VBA Myomectomy?

BootsOrHearts · July 2013

If this is not the appropriate place for this question, please let me know.

I am a FTM and have been told by my OB that I need to be a planned c-section because of myomectomy surgery I had last year. I had 2 surgeries and 26 fibroids removed (all types). She said because of that, I absolutely cannot even go into labor, they want to take him via c-section at 36 weeks. She said the biggest issue is cuts that were made in the top (thinnest part) of my uterus.

I'm all about whatever gets the baby out safely, but I'm worried about complications from the c-section because of all the scar tissue (I guess) I have and if there's additional risk of uterine rupture for future pregnancies.

Anyone have any experience with this? Any chance you think someone might let me do a trial of labor?

For mobile users - I am 15w3d.

Thank you for reading, here's some cookies :-)

nosoup4u · July 2013

I would get a second opinion before making any decisions. Is there a reason she suggests a c/s at 36 weeks? Can you have close monitoring past 36 weeks and play it by ear? That's really early for a baby to come out. hth!

BootsOrHearts · July 2013

nosoup4u:
I would get a second opinion before making any decisions. Is there a reason she suggests a c/s at 36 weeks? Can you have close monitoring past 36 weeks and play it by ear? That's really early for a baby to come out. hth!

Yup - good point and I do plan to ask if I can be on hospital bed rest for an extra week or two.

cecilyandgautam · July 2013

I agree with PP - 2nd or 3rd opinion and whatever you can do to buy more time. 36 weeks is pretty early, in my non-medical opinion. Most first time moms go past their due date, so seems like an abundance of caution to schedule a c-section for 36 weeks, especially considering there's a confidence interval around that EDD, so you might actually be agreeing to a c-section at 35 weeks, thinking it's the 36th week.

ellajune2012 · July 2013

I don't have any real answers - I'm actually in the same boat as you except I had a robotic myo.

I will say however, that the ob/gyn who I saw in December before I had my second m/c was adamant that I had to have a c-section, but the surgeon who did my myo said that he has had successful vaginal deliveries after a myomectomy. I would definitely get a second opinion if that's something you want to consider. I'm not far enough along in this pregnancy to be asking these questions yet (I'm still praying I make it to the 8-week ultrasound this time!) but I do plan on asking my surgeon whether he thinks I'm a candidate for a vba-myomectomy. Like you, one of my incisions was near the top of my uterus. (because it was robotic, I had 5 small incisions rather than one large one)

I don't know where you're located, but PM me if you want my surgeon's info. He's a leading expert in the field - he literally teaches other doctors how to do these surgeries, and was the only doctor who would take my case without giving me a huge vertical incision.

BootsOrHearts · July 2013

ellajune2012:
I don't have any real answers - I'm actually in the same boat as you except I had a robotic myo.
I will say however, that the ob/gyn who I saw in December before I had my second m/c was adamant that I had to have a c-section, but the surgeon who did my myo said that he has had successful vaginal deliveries after a myomectomy. I would definitely get a second opinion if that's something you want to consider. I'm not far enough along in this pregnancy to be asking these questions yet (I'm still praying I make it to the 8-week ultrasound this time!) but I do plan on asking my surgeon whether he thinks I'm a candidate for a vba-myomectomy. Like you, one of my incisions was near the top of my uterus. (because it was robotic, I had 5 small incisions rather than one large one)
I don't know where you're located, but PM me if you want my surgeon's info. He's a leading expert in the field - he literally teaches other doctors how to do these surgeries, and was the only doctor who would take my case without giving me a huge vertical incision.

Thank you, that is helpful! I will definitely bring it up again with my doctors and seek another opinion.

And good luck with your ultrasound!

ellajune2012 · July 2013

BootsOrHearts:
ellajune2012:
I don't have any real answers - I'm actually in the same boat as you except I had a robotic myo.
I will say however, that the ob/gyn who I saw in December before I had my second m/c was adamant that I had to have a c-section, but the surgeon who did my myo said that he has had successful vaginal deliveries after a myomectomy. I would definitely get a second opinion if that's something you want to consider. I'm not far enough along in this pregnancy to be asking these questions yet (I'm still praying I make it to the 8-week ultrasound this time!) but I do plan on asking my surgeon whether he thinks I'm a candidate for a vba-myomectomy. Like you, one of my incisions was near the top of my uterus. (because it was robotic, I had 5 small incisions rather than one large one)
I don't know where you're located, but PM me if you want my surgeon's info. He's a leading expert in the field - he literally teaches other doctors how to do these surgeries, and was the only doctor who would take my case without giving me a huge vertical incision.

Thank you, that is helpful! I will definitely bring it up again with my doctors and seek another opinion.
And good luck with your ultrasound!

Thanks! And no problem... I occasionally lurk on this board because I'm also hoping to at least be allowed to try for a vaginal birth. Was wondering if anyone else was in the same position.

VBA Myomectomy?

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