C-section post abd surgery?

[311ltc]

Three years ago, a family member had a misdiagnosised ectopic pregnancy. The docs tried treating it pharmacologically, but it was too late and it failed. After being all night in the ER, docs decided surgery was needed. Were going to do laproscopically, but the tube had ruptured and there was too much blood. The doc did a typical C-section incision.

Now here we are, family member is pregnant. Being told, my need C-section due to abd surgery. Uterus is intact.

Why would a C-section be necessary since it was an abd incision and the uterus was not cut? Is there the possiblity that the abd incision could ruputre during labor and delivery?

Thanks!

[ohmeowzer RN, RN]

we can't give medical advice here .. your family member may want to talk to her OB/GYN for questions.. best of luck !!

[1996RN]

sorry just had to add this... if her tube ruptured, then the ectopic was not 'misdiagnosed'- it is clear that she did have an ectopic. it's quite common to treat ectopics pharamacologically before considering surgery. there are criteria that an ectopic should meet before being surgically removed, a less invasive option is always preferred over a more invasive.

[rbytsdy]

The concern with lady partsl births after c-sections is the slight increase in uterine rupture (not rupture of the abd incision) so I would definitely suggest she question her doctor on that. I have a friend who had a ruptured tube after an ectopic pg and went on to birth lady partslly. Your family member could request to see her operative report to see if anything else happened during her surgery for the ectopic pg.

[311ltc]

The reason it was considered misdiagnosed was related to the fact that her hormone levels were being monitored and even though they weren't in the nl range an ectopic wasn't considered until after the third trip to the ER when the tube had ruptured.

[311ltc]

Thank you, rbytsdy. Your information was helpful.

[babyktchr, BSN, RN]

previous abdominal surgery should not be an indication for c/s. good grief, how many appy's do we see or gastric bypasses for that matter. no one would have lady partsl delivery then. sounds like she needs to clairfy some things with her physician.

[XB9S, BSN, MSN, EdD, RN, APN]

As already mentioned we are unable to give medical advise on the site so would suggest this is discussed with the physician involved in the care

Thread closed