You are correct Sandra -if implantation occurs on or near the septum, the morphology and size of the septum may influence whether the pregnancy continues or not, and the growth of the (unborn) babe. The size of the septum has an influence on the presentation of the babe as well, and depending on how well developed the myometrium is in the septum, may have an influence on labour too. ----- Original Message ----- From: "Sandra J. Eales" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Tuesday, March 11, 2003 2:46 PM Subject: Re: [ozmidwifery] Bicornuate uterus
> I recently cared for a woman in her second pregnancy with a bicornuate > uterus. Her first pregnancy was uncomplicated until the end when she had an > elective caesarean for primip breech. (breech presentation is quite common > apparently) The bicornuate was not noticed at this delivery! It was > diagnosed by ultrasound when she had a miscarraige. This last pregnancy was > fairly terrible as she was in and out of hospital for months with APHs. She > had to move down to Cairns (80 km away) for the last several weeks as they > did not want her to go more than 5 minutes away from the Base Hospital. > Very hard on all the family. They told her the problem was that the placenta > had implanted at the juncture and as one side grew and the other shrunk the > placenta was peeling off. She was delivered by emergency Caesarean at 31 > weeks and the consultants advised her that she should never have any more > children - too life threatening for her they said. They ended up scaring > her so much that she went in for a tubal only a few weeks after the baby was > born - whilst it was still not in a particularly healthy condition. > I'm sure that I have met women before this who had not problems at all - > Bicornuate seen on routine ultrasound who went on to have spont. vag. > births. > I so believe these women have a higher than average risk of spont abort. > prob to do with site of implantation. > Sandra > > ----- Original Message ----- > From: "Andrea Robertson" <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Sunday, March 09, 2003 5:31 AM > Subject: [ozmidwifery] Bicornate uterus > > > > Hello wise women, > > > > I have met a midwife here in Ireland (where I am now presenting workshops) > > who would dearly love a home birth. She says she has a bicornate uterus > and > > a double cervix. She feels this puts her at high risk, although her > > obstetrician seems to think she could labour OK and get by without a > > caesarean (is he stringing her along, I wonder?). Have any of you had any > > expereince with this kind of labour and how would you feel about a home > > birth? She lives close to the hospital and I did suggest that she could > > always see how labour progresses and if there is a problem transfer > > quickly. She has yet to engage a midwife, although there is one here who > > will do twins at home and has many years of experience, who may be able to > > help. It seems that after today's workshop she is feeling inspired and > > would like to reconsider a home birth (having reluctantly given up on the > > idea). Any thoughts would be very gratefully received - I will email them > > on to her.... > > > > Andrea > > > > > > ----- > > Andrea Robertson > > Birth International * ACE Graphics * Associates in Childbirth Education > > > > e-mail: [EMAIL PROTECTED] > > web: www.birthinternational.com > > > > > > -- > > This mailing list is sponsored by ACE Graphics. > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
