Is a second C-section safe with a history of fibroids?

Question

Hello doctor,

I am currently 37 weeks pregnant and previously underwent a successful cesarean section due to a pregnancy complicated by fibroids, during which I received three pints of blood. In this second pregnancy, the fibroid is small and not located in a position that poses any threat. All other factors, including the baby's position and placental placement, have been evaluated and are normal based on the recent fetal biophysical scan. Despite this, and without reviewing the results of the current pregnancy, my doctor has already scheduled me for another cesarean section. As of May, my weight was 191.8 pounds, and the baby's estimated weight at 36 weeks was 6.17 pounds. I have no history of high blood pressure or any other medical conditions.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Since your fibroid is now small and non-obstructive, your baby is in a favorable position, and you have no complications like high BP (blood pressure) or abnormal scans, a trial of vaginal birth after C-section, VBAC (vaginal birth after cesarean) could be considered. If there are no medical contraindications, it is reasonable to discuss your options thoroughly before scheduling a repeat C-section. Kindly request a full review of your current pregnancy findings before proceeding.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.