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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Possibilities Are There To Have Normal Delivery After 2 C Sections ?

I have a history or MRSA and I have had two c-sections. I also have mitral valve prolapse and experience irregular heart beats every day. I hope to have a third child but I am worried about risks since I would probaly have to had a 3rd c-section since I have had two. What can I do to reduce risks and increase likelyhood of a healthy delivery?
Mon, 2 Nov 2015
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OBGYN,  's  Response
Hi,

With two previous caesareans and a heart condition, it is very unlikely that you will be delivering normally. Women with previous two caesarean are offered a elective repeat Caesarean section at 38-39 weeks. There is a slightly increased risk of scar rupture with previous 2 caesarean. And most obstetrician would advise you to avoid vaginal delivery.
The exact risk would depend on a lot of factors like, the indication for previous Caesarean section, gestational age at which they were done and post operative recovery.
Also do discuss your heart condition with a cardiologist before planning for another pregnancy.
MRSA should be kept in mind while taking antibiotics prior to caesarean.

Hope this helps.
Regards.
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What Possibilities Are There To Have Normal Delivery After 2 C Sections ?

Hi, With two previous caesareans and a heart condition, it is very unlikely that you will be delivering normally. Women with previous two caesarean are offered a elective repeat Caesarean section at 38-39 weeks. There is a slightly increased risk of scar rupture with previous 2 caesarean. And most obstetrician would advise you to avoid vaginal delivery. The exact risk would depend on a lot of factors like, the indication for previous Caesarean section, gestational age at which they were done and post operative recovery. Also do discuss your heart condition with a cardiologist before planning for another pregnancy. MRSA should be kept in mind while taking antibiotics prior to caesarean. Hope this helps. Regards.