In case anyone gets stuck like I might

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pico83's picture
Joined: 09/06/06
Posts: 3014
In case anyone gets stuck like I might

Since I've spent half my pregnancy so far watching my hopes of a vaginal, let alone natural, delivery disappear, I've been trying to find some good options which might still be open to me. There's still a slight chance I'll get the birth I'd like, but since a c/s is looking more and more likely, my MW and I have been discussing this article The natural caesarean: a woman-centred technique - Smith - 2008 - BJOG: An International Journal of Obstetrics & Gynaecology - Wiley Online Library and I'll be talking it over with an OB at my next appointment. I'm hoping he'll agree to try for most of the things it suggests, if he won't agree to an attempt at a vaginal delivery.

I do realize this is kind of off topic from natural birth. I'm still trying to reconcile myself to my placenta previa and still holding out a shred of hope that it'll move in time. Is it okay if I keep posting here (and maybe even get a lodge, just in case)?

Spacers's picture
Joined: 12/29/03
Posts: 4100

You absolutely can make a surgical delivery a special event! We insisted on the staff being quiet and asked the doctor to narrate the procedure for us. They didn't let me watch Weston's birth but DH was able to stand up & take photos, and some places let you take video of planned c-sections. I'm not sure it was planned but Weston did start breathing on his own while half in-half out, and I'm pretty sure one of us called his time of birth when they got him out. They did take him over to weigh & measure him right away but then DH grabbed him before they could start cleaning him or wrapping him up and DH held him skin-to-skin under the little suit they made DH put on. I had wanted to try to feed him right away, but I was far too shaky from the drugs to try holding him, so I just watched DH hold him. The nurses were kind of freaked out by that, because the OR was really cold & they said, "We need to wrap him up in warm blankets, he's going to get too cold!" DH had them put the blankets on Weston's back while he was snuggled up against DH's chest. And definitely ask for anti-nausea medicine before surgery, and ask for more during the surgery if you start to get queasy. It's so sad that women end up puking during their baby's birth when they can be given meds for it so easily!

pico83's picture
Joined: 09/06/06
Posts: 3014

I've got a stash of zofran on hand from my hyperemesis. One of my first questions for the doc next week is: can I take it before surgery, when, and how much? I actually did a fair amount of vomiting with my vaginal births and so took some zofran before going to the hospital with #3. It made it so much better and let me eat early in labor.

cactuswren's picture
Joined: 10/19/09
Posts: 4658

This is a really great topic, and I think it's totally appropriate for a Natural Birth board...what to do when you are in a situation where a c-section is a medical necessity, but you want to include as much of the special, natural experience as possible given the situation. I know I would feel a lot calmer even going in to a vaginal birth knowing what to do if a c-section ends up happening at the last minute. You never, ever know how a birth is going to end up until it's done. Definitely continue to hang out and post here! I would love to follow a lodge. It's not like we're overflowing with them.

Spacers's picture
Joined: 12/29/03
Posts: 4100

I think that's a really good thing to think about. Most of us do so much work to avoid an unnecessary c-section, we don't really give much thought about what to do if we *need* one. I know I just figured I'd deal with it somehow, that it would be my first test of motherhood, letting go of my ideal to do what was best for the baby. I did use my Bradley Method training to stay calm, but because of the emergency situation with Tiven (and I had enough knowledge to know that it *was* a true emergency) there were no choices, no decisions to make.

So with Weston, I did give it some thought, and I talked with my doctor about it, even though I knew she probably wouldn't be there, about what kinds of things were routine at the hospital & what things I might be able to get away with. She put my requests not just in as part of my birth plan, but as a pop-up whenever anyone new logged onto my medical record after I'd been admitted, they would get a pop-up screen that told them that I'd had a traumatic first birth so being awake was my #1 priority, and a peaceful setting was #2 priority this time. And when it became clear that I was going to need another c-section, I didn't let them rush me into OR. I said, "I need to talk with the doctor, and I need a new anesthesiologist." He was born nearly 1.5 hours after the decision was made, which was longer than I'd have wanted if I was watching the clock, but it was enough time to make sure things were done *with* me rather than *to* me.