Childbirth, Diabetes, Depression, Fetal Monitoring, Genetic Testing, Hormonal Changes, Labor, Lamaze, Morning Sickness, Nutrition, Parenting, Prenatal Care, Weight gain.
Pregnancy after ablation
by verysadmom, Jun 17, 2008 01:13PM
Are you saying there is really no test available to find out if the baby is implanted in a safe place or are you saying those tests can only be done before pregnance? Do you know where I can find statistics of the women who have gone through with their pregnancy after ablation? I would like to know how many lived vs. how many died, weather the baby lived and if the mother had a hysterectomy or blood transfusion. My doctor kept pushing the fact that I would probably die and leave my other children without a mother. I felt I had no choice but to terminate the pregnancy which went against everything I believe in and now I am stuck in depression. I would have much rather had a hysterectomy, blood transfusion or both than an abortion. It seems that in this day and age there would be a way to find out exactly what the risks are when our birth control fails.
Doctor's Answer
by Keith Downing, MD, Jun 19, 2008 10:14AM
, Jun 19, 2008 10:14AM
Hello,
Yes, that is what I'm saying. One cannot determine whether an early pregnancy implanting in a post-ablation uterus is implanting in a "safe" place. And from the 70 or so reported cases in the world literature the possibility of preterm delivery and fetal death, and placental complications requiring blood transfusion and/or a hysterectomy appear to be quite high. But there are only a small number of cases reported so it is hard to provide firm numbers.
Now, many aspects of pregnancy are about weighing risks and benefits, and I assume that is how your ob/gyn counseled you. In fact it seems your counseling was heavily weighted towards the risks you would be taking on. Nevertheless, you seem to have been very clear on the issues. I hope you come to terms with the decision you ultimately made.
Best regards,
Dr. Downing
Yes, that is what I'm saying. One cannot determine whether an early pregnancy implanting in a post-ablation uterus is implanting in a "safe" place. And from the 70 or so reported cases in the world literature the possibility of preterm delivery and fetal death, and placental complications requiring blood transfusion and/or a hysterectomy appear to be quite high. But there are only a small number of cases reported so it is hard to provide firm numbers.
Now, many aspects of pregnancy are about weighing risks and benefits, and I assume that is how your ob/gyn counseled you. In fact it seems your counseling was heavily weighted towards the risks you would be taking on. Nevertheless, you seem to have been very clear on the issues. I hope you come to terms with the decision you ultimately made.
Best regards,
Dr. Downing
