Can a persons uterus survive 17 (with twins) pregnancies?
Dr. Suzanne Gilberg-Lenz: What we refer to as a Grand Multip (a woman who has six or more term live births under her belt) does risk post-partum hemorrhage due to uterine atony — the inability of the uterine muscles to effectively clamp down after birth and staunch the flow of blood. This in turn increases the risk of blood loss, transfusions, or even surgery, such as an emergency post-partum hysterectomy or maternal death. In addition, the close spacing of these pregnancies increases risks to mother and fetus of inadequate nutrition for both, and growth problems in the fetus. And the repeated pregnancies increase Michelle’s risk of rectus diastasis (the abdominal muscles stretching apart and increasing risk of hernia), pelvic floor dysfunction, urinary incontinence, and uterine prolapse. Each pregnancy can result in vascular changes that promote hemorrhoids, and her poor vagina has seen an awful lot of traffic! Though I know nothing of her actual deliveries, such as the babies’ birth