Awful situation- termination related

[mrsnoodle55]

I can’t believe I am in this situation. For background, am early 40’s, 3 kids all via c-sections, youngest has just started school. Just when I felt things were settling down I’ve just discovered I am, in fact, pregnant.

5 years ago, mid c-section, the consultant told me that I was a mess inside, that my bladder was stuck high up due to prev adhesions, and that it would take it ages to cut free. Also the scar itself was frighteningly thin. Thankfully all was fine, however she reiterated that further surgery would inevitably result in bladder damage at a minimum, that’s if a scar held out. Fine by me, I didn’t want/plan anymore.

DH dutifully then had a vasectomy, received the all clear. For 2 years all fine then bam!! I am suddenly now pregnant. ( to clarify, no, I haven’t had an affair). I have come to terms with my decision that physically and mentally I cannot continue with this pregnancy; however the methods of termination are likely to stress my already shot at insides. Has anyone been through similar post c-sections? Am reluctant to be swayed by stats at the chances of a failed vasectomy are 1:4000 apparently....

Sorry you are going through this. Maybe a chat with your GP who could go through your medical notes would be helpful? They would be able to give you a more accurate prognosis.

Thanks loubluee. Seen the GP already who has confirmed my insides are indeed in a complete state, from prev notes. Am at the clinic later this week, but I know I will be presented with an array of statistics and told to choose which method. I don’t trust statistics for my personal situation, as they don’t seem to reflect what happens to me unfortunately. I always seem to be the 0.00001 %.

And the GP didn’t say what they would recommend as being the best option for you?

Surely the clinic can advise what is best in your situation. How far gone are you?

I think the 'how far gone' is the first question to be answered before you can determine the way forward lass.

oh mrsnoodle55, no idea on your question but wanted to send you

Can you try to get referred to a gynaecologist and urologist. Mine was really helpful after my third degree tear and had good suggestions about any future pregnancies.

If the pregnancy is still in very early stages you can have a non surgical procedure?

You need to talk to the hospital about the info in your notes. My docs told me my scar was thin after section #3 but I went on to have 2 more successful sections (which I admit was pushing my luck a bit), but you really need to speak to someone at the hospital with your notes in front of you. Your GP should be able to get you an appointment.

Sorry you’re in this position. I have similar issues from C sections and worry about this. I asked the consultant to write to me/my GP about the risks of a future pregnancy.

How many weeks are you, roughly? Termination will have much less impact on your body than continuing.

I suspect about 7 or 8 weeks. Scan will confirm tomorrow. A medical termination would be the normal procedure at this point, but it induces contractions which MAY stress my already stressed scar. In which case the surgical route is safer, but that may not be so in my case due to my prev surgeries and thin walls. Dammed either way it appears. I don’t really know what I’m expecting to hear to be honest, I’ve to pick one way and just cross everything that it will not go hideously wrong. As tends to happen with my medical history.....

OP - I would have thought the surgical route through the cervix at this early stage would be best given you shouldn't have contractions?

Hopefully your GP will refer you via gynaecology clinic and you can discuss with a consultant what the best method is.

In early pregnancy the uterus is much smaller and therefore thicker walled so a weak scar shouldn’t be too much of an issue - it’s only later in pregnancy when the lower segment is growing and stretching right out that the weakness becomes a problem. Fingers crossed it all goes straightforwardly for you.

Poor you, OP.

If it is of any use, I was also told during a C section that the uterine wall was too thin, and to avoid further pregnancy. Then became pregnant with my last child. I continued with the pregnancy and was told during the section that my uterus was fine and I could have another if I wanted. I didn't have bladder problems though.

I'm not trying to sway you in any way, and have also had s termination when younger.

Get through tomorrow first and push discussing your concerns with a gyn.

I can’t offer more advice, sorry, but focus on that in a month from now, this will all be over, like a bad dream, and you can carry on with your life