Question on C-sections

I was at my OB this morning after another biophysical profile u/s. The girls are still breech/transverse. He mentioned doing an abdominal cut if I have to have a section. He said it isn't done a whole lot anymore but he feels he needs more room then doing the horizontal cut for twins.

Does anyone know anything about this? I've heard it is riskier, harder to recover from, and may make any future children more risky. I just don't know what is all involved or the difference in the cuts or how to prepare for recovery.

Can anyone help?

 

Hmm... I had one breech (lower) and one transverse or vertex depending on the day. I had a low horizontal cut for my c-section. I would think that unless it is an emergency c-section, it would be horizontal. But, that is just me. I know that if you do have a vertical, any further pregnancies would have to be c-section. I am hoping for a vaginal birth for my singleton come April. Good luck! I would definitely seek a second opinion on this one!

 

i am an L&D nurse and first off, you must clarify with your doc if he/she is talkin about the vertical abdominal incision with a horizontal (low transverse) uterine incision, or if he/she plans on doing vertical incisions on both. most vertical skin incisions still have horizontal uterine incisions, and it's the incision on the uterus that matters. in regards to future deliveries, only if the uterine incision is vertical will you likely not be able to have any vaginal deliveries in the future. that puts the uterus at a greater risk of rupturing during labor. however, doctors dont generally do vertical uterine incisions unless the baby is very very preterm, or unless the life of you or your babies is at risk and they need to get in and deliver you asap. true, the vertical skin incision is definitely harder to recover from, but if the doctor thinks he/she will have an easier time getting the babies out safely, then i'd go with the doctor. is that clear as mud? lol, sorry if i made it confusing. please let me know if you need clarification.
amy

 

Amy, that made perfect sense. His exact words were that he would do a midline incision. Does that specifically refer to the cut to the uterus?

Thank you for your help!

 

midline incision generally means the skin only. but definitely ask him what type of incision will be on the uterus. i am glad to be of help! good luck and congrats to you!
amy