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Forum Home > Your Questions > Giving birth naturally with a vaginal septum

Cat
Site Owner
Posts: 12

Hey everyone, I have a question myself.

Having a septum as well as two cervices and two uteri was obviously the first thing I noticed when I was younger, and one of the first things my doctor(s) adressed. One of the things that has been drilled into me was that I should have the septum removed (and they did try and I said no. Haha). So far, no problems have occurred due to the septum, so I didn't see the need to have it removed right now (I was told I could have it removed whenever I needed to or wanted to in the future, so there was no rush). However, one of the reasons to have it removed I do reluctantly agree with. Labour. If and when I want to have children and hopefully when I get pregnant and get to the point of actually having the baby, I have been told that I will have to have a Caesarean, unless I get rid of the septum. Now, I'm a bit stuck... I don't want to get rid of the septum (for me, it'd feel like having to have the septum of my nose removed...! It's a part of me and I want to keep it.) but of course, I'm sure I would love to have the experience of a natural birth at some point (although of course the baby's health would come before my issues over my septum so of course if it would be entirely necessary, I would go through with having the septum removed).

As far as I can tell, my septum is just as tough and 'stretchy' as another wall. It seems to me as though it would keep out of the way and move as much as necessary, along with the rest of me, for a baby to be born via whichever side it needs to. Of course, I might be wrong, but it does just seem to be 'fear of the unknown' from the doctors telling me that it just wouldn't be possible. I wouldn't ever consider putting my own life or future baby's life/health at risk but I'm just really curious to know if anybody has any knowledge about it.

So, basically, I was wondering if any of you know about giving birth naturally complete with vaginal septum? I know it's a bit early for me to worry about it, but I would really like to know.

Thank you in advance,

All my love, Phoebe xx

August 3, 2009 at 5:01 AM Flag Quote & Reply

Laura B
Member
Posts: 7

Well I am by no means an expert, but I can give you my own experience as I was able to birth naturally via the amazing vagina! I too was very worried that I would end up with a c-section. I read up on statistics online, and found some blogs from women with ud, and many of them did have to birth that route. I read about cerclages, thinking that it may also be an option.!  So these were some of my first concerns with my doctors & midwife.  They told me that women with ud were at a higher risk for c-section because of the lack of room, and many babies are in a breach presentation! Of course having a healthy baby, is the most important thing, but I REALLY wanted to have a natural delivery vaginally with no pain meds! She told me that they would not be able to tell if I needed a c-section until I was at least 36 weeks "if you make it that far." So all I could do was wait... My preganancy was very normal & healthy. However it was kind of funny because I was obviously pregnant on my right side. That side of by belly protruded out further :) So it seemed that my other uterus just moved out of the way! On the ultrasound early on you could see both uteri clearly, and in the later ultasounds the un-pregnant uterus had just "disappeared."  

 Just a few days before I delivered I had a dr appointment ,he was head down, so I was just praying that he would stay that way for another 6 1/2 weeks.  Than before I knew it, it was time! I went into premature labor at 33w 5d, and it happened fast! By the time I got to the hospital I was already 4-5 cm dialated! They tried to stop the labor with an I.V drip, but my little boy was ready! Another crazy thing was that both of my cervixes were dialated, which I guess isn't too crazy, but I wasn't expecting that. Within an hour after arriving at the hospital I gave birth. He was immediately handed to the neonatologist and respitory therapist, and put on oxygen. He came out blue, which scared the crap out of me, but within a few second he cried and turned pink within a minute. Overall he was perfectly healthy, and I could not ask for more. I know that I may be considered lucky, seeing as how I was able to birth naturally, but my doctor said that your first birth is a very good indicator of what you can expect in the future for women with ud. I will probably always have premature labor and a baby at about 5 pounds..... At least I know now what to expect! Before I  had no idea really, because everyone's birthing experience is so different, even amongst "normal" mamas.  So I think that it is really hard to predict what to expect...

August 3, 2009 at 12:49 PM Flag Quote & Reply

Cat
Site Owner
Posts: 12

Ah thank you, Laura :) And well done!

That's so encouraging to hear. I know lots of women with UD decide to have Caesareans from the off and are advised to do so because the baby is more likely to be in breach and other complications, so that's really good that you managed to give birth naturally :).

I've been told so many times that it'd be impossible (mainly because they didn't know what would happen due to us lot being so rare!) but I'm not just going to take their word for it if I'm honest.
It's great to hear from someone who managed a natural birth.

Also, the thought of being pregnant 'on one side' and your right side protuding out further did make me smile, I had to say haha!

Do you have the same as me then? Double uterus, cervix and vagina?

Thanks again for replying :) x


August 3, 2009 at 1:07 PM Flag Quote & Reply

GraceBelle
Member
Posts: 6

Hey Ladies,

WOW it is great to hear that someone had a healthy baby through natural delivery with UD & septum. I like you phoebe am really worried about this part of the septum. my first specialist insisted on me removing the septum, i actually ended up booking the surgery and "scardy cat" me backed out 5 days before it. the reason why i did that is i too was worried about removing the septum for no reason so i went for a second opinion. my second dpecialist told me he would not remove the septum, instead he would dilate the side of my vagina that is small to increase my chances of conceiving. he said he usually does not like removing teh septum because as any other surgery you have risk of scarring and fibrosis which may make things even more difficult. i then went on to a high risk pregnancy specialist, i asked the same Q you did "how about natural delivery with teh septum?" he said most UD cases he sees still have their septum. if the baby is not breached and is in good position for natural delivery then it can happen. the septum will either stretch out of the way or it will rupture.. i thought the later sounded bad, but he said no even moms without UD sometimes rupture their vaginal wall while delivering, they end up sewing the end and thats that, no problem. hope this helps, and i am so glad i did not go for the septum removal and even more glad to hear a positive story of baby birth, so thank you!!

August 4, 2009 at 11:57 AM Flag Quote & Reply

Cat
Site Owner
Posts: 12

Hi GraceBelle :)

I had the surgery booked too! At least twice! First time, I went through with it but I didn't know I had full-blown UD then, so they 'went in' and realised and didn't do anything (I was heartbroken at the time, but VERY glad now) and second time, I just wanted it gone, then a few days before, after talking to a very close friend of mine about it (only person I've told so far actually), I had a huge change of heart and realised that I could learn to accept myself and I knew I'd regret having the op (I didn't think it was necessary either). I owe that friend so much... He was amazing. Lol. But yes! Been there Lol.


Thank you so much for that info about giving birth with a septum! :) I've never been told anything like that but from what I knew about my own body I thought it may well be possible... and you've just backed up that info for me :) Thank you!

August 5, 2009 at 8:12 PM Flag Quote & Reply

Laura B
Member
Posts: 7

Cat at 01:07PM on Aug 03, 2009

Ah thank you, Laura :) And well done!

That's so encouraging to hear. I know lots of women with UD decide to have Caesareans from the off and are advised to do so because the baby is more likely to be in breach and other complications, so that's really good that you managed to give birth naturally :).

I've been told so many times that it'd be impossible (mainly because they didn't know what would happen due to us lot being so rare!) but I'm not just going to take their word for it if I'm honest.
It's great to hear from someone who managed a natural birth.

Also, the thought of being pregnant 'on one side' and your right side protuding out further did make me smile, I had to say haha!

Do you have the same as me then? Double uterus, cervix and vagina?

Thanks again for replying :) x


Yes I have double cervix & double uterus, not sure what double vagina exactly is, maybe I have it? Luckily my doctor had delivered for another woman with ud, however it was c-section, but at least she was familar with my oddity.

August 5, 2009 at 10:20 PM Flag Quote & Reply

Cat
Site Owner
Posts: 12

Laura B at 10:20PM on Aug 05, 2009

Cat at 01:07PM on Aug 03, 2009

Ah thank you, Laura :) And well done!

That's so encouraging to hear. I know lots of women with UD decide to have Caesareans from the off and are advised to do so because the baby is more likely to be in breach and other complications, so that's really good that you managed to give birth naturally :).

I've been told so many times that it'd be impossible (mainly because they didn't know what would happen due to us lot being so rare!) but I'm not just going to take their word for it if I'm honest.
It's great to hear from someone who managed a natural birth.

Also, the thought of being pregnant 'on one side' and your right side protuding out further did make me smile, I had to say haha!

Do you have the same as me then? Double uterus, cervix and vagina?

Thanks again for replying :) x


Yes I have double cervix & double uterus, not sure what double vagina exactly is, maybe I have it? Luckily my doctor had delivered for another woman with ud, however it was c-section, but at least she was familar with my oddity.

Ah righttt, double vagina is where you have a septum running down the middle of your vagina, splitting it into two sections and effectively causing two vaginas. Sort of like your nose lol, with two nostrils with a septum up the middle. Do you just have the double uterus and cervix then? That's pretty common amongst us lot too :)

And yeah, I can imagine that's a bit tricky- finding a UD experiences doctor to help you through pregnancy and birth xx

August 6, 2009 at 6:07 AM Flag Quote & Reply

GraceBelle
Member
Posts: 6

Cat at 08:12PM on Aug 05, 2009

Hi GraceBelle :)

I had the surgery booked too! At least twice! First time, I went through with it but I didn't know I had full-blown UD then, so they 'went in' and realised and didn't do anything (I was heartbroken at the time, but VERY glad now) and second time, I just wanted it gone, then a few days before, after talking to a very close friend of mine about it (only person I've told so far actually), I had a huge change of heart and realised that I could learn to accept myself and I knew I'd regret having the op (I didn't think it was necessary either). I owe that friend so much... He was amazing. Lol. But yes! Been there Lol.


Thank you so much for that info about giving birth with a septum! :) I've never been told anything like that but from what I knew about my own body I thought it may well be possible... and you've just backed up that info for me :) Thank you!

Hey Phoebe, it s nice to know that other people had the same experience.. i tell you i was so mad about it and so unsure of what decision i was making.. but i guess i thought i am better off making the wrong decision without the surgery than with, i i ever decide to do it i can always do it.. not sure i ever will.

the person that gave me the most info about delivery was the high risk obgyn, he was great because his whole practice revolves around ladies with uterine anomilies and multip,e births so he can of tells you what to expect. you should find one in near you and go talk to him, you do not have to be pregnant to start talking to them, i am not pregnant and he was more than happy to give me a consultation,  they actually prefer doing it before you are pregnant so they can monitor you from day 1... so whenever you think you are close to getting ready for it i would book an appt..

The funny thing i agree with you, you know your body better than anyone, my oculation varies tremendosly every month and i always know exactly when it is oing to start, my ob laughs and says its not accurat, but i always am!!! so follow what you think is best for you....:)

 

August 6, 2009 at 2:11 PM Flag Quote & Reply

Andreea
Member
Posts: 8

I've read hundreds of posts and I’ve seen that there are many girls diagnosed with UD willing to remove their vaginal septum. I am almost sure that, unfortunately, removing the vaginal septum has nothing to do with increasing our chances (the ones with UD) to conceive/carrying a full term baby... It is of great importance the removal of the uterine septum in case of a SEPTATED uterus.But that’s not the case of UD. (the only good thing with removal of the vaginal septum in case of UD is that you won’t need to monitor your ovulation every month). I believe that there are many misdiagnosed girls..  Here’s a case study which explains very good the differences between UD , septated uterus and bicornate uterus: http://www.carj.ca/issues/2003-Oct/253/pg253.pdf

 

 

 

 


August 9, 2009 at 9:33 AM Flag Quote & Reply

[email protected]
Member
Posts: 13

Hi there...not been on here for a while but just read this post. Thought I'd add what happened to me...I have UD, with two seperate uteri, but only one cervix. slightly odd I know!! I had a vaginal septum aswell. However, I fell pregnant in my left womb and was told the dangers of giving birth naturally with the v. septum. The consultants were worried that if I gave birth naturally and my son was breech then his feet could very well push the septum down and he could get stuck....my septum didn't quite reach the top to my single cervix. Imagine....a leg either side of the septum, it was not worth the risk. The consultant also suggested removing the spetum DURING the birth! I said a very adament no to this suggestion!!! 

So, at 34 weeks I went into labour and true to UD form my son was in breech. So I had a 

Caesarean. And I'm very glad I did.

A couple on months after that I opted to have the septum removed, so next time there would be no obstruction at all whatever way round a baby was.

Thats just me...I know  other people aren't so keen on the removal, but I've never regretted it at all. I guess you have to decide whats best for you!!!

Emma x 

September 22, 2009 at 4:48 PM Flag Quote & Reply

Andreea
Member
Posts: 8

[email protected] at 04:48PM on Sep 22, 2009

Hi there...not been on here for a while but just read this post. Thought I'd add what happened to me...I have UD, with two seperate uteri, but only one cervix. slightly odd I know!! I had a vaginal septum aswell. However, I fell pregnant in my left womb and was told the dangers of giving birth naturally with the v. septum. The consultants were worried that if I gave birth naturally and my son was breech then his feet could very well push the septum down and he could get stuck....my septum didn't quite reach the top to my single cervix. Imagine....a leg either side of the septum, it was not worth the risk. The consultant also suggested removing the spetum DURING the birth! I said a very adament no to this suggestion!!! 

So, at 34 weeks I went into labour and true to UD form my son was in breech. So I had a 

Caesarean. And I'm very glad I did.

A couple on months after that I opted to have the septum removed, so next time there would be no obstruction at all whatever way round a baby was.

Thats just me...I know  other people aren't so keen on the removal, but I've never regretted it at all. I guess you have to decide whats best for you!!!

Emma x 

Well… we wouldn’t be so scared if we had bicornate uterus,like yourself.  UD implies 2 complete sets of female reproductive system ... :)

 


September 24, 2009 at 3:38 PM Flag Quote & Reply

[email protected]
Member
Posts: 13

Andrea,

You would know if you had read the research on UD, that they come in  a variety of forms...some with a vaginal septum, some without, some with one cervix some with two. I have a UD...I have had enough experts prodding and poking me, so many tests/surgeries, I have lost count and I have been diagnosed with UD by all of them, in UK and abroad...NOT a bicornate uterus. I am not stupid I know what I am. The vaginal septum ran stright upto my cervix and my uteri are completely seperate ....NOT horns spanning off from one main uterius or any any version of any such thing.

So don't try to tell me I don't know about being scared, I know exactly how that feels. I have UD and have stuggled with pregnancy and now conception because of it. I would appreciate it if you didn't try to tell me how I feel, or try to diagnose me.

Emma

September 27, 2009 at 10:45 AM Flag Quote & Reply

Andreea
Member
Posts: 8

[email protected] at 10:45AM on Sep 27, 2009

Andrea,

You would know if you had read the research on UD, that they come in  a variety of forms...some with a vaginal septum, some without, some with one cervix some with two. I have a UD...I have had enough experts prodding and poking me, so many tests/surgeries, I have lost count and I have been diagnosed with UD by all of them, in UK and abroad...NOT a bicornate uterus. I am not stupid I know what I am. The vaginal septum ran stright upto my cervix and my uteri are completely seperate ....NOT horns spanning off from one main uterius or any any version of any such thing.

So don't try to tell me I don't know about being scared, I know exactly how that feels. I have UD and have stuggled with pregnancy and now conception because of it. I would appreciate it if you didn't try to tell me how I feel, or try to diagnose me.

Emma


Emma, I am sorry I offended you, it was certainly not my intention… I don’t know how you reached the conclusion I’m telling you how you feel (???)  It’s obvious you’ve been through a lot, just like all of us.  . And if you do have UD…what can I say?:) To be honest, if I had been in your shoes and someone had told me I didn’t have UD..I would have liked so much to believe him/her.. 

 

Anyway, this is a forum trying to help, not to help in posting conflicting discussions, therefore it would be nice to respect somebodyelse’s opinion. It was- and still is- my point of view and NOT an intention to cause offense.

 

I don't mind you believe i haven't made any research about it, but I’ve read lots of articles/case studies saying that:

 


 

“Complete uterine septum with longitudinal cervical and vaginal septum

should not be confused with other müllerian duct anomalies such as

uterine didelphys. The didelphys is thought to arise from complete failure

of müllerian duct fusion. Uterine didelphys results in a bicornuate

uterus, but with 2 completely separate uterine bodies.”

 

“Pregnancy rates in women with uterine didelphys are

not improved by surgery when compared with pregnancy

rates in women with a uterus containing a single

horn. Therefore, metroplasty is usually not indicated.

In contrast to this, the pregnancy rates in

women with a bicornuate uterus relate to the length of

the fibrous septum as well as the size of the cavities of

each of the horns. A bicornuate uterus may be divided

superiorly by myometrium and more inferiorly by a fibrous

septum that can be partial or complete. Unlike

the didelphys uterus, which has 2 cervices, the bicornuate

uterus has only 1 cervix and is characterized by

a serosal fundal cleft of greater than 1 cm and divergent

uterine horns, which can be seen on endovaginal

ultrasonography or on MRI.”




 Andreea

 


October 3, 2009 at 11:43 AM Flag Quote & Reply

[email protected]
Member
Posts: 13

Andrea...it was just the way you said, "Well....we wouldn't be scared if we had a bicornate uterus like yourself."

 

To be honest, what I am, or what you are matters not to me...all I know is that none of us ladies here on this website are like other 'normal' women, and we have all experienced the struggles of being different. This website offers an opportunity to share our experiences for the benefit of each other. I was simply telling my story...I've found this website a wonderful resource, especially considering my problems with pregnancy and conception.  I hope that my story will help other women as they have helped me.

Emma

October 5, 2009 at 12:21 PM Flag Quote & Reply

ftonbabylove
Member
Posts: 22

Hi Ladies, I am almost 4 1/2 months pregnant with my first baby and must say from reading your posts that I am so glad that I have the doctors that I do here in Canada. I was diagnosed a few years ago and have been followed closely during the pregnancy. I was sent to see a specialist before conceiving at the IWK in Halifax (amazing hospital) and she recommended actually NOT touching the septum. I guess mine is quite "filmy" and thin and they say removing it can cause more problems as it can leave behind scar tissue. So far we haven't really talked about having a natural birth vs. c-section, we will just take it one day at a time and see what happens. If the baby is in the right position when I come to the end, I expect to try and deliver vaginally, if he or she is turned around I expect they will want to schedule a c-section.

 

So far I haven't had any problems with the pregnancy (LOTS of praying!) and every day that goes by I worry a little less! They say that after I am about 20 weeks they'll start to follow me a little closer as that's when the baby will start to put pressure on the cervix a little more. At my 13 week ultrasound the cervix looked great which was awesome to hear. I got for another ultrasound in a week and can't wait to see the baby again and find out the gender!

 

As for how I'm carrying, so far, it's pretty even on both sides but I've said before I'd carry it on my back if it made him or her come out healthy! :)

October 15, 2009 at 2:29 PM Flag Quote & Reply

Cat
Site Owner
Posts: 12

Sorry, only just quickly scanned through this, so can't reply properly right now (sorry ladies) but after doing so, there's something I think needs to be said;


To everybody,

I hope you are all aware that this site is for women with all forms of Uterus/Uterine Didelphys. All forms of our condition are just as relevant and can be just as frightening and difficult to come to terms with as eachother. We are all different and yet also in the same boat. Please be respectful and sensitive at all times to all other members, we're here to look after eachother after all. Thank you.

November 15, 2009 at 12:49 AM Flag Quote & Reply

holly
Member
Posts: 10

hello everyone!


no one has posted here for a couple years, but here i go. i found out i have 2 vaginas 3 years ago at my gyno. i don't know why they never found it at my previous paps, but they didn't. my gynocologist told me that i *might* have other duplications, but that it was very unlikely.


flash forward to now, and i'm 21 weeks pregant : ) i DO in fact have 2 of everything—they found it on my first ultrasound last week. they are also planning to do a renal ultrasound on me to see if i have kidney anomolies. i've been married for 9 years, and the major reason we waited so long to have a baby is because i have extreme hospital anxiety. this paired with the UD anomoly has been challenging.


i hired a midwife when i was around 8 weeks, and have been planning a home birth. i'm still hoping that the baby stays in til 37 weeks and isn't breech so i can do this. as far as my vaginas are concerned, i'm not sure what will happen…will it tear, block the baby, stretch normally…i have no idea, but then again this is my first baby so i don't know what to expect all around : )


i'm also concerned about a vaginal birth negatively impacting my anatomy, since it's not typical. i have a fantastic sex life, including mulitple orgasms in one session (a thank you to UD perhaps?), so i often wonder how the process of birth will affect that situation. has anyone had sex-related changes after the removal of their septum?

July 3, 2011 at 10:19 PM Flag Quote & Reply

daisy
Member
Posts: 1

I had my vaginal septum removed because it was interferring with me having a normal life.  I couldn't use tampons, and it made sex very painful - for me.  So, I found one of the best doctors in the US and went to him for the surgery.  It has been years now since I had it done, and I never even think about it.  I have zero residual effects from the surgery, and I am very glad I had it done.

I don't quite understand why so many women on here are against having the septum removed.  It is totally a personal choice.  If it is bothering you, then have it done.  If you are not bothered by it, then by all means keep it.

September 21, 2011 at 1:49 PM Flag Quote & Reply

farmerchik
Member
Posts: 3

i was advised that my septum would likely stretch during delivery but it tore up at the top near the cervixes.  this made pushing very difficult until someone saw what happened.  if you dont get it removed before having children at least have someone monitor your progress more carefully.  luckily my labor was still only a few hours and he came out with an apgar score of 9.

September 24, 2011 at 10:12 AM Flag Quote & Reply

ATJones12
Member
Posts: 7

Hi. I am 37 weeks pregnant and I am very nervous/anxious/scared about having a vaginal birth because of the thought of the septum tearign or ripping. My doctor told me if my little girl will go head down like she's supposed to to allow me to have a vaginal birth the septum will just move to the side like it does when I have sex. But the thing that concerns me is I didn't conceive in my right side which is bigger and the left is very small. Although the lef uterus has grown appropriately to accomodate my angel, the vaginal canal is still very tiny. I conceived on the left side the one time my husband and I had sex on the side which got painful when I wasn't positioned right.

Well now I am worried this septum will cause a problem since she will be coming out of the smaller side.

Any advice?

Best regards,

Victoria

January 2, 2012 at 10:09 PM Flag Quote & Reply

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