Hi Sally,
Based on the (limited) stuff I have read on uterine surgery - when I was doing my personal study for my VBACs - from a birth point of view she would be treated the same as a woman who has had a classical caesarean section and a caesarean would be recommended for delivery over a vaginal birth. The risk of uterine rupture where the fundus has been infiltrated by surgery or injury is about 8% according to the studies. Most of the ruptures occurred in labour although there were a couple of prelabour ones - you might want to check on Pubmed for the details.
However on the positive side there was nothing I read that indicated that a woman who has had a classical csec or uterine surgery cannot go on to have a healthy pregnancy. And there was nothing to indicate that her chances of getting and maintaining a pregnancy were any less than for other women in her age group. The only other major risk that was mentioned was an increased chance of placental accreta.
I did an article on uterine rupture you can find in the magazine section of Birthrites Healing After Caesarean - it has some limited information on this in it - but the document is actually written primarily for women with LSCS. http://birthrites.edsite.com.au/
Debby
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