“Uterine dehiscence?”
Can a uterine dehiscence heal naturally over time? I’m 15 months postpartum I had a large window at my scheduled C-section at 36 weeks in the fundus where my 2 previous classicals were performed for pregnancies 1 and 3. During my scheduled C-section my classical incision opened so now I have an inverted T which she only closed in a single layer because of the thinning. My ob/gyn said I would be really high risk for rupturing in future pregnancies but things may be okay. I just want to know if it’s possible to completely heal or is it not worth the risk?
Female | 26 years old
2 Answers
Neonatal-PerinatalMedicineSpecialist|Neonatal-PerinatalMedicineOB-GYN
The uterus will heal, but the thinning will reoccur with every pregnancy and during contractions. You are definitely at high risk for uterine rupture, so having a third c-section, you need to discuss with your present physician. Your records need to be reviewed and make a decision and plan moving forward.
Dr. Jessica Scotchie
OB-GYN (Obstetrician-Gynecologist) | Reproductive Endocrinology
Chattanooga, TN
It wouldn’t typically heal more than what it was repaired, and most people would agree that a prior dehiscence is very concerning for another dehiscence as it indicates muscle weakness. Having a detailed conversation with your doctor about the risks and options is the best way forward.
