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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. Done C-section, Had Polyhydromniosis, Have Epilepsy. Attempt VBAC?

Hi, My name is Lana. I am 30 years old. I am currently 36 weeks pregnant with my second child, EDD: 3/23/13. I gave birth to my son in June 2010 via emergency C-section secondary to PROM, polyhydromniosis, and head being very high when doctor broke water. I currently want to attempt a VBAC . I have monthly ultrasounds because I am a high risk pregnancy (have epilepsy and taking lamictal- also did that with first pregnancy). Anyone, my most recent ultrasound said my AFI was a 22. I do not know what my levels where last time but no one mentioned I had polyhydromniosis until after delivery. My question to you is how likely is it that I will have prolapsed cord again? What should I do if water breaks at home? Last time was a very traumatic experience for me. Would you recommend I still attempt a VBAC or elect to do a RCS? Would appreciate your feedback.
Sat, 27 Jul 2013
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Anesthesiologist,  's  Response
Hello,
Welcome Healthcaremagic.
It is better to go fro Elective Cesarean section.
Because you have high risk pregnancy
1. History of epilepsy
2. Previous Low segment cesarean section
3. Previous history of cord prolapse
4. History of Polyhydramnios.

These all increase your risk of present pregnancy.
If membrane ruptures in home, Do not worry. Just go to ER. C- section is advisable, even if membrane ruptures.
Hope this helps.
Take care.
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Pregnant. Done C-section, Had Polyhydromniosis, Have Epilepsy. Attempt VBAC?

Hello, Welcome Healthcaremagic. It is better to go fro Elective Cesarean section. Because you have high risk pregnancy 1. History of epilepsy 2. Previous Low segment cesarean section 3. Previous history of cord prolapse 4. History of Polyhydramnios. These all increase your risk of present pregnancy. If membrane ruptures in home, Do not worry. Just go to ER. C- section is advisable, even if membrane ruptures. Hope this helps. Take care.