Will a C-section Cause Miscarriage or Fetal Death in Future Pregnancies?

Updated on March 18, 2018
M.S. asks from Pittsburgh, PA
4 answers

I had two successful c-sections, one in 2005 and the other in 2008. I recently became pregnant with my third. Started bleeding around week 6 so the doctor ordered an ultrasound for this past Wednesday (3/14). We saw the sac, embryo and heartbeat of 170, however, the location was concerning. Seems as though it had imbedded close to my c-section scar. The fetus was measuring 5 weeks 6 days when it should’ve been 6 weeks and 6 days. The following day, Thursday (3/15) I miscarried. After discussing this with my mom she said she had 2 miscarriages, the second one needing a D&C and after that she was able to get pregnant. I’m worried that being my last c-section was 10 years ago, I have too much scar tissue in me and the egg can’t travel to where it needs to be to attach and become a viable pregnancy. I want to try again but can’t go through this pain and heartache anymore.

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B.C.

answers from Norfolk on

I'm so sorry for your loss.
Some women have multiple miscarriages before having another baby and this is true whether they've had c-sections or not.
Some woman have also had more c-sections.

You need to mourn your loss before you can decide whether you want to try again.
You may or may not feel differently in a year.

2 moms found this helpful

D.B.

answers from Boston on

I am so sorry about your miscarriage. I know you have been trying to get pregnant for a while. I do think you should take time to mourn this loss, and get support wherever you can, including possibly a counselor or a pregnancy loss group through Resolve or a similar organization.

Let your body heal in the meantime. Once a few months have passed, talk to your doctor or a high risk pregnancy/fertility specialist about the specific nature of your scar tissue. You speak of a C-section scar and also about scar tissue that blocks the fertilized egg. From what I read (which is, admittedly, not in depth), it seems to me that there can be scarring within the uterus (and if the egg attaches there, is doesn't get enough nutrients) or possible scarring outside the uterus where other layers of tissue were cut (and perhaps that scar tissue can extend to block either or both Fallopian tubes). But those are separate locations, and maybe only one is involved. Once your body has returned to normal, find out if a new ultrasound might or might not show everything, or if you need something like as HSG (hysterosalpingogram) test to see if the tubes are open or partially blocked, or perhaps another more detailed scan to assess the degree and location of scarring.

You need more answers before you decide how best to proceed. There are some very advanced techniques these days and you need to investigate them, but only once your emotions are less raw and you have a clear head for evaluating.

Please take care of yourself.

1 mom found this helpful
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M.G.

answers from Portland on

I'm very sorry for your loss. This must be heartbreaking especially where you have tried for 2 years (read your post from the other day).

I had to look up what it meant to have a it attach to a c-section scar because I wasn't familiar, and I've only had c-sections. That's not something that came up with my pregnancies - so the topic of scar tissue was not of concern in my case. I think the idea that the scar area is weaker came up with my surgeon (I had quite a few pregnancies), however not about implantation, etc. So I'm not sure how common that is.

This is something I think discussing with your doctor will help you going forward. I haven't heard of it before - and I have many friends who have had c-sections also. I am also not familiar with the idea that scar tissue would become more of a problem over time (but perhaps it does). It did not in my case.

I have family members who did not have c-sections who miscarried. It was very sad for them, and they never really understood why. They went through a real grieving period and we were very sensitive to it. I think that you need time to just absorb this news and what you're feeling, and maybe not look for answers right now. When you're ready, meet with your doctor and see what's right for you. Best to you

1 mom found this helpful

S.T.

answers from Washington DC on

i'm editing my original answer altogether because it came off as too harsh.

i'm very sorry about your miscarriage. i know you must be in a stew of grief and disappointment and hormones. miscarriages suck.

your question is bypassing medical science and asking simply for anecdotal evidence. WILL a c-section cause future problems? if that were so they would never happen.

CAN they? yes.

once you've had time to grieve your loss and heal, only you will be able to decide if the risk is worth it. but i hope you discuss the ACTUAL risk with your doctors, and not just what people tell you they've experienced. no one here has your exact physiognomy or history. no one else's experience will exactly mirror yours.

if you can't face the potential heartbreak, you don't have to try any more. if you want it badly enough, you'll take the risk.

but don't decide yet. and don't decide without a medical professional's input.
khairete
S.

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