I know its really early yet, but...

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Joined: 03/11/07
Posts: 164
I know its really early yet, but...

Is anyone else planning/expecting a repeat c-section? A little back story: I have mild pre-hyprtension issues that got a little out of hand with dd. By a little I mean only 150's over 90's while on BP meds that the MD didn't know how to dose Methyldopa properly. I was under-dosed for most of third trimester bc she didn't believe me when I explained how med worked. You need to increase the dose as your body gets used to it. (Hello, I'm a hospital pharmacist for Heaven's sake, if there is one thing I know its prescription drugs, right?) Spent the last week b4 delivery in the hospital on modified bedrest, water broke with lots of meconium and was induced. Labor stalled, bp shot up, DD's heart rate shot through the roof (they didn't tell me that part, thankfully), spiked a fever, and after 18 hrs of pitocin and only managing to get to 6 cm dialated and staying there for 2.5 hrs they asked me if I wanted a c-section. Ummm, yeah? All in all...no fun. But I have a healthy little girl and I healed really fast.

After talking about all of this with my new OB, she and I agree that for medical reasons, VBAC is not the wisest of decisions. She's willing to let me try, but the end result will likely still be a c-section. Meh! I'd rather just plan it and be prepared mentally ( I was mentally prepared for it with DD due to family history anyway, but that is another can of worms.)

So what do you gals think?

pam111's picture
Joined: 06/02/08
Posts: 397

If/when I get pregnant again, I will have a c/s. I had one with Damien because he was breech, but since then I've had 5 more abdominal surgeries and a colectomy. I have a j-pouch (small intestine is brought down instead of large intestine) and pushing is not advised because it can can cause damage to the area and if that happened I would end up with a permanent ostomy

RonanTheBarbarian's picture
Joined: 05/10/10
Posts: 1084

Sounds like c-section would bring you some peace of mind!
I probably will, but we'll see. I had the c-section with Ronan for breech and OI, and my doctor brought up VBAC back at my 6 week pp appt, but now I'm not sure because of having this one so close- where the births would be 13 months apart. I know some hospitals have policies against it, and I guess I'll see what my doc says at my appointment in 3.5 weeks. My mom is an OR nurse and is very anti VBAC! She doesn't know we're pregnant yet but she said back when I found out Ronan would be c-section that I shouldn't even try for a VBAC...
I know she'd still be supportive though, and obviously it isn't her decision, but I'm assuming I'll have another section because of the close spacing.

sometimes's picture
Joined: 07/08/08
Posts: 900

I think I'll probably end up with another c-section. I had one with DD due to severe pre-e. I never got the chance to go into labor (I was 33 wks) and I'm kind of bummed (silly?) that I didn't get to experience it. I was in a lot of pain after my surgery but I think that's because I wasn't allowed to move (I had a medicine drip, I forget the name) for 24 hours. My BFF was up and moving 3-4 hours after hers and healed a lot better/faster than I did.

turtnjay's picture
Joined: 02/24/09
Posts: 2095

Lurker...

I'm in the same boat only this will be c/s #4. My first was an emergency, 2weeks late, 48 hours of piton labor and only got to 1 or 2 cm's. After his heartrate fell to 55, and stayed there for a few minutes it was called.

Second were twins and back in 1993 so VBAC wasn't even discussed but one was breech and they had cord issues in the last week so it didn't even matter.

With preg #3 (my most recent) I flip flopped between VBA2C or planned c/s. I really weighed all my options. In the end I just felt better about the certainty I felt with c/s, so it was planned. Good thing, too. Knowing what I know now, a VBA2C would not have been successful. No contractions, not dilated at all, cord wrapped around his neck. He was so compacted and high up, there was Bo way he was going to engage. Just like my first!

I'll be planning another c/s for this one, too. I recover well and honestly, I think it's so much easier to recover without the trial of labor than to go through hours of labor and then be told it's a c/s anyway.

aphart0's picture
Joined: 11/21/08
Posts: 681

I will be having a repeat c-section also. DD was breech so I had a c/s with her. And they thought DS would be too big for me to handle so I had a c/s with him as well. It was a good thing too. They ended up finding thin spots on my uterus and the doctor said it may have ruptured if I had tried to go through labor. So this next one will be a scheduled c/s (the other two weren't scheduled except for the day before) so I am looking forward to that.

Broodymama's picture
Joined: 05/29/11
Posts: 198

My last was a c-section after 2 vaginal deliveries. For me, it was the most shocking thing I've ever been through in my life. I had a really hard recovery and the pain was incredible. My OB is a big believer in VBACs, though and she had a successful VBAC after 2 c-sections of her own so she just makes sure she makes the smallest incisions possible and sews you up in a way that's safer if you want to try a VBAC later. She's one of the leading OB's in the state so I'm lucky to have her.

Having said that, I'm planning a VBAC but also preparing for the reality of a c-section. It's not fun (and I don't even know if I'm pg or not, btw) to think about and it's been the only thing holding me up from TTC again. I do NOT want a c-section. Some people bounce back from them with no problem and if I were that type, I wouldn't have an issue. They had a problem placing the spinal and it sent unbearable pain down my right leg. It was truly horrifying. I never lose myself during labor no matter how bad the pain might be. I just never let go and yell or anything. While they were futsing around in my spine, I became an animal. I made sounds I never imaged I could make and they were uncontrollable. My instinct was to turn around and kill the guy making me hurt like that but my OB's assistant was holding me because I was about to cause myself some serious damage. Anyway, so yeah, I'm not looking forward to it. I promptly threw up on the table after they had placed the spinal. OMG, it was horrible. Here's some friendly advice: Don't let the student place the spinal. I know he has to learn somehow but don't let it be you!

turtnjay's picture
Joined: 02/24/09
Posts: 2095

Did they ask if you'd allow the student to place it? Ummm, hell no! I actually put in my birth plan no interns working on me and luckily I deliver at a small hospital which is not a teaching hospital so my doctor told me I didn't have to worry. (I still left it in!)

In fact, I only ever saw my doctors (there are 3 in the practice) and had only 3 different nurses.

aphart0's picture
Joined: 11/21/08
Posts: 681

"Broodymama" wrote:

Here's some friendly advice: Don't let the student place the spinal. I know he has to learn somehow but don't let it be you!

I had that issue too!! I don't know if he was a student or not but he looked about 12. He tried about 6 times to get the spinal in. Each time he failed I would flinch and yell out in pain. They would ask me where it hurt. I said my back where I just got stabbed!! Finally the veteran doctor stepped in and got it on the first try. Then the 12 year old tried to make a joke about how he was "striking out like the Tigers"...I guess the Detriot Tigers had lost that day. Not funny!!

Joined: 03/11/07
Posts: 164

"aphart0" wrote:

"striking out like the Tigers"...I guess the Detriot Tigers had lost that day. Not funny!!

Having lived in the Detroit area for 6 years I can tell you that most years it was like that. LOL!

So sorry to hear about your experience. I can tell you that a good anesthesiologist is your friend. I seriously almost kissed mine when she started the spinal **after** my epidural wore off. She was also the one who noticed that I was panting (my spinal was high on my back due to the epidural placement) and got me some O2 and Zofran for the nausea.

pam111's picture
Joined: 06/02/08
Posts: 397

I had a student doing the spinal, as well, and it took like 5 tries and over 20 minutes. My husband was so worried because they told him they would come right out and get him and it took so long. It didn't hurt for me, though--just pressure. But they kept asking me where I was feeling, it, too, and it was really hard to tell aside from "my back"

RonanTheBarbarian's picture
Joined: 05/10/10
Posts: 1084

The more time passes since my last c-section, the less "traumatic" it feels, but it wasn't great. It was planned- so having it wasn't a shock. I'm pretty good with needles and pain, but this was just strange. First the lidocaine shot was much more painful than I had imagined- then I got over that. I think my anesthesiologist was fine- and nice, but maybe having a bad day, because after that things weren't great. First she spent awhile figuring out where to put the spinal in, then I was having what some of you were talking about- that shock down the leg- it would be down one leg and I'd be reflexively jerking my body away, then she’d say it wasn't "centered(?)" so she would shift it and I'd get that down the other leg- very strange. That hurt and was scary but then she thought she had it in the "middle" and they had me lay back down to get the medicine going. That was weird and I could definitely feel things for a long time- it was maybe 10 minutes of the doctor asking if I felt the cold of this wet sponge thing and I still did so they had me sit back up (which I could do on my own…) and they did an epidural also. After a bit they laid me down again- raised the head of the bed to have the epidural flow down to my lower half, then the doctor kept doing the cold sponge and finally it just felt like pressure and not cold, so we thought it was a go. My husband was brought in and the doctor started making the incision slowly but I right away felt burning/ some pain, and knew it wasn’t right. I asked if it should hurt and they said uhhhh no. So, I got tons more epidural pushed in, THEN it was good- where I only felt pressure and no pain/burning. That was scary, and I had residual pain from the spinal/epidural placement, but all in all what I think of is watching them take Ronan out because they let me watch with a mirror! Next time I’ll just tell them up front about what happened so maybe we can figure something else out? Sorry if this is scary for anyone to hear- just know that the pain/burning from the cutting was painful, but not as if it was without any medicine- so it wasn't as bad as it sounds maybe?

Broodymama's picture
Joined: 05/29/11
Posts: 198

No, they didn't ask if he could place it. I just know that there was the older guy talking to the younger guy telling him what to feel for and basically instructing him as it went on. I didn't feel pain in my back at all. It was in the right leg and the right side of my pelvis. I was literally what having your leg ripped from your body must feel like. I can't even describe it but I had nightmares for months after he was born. It was absolutely horrifying.

Next time, I'm gonna knock the 12 year old (mine looked about that age, too. lol) to the ground and kick him before I'll let him stick me in the back. Seriously, don't they need to practice on dead pigs for a while longer before they paralyze people?

So, btw, just in case you can't tell, I'm not a fan of c-sections. lol My first 2 babies were born vaginally and I never had a stitch, my labors lasted about 4-5 hours, no big deal. I could have gotten up and gone home half an hour later. It was just really easy for me so when I had the c-section from hades, I was just in shock for a while. I had to have it, though. I had an amnio the day before to check his lungs but there wasn't enough amniotic fluid and I was risking a dry birth. The cord was also tightly around his neck so it was a blessing that I did have the c-section. It was for a reason so I *am* thankful. Wink