Exploring Abdominal Repair During C-Section with EDS Type III
Greetings! I'm a woman in my mid-30s, currently 36.5 weeks into my pregnancy, and living with EDS type III. My baby is already measuring over the 97th percentile (no gestational diabetes!). This marks my second pregnancy, and I stand at 5'11" with a weight of 199 lbs, which indicates a significantly larger belly compared to my first pregnancy given the size of the baby. In the event that I need a cesarean section due to either the baby's size or potential complications, I am interested in having my abdominal muscles repaired during the procedure. However, I've encountered a range of opinions in research regarding the outcomes of repairing diastasis recti versus the associated risks. On one hand, there are concerns, but on the other, I find encouraging reports that indicate benefits beyond merely stitching the fascia together. After relocating, I've had to change my healthcare provider. At my previous facility, it was typical to perform comprehensive repairs during C-sections, but my current one claims this isn't standard practice and highlights risks, which seems overstated to me. Given my recent EDS diagnosis, I'm particularly worried about my body’s tendency towards laxity and the implications it has for healing. I'm concerned that my diastasis recti might not resolve on its own, which would further complicate my already compromised pelvic floor. Therefore, I’ve requested that they conduct a repair, should a C-section become necessary. Are the potential dangers truly as significant as they suggest? Is there a notable advantage for individuals with EDS type III concerning this repair? Is this approach routine in your practice, or are they resisting the idea too much? Am I overlooking anything crucial? Moreover, I want to avoid the financial burden of a medical issue that might not be covered by insurance. I am already preparing for the challenge of rehabilitating my pelvic floor and preventing any worsening of prolapse symptoms from my first birth, so I'm eager to set myself up for the best recovery possible. I've also been advised that at full term, especially given that I've started dilating and my cervix is mostly effaced, I face a heightened risk of complications such as shoulder dystocia. Any insights, perspectives, or shared experiences would be incredibly helpful and greatly appreciated!
Alice Lee
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Addressing Abdominal Repair During C-Section with EDS Type III: Seeking Insight
Greetings! I’m a woman in my mid to late thirties, currently at 36.5 weeks of pregnancy, carrying a baby who's already in the 97th percentile, and I don’t have gestational diabetes. This is my second pregnancy. Standing at 5'11 and weighing 199lbs, I’ve noticed that my belly is significantly larger this time around compared to my first pregnancy. In the event that I require a cesarean section—whether due to the baby's size or possible complications—I’m keen on having my abdominal muscles repaired. I’ve come across varied research concerning the repair of diastasis recti, noting both potential benefits and associated risks. While some literature supports the positive outcomes of repairs beyond simply stitching the fascia and perhaps addressing some fat, I’m still feeling unsure. After relocating, I transitioned to a new healthcare provider. Unlike the previous system, where it was customary to perform an abdominal repair during a c-section, my current provider seems hesitant, citing various risks which appear manageable. With a recent diagnosis of EDS type III, coupled with a history of my body not responding optimally (indicating a likelihood of diastasis recti not healing naturally), my concern is heightened. This further complicates my already vulnerable pelvic floor. Consequently, I have requested that my abdominal muscles be repaired if a c-section is necessary. Are the risks genuinely that significant? Do patients with EDS type III stand to gain more from this procedure? Is this practice routine in your experience? Am I encountering undue resistance from my healthcare team? Is there something I might be overlooking? Additionally, I want to avoid any unexpected expenses for a procedure that some insurance policies may not cover. Given my past challenges with pelvic floor recovery and the potential exacerbation of prolapse, I aim to optimize my healing prospects this time around. I've also been informed that, if I reach full term (especially since I’ve already started dilating and my cervix is mainly effaced), there’s a substantial risk of damage, including shoulder dystocia concerns. I would greatly appreciate any insights, perspectives, or personal experiences related to this topic! Thank you for your assistance!
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Hello everyone, I’m a woman in my mid to late 30s, currently 36.5 weeks pregnant and diagnosed with EDS Type III. I’m expecting a baby who is already measuring in the over 97th percentile, and I don't have gestational diabetes. This is my second pregnancy, and I stand at 5’11”, weighing 199 lbs at the moment. My belly has become significantly larger compared to my first pregnancy due to the size of the baby. If I require a C-section, either due to the baby's size or other complications, I am interested in having my abdominal muscles repaired during the procedure. I’ve been reviewing various studies and articles on repairing diastasis recti, and while there are different views on the associated risks, I’ve noticed many favorable outcomes especially when the procedure involves more than just suturing the fascia and perhaps the fat layers. After relocating, I had to change healthcare providers, and whereas my previous provider routinely performed abdominal repairs during C-sections, my current one seems hesitant, citing risks that don’t appear very significant to me. Given my recent diagnosis of EDS and my history of connective tissue issues, I am particularly concerned that my diastasis recti may not heal properly on its own, which would complicate matters for my already compromised pelvic floor. Thus, I requested that if a C-section is necessary, they also address this issue. How substantial are the risks really? Are there proven advantages in performing this procedure for those with EDS Type III? Is it standard practice within your facility? Are the medical professionals being overly cautious? Am I missing any important aspects in this discussion? I also have financial concerns about potential costs if this procedure isn’t covered by insurance. Managing recovery after my previous experience with pelvic floor issues is already daunting, and I want to optimize my recovery this time. I've also been informed that at full term, particularly since I’m already dilating and my cervix is mostly effaced, there’s a heightened risk for potential complications such as damage and shoulder dystocia. I greatly appreciate any advice, perspectives, or shared experiences you all might have on this topic!
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Hello everyone, I'm a woman in my mid to late 30s, currently at 36.5 weeks of pregnancy, anticipating the arrival of a baby already measuring above the 97th percentile (no gestational diabetes reported). This is my second pregnancy, and I stand 5'11" tall, weighing 199 pounds at this stage. My abdominal size is considerably larger this time compared to my first pregnancy due to the baby's size. Should I require a cesarean for any reason, including baby's dimensions or potential complications, I am keen on having my abdominal muscles repaired during the procedure. I've come across varying information regarding the benefits and potential risks associated with correcting diastasis recti. However, I have also encountered numerous positive accounts regarding the advantages of this approach when considering the repair of more than just the fascia and any excess fat. After relocating, I had to change healthcare providers. I know that in my previous system, it was routine to conduct full repairs, but my current provider suggests otherwise, emphasizing certain risks that seem relatively minor to me. Since I've recently been diagnosed with EDS, which could complicate recovery, I'm worried about the likelihood of diastasis recti not healing effectively on its own, especially given my already compromised pelvic floor. I have requested that the surgical team considers this repair if a c-section becomes necessary. Are the risks truly substantial for individuals with EDS Type III? Is there a greater advantage for us when it comes to this surgery? Is it customary in your practices? Are they being overly cautious? Am I overlooking any important factors? Additionally, I have concerns about incurring out-of-pocket expenses for a medical issue that might not be covered by insurance. I anticipate challenges with rehabilitating my pelvic floor to prevent aggravating previous prolapses, so I want to set myself up for the best possible recovery. I've also learned that at full term—if I reach that point, as I am already dilating and my cervix is nearly fully effaced—I face heightened risks of damage and complications such as shoulder dystocia. I would greatly appreciate any insights, perspectives, and shared experiences you may have on this topic!
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