Twisted/rotated uterus?

[KatO79]

Ok I had a C-section in October 2016 due to the doctors thinking my son was a big baby of 5 kg but he was only a tad over 4 kg (I live in Denmark btw!). I btw went through unexplained infertility for 2+ years, had 6 failed medicated IUIs, an IVF that resulted in a CP and the 2nd IVF that resulted in my son.

I'm planning on NTNP for baby #2 around Fall 2018 since they recommended I wait 2 years before getting pregnant and started thinking about how the doctor and midwives at the hospital told me that I was definitely not a VBAC candidate although I can't remember why. Was also overwhelmed at being a new mom, having breastfeeding issues and the discomfort from the surgery. DH didn't remember the explanation either. I know there were complications during the surgery and I lost about 1.6 L of blood plus had a lot more amniotic fluid than they thought.

I recently found my journal (it's all in Danish so won't bother to show it unless anyone can speak it ) but it says that after opening me, they discovered my uterus was rotated/twisted with very large blood vessel(s) (not sure if it's plural because of the way they're writing it). They tried to rotate in place but didn't succeed. I don't entirely understand the rest but it sounds like they did something to improve how my uterus is placed. It goes on to say my son's arm kept popping out and they had some problems getting him out. They succeeded but had to deliver him with his legs first. Plus it says farther down that I have a number of small fibroids.

Does anyone know if this could be why they recommended me to have a C-section if I get pregnant again? Will this make me getting pregnant again more difficult?

 

[IchigoMewMew]

I would imagine it’s the bleeding that worried them, along with the larger vessels. It will be a lot easier for them to control and stop heavy bleeding if you’re already in theatre. I’m not sure about the position of your uterus but they probably did try and improve its position so hopefully that helps. Even if they didn’t, surgeons often don’t/can’t put things back exactly as they found them!

 

[KatO79]

I would imagine it’s the bleeding that worried them, along with the larger vessels. It will be a lot easier for them to control and stop heavy bleeding if you’re already in theatre. I’m not sure about the position of your uterus but they probably did try and improve its position so hopefully that helps. Even if they didn’t, surgeons often don’t/can’t put things back exactly as they found them!

I wasn't bleeding from those blood vessels though. My uterus was rotated on it's axis (if you imagine the axis going straight through from the top of the uterus to the bottom) which must've happened during pregnancy because before that, my uterus was positioned normal. The only pic I can find on the internet with a human uterus although I'm not really allowed to use but here it is:



I think the twisting may only happen during pregnancy upon further reading so think them trying to twist it back was so they could cut where they normally do. I don't know if the cut is now not at the front or what as the uterus may turn back to a normal position after pregnancy? I'm still trying to find more information as it seems to be a very rare issue. I may have to contact my GP and ask him and see if he knows about this problem.