Forced CS after myomectomy? VERY anxious

iVillage Member
Registered: 06-04-2003
Forced CS after myomectomy? VERY anxious
7
Tue, 07-08-2003 - 6:22pm
Hi, there. I'm not quite 11 weeks and so obviously this is rather early to be asking this question! But I am wondering if any of you know of ANYONE who was able to have a vaginal birth after having a fibroid removed (myomectomy). Mine was 10cm in size but there was only one. I assume it was on the inside of the uterus. Apparently I have healed very well and there is very little scarring. I have not had a full-term pregnancy before.

I have to say that I hate hospitals, I hate IVs, I hate anaesthetic, and I hate having no choice in what happens to me/where I go. I have had bad experiences being in hospital. IVs are horribly painful for me; I can't imagine trusting them to stick a needle in my spine. I'm feeling extremely anxious about the whole thing and just want to go in, have my baby, and leave the next day. It was at least 6 months before I felt back to normal after the myomectomy, and the thought of recovering from a caesarian makes me want to cry (as does the idea of being imprisoned in a hospital for a week and not being able to go home). It is worrying me to the point that I can't sleep if I start thinking about it.

My doctor is also the surgeon who did my myomectomy, and he told me originally that I will have to have a caesarian to avoid the risk of labour rupturing the uterus. I'm seeing him again on Thursday and I guess I'm just wondering if there is any hope that I can do this the old-fashioned way....?

Thanks for any advice you can offer!

FP

10 wks 5 days

iVillage Member
Registered: 07-21-1998
Wed, 07-09-2003 - 12:50pm
My advice would be to compare this to a VBAC. One cut in the uterus versus another, is there any difference? Ask your doctor if he thinks it's different, and ask whether he encourages VBACs. If the answer to the latter is no, then you want to ask a doctor who DOES do VBACs whether your case is any different. (I think there will be a larger database of people who've done VBACs than pregnancy after fibroids. You'll know more about what the risks are, and what precautions you want.) If it isn't that different, you can research VBACs and figure your options.
Cthulu Crochet

Avatar for baby_stinkbug
iVillage Member
Registered: 03-24-2003
Wed, 07-09-2003 - 3:50pm
I guess my main concern would be *where* any incision or surgical cuts were made in the uterus. I know from my vbac reading that incisions in the very lowest part of the uterus, and those that are horizontal tend to be much stronger than up and down incisions, and especially incisions done in the upper portion of the uterus (due to the nature of the stretching of the uterus in pregnancy, and the muscles in the uterus). I honestly don't know what difference it makes for incisions done on a normal sized uterus vs a pregnant uterus though.

Here are a few links I found (all by putting myomectomy and section into google): http://www.myomectomy.net/abdominal_myomectomy.htm (looks like the incision is the same as for a c/s usually- the low transverse that is considered least likely to rupture- might want to be sure that's the incision you have)

another link that has some questions you might want to ask your doctor: http://www.babymed.com/docs/english/851.asp

http://www.bidmc.harvard.edu/obgyn/surcical_myomectomy.asp

http://www.medformation.com/mf/crswa.nsf/wha/wha_csecprop_crs.htm

It looks like you really want to find out the details of your myomectomy before making any decisions regarding birthing type. hope that was helpful! good luck and congrats on your pregnancy! :)

kris (also terrified of another c/s)

dakotah 8/30/00 c/s fetal distress

dallas 3/6/02 unmed hosp vbac

baby cheyenne edd 9/3/03 planning hbac

iVillage Member
Registered: 06-09-2003
Wed, 07-09-2003 - 5:30pm
Dear FP,

Wow, your story is very similar to mine. I had a myomectomy in March of 2002. I had 4 humonguous fibroids removed! My doctor told me at the time that I would have to have a c-section to avoid uterine rupture during labor. To me this is not a problem, we just want to have a healthy baby! (We had had 2 m/c). Anyway, even with my 4 fibroids, I was only in the hospital for 3 1/2 days. I recovered nicely at home and was back to work in 2 months' time. Of course, I am a little anxious about the c-section, but I trust my doctor implicitly! I think that is the key right there. Your physician is the one calling the shots so to speak, so you need to have a heart to heart with him/her before the c-section to make sure your wishes are known and respected. Also, is your DH going to be with you during the c/s? He can make your wishes known as well. (My husband passes out at the sight of blood, so he will be there, but not much help!) LOL

Anyway, I personally would not risk the uterine rupture for a "normal" delivery. I have friends who have had c/s and recovered without any problems. I know that both my mother and mother-in-law will be here to help at home when I come home from the hospital with the baby. I will have them do laundry, dishes, cooking, etc. (all the stuff I hate anyways!) LOL Just make sure you have friends and family who can help you during the first few weeks home, as it will be a bit harder for you then.

If you have a good relationship with your doctor, then trust what he/she tells you and I am sure everything will be fine for you!

Good luck with everything and post again after your doctor's appointment.

Vicki

EDD 1-14-04 #1 (sure to be earlier due to c/s, but no firm date yet)!

iVillage Member
Registered: 06-04-2003
Fri, 07-11-2003 - 12:09am
Thank you all for your kind and informative replies. It means a lot that you took the time to share your knowledge and experience. I saw my doctor today and he wants to take a wait and see approach; he says that he didn't have to enter the uterine cavity for the myomectomy (so I guess that's a good thing..? I presume it must have been on the outside or partly in the uterine wall itself?). I think when he mentioned the likelihood of a caesarian it was before I had the fibroid surgery itself.

So hopefully it won't be necessary, I don't want to take any risks at all but on the other hand I really don't want to have more surgery if I don't have to. There would be loads of support for me after the birth (my mom is a nurse) and my husband would be there throughout, but I'd rather be up and out of there as soon as I can so the three of us can all start doing our own thing at home. But I know an emergency procedure would be way more stressful, so I guess we will just have to see how we get along!

On a lighter note, the doctor said he heard the heartbeat today--dh and I weren't so sure that we were making it out properly, it mostly sounded like my heart pounding in the sea lol. Too bad, but hopefully the acoustics will be better in a month ;-)

Thanks again for your support and help!

FP

11 wks today

iVillage Member
Registered: 03-27-2003
Wed, 07-16-2003 - 11:36am
While I don't know anything about your previous surgery or if you might be able to have a vaginal delivery - I just wanted to say that if you do HAVE to have c-section there are things you can do to make it easier on you. I think you would really benefit from seeing a therapist - there are reasons you have all these fears and I'll bet with a little help you could probably overcome most if not all of them ;-) I know how scary this all can be and I really hope you are able to have an enjoyable birth. I don't know where you live but I was able to leave the hospital after only 3 days. I really wanted to go home the afternoon after my c-section but they did make me stay 3 days....my Dr. was surprised when I asked if could leave....he said most people like to stay - yuck, not me ;-) Also, you can still write a birth plan to give to your doctor/nurses that will help make things the way YOU want them and hopefully allow you to feel like you have some control over your situation. Anyhow - talk to your doctor again, tell him your concersna nd take it from there. Just remember there is always SOMETHING you can do to make it better ;-) Bog hugs! Melisa EDD 2/2/04
iVillage Member
Registered: 03-26-2003
Wed, 07-16-2003 - 2:21pm
I had a friend that had a C-section after having fibroids removed, and she said for her the C-section was much easier to recover from. Honestly I don't think a C-section is always a harder recovery. This same friend had a very difficult vaginal deliver before the fibrois, and she said that recovery from the C-section was much easier then from her vaginal. Also I recovered from my C-section alot faster then several of my friends did from their vaginals. I really think it depends on the person, and circumstances.

As far as getting the C-section it really isn't bad. the idea of an epirdural terrified me too, but honestly they numbed the area and I didn't know when they did it till it was done. Just be glad you can't see your back LOL. I felt very ready to leave 3 days afterward, but stayed the 4th only because everyone told me to so I could get my rest. I honestly think I'd have gotten more rest at home, but live and learn. This time I'll probably stay as long as I can 'cause I have a hyper 2 yr old at home LOL. I hate hospitals, but alot of the maternity wards are decorated to feel more "homey" which helps, and also where I was people could bring food in for me once I could start eating again.

Good luck, and try not to worry too much

Beth

iVillage Member
Registered: 07-23-2003
Thu, 07-31-2003 - 2:47am
Hi there,

I had a myomectomy in August, '01 to remove 4 very large (grapefruit sized) fibroids. My doctor told me before the surgery there would be a good chance of c-sections for future pregnancies. Then after the surgery, he told me it was definite. I guess I was lucky, because my recovery was pretty rapid. I asked to leave the hospital after two days and he let me. I was driving again in about 2 weeks and feeling pretty normal in a month. I will say, I did quite a bit of walking to hasten my recovery. I was taking 10 minute walks about 3 times a day from the time I got home from the hospital and then slowly built back up to the 45 minutes a day I was doing before the surgery. I think this helped a lot, but check it with your doctor to be sure.

I'm really not nervous about having a c-section, because I don't think it could be worse than all the cutting they had to do before. Plus I have talked to so many women who have had one baby vaginally and another via c-section, and they all say they preferred c-section recovery to hard labor pains. And let's not forget that nasty topic of the episiotomy - yuck! I'll take an abdomen incision over that any day.

I hope it all works out the way you want it to, but if you do have a c-section, try not to worry too much about it. As someone else said, milk it for all it's worth. It'll probably be the last time for a good while that people will be waiting on us hand and foot! Keep us posted . . .

Good luck & God bless,

Marti

Marti