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Original poster

Has anyone had further c-section with abdominal adhesions?

15 replies

Carly1409 · 16/05/2020 09:07

Hi. I’ve posted this before but would love feedback from anyone in a similar position. After my 2nd c-section I was diagnosed with pretty bad abdominal adhesions, the section took a lot longer due to this. I was told that it would be a risk having another baby/any kind of stomach surgery. Fast forward a year and I’m due another c-section in November. The doctor has already warned there is a risk of damaging bowel or bladder etc, and the chances of hysterectomy. I’m more afraid about dying.. is there more of a chance of this than usual with a c-section? I know I could ask my doctor for advice which I plan to when I get my next appointment (which given the current pandemic won’t be for a while) so in the mean time I’m looking for similar stories! Thanks :)

OP posts:
MrsStam9 · 09/08/2020 16:18

Hello. Sorry I can't answer but in a similar situation! I've just had my second emergency section and had bad adhesions from first EMCS. My bladder was attached to the scar tissue and I had a 2cm uterine rupture. I would like more kids but doctor advised against and said if I did I'd have to wait a long time and have a senior surgeon operate. X

Luckyme30 · 09/08/2020 17:32

I’m not quite in the same position as you but I have had adhesions (Ashermans syndrome specifically) in my uterus caused by previous d&cs. This is my first pregnancy to term and I’ve been under a consultant who specialises in placentas.

She advised me that the more uterine/abdominal surgeries people have the more riskier it becomes in relation to AIP (abnormally invasive placenta) so placenta acreta which can be fatal if not diagnosed/detected and can cause significant blood loss.

I’m not wanting to alarm you but that’s what I’ve been told in relation to the risks or having more than one cessation section.

I’ve been scanned for AIP at 28 weeks and pleased to say all was well and placenta looked good - could you ask for a scan of the placenta to put your mind at ease?

Somethingsnappy · 09/08/2020 18:16

Hi. I'm also in a similar position. Due my 4th section in December after being told I have a lot of adhesions and not recommending more children. As a PP said, I think the main risk is placenta acretia, and if a scan shows this isn't the case, the worst risks are hugely lessened. And if a scan were to show PA, they would have prior warning and so be prepared for a possible hysterectomy etc. I have an appointment with the consultant in a few weeks. I can ask questions and come back to update this thread if it helps x

MrsStam9 · 09/08/2020 20:13

Thank you @Somethingsnappy that would be great to hear what your consultant says!

Original poster
Carly1409 · 18/08/2020 18:13

@Somethingsnappy how did your appointment go? Any further updates xx

OP posts:
Somethingsnappy · 18/08/2020 19:08

Hello! My appointment with the consultant is a week on Thursday, so I'll get back to you after that. I did have my 20 week scan yesterday and they said the placenta is at the back, which is good news as that means it's avoided implanting in the scar tissue! What about you....any news? Have you found out where your placenta is lying?

Original poster
Carly1409 · 18/08/2020 19:35

@Somethingsnappy yes keep us posted! Good luck 🙂 great news about placenta. Mine is posterior? I think that means at the back, doesn't it? This is baby number 3, you'd think I'd know where that is by now lol! I've had no further news, any appointments I have with new midwives etc they just remind me of the risks that could happen. The closer we get the more nervous I'm becomming. I think if I remember right the junior who done my first scan had said the worse possible outcome is a hysterectomy? (Obviously with death being the ultimate) have you heard any different?xx

OP posts:
Purpleartichoke · 18/08/2020 19:57

I had extensive uterine surgery very soon before becoming pregnant with my dd. I had to have my csection done by the head of maternal fetal medicine. It was a lengthy surgery because it takes longer to get to the baby and then they spent time trying to clean up my abdomen. The doctor told me that the biggest risk was to me, not the baby, and that the realistic bad scenario was them having to put me under at the last minute or mid surgery and I wouldn’t be awake for the birth. It worked out fine and I got to be awake for dd.

Original poster
Carly1409 · 18/08/2020 20:12

@Purpleartichoke oh really! Glad yours went well. How bad were your adhesions? My second C-section took a lot longer than the first maybe by an extra hour or so. So the worst case you were told was being put under? As nerve wrecking as that is I could deal with that rather than letting my brain overthink. Xx

OP posts:
Somethingsnappy · 18/08/2020 21:26

OP, yes, a posterior placenta is at the back, and that's good news as it means it hasn't implanted in the scar tissue. The worst risks you hear about are related to that happening. But your placenta is behaving itself!

chickchick2910 · 07/07/2021 16:12

Hey ladies!

I know this is an older thread but in the same situation. Only 10 weeks but baby looks high up. Will be closely watched for accreta and also MRI later on to see where adhesions are. How were your sections? My second it took an hour to get my son out 😳 due to adhesions. Lost 1700ml but didn't need a transfusion x

Moominmiss · 07/07/2021 17:30

I’m interested to hear too! I’m 29 weeks with baby number 4 and will be having my fourth c section.

First and second sections were easy, but the third took a lot longer for them to get baby out due to scar tissue.

Since having my third baby I then went onto have a tummy tuck, so more abdominal surgery.

My placenta this time around is anterior, so at the front but so far has been away from the scar.

My consultant has said they will have more people in the operating theatre ready to deal with any complications but not to panic.

She did advise that I think about getting sterilised during the surgery to ensure this will be my last pregnancy as a fifth section wouldn’t be safe. Luckily we fully intend for this to be my last baby as I’m 38 anyway, so we’d already decided I’d opt for sterilisation.

Catek84 · 14/08/2021 07:05

Hi Carly, I am now in a similar situation. I would like to hear how your experience was and if you had any issues? I'm very anxious about it all!

Cocobellax · 12/03/2025 11:13

@MrsStam9 im in this situation now and just wondering did you go on to have any more ?

MrsStam9 · 12/03/2025 11:23

@Cocobellax no i didn't. Would have loved to but decided i wanted to give my two all my attention. I've also had issues with ovarian cysts and ovulation pain since my section likely caused by my adhesions and I hate everything medical so wimped out on another c section. May consider adoption in the future however. I did see a private consultant who told me there'd be no problem getting pregnant again but I'd have to have a planned section and there would be a risk of damaging by bladder but those things could be fixed afterwards. Wishing you all the best. It took me a long time to get over my birth trauma and will aways carry it somewhat. Sending love Xx

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