Planned C Section

19 Replies
LindaE - October 12

I was wondering who has a planned c-section and why. I am self employed and one of the biggest stresses for me is taking the time off to have the baby. I know this sounds crazy but I work in a highly compet_tive field were turnaround times are crucial. It is very difficult for me to get time off with out the fear of one of my compet_tors stealing a client. It would be so much better for my business if I could have a planned date to take off so my clients and employees would be better prepared. My husband is going to take paternity leave from his job so he can do mine while I am recovering. We just need a few days off together for the actual birth. I’m going to ask my Dr. about it at my next appointment. I was just curious who else has a similar problem.

 

Pearl - October 12

Work isn't a problem for me this time. I am having a c-section on October 24th. This is my third child. I had a c-section with my first because my water broke at 40 weeks and after 20 hours of labor I was only dilated to 5 cm. I was going for a VBAC with my second, but he wasn't responding well to labor. Due to his heart rate dropping, he was taken by c-section when I was dilated to 6 after 2 hours of labor. My doctor won't allow a VBAC after two c-sections. I didn't get to pick the date. My doctor happens to do surgery on Wednesdays and he wanted to take this one in the 38th week. That's why I am having a c-section.

 

WP - October 12

FINALLY! Someone who understands the changing needs/roles of women in our society! I'm all for elective c-sections, but unfortunately I live in Canada and because of the expense (which is deemed 'unnecessary'), VERY few doctors will do them. I did a lot of research on this when I had my first, and there seems to be some weird, cultural barrier of acceptance in North America. When you compare the two birth methods (v____al and c-sec) the risk on either side is negligible. I did notice that with a v____al birth the risk is mostly on the child whereas with a c-sec, the risk shifts to the mother (hemorrhaging, infection, longer recovery, etc) But as I said, the numbers are always in favour of a healthy birth for either method. I don't know how it is in the US, but I imagine it would be easier to find a doctor willing to do one since you're essentially paying for it. If you are insured, you might have some difficulty requesting an elective c-sec since it is a more expensive procedure. Good luck.

 

LindaE - October 14

My insurance is not the best so I have a feeling my Dr. will not go for it. It does seem that elective c-sections are not widely accepted in the US. A good friend of mine who is a mother was shocked when I told her what I wanted and quoted all the risks (longer recovery, possible infection...) But I could quote back all the risks with VB too- Tearing, incontinence, stress on the baby.... My shocked friend also does not work and has no idea how tough it is for me to take off unexpectedly. I work from home so once the baby is here it will be the ideal job for a working mom. I will get to stay home with my baby and earn a living at the same time. Its just the delivery that has me woried.

 

January - October 14

Rather than a planned c-section, with the recovery times being longer and the risk to you of bleeding, infection, etc.. have you contrmplated a planned induction?

 

WP - October 14

I was always so amazed at the reactions I got from other women (mothers) when I told them I was considering an elective c-sec. Not too many supported my consideration, which is why I was so happy (and surprised) to find your post. This is the 'cultural barrier' that seems to surround this issue. Although, I can't remember exact numbers, many other developed countries have accepted a c-sec as a perfectly viable choice for a women, especially those, like yourself, who have demanding careers. Brazil and many Asian countries, such as Japan, do mostly cesarean births and it is rare or accidental to have a VB. However, I did do a lot of research on incontinence, and there is inconclusive evidence that VBs are more likely to cause it over c-sec. Many studies have shown that merely carrying a child to term can be a factor. Anyway, I don't know what it is about North American society that frowns so deeply on this choice. I'm not not a conspiracy-type person, but I'm sure (especially in Can) it comes down to money, for the most part. It still doesn't explain the reaction we get from other women, though. As far as a planned induction goes, it may incur more of an expense as sometimes inductions take days. Many hospitals are resorting to out-patient inductions, which is what I'm scheduled for this Wed. (I'm 10 days past my due date).

 

docbytch - October 14

Hi Linda. I just had my c section this week. It had originally been "planned" due to my fears of having another traumatic birth experience. It ended up being a d__ned good thing though because my baby weighed 10.5 lbs at birth. It would seem to me that work schedule limitations would be enough reason to justify a planned c section. Good luck!!

 

docbytch - October 14

Hey WP: I got some of the same 'tudes from other women too when they found out I wanted an elective c section...you know the whole "too posh to push" thing? Just an FYI: My OB..a 39 yo female who has not had kids yet...would opt for a csection ANY DAY over a vag birth. Despite all the so-called complications a__sociated with major surgery even. She also told me back when I made the decsion to have the surgery that MOST OBs would also choose c sections over a vag birth. I have had both now.... Recovery for c section kind of sucks (you should see how swollen my legs and feet are now...it's gross)...but my vag birth was way more traumatic and frankly scary.

 

Krissy25 - October 14

I was one of those women who wouldn't of opted for a c-section, but when i found out my baby was breech i had to have one and honestly i'm glad i did, it was so easy and the procedure was fairly painless. The recovery was kind of hard but nothing pain pills couldn't handle. The thing is even though it was planned my water broke and i ended up delierving 16 days earlier than my scheduled date and also i don't believe my doctor would have done it with out a reason so those are some things to think about. In my opinion though i don't think there is really any more risk involved with a section. I have read a lot of birth stories and all the problems women have had have been with a vb, and while some lead to c-sections i don't think i have read any actual complications with the procedure itself.

 

djh - October 14

Hi LindaE, I have a different perspective on the medical soundness of non-medical c-sections. I don't want to become entangled in a heated debate though, as has happened in the past on here. If you would like to hear my view let me know.

 

WP - October 14

Docbytch - 'too posh to push'? LOL That's hilarious. I've never heard that before. It sure sums up the att_tude I encountered. I thought we were all in this together?! The only other women that my OB had done elective cesareans for were two doctors - for exactly the same reason LindaE wants one. And to djh, I can understand if you don't want to get into a heated debate, but if you've got some sound medical evidence that c-sections performed in North American hospitals pose more risk for the mother and child, I would really like to hear it. I'm not trying to bait you, I swear. I REALLY mean I would genuinely like to know this information. And if it's a cultural or religious reason, I won't touch it with a ten foot pole - promise.

 

LindaE - October 15

WP I think it certainly comes down to money. DJH I have no desire to debate and would love to hear your perspective.

 

djh - October 15

Okay, here goes. First off, I am an RN and former EMT so I have a medical background. I would like to present my case histories as well as anectdotal information as I have witnessed. I had 4 unwanted c-sections due to a juvenile pelvis but am grateful the surgery is available to mothers and babies who need them. In my cases I was informed of the standard risks, etc. that we all have access to on the internet and from our doctors. Unfortunately the discussion may appear to be thorough but I found that not to be the case. I was not told my second son could be manipulated in such a way as to trigger breathing in utero and a subsequent pneumothorax and atelectasis (collapsed lungs) requiring 17 days in the NICU before he could breathe room air. A chest tube in your newborn is not something to take lightly and it was directly related to a section birth. With my daughter I was never informed they might need to use FORCEPS during a c-section...but that's exactly what happened. I hemorrhaged because of them and required a total of 4 units of someone else's blood and I was bruised from stem to sternum. With my youngest son my uterus was termed "irritable" due to the surgical births and after 5 bouts of preterm labor my son was born at 32 weeks. Another NICU baby and all the horror that brings. Almost immediately after his birth I began having horribly painful periods which (graphic) included trying to pa__s clots resembling slabs of liver through a cervix that had never dilated past 1.5 cm. It is called adenomyosis and is caused by uterine surgery. I suffered for a few years of pure hell during which I had to have a hernia repair by the incision. Finally a female OB did some diagnostics and discovered that I had pelvic trauma due to c-sections. My bladder and colon had scarred to my uterus, my tubes and ovaries had endometrial cells on them that are only released into the abdomen during uterine surgery, and the major vessels of the pelvis were injured as well (from the bladder blade) causing pelvic varicosities which puts me at risk in the future for peripheral artery/vessel disease. I had a total hysterectomy and bilateral oopherectomy because of c-sections. NONE of those events were discussed and at first none were connected to cesarean delivery. All in fact, were only caused by c-sections according to my GYN surgeon. I do not say this to scare anyone, I only say it to inform. My female OB/GYN had an emergent section for her first and had a VBAC for her second. I asked her why. She said because she is seeing more and more women just like me. There are no studies out there that follow women several years out from cesarean section other than to state that by middle age the rate of urinary incontinence and pelvic floor dysfunction is approximately equal in both v____al and section mothers. Several women I know had c-sections and again, about 2/3rds are suffering some of the same symptoms I did, heavy, heavy periods with clots, IBS, bladder problems, etc. These things are commonly attributed to v____al birth but apparently to c-section birth as well. I would like to say, I was an elite gymnast competing at the highest level for many years and had a concrete abdomen so it wasn't a fitness issue in my case. Aside from a tiny pelvic region I had no reason for all the subsequent health events that occurred. I now take estrogen every day because I am not supposed to be in menopause. Again, I know there are many prudent reasons for c-section delivery, but I want you to know there are risks that are not discussed during an OB visit, or they are glossed over. During my nurse's training I scrubbed in on some c-sections and witnessed first hand the procedure itself (very rough to the organs) and I saw the spider web-like adhesions and scar tissue in the pelvis of a second section mother. I know this is a lot of info and not what some mothers want to hear but it is the truth as I have witnessed and experienced. I feel if a woman only wants one child this may not be as high a risk, but the other surgical risks are real, tangible, and more common than is let on. I hope you all have wonderful births, with excellent outcomes and I most certainly pray none of you experience what I have. My children are all well now, but the son with the collapsed lungs did suffer a learning disability that required some heavy hitting interventions to get him through portions of school. Just be very wise about choosing a c-section, in my opinion if it isn't necessary, I would not do it.

 

WP - October 15

Wow, djh. What can I say? I'm sorry you had to go through that, and, I guess, continue to go through now. Something for all of us to consider.

 

docbytch - October 15

djh: given the hell you went through...I totally can see where you are coming from. I wonder if there are things my OB knows but isn't saying. She seems to believe c sections are very, very safe... I only hope she is right given I just had mine and I am frankly freaked out about how swollen my legs have become. I am very sorry for what happened to you!!! Like you...I am also an RN and have seen csectons from the other side. It's quite a bloody procedure to say the least...I surely didn't want a play by play when they were doing mine!!

 

djh - October 16

HI ladies...whew! I was so worried there was going to be a bit of vitriol from someone (not you!). It is so refreshing to feel like I could comment and be heard. I think the end game is a healthy infant and as intact a mother as is possible. I could not get a baby out, pure and simple and the c-section saved my life and that of my firstborn. and allowed me to have subsequent children. Interestingly, my mother had sections when they were last resort only. I firmly believe that through natural selection I would not have been here to perpetuate the inadequate pelvis gene. To LindaE, is there a way you can set a birth plan? One where you agree to a timeline for a scheduled induction with an end time for delivery of your baby? I think either way you will use up about the same amount of time you need for your hubby to be at your side. I totally understand that in today's world so much of our life has to be boxed in. I would like to lovingly warn you though, your new baby is going to really turn scheduling upside down so perhaps this will be your first "mommy test" LOL. Good luck on whatever works best for you. WP and docbytch, thanks for the most civil responses I have ever seen on these threads. Pure understanding and sisterhood...nice! Doc, how much fluid did they push with your section and post-op? I too had that weird swelling but only with my first who ended up being done under a general due to length of labor. I was told it was the anesthesia and fluid infusions. Do you have any other s/sx of fluid overload? I think for the most part c-sections are a fairly safe alternative but in a perfect world I think it is safe to say the best mode of delivery is an uncomplicated v____al. Things happen, babies and/or our bodies throw us a curve so all we can do is be our own best advocates and honestly counsel one another. Some of us have our healthy, whole, precious children already and some are awaiting that transition and still have to leap through the mandatory unknown that is labor and delivery. I wish you all the very best and hope that you ask more, accept less at face value, and mostly protect your health now and down the road. Blessings to you all! Oh, docbytch, if I had seen a c-section after I had my first I don't think I would ever have done another ha-ha! At least knowing what it entails validates the pain and sensations one experiences afterward. You are one brave lady and I think given the size of your little one, a true beneficiary of modern obstetrical surgery :-)

 

WP - October 16

Thanks for giving older mothers a good rep, docbytch! My (younger) SIL refused to move after her cesarean and her mother took almost a month off of work to basically be her beside nurse! Unbelievable, eh? I'm a bit freaked out about my baby being big too. My first was 9.4 and it looks like this one is going to be another 9 pounder too. I'll know in a few days - my induction starts tomorrow.

 

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