Childbirth after broken hip

[Butningembers]

I'm currently 24 weeks pregnant and starting to consider my birthing options
11 years ago I broke my hip - a stress fracture from running, I remember a brief conversation with my consultant at the time asking if this would pose any issues with childbirth and he mentioned I may need a section. He also said I'd need a hip replacement within 10 years and I've not needed this yet.
I was in my 20s at the time and not really thinking about kids so never really thought much more about it or asked why but now it's really playing on my mind.
It's worth adding that I've had 2 operations on my hip since, one to remove the majority of the metalwork and hip arthroscopy 2 years ago for a labrum repair and to shave down a bone spur. I have fairly restricted movement in my left hip and can't sit cross legged but do manage to ride (and compete) my horses with very little discomfort. So far in my pregnancy it's been causing little to no issues but I expect it to get quite sore as I get bigger and heavier.
I asked my midwife about it and she said the only woman she'd had that had previously broke their hip opted straight for an elective C section.
I'm not against having an elective C-section, more just wondering if anyone has been in a similar position and managed a relatively uncomplicated natural birth?
I don't know if it makes any difference but I've also been told that I'm hypermobile in my other leg 🤷🏻‍♀️

I’m not really in a similar situation but I do have hip impingements on both sides. Given I can still run if I keep up regular physio, I never went for the arthroscopy. But I can’t open my legs/hips fully and it was one of my decisions in opting for an elective. I asked the doctors and midwives in the antenatal clinic what they thought and was met with blank stares which was hardly reassuring. I also googled a bit and found that some women with similar issues to mine has suffered serious larbral tears in childbirth as midwives had forced their legs open onto stirrups, especially if they’d ended up needing an epidural and couldn’t feel anything themselves at the time.

i would caution that, even if you found someone here in a ‘similar’ position it’s not going to be an identical injury, and your hips might work differently. Consider what impingements you have, because the baby needs space to get out - you might demonstrate this to the antenatal team. Though I suspect a good physio or hip specialist’s opinion on the matter will be what you need - as opposed to an obstetrician or some anecdotal experiences on mumsnet :)

Best of luck with the rest of pregnancy and childbirth - fingers crossed for you.

no personal experience, but some thoughts from an anaesthetists PoV... It'd probably be a good idea to chat to your surgeon/ask your obstetrician too speak to one. It isn't that common for the obstetric population to have had major hip surgery, so it may be that there's a bit of headscratching/slightly blank faces because they won't have seen to many like you. Guessing if the metalwork's been taken out you had screws or a DHS rather than a hemiathroplasty & i suspect the risk of dislocating will be fairly normal ... whichever route you chose they'd need to be a little bit more mindful of positioning if you were to end up needing to be in stirrups for any reason/if they examine you in a 'frog-leg' sort of position (which they would still need to do if you chose a section because you'd need a catheter in and to make sure there isn't vaginal bleeding at the end)/or if you chose to have an epidural (or a spinal for a theatre procedure) as it might affect the sensation in the hip while it's working so you may not get any painful warning you were at your comfortable limit of positioning. If you can comfortably ride a horse that's probably pretty reassuring. It may be reassuring to know that loads of urology procedures are done in the legs up position on old folk who've had hip replacements/surgery for NOFs & have never seen a major orthopaedic consequence of that and they're often a lot more orthopaedically frail than the average obstetric customer (although obviously they're not doing the effort of pushing a baby out, but it's probably the closest routine comparison in terms of metalwork & positioning).

Hope the surgeons come up with some useful advice.