Expert: Dorothy H, LCCE - 4/24/2009

Question
QUESTION: I had an abdominal myomectomy April 9th using the Da Vinci Surgical System. I had the five incisions in my abdomen, but I think there might have been just one cut into the uterus.  My RE did show me where she stitched the uterus back after removing the 3cm fibroid from the uterine cavity.  I think that I’m making an outstanding recovery.  She also mentioned that I have a small pelvis (don't know how much this matters) She recommends that I have a c-section in the future.  I am 37, very fit and healthy.  I have scoliosis, but no other major illnesses.  I try to stay away from medication and take good care of my body. I am a vegetarian. My question is: will I really need a c-section?  I would like to do things as naturally as possible. I am always trying to do my homework so that I can be an informed patient.  If you can point me towards some more info or recourses, I'd really appreciate it.

Thanks a bunch,
Mik


Answer
Because there are some doctors who believe that ANY uterine scar is cause for a cesarean birth, I would suggest that you get a 2nd opinion from a obstetrician who is supportive of VBAC (Vaginal Birth after Cesarean) Even though you did not have a previous cesarean, you do have a uterine scar, and a doctor who is supportive of VBACs will give you the best answer as to whether or not a vaginal birth is a possibility for you.

To find a VBAC-friendly doctor in your area, you can contact your local ICAN chapter and contact the chapter leader and ask her for recommendations and then arrange a consultation. You can get ICAN's information at www.ican-online.org.