The reason for for your first C-section after myomectomy is the same reason for all of your pregnancies.
A myomectomy is the removal of a fibroid, the benign overgrowth of the muscle layer of your uterus. Without knowing the extent of your surgery, I can only guess that this muscle layer was disturbed and weakened by the removal of your fibroid. This is why you have been counseled to have a C-section with this pregnancy.
VBAC, or vaginal birth after C-section, is a generally safe mode of delivery for mothers wishing to labor with subsequent pregnancies. The decision for VBAC is coordinated with a physician who will review the reasons for the first C-section. In many instances, it is a great option. However, in your case, that muscle layer would now have two weakened areas – from your myomectomy and your first C-section. Therefore, VBAC is not an option for you.
Congratulations on your pregnancy and know that you and your physician has made a safe choice to keep both yourself and your baby healthy.
– Dr. Lynn-Marie Aronica
Dr. Lynn-Marie Aronica is board certified in OB/GYN. She sees patients at her office at the Mercy OB/GYN Center in Buffalo. Her interests include family-centered obstetrics and high-risk obstetrics.
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I had a Myomectomy over two years ago and am in the process of trying to get pregnant for the first time now. Is there a possibility of delivering vaginally for the first pregnancy after the surgery? Or does it always have to be a c-section even though its been years since my procedure?
ReplyDeleteAlyssa,
DeleteMost physicians agree that prior uterine surgery is an indication for a C-section. However, not all patients are alike, and I would discuss the mode of delivery with the doctor who did your surgery.