We had the appointment with the gynecological oncologist yesterday. Man was she smart.
It was a pretty positive consult.
Our HR OBs are worried about 2 things: Erin's ability to carry the baby to 30 weeks and the surgery to get the baby and put Erin back together.
The oncologist is not terribly worried about the surgery. She also doesn't think that Erin will absolutely need to have a hysterectomy. Her key question was around what caused Erin to hemorrhage with Lauren. Once she heard how long Erin labored and pushed, she was satisfied that the cause of the hemorrhage was not some fundamental problem with Erin's uterus - just that the last time she labored too long and her uterus had no energy left to contract properly.
The oncologist will assist with the C-section. Her recommendation is to do a "conventional c-section". "Conventional" is the way they used to do it. Basically, they take the baby out from up high and leave the lower part of the uterus alone. She thinks the placenta will come out fine and if some of it is attached to the uterus and won't let go they can leave it in and it will die off naturally. If they run into trouble, she knows how to do a hysterectomy very quickly.
The oncologist's biggest concern is getting Erin to 30 weeks. Erin has to continue to be on strict bed rest and will be admitted to the hospital in 3-4 weeks for the final 8 weeks of the pregnancy. She said that because Erin is so good at following Dr's orders she has a good shot at success. She did say that lots of women go a bit crazy in the later stages of bed rest - especially when they are in the hospital. Erin is one tough cookie though, so we bet she does ok. It will be really hard on Lauren and me though not having her around. We'll visit a lot and my mother is planning on coming out to help.