2nd baby after prolapse surgery anyone?

[Dandeliondust]

Hello
I had to have a prolapse repair following the traumatic birth of my son at 32 years old. It was of course suggested that I finishing having my family before having surgery. This was until I saw a gynae who said it basically comes down to your quality of life whether you have it the surgery now or after children. I was thoroughly depressed, shocked not to mention how I felt physically (from being an active person I could barely walk due to the "heavy feeling"). So I opted for surgery. Anyway 4 years on we have decided to have a 2nd baby. It will have to be by c section to avoid undoing all the surgery work. That's fine by me as I am happy to avoid the dimissal of my pains by a midwife (I went from 1-8 cm in an hour in the middle of the night with no pain relief and told to go back to bed!) 27 hour labour, followed by exhaustion, failed ventouse, forceps delivery, being told to take a shower when i felt unwell, fainting in the shower, blood transfusion and prolapse (nice). My question after all that "outing" therapy is... Has anyone else had a baby following prolapse surgery? How did it go - did anything happen/go wrong "down below"? Thanks all for any advice! xxx

[cardamomginger]

I'll be watching this with interest - I'd also like to know about anyone's experiences of birth after prolapse surgery!

Like you, I had repair surgery (colposuspension, rectocele repair, uterus suspension, repair of deep pelvic floor muscles) after giving birth to DD 22 months ago. My surgeon, Vik Khullar, is adamant that another pregnancy should not adversely affect the repairs and that there should be no recurrence of prolapse. He recommends not only ELCS, but early ELCS - he says the key thing is to get the baby out before the head starts descending. He would want ELCS between 37 and 39 weeks and would monitor things in the latter stages with US to determine when I needed the section.

The answer to your (and my) question may also depend on what you had done, as well as any underlying reason for the injuries - I don't know.

Whilst Vik is optimistic, I should point out that I sought another opinion from Linda Cardozo prior to surgery and asked her about pregnancy after repairs - she felt that pregnancy in itself could compromise the results of repairs, even with ELCS. But I didn't ask her whether this was ELCS she was thinking of, or whether it was ELCS close to 40 weeks, when the head may have descended and very early stage contractions might have started.

[AJH12]

Just bumping this thread. I need to have prolapse surgery after horrific birth of my first baby - but I would like to have another. I realise this would have to be by c-sect which is fine but really don't want to undo any repair work. Has anyone gone on to have a baby after prolapse surgery?

[ForewarnedisForearmed]

Following

[Hello1312]

@cardamomginger Hello! I hope you don't mind me messaging. I have just been searching for information on c section after prolapse repairs. I have also seen Prof Khullar who advised me the same. I would like to have repairs before a second baby but of course would not want to compromise the outcome. Can I ask whether you went onto have another baby and if so, whether your repairs were affected? Also are you happy with the repairs? Do you look and feel as you did pre-baby? Are you restricted from any activities? Thank you so much!

[Hello1312]

And anyone has had subsequent pregnancies after prolapse repair I'd be really interested to hear how it went and whether the repairs held up. Thank you!!

[Bella1994]

Hello did you get an op done ? I’m looking to having surgery but would like another child in the future. Prolapse is making my life so miserable

[Rainbow2116]

Hello,

I have recently seen Vik and also been told the same thing - if I had surgery then an ELCS with my second wouldn’t be a problem. So many other urogyns aren’t of the same opinion thought, which makes me nervous!

[Rainbow2116]

@Dandeliondust @cardamomginger did you both have successful repairs with Vik Khullar and go on to have a another child please?

[Dandeliondust]

@Rainbow2116 @cardamomginger
Hello - so sorry for late reply! Been trying to respond since I saw the message but life in the way..
Had the surgery (tho not with Vik). Went on to have a second baby in 2013 (surgery was 2009 I think). Had c-section and was an amazing experience and all went well. Did beat myself up about first time not going well and then not being able to have opportunity to get it right naturally second time obviously but that’s standard practice as a human I think!
Only issue was the heavy feeling slightly returned around 11 week’s pregnant I think and I saw someone as to what was going on as freaked out but was reassured it was just hormones and settling and that it would lift/go away in a few weeks. I was sceptical but it totally did!
Can’t say I have had any real problems since - some heaviness returns a little sometimes during monthly cycle for a couple of days but then goes. The only thing I would say is make sure they do a neat and tidy job inside - mine is a little lumpy and bumpy just inside and also tampons don’t always sit as they should. But small issues compared to the sadness I felt living with prolapse.
I’m so sorry to those going through it - I was in an awful place 14 years ago and for me it was the only option mental health wise. I was a naive first time mum expecting a wonderful controlled birth and got the shock of my life. Even now I struggle to hear of women virtually coughing theirs out or 1 hr labours! Good luck with whatever you decide - I don’t know if any more options available 14 years down the line?
Feel free to message with any questions - nothing is off topic! Will reply as soon as I can…
X

[Rainbow2116]

@Dandeliondust thank you so much for replying; this gives me some hope! Who did you have your surgery with? How many weeks were you when they did the ELCS? How did you manage surgical recovery with a child to lift? I’m booked in for anterior and posterior repair with my own tissue in October with Khullar and I’m so anxious as my son will be 3 in January, so it’s going to be tough not lifting him. But I can’t imagine carrying on with these prolapses for many more years :(