They may develop postpartum depression or post-traumatic stress syndrome.9, 20,25,31 Some mothers express dominant feelings of fear and anxiety about their cesarean as long as five years later.16 Women having cesarean sections are less likely to decide to become pregnant again.16 As is true of all abdominal surgery, internal scar tissue can cause pelvic pain, pain during sexual intercourse, and bowel problems.Reproductive consequences compared with vaginal birth include increased infertility, 16 miscarriage, 15 placenta previa (placenta overlays the cervix), 19 placental abruption (the placenta detaches partially or completely before the birth), 19 and premature birth.8 Even in women planning repeat cesarean, uterine rupture occurs at a rate of 1 in 500 versus 1 in 10,000 in women
with no uterine scar.27
Not exact matches
No, I'm not confusing facts... a
uterine rupture can occur DURING a c - section, and I never said that MORE occured, just that statistically the risk of rupture is higher (mainly because as you have more c - sections the
scarred area and tissue surrounding it gets weaker) and even that fact aside, there are plenty of other risks
with c - section that I know many moms who were never informed of them when considering a repeat c vs a vbac, but were certainly informed of the risks of the vbac... that has nothing to do
with c - sections being more convenient and more costly though.
Additionally, in one study evaluating risk factors for
uterine rupture, no significant association was found
with the presence of an unknown
scar (81).
In patients after 28 weeks of gestation
with an intrauterine fetal demise and a prior cesarean
scar, cervical ripening
with a transcervical Foley catheter has been associated
with uterine rupture rates comparable
with spontaneous labor (106, 114, 149, 150), and this may be a helpful adjunct in patients
with an unfavorable cervical examination.
Furthermore, the reported incidence of
uterine rupture varies in part because some studies have grouped true, catastrophic
uterine rupture together
with asymptomatic
scar dehiscence.
Because relocation after the onset of labor is generally not appropriate in patients
with a prior
uterine scar, who are thereby at risk of
uterine rupture, transfer of care to facilitate TOLAC, as noted previously, is best effected during the course of antenatal care.
In addition, there has not been consistent evidence of an increased risk of
uterine rupture or maternal or perinatal morbidity associated
with TOLAC in the presence of a prior low - vertical
scar.
Women
with one previous cesarean delivery
with an unknown
uterine scar type may be candidates for TOLAC, unless there is a high clinical suspicion of a previous classical
uterine incision such as cesar - ean delivery performed at an extremely preterm gestation age.
If you are experiencing any of the following symptoms, you might be experiencing pelvic floor dysfunction and may benefit from Synergy's Pelvic Health Program: Pelvic Pain Urinary Incontinence Constipation Coccyx (Tailbone) Pain Sexual Dysfunction Pregnancy and Postpartum - related lower back pain Painful Pelvic
Scars / Adhesions
Uterine or Bladder Prolapse Low Back or Hip Pain that is not improving
with treatment You may also benefit from assessment and treatment if you are experiencing symptoms that you have attributed to another condition, such as a prostate disorder, or if you are pregnant or postpartum.