Hello Sandra,
Thanks fro this feedback - will pass it on. This woman is well into the pregnancy, so it looks like the risk of miscarriage has passed, which is good....
Regards,
Andrea
At 03:46 PM 11/03/2003, Sandra J. Eales wrote:
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
----- Andrea Robertson Birth International * ACE Graphics * Associates in Childbirth Education
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