Can Previous Abortions Affect Natural Birth Choices at 36 Weeks?

Can a woman still have a natural birth after an abortion?

Hello Doctor,
I would like to inquire about my situation.
I had several abortions when I was younger, and now I am 36 years old and 33 weeks pregnant.
I did not inform my attending physician about this history during my initial prenatal visits, and I currently do not plan to disclose it.
My pregnancy has been progressing smoothly, and the doctor has stated that my condition is good.
I have also undergone various out-of-pocket prenatal tests, all of which have shown no issues.
As I approach my due date, I am worried that my previous experiences might affect the delivery process.
I am unable to decide whether to opt for a vaginal delivery or a cesarean section.

Could you please advise if choosing a vaginal delivery would be impacted by my past history? Will I be able to have a successful delivery? Additionally, if I do not inform my doctor about my previous situation, will it have any effect on the delivery process?
Thank you for your patience in answering my questions.

pp, 30~39 year old female. Ask Date: 2017/08/24

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the two are unrelated; you can follow the general principles for managing parturients.
Wishing you good health.

Reply Date: 2017/08/24

More Info

When considering the impact of previous abortions on your current pregnancy and delivery options, it's important to understand that while past abortions can have some implications for future pregnancies, many women with a history of abortions go on to have healthy pregnancies and deliveries. In your case, being 36 weeks pregnant and having had a few abortions in the past does not automatically indicate that you will face complications during labor or that your ability to choose a natural birth is compromised.

Research indicates that the effects of previous abortions on subsequent pregnancies can vary based on several factors, including the type of abortion (surgical vs. medical), the number of abortions, and individual health conditions. Generally, if there were no complications during your previous abortions and your current pregnancy has been progressing well, the likelihood of complications during a natural birth is low. Your healthcare provider's assessments and the various tests you've undergone suggest that you are in good health, which is a positive indicator for a natural delivery.

Regarding your concerns about whether not disclosing your previous abortions to your doctor could affect your delivery, it is crucial to understand that open communication with your healthcare provider is essential for ensuring the best care. While your past abortions may not directly impact your current delivery, your doctor needs a complete medical history to make informed decisions about your care. For instance, if there were any complications in your previous pregnancies or abortions that could influence your current situation, your doctor would need to know to provide the best possible care during labor.

If you are considering a natural birth, it is essential to discuss your preferences and any concerns with your healthcare provider. They can help you weigh the pros and cons of natural birth versus a cesarean section (C-section) based on your health, the baby's condition, and any other relevant factors. In many cases, women with a history of abortions can successfully deliver vaginally, provided there are no other complications.

In summary, while previous abortions can have some implications for future pregnancies, they do not automatically preclude the possibility of a successful natural birth. Your current healthy pregnancy and the assessments from your healthcare provider are encouraging signs. However, it is vital to maintain open communication with your doctor about your medical history and any concerns you may have. This will help ensure that you receive the best care possible as you approach your delivery. If you have any lingering worries, consider discussing them with your healthcare provider to gain clarity and peace of mind as you prepare for the arrival of your baby.

Similar Q&A

Will Past Abortions Affect Future Pregnancy Chances?

I apologize, but I became pregnant for nine weeks last September and took RU486 for an abortion. On February 6, I underwent a surgical abortion at thirteen and a half weeks. I would like to know if this will affect my future ability to conceive.

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it doesn't have a significant impact, but it's better to take precautions to avoid miscarriage during this period. It's advisable to use effective contraception before engaging in sexual activity. Wishing you good health.

Does Past Medication Abortions Affect Future Preterm Birth Risks?

Seven years ago and six years ago, I was pregnant once each time, and I took RU486 to terminate the pregnancies before reaching seven weeks. Now I am 33 weeks pregnant and experiencing early uterine contractions, requiring bed rest. Could this be related to my previous abortions?...

Dr. Cai Yonglong reply Obstetrics and Gynecology
Hello: Early abnormal contractions should raise suspicion for threatened preterm labor, which is unrelated to abortion. Mentioning RU486 does not have any impact.

Impact of Miscarriage and Abortion on Young Women's Health

Hello, doctor. My girlfriend was pregnant for over a month when she was 18 years old, but she had a natural miscarriage possibly due to work-related stress. Less than six months later, she became pregnant again, but by the time we found out, the baby was already almost three mont...

Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Mr. Chen: Your girlfriend has experienced one natural miscarriage and one abortion, but since there have been no issues with inflammation or reduced menstrual flow after the procedure (which would indicate endometrial adhesions), it should not affect future pregnancies. The...

Understanding Parity: Does Induced Abortion Count as a Birth?

If a minor has undergone induction of labor for a fetus approximately 16 weeks in size, is she considered a multiparous woman? Should subsequent pregnancies be counted as the first or second pregnancy? Will this have any impact on future deliveries? Thank you!

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, a 16-week pregnancy is generally not considered the first pregnancy and usually does not have an impact. Wishing you good health.