Fibroid blocking exit – can I insist on a c-section?

[boysandcars]

Hi, I?m currently 33 weeks into first pregnancy and had a few scans to look at the position of several large fibroids (one blocking cervix is about 10cm). I was told in my first trimester that a c-section was likely and although the exit is still well and truly blocked the consultant seems to think a natural birth might be a possibility. I understand that they might try to avoid a c-section if it?s not necessary however I don?t really want to be forced into a natural delivery and then risk an emergency c-section. Apparently it will depend on the position of the baby (which is currently transverse) but even if it gets into a better position I?m still worried about a natural birth if the exit is blocked. Can I insist on an elective c-section?

Any similar experiences or advice greatly appreciated?

Thanks

Is it possible for you to have a scan once you are in labour? Would that be able to show where the baby and fibroid are? If so, would you then be able to decide whether to continue with labour or to go straight to CS? Presumably it would then still be an emergency CS, but at least it would not be after labouring as well, so slightly calmer and less tired.

BTW, I also had a fibroid that grew to 11cm during my first pregnancy. Caused a lot of pain, but apart from heavy periods between dc1 and dc2, it has not caused any other problems, and eventually shrank to about 5cm.

I had a similar problem, but the fibroids weren't diagnosed and I had a terrible time attempting a natural labour ending in an emergency cs. I would highly recommend an elective cs in your situation, because the fibroids carry risks of post-partum haemhorrhage which can be serious. Also, fibroids can prevent the baby's head from engaging, leading to less pressure on the cervix and a longer labour.

You could ask for a second opinion if you don't agree with your consultant's views.

PrettyCandles ? good to know yours shrank afterwards. TuttiFrutti ? am I able to ask for a second opinion? I?m not sure how much of a case I have or just worrying prematurely! I would have thought that blocked exit and risk of haemorrhaging would be a problem but I feel like I?ve been fobbed off so far?

You are always entitled to a second opinion. It is important that, whatever you choose, you feel confident about your choice. I think your concerns are completely valid!

Also, please be aware that a fibroid in an awkward position can massively increase the result of a post-partum haemorrhage. Personally I think that if you believe that it would be better for you to have a planned C-section because of fibroid you should just push for it. If you are in London, I found Donald Gibb very good if you need a second opinion (private consultant, works also in Portland and has his own clinic, something like Good Birth clinic, you can google his name). Good luck and push for what you want!

Thanks all. I feel more confident about putting my opinion forward. I'm not in London (thanks for the recommendation) but will look into getting a second opinion if necessary :)