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Hi, It's Dr. C. Board certified Ob-gyne with 30+ years of experience. I can help you. When you're done rating, we can request customer service to remove the question from public view.
The major risk with 3 previous c-sections is uterine rupture and complications having to do with abnormalities of placental attachment. Here is a good summary of the risks with percentages based on number of c-sections. The risk increases with each c-section:
Placentas normally grow in a way that makes it easy for them to detatch from the uterine wall after the baby is delivered. With these complications, the placenta grows in various degrees into the uterine wall and cannot be easily detached. Risk of life threatening bleeding is real.
Regarding the tummy tuck. The scarring may make it uncomfortable when the uterus grows putting pressure on it. It's hard to say how much discomfort it will cause because this varies from woman to woman. Some women carry in a way that there is very little pressure while others can have significant discomfort as the pregnancy progresses.
I hope this information has been helpful.
Previous notes would be helpful. It would give the current doctor a sense of how difficult or easy the previous c-sections were. If there was already a lot of scar tissue, how well you tend to heal, are you a bleeder, etc.
The tummy tuck won't be a huge added factor. 3 previous c-sections already tell the surgeon that this is a high risk situation and requires great care in dissecting tissue planes.
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