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Uterine Rupture Due to Previous Cesarean

Anne Sommers, Licensed Midwife |26, January 2001

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My doctor says I might have a high risk pregnancy. He needs to see the birth records from my first child birth to determine how I was cut on my uterus during my cesarean. My question is, if my uterus should rupture, what could happen to me and the baby?

Answer: Assuming you have a horizontal, not vertical incision, from your c-section, the chances of your uterus rupturing are not high. This is according to recent statistics. However your chances of rupture are higher, whether you have had a c-section or not, if pitocin is used to augment or induce your labor. For more information refer to the studies by author Jeff Phelan, M.D. and the books by author Nancy Wainer Cohen (Silent Knife).

When you are in labor, your uterus should be observed for windows or dehiscence, pockets of amniotic fluid. Your attendants should also pay attention to any severe localized pain that you may have and notify your doctor immediately. These could be signs of uterine rupture. I am sure you will have a fetal monitor recording the baby's heart beat, an important indication as to how the baby is responding to your labor. That with proper attendance should insure you have a healthy labor and delivery. Anne Sommers, Licensed Midwife

Anne Sommers, LM is a Licensed Midwife in Southern California and founder of Agape Perinatal Consultation & Birthing Services. Anne has attended and personally delivered hundreds of beautiful bouncing babies in some very wonderful and natural settings -- like in the water! She has appeared on various Southern California radio and cable television shows, talked to birth organizations, was editor for several child birth publications and was the owner, editor and publisher of "Mom" Magazine, a quarterly publication in circulation for over seven years. She completed Seattle Midwifery School's Challenge Process and the NARM exam (supervised by the California Medical Board) qualifying her for midwifery licensure. Anne actually made history as noted in the Orange County Register for being one of Southern California's first Licensed Midwives. She is also the mother of two children, born at home, with the attendance of midwives.

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