C Section due to prolapse

[suwoo]

Hi I am TTC and new here, you seem such a wise bunch, I wondered if anyone else suffered a prolapse (uterus) following childbirth? I was 26, a healthy weight, my DD was 8.13 1/2 and was born with only TENS as pain relief. I also had PPH with transfusion, evacuation of placenta and 3rd degree tear. The incorrect stitching also caused me to have a blood clot (can't think of the correct medical term) on my perineum- NICE!!!

My question is, is scheduled C section the only way for me next time? I have an appointment my with my gynaecologist on the 27th so will discuss further with her, just wanted to see what you thought.

hi i carnt help you bet, i noticed you posted your sats, on our thread, so i want you to join us on our feb thread for ttc

So, is there really no-one out there who can help me with this? Is there anyone out there with a prolapse or am I still the only young person that I (and my gynae know)???!!!

Bloody Hell. I'd definitely ask for a section. That sounds horrific. I've had two sections and I think the risks and associated recovery are nothing compared to what you describe.

Suwoo - I suffered a prolapse after the birth of DD, I noticed it about 6 months after the birth (DD now 13 months) I had long labour, 3rd degree cervical tear (DD only 6lb 12 although I'm small) I'm 38 (not a spring chicken but thought prolapses were what old ladies got) Anyway gynae said didn't want to fit ring as still bf. Also want to have another child and was wondering if prolapse would affect me being able to carry a pregnancy and am now alarmed at what you say at possiblity of having C section. Anyone shed anymore light?

I had a prolapse following birth of DS (9'11, arm presentation, 3/4 degree tear).

Seven weeks before DD's birth I saw the gynaecologist who advised me to have a c-section. That was due to the tear than the prolapse. The negative effect on the prolapse had already happened by the weight of the pregnancy rather than the process of giving birth.

The c-section was fine (her birth was fantastic but it was hard having 2 little ones and recovering from a section) but there are various reasons I would like to have a vaginal birth next time (partly to get over the trauma of DS's birth). It's a case of how everything looks (!) nearer the time.

I didn't have a uterine prolapse, but I had a rectal and bladder prolapse. I had surgery to correct it last year, as I've 'finished' my family. I had one of my follow up appointments today, and the consultant made a point of telling me that should I change my mind and have another pg, then their recommendation would be c/section. I think once you've had a prolapse fixed, any subsquent surgeries have a higher risk of failure, so it's better to to do everything to prevent further prolapse.

Oh and you aren't the only young person! Although I didn't have it repaired until I was 34, it first started after I had DS1, when I was 26.

Hi Suwoo, was it a haematoma? That's what I had, not pleasant is it? they didn't notice mine until the cleaner found me in a bath of blood as I couldn't wee and they told me to get in the bath. Anyway, into surgery we went...
Also had 3 degree tear, dd2 is now 13mths old and about a month ago I thought I had a prolapse (I'm 33 and too fat). Got it checked and I think it's a partial one so am clenching and grimacing as we speak.

For the record dd1 was elective cs which went very well. From what I've read I was lucky but I think one of the key things - if you do end up with one - is to get up as soon as you can and get mobile. My consultant (b4 any prolapse on horizon) suggested a water birth next time (after dd2) as the tearing etc was cos it only took about 20 mins to get her out and water slows it down.

hope your appt goes well.

Hi, Thanks for all your replies, its comforting (although not for you!!) to see more young women with prolapses.
Clure, I would recommend the ring as it does keep everything in place, and you can still go about your normal business eg sex and tampons etc.
My gynae seemed unusually rushed and implied that I was the only one of her patients to have further pregnancies (the others seem soooo old!!) so we would have to 'play it by ear'. She did state that in her opinion a section would be the ONLY way to go, as other things (like poor Serenity) could prolapse too. She did also say which I was very suprised at, they no longer do 38 week sections, they prefer 39 weeks and if I went into hospital already say 8cm dilated they would proceed with a vag delivery WTF????? That worried me, but hay ho, I'm not even pg yet!!
Yes Manitz, it was a haemotoma, yuk! Do you still have extra skin from it? I do (sorry if TMI)
Sorry for long post, thanks for all your input.

Hello, am veteran of bladder and bowel prolapse, diagnosed at 28 weeks pg with second child. Saw gynae and she said that delivery does not exacerbate the prolapse, it's the weight of the baby hence there was no doubt in her mind that vaginal delivery was the way to go. I ended up going to 41 weeks and I can tell you at the end it felt like my daughter (who weighed 9lbs 1.5 oz at birth)was somewhere down by my knees! Had natural delivery but she came fast and instead of dilating all the way my cervix tore the last 4 cms and I ended up with a dramatic and copious post partum heammorage (sp?) and being sutured for a 4cm tear in my cervix. Am now 7wks pg with No.3 and wondering which way I will end up going this time. Don't want to tear again in the same place, but now sure if C/S is something I should be aspiring to (it feels like a safer option at the mo). I posted about this before and Mears replied - will see if I can find the post.

Hi bighug, I couldn't understand whether you meant 'not sure if its something you should be aspiring to' or 'sure it is'. I had elective cs then vbac. cs was a nice experience - for me - but recovery was difficult and it was my first child. looking after other child would put me off another cs. lifting, going up and down stairs, even walking are difficult if you imagine all the muscles in your stomach sliced also i had trouble sitting up in bed for about 3 weeks so tricky bf in the night. (although good for sympathy vote even that wears off). I had no complications.

I had a vbac and loads of complications - 5 sets of antibiotics (for about 4 months post birth), heamatoma, 3rd degree tear, didn't really bond with dd2 until 8 hours post birth as was in further surgery as described b4. sex was a nono for some time compared to cs. nothing has ever beent he same again (although not aware of extra skin but it's all feels different).

Personally i'd still go for a vaginal birth (with a few changes and provisos) althought the recovery took longer it was less debilitating. i didn't actually have a prolapse although Id say things aren't right (and have lapsed) so I might feel differently if i had - cant believ your gyno, surely pushing must affect? and tearing the muscle can't help????

As i said not sure if you are in two minds but hth.

Hi Manitz and Bighug
My gynae did say that YES pushing could/would affect things adversely, but it is also the weight gain that can cause problems. I notice the difference if I gain a few pounds EEK!!
Manitz, its interesting that you said about pushing baby out quickly and the link to prolapse, I think my DD was out in under 20 mins too, so maybe fast is not good.

I'm not sure that its only a fast delivery that could cause prolapse as I was pushing for over an hour and DD kept "slipping back up" inbetween contractions. Had to have ventouse which eventually got DD out! Then had the cervical tear. So not sure really what caused the prolapse. Am seeing physio and trying to remember to do five million pelvic floors a day. She say's lots of women do find it helps but need to do it for mimimum 6 weeks to see/feel any benefit. Incidentally - anyone find it difficult to keep a tampon in with prolapse?

Pushing the baby out quickly was definitely a factor with mine, DS1 was 15 minutes and DS2 and DD both had recorded times of 0 (yes, 0!) minutes. It might have been quick, but they held on as they came out........

clure i wasnt suggesting that speed was the only way just that i know it contributed to my tear and prob haematoma. surely the tear (however it is made) is going to weaken the muscle?? it can't help. so would you go for cs next time?

I hate tampons but still use them, I don't think I had a full prolapse, just my cervix seems to be closer to the world now

0 seconds, see i quite fancy that. long births seem bad to me. but mine weren't as quick as that about 19 mins in second stage. I think one hour is quite quick too but maybe I'm wrong.

manitz - not sure about cs would have to make that decision if and when another pg happens (Had clomid to get pg first time)

I think the horrid experience of the tear and the long recovery after - was anaemic which caused all kinds of havoc with milk supply, DD lost lots of weight then slow to put on, not being able to sit down without wincing for a month (oooh don't we suffer?!) should put me off vag delivery but I know it would be the right way to go if that's the advice I was given. cs is scarey thought but friend has had 2 and been ok.

I had a bladder prolapse after DS3 10lb 15ozs (OWWW) Loads of pelvic floors exercises from a physio relly helped. Still a little lax IYKWIM but atleast my bladder is back where it should be. Had ECS with DS4 but only because he was a transverse lie and wouldn't turn. Hard with three others to look after but we coped. CS not too bad but very different experience to vaginal longer recovery obviously.

Clure, I don't find it a problem keeping the tampon in, the only problem is there is enough room for another one!!!!!!!
v sorry if way TMI!!

I felt quite heavy for final few weeks of DS4's pregnancy. Scared my prolapse had returned but turned out to be a kind of varicose vein thing on my vulva---sorry WTMI!!! It went away straight after delivery thank God!

Just reviving this old chestnut again. I've taken up running, doing quite a lot but the prolapse is making it difficult. I have times when I'm very aware of it and it I seem to have the feeling of needing the loo - which is not ideal when your doing a 5k run! Any suggestions? (please don't say give up the running!!)

Clure as its been 6 months or so between your postings did the pelivc floors mostly sort the prolapse out? i.e. until you started running? I have a rectal prolapse after birth of my 2nd son 8 weeks ago. Had minor infection and series of bad coughs which make it feel like the bottom is about to drop out of my world so to speak! Am doing pf a lot and things were feeling better until I got another cough.... does going to a physio make a lot of difference?