VBA2C AFTER LOOP???

[Lorayn]

Ok, this is a culmination of a few threads I've read/posted on lately.
I have just found out I am 6 weeks pregnant and having had an emergency c-section with my DD (she was born prem at 32+3 after placental abruption, and I had a vertical incision) I was told to have an elective cs with DS (nearly four years later, no problems).
Three months ago I received an abnormal smear letter, went along for my colposcopy where it was discovered i had CIN3, I had the loop there and then, and was told after the biopsy that there were no signs of cancer, and I would be required to have regular smears thereafter. Nothing was mentioned about not getting pregnant.
I'm desperate to have a natural labour, and have just read that the loop may cause preterm labour, on top of previous pregnancies I'm pretty sure my consultant/midwife is going to say I need another cs.
Has anyone had any experience of this or does anyone know anymore info??
Seeing my doc on thursday but wont see midwife for a few weeks........

[majormoo]

Hi, have just posted on another thread about something similar, but I has a LEEP for CIN3 in Mar 05 and had no problems with my subsequent pregnancy or birth of DS in Oct 06(DS was a week late in fact.) However, recent research I believe has indicated that there is an increased risk of premature labour following the procedure. I saw a consultant during my pregnancy who said that sometimes following LEEP a labour can start early but he said around 36 weeks (rather than really early i.e. 20 weeks, as can be the case following a Cone Biopsy.) I think risk depends on how much of the cervical tissue is removed and how many procedures you have had. Hope this helps a bit-do not know whether this would make you more likely to need a CS or not.

[Lorayn]

thanks, hoping it won't make too much difference!!!

[MrsCarrot]

I had a vbac in January after Loop diathermy in 2005 for severe dyskariosis, think it was number 5 or something.

I asked the consultant if it would affect pregnancy and he said no, it might affect labour but it shouldn't compromise the cervix. I think there were more cases of needing cervical stitches with the old cone biopsies that aren't done so often now. I did have a long labour and I asked if this could have been caused by scar tissue from the loop and they said it may have but no-one knows for sure. It didn't stop me having a successful vbac and I'm sure it won't for you either.

It's quite weird reading this today actually, as I've just had a abnormal result through the post this morning. Sigh. It's borderline this time though, so just need repeat smear in a few months to observe rather than treatment straightaway.

Good luck with it.

[Lorayn]

fingers crossed, and I hope your smears are fine in the future x

[DaisyMOO]

Hi again Lorayn

I think the major factor with you is that you had a vertical incision which is known to increase the risk of uterine rupture quite significantly. There's more about it here but given that you've also had another cesarean since (presumably a new transverse incision rather than a repeat vertical one?) it's likely that the advice will be to have another cesarean. I don't know masses about vbacs in this situation, and you might find it helpful to like at either the midwifery yahoo group or the vbac yahoo group

[Lorayn]

Thanks for the info Daisy, looks unlikely they'll allow me to try it naturally

[DaisyMOO]

Well it is your decision Lorayn, nobody can force you to have a repeat CS if you don't want one, but you need to weigh up the risks and benefits and decide what you want to do.

[Lorayn]

hmm, I suppose, I certainly didnt feel like it was my decision last time, I cried and cried to my consultant and begged to be allowed to go into labour naturally, to be told I couldnt, Maybe I should have stood my ground, I dont know, I suppose I'll have to see what they say at the hospital.