Is the scar thickness in utrous decides whether to go for VBAC or not?
Byafter 37 week pregnancy , my ultrasound reports that the thickness of prior utrous scar is 3.5mm. My doctor told me that the scar is thin so that you are not good candidate for Vaginal birth after cesarean. Other things are normal.I wanted to know whether it is true or not.
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- has anyone had womb lining thickness problem and yet still have a successful implantation on IVF?
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1 Comments
April 7th, 2010 at 1:29 pm
Interesting question. In A Guide to Effective Care in Pregnancy and Childbirth, the authors review all the available research to make conclusions on the best course of care. Although they have research on the type of incision and the risk of uterine rupture, there is nothing listed about the thickness of the incision scar.
In this study http://linkinghub.elsevier.com/retrieve/pii/S030121159900069X 3.5 mm was where they found the difference- that women with less than 3.5 mm wer more likely to have an elective cesarean and they found a decrease in emergency cesarean in the remaining mothers who chose VBAC. But this study was done at one hospital by looking back at the records so there are alot of other confounding issues — one problem that has plagued the study of cesarean is that doctors tend to do a c-section on too many of the women assigned to the vaginal birth group.
Overall, 60-75% of the women who attempt a VBAC are going to be successful regardless of the reason for the previous cesarean. You can read the Guide to effective care in pregnancy and childbirth at the Childbirth Connection website.
Good Luck, and I hope that helps.