Uterine Rupture?

Question

What are the odds of miscarraige, hysterectomy, and death associated with 4 cesareans within 4 years with scarring problems?

Answer 1

My uterus ruptured when having my youngest. I had a previous C section with my other child.
I had been in a car accident when I was 4 months along with my youngest. Dr. determined that it caused a pin hole leak in the scar tissue causing a slow leak of amnio fluid. This fluid was eating my uterus.
We were attempting V-back with this one. Luckily my rupture occured after I had my epidural.
I suddenly had a bad burning sensation that hurt like hell up high on my tummy. I was rushed into emergency surgery. I recall after she was born, my doctor suddenly went to the phone and called several people. The door opens and about 5 doctors come into the room. They were looking at and taking pictures of my uterus trying to decide whether or not to put it back in or not since the outside of it was "eaten" by the amnio fluid that had been surrounding it. They opted to put it back and see how I healed which ended up healing great.
I did not know until after this was all over that a uterine rupture can be fatal not only to the woman but the baby as well.
Needless to say, no more kids for me. I would be on complete bedrest and that is not for me. So 2 kids is it!

Answer 2

My first birth was a c-section and I have had two successful vaginal births since then.

The risk of uterine rupture after a cesearean is around 1%. That means the risk is less than those associated with a regular c-section (which is major surgery and you and baby have to go under anesthesia).

Here's the deal - suppose you WERE one of the 1 percent of women who did have uterine rupture? It won't hurt the baby - they would just get it out like they would with a c-section. And for you the risk of death is very small from uterine rupture, still smaller than the risk of death from cesearean.

So either way the odds are in your favor. If you want to try a VBAC I would just recommend that you have a "back up" plan should a surgery be necessary.

Best of luck!