Midwives and muellerian anomalies?

[weekend warrior, BSN, RN]

hello

I was diagnosed recently after having 2 m/c and an ectopic with a unicornuate uterus. I went on to have another ectopic in the rudimentary horn and had that side taken out . I am ttcing no 2, (I already have a healthy 2 yr old son ) who went to 37 wks, though I was already fully effaced and 3-4 cm dilated when my water broke.

I was wondering if a midwife would take me on as a patient if I do become pregnant again. Mmy understanding is, it all depends on where it implants regarding blood supply and there is not much medical management that can be done to prevent a m/c in my case. Is this true?

They would just monitor me closely for premature cervix opening. Though I like my OB, I want a closer relationship with my care giver in my next pregnancy. I find the system is so over burdened and I constantly had to do my own follow up and requests for u/s' etc.. it was stressful for me, to feel that I had to responsible for my own care like that. Being a nurse myself, I didn't want to push, knowing how busy they are,and how some things didn't matter in the long run anyways . Then when I did call again , and got booked for an u/s, after my betas were not followed up after my first test 11 days prior ( even though I had a history of ectopic ) they found I had another ectopic, and it was already 3.5 cm and my betas were over 21 000 and I went into surgery that day.

I'd like to use a midwife but wasn't sure if my history would be appropriate .

thanks for any responses!

[ukstudent]

Sorry for your losses. But no one here can give you medical advice. You need to call some local midwives and ask them if you would be able to acquire their services.

[cardiacRN2006, ADN, RN]

I too am sorry for your losses. Good luck TTC this baby. Maybe there are high risk midwives? I would assume you'd still have to deliver in a hospital.

Good luck!

Maybe some women in these forums can answer your question or have been in a similiar situation as you...

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[EricJRN, MSN, RN]

Weekend Warrior,

I'd also like to extend my sympathy for what must have been some very tough times. With a complicated OB history, you're probably going to get the most benefit from sitting down face-to-face with someone.

When you become pregnant, you might consider scheduling consultations with both midwives and obstetricians to arrive at the best decision. It's really outside the scope of our website to offer medical advice or any recommendations more specific than that. We do wish you the best of luck as you try to conceive though.