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What happens if your uterus ruptures during a vbac?

Can it be fixed? Do they remove? Is it possible to have more kids?


Asked by Shanna84 at 12:46 PM on Dec. 7, 2010 in Pregnancy

Level 24 (18,695 Credits)
This question is closed.
Answers (4)
  • It depends. Sometimes women have asymptomatic ruptures that don't require any medical intervention at all and they heal on their own. Sometimes it can be bad enough to have to go in and stitch it up, but after the baby is delivered vaginally. Sometimes the baby will try to get through the rupture instead of the birth canal, requiring a C-section, and then they stitch you up again, just like any other C-section circumstance. Sometimes the baby is completely delivered through the rupture, damaging baby and mom's internal organs, possibly resulting in infant death, hysterectomy, and/or maternal death.

    HOWEVER, the slightly increased risk of uterine rupture (0.7-1.5%, depending on where you look) is the ONLY added risk of a VBAC, and that includes ALL instances of rupture, not just the really bad cases resulting in death. And rupture can occur in a first-time vaginal birth with no history if uterine surgery.

    Answer by DragonRiderMD at 1:13 PM on Dec. 7, 2010

  • They have to remove it for the safety of the mother. My close friend had this happen to her after baby #2. She had to get another mom to carry baby #3

    Answer by Luckybear05 at 12:50 PM on Dec. 7, 2010

  • Bear in mind that while it does happen, the risk is about 0.5% if it's been 2 years or more since your c-section (assuming you had a bikini cut).

    Answer by musicpisces at 12:53 PM on Dec. 7, 2010

  • You can bleed to death. A uterine bleed is very difficult to stop.

    Answer by tyfry7496 at 1:43 PM on Dec. 7, 2010