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#1
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Another C-section question...
I do still have tons of time for this, but I'm not sure which way I should
go. First off, I do NOT agree with the elective C-sections at all... But, with that said... With my first, I had an emergency section. It was for a footling breech at, really, the last possible second. Everything was going fine until that moment, and then I was rushed to the OR and put out for an emergency c-section. I didn't have any choice in it at all (obviously) and as it turned out, it was a HORRIBLE experience for me all around. I then had 3 successful vbacs with no issues, although I was monitored for any possible issues of a repeat breech and all that. So now... This is the last one for me no matter what. This one was actually a big "uh-oh... SURPRISE!" pregnancy. I have full intentions to get myself tied up as soon as possible, and my OB told me she can tie my tubes at the same time if I need a c-section. I understand that with a c-section and tubal, it's all in the same area and can be done at the same time, once she's in there anyways. In the past, I have already made it clear to my OB that I will not agree to an elective c-section unless it's an extreme case (like it's a known fact that I'll end up in the OR with another section) but otherwise, I will go in on my own - and even did the castor oil trick that worked with DD1 when my c-section date was set for that next Monday but went in with the help of the lovely castor oil, I'm sure, the Thursday before lol I'm now sitting here and seriously debating my options. I can either hope for vbac #4 in a row or I could go in for a c-section after 1 c-section and 3 vbacs. The things I can't quite make up my mind are... well, first, I just can't fully 'agree' with the elective surgery thing... I also know that recovery time is far longer with a c-section, plus I'm not 16 anymore. Right now, I also still have DS that is up bright and early for school every day, 2 preschoolers and will soon have a newborn to deal with while I recover... Oh, and I'm basically on my own now that N is not going to be around here and I will not have him around here (even if it *seems* to make life easier for me in the short run because I'm not stupid and know it will not make my life easier in the long run) With a c-section, it's not a case of in and out within like 24 hours or less in the hospital as it is with a regular birth. I still have 3 others to deal with every single day and can't do that laying in a hospital room. But... I am set on getting my tubes tied, and I'm wondering if it makes a difference to have it done as soon as possible or wait however long to get it done after - which would then mean a surgery at a later date and recovery time as well... Plus finding a sitter again or someone that can stay with the kids, and leaving a newborn or very small baby with someone for more than a couple hours... Plus, the driving thing - I know you're legally impaired after a general and surgery for something like 24 hours (or is it 48 hours??) Anyways, I'm just stuck on this one... As it is, I will NOT have N in the room with me at the hospital. I doubt I'll even care enough to call him at all, but no matter what, I do not care to have him around me after what he's pulled and continues to pull. I really now don't have much for a coach or partner for delivery... I want and need my mom to take the kids as she's my only real option for that, and I suppose in a pinch I could call a friend, but not sure if I really want to or how comfortable with that I am... I'm just feeling like I'm in such a mess right now and not sure what I should be doing... |
#2
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Another C-section question...
Kat wrote:
With a c-section, it's not a case of in and out within like 24 hours or less in the hospital as it is with a regular birth. I still have 3 others to deal with every single day and can't do that laying in a hospital room. But... I am set on getting my tubes tied, and I'm wondering if it makes a difference to have it done as soon as possible or wait however long to get it done after - which would then mean a surgery at a later date and recovery time as well... Plus finding a sitter again or someone that can stay with the kids, and leaving a newborn or very small baby with someone for more than a couple hours... Plus, the driving thing - I know you're legally impaired after a general and surgery for something like 24 hours (or is it 48 hours??) Anyways, I'm just stuck on this one... Barring some kind of medical indication for a c-section, I think that the vaginal birth wins hands down. You'll bounce back faster (which you need), and no matter how you slice it, c-sections carry more risk to yourself and your baby than a vaginal birth (obviously barring real medical indications for a c-section). C-sections have become safe*er* than they used to be (for which we are all grateful, as there are times when they're necessary), but they are not as safe as vaginal birth. Having your tubes tied can be done laparoscopically and is usually done on an outpatient basis. It seems to be the case that waiting a little bit after the birth improves the effectiveness of the tubal ligation. If you were to end up with a c-section, the small increase in efficacy probably wouldn't outweigh the benefits of getting it all done while they were already in there, but I would think that no way would the risk/benefit ratio work out to suggest you should choose a c-section in order to get your tubes tied at the same time. A c-section is much more extensive surgery than a laparoscopic tubal ligation. You can have a tubal ligation done while you're still in the hospital after a vaginal birth as well, but then you're getting slightly less efficacy, and if you ask me, I sure as heck wouldn't want to be poked and prodded right after giving birth. (I don't imagine a tubal is ever particularly fun, but for me personally, I'd choose to recover and then go back later for the tubal ligation.) Of course, if you're going to be in need of contraception soon after the birth, then maybe it would be good to deal with the tubal ASAP, but otherwise, you could wait and it wouldn't be a huge deal to do the tubal after you'd recovered. Best wishes, Ericka |
#3
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Another C-section question...
First off, I do NOT agree with the elective C-sections at all... But, with that said... That's a bit silly, there are very valid medical reasons for a minority of women to have a c-section, such as placenta previa, prior pelvic surgery, certain heart conditions etc. Obviously the vast majority of people thing that a prior c-section is also a good medical reason for a c-section (I'd tend to disagree, vbac overall looks better when you look at ALL outcomes - though there are still lots of subcategories where the odds swing the other way). You probably fall into the category of vbac being better for both you and baby (and probably even in situations such as going overdue you might both be better to watch and wait, you'd just struggle to get an OB to do that), after all, you've made the decision that way 3 times before. Have you really got all the information on having your tubes tied, like do you know if it's something your OB would do shortly after delivery, even if it was a normal delivery? Some will do that, even push that option. On the total opposite side have you got info on other long term methods of contraception, coil, hormonal coil, implant and injection I think covers it - you can get them 6 weeks after delivery and then you're covered, though the injection I think is 3 monthly, the others are really long term, 5 years I think. Then you'd be covered, whatever happens until you can schedule a tubal when you have time for it. Probably, you won't find the recovery that bad and the more time that passes the more ways there seem to be of doing it and they get even less invasive. Cheers Anne With my first, I had an emergency section. It was for a footling breech at, really, the last possible second. Everything was going fine until that moment, and then I was rushed to the OR and put out for an emergency c-section. I didn't have any choice in it at all (obviously) and as it turned out, it was a HORRIBLE experience for me all around. I then had 3 successful vbacs with no issues, although I was monitored for any possible issues of a repeat breech and all that. So now... This is the last one for me no matter what. This one was actually a big "uh-oh... SURPRISE!" pregnancy. I have full intentions to get myself tied up as soon as possible, and my OB told me she can tie my tubes at the same time if I need a c-section. I understand that with a c-section and tubal, it's all in the same area and can be done at the same time, once she's in there anyways. In the past, I have already made it clear to my OB that I will not agree to an elective c-section unless it's an extreme case (like it's a known fact that I'll end up in the OR with another section) but otherwise, I will go in on my own - and even did the castor oil trick that worked with DD1 when my c-section date was set for that next Monday but went in with the help of the lovely castor oil, I'm sure, the Thursday before lol I'm now sitting here and seriously debating my options. I can either hope for vbac #4 in a row or I could go in for a c-section after 1 c-section and 3 vbacs. The things I can't quite make up my mind are... well, first, I just can't fully 'agree' with the elective surgery thing... I also know that recovery time is far longer with a c-section, plus I'm not 16 anymore. Right now, I also still have DS that is up bright and early for school every day, 2 preschoolers and will soon have a newborn to deal with while I recover... Oh, and I'm basically on my own now that N is not going to be around here and I will not have him around here (even if it *seems* to make life easier for me in the short run because I'm not stupid and know it will not make my life easier in the long run) With a c-section, it's not a case of in and out within like 24 hours or less in the hospital as it is with a regular birth. I still have 3 others to deal with every single day and can't do that laying in a hospital room. But... I am set on getting my tubes tied, and I'm wondering if it makes a difference to have it done as soon as possible or wait however long to get it done after - which would then mean a surgery at a later date and recovery time as well... Plus finding a sitter again or someone that can stay with the kids, and leaving a newborn or very small baby with someone for more than a couple hours... Plus, the driving thing - I know you're legally impaired after a general and surgery for something like 24 hours (or is it 48 hours??) Anyways, I'm just stuck on this one... As it is, I will NOT have N in the room with me at the hospital. I doubt I'll even care enough to call him at all, but no matter what, I do not care to have him around me after what he's pulled and continues to pull. I really now don't have much for a coach or partner for delivery... I want and need my mom to take the kids as she's my only real option for that, and I suppose in a pinch I could call a friend, but not sure if I really want to or how comfortable with that I am... I'm just feeling like I'm in such a mess right now and not sure what I should be doing... |
#4
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Another C-section question...
Kat wrote:
As it is, I will NOT have N in the room with me at the hospital. I doubt I'll even care enough to call him at all, but no matter what, I do not care to have him around me after what he's pulled and continues to pull. I really now don't have much for a coach or partner for delivery... I want and need my mom to take the kids as she's my only real option for that, and I suppose in a pinch I could call a friend, but not sure if I really want to or how comfortable with that I am... I'm just feeling like I'm in such a mess right now and not sure what I should be doing... It looks like you already have answers for your other issues. In the big city nearest to me, among the various Catholic Charities offerings for single moms, there is a program that provides free labor coaches. Maybe your city has similar programs. In my area women working toward becoming certified doulas often volunteer their time or take what the mother can afford. If you check around quickly, maybe you can find good affordable labor support. --Betsy |
#5
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Another C-section question...
It might be a better option to wait until your six-week check up to see
about a tubal. Then, you will be better healed and perhaps your uterus would have had a chance to go back to a more normal size. Intercourse is not recommended until after six weeks, so a pregnancy should not be a concern anyway. Since you do not want another pregnancy, you will need to take precautions to prevent it until you can do something about it. After the check up you might feel much better to undergo the outpatient procedure. -- Sue (mom to three girls) "Kat" wrote in message ... I do still have tons of time for this, but I'm not sure which way I should go. First off, I do NOT agree with the elective C-sections at all... But, with that said... With my first, I had an emergency section. It was for a footling breech at, really, the last possible second. Everything was going fine until that moment, and then I was rushed to the OR and put out for an emergency c-section. I didn't have any choice in it at all (obviously) and as it turned out, it was a HORRIBLE experience for me all around. I then had 3 successful vbacs with no issues, although I was monitored for any possible issues of a repeat breech and all that. So now... This is the last one for me no matter what. This one was actually a big "uh-oh... SURPRISE!" pregnancy. I have full intentions to get myself tied up as soon as possible, and my OB told me she can tie my tubes at the same time if I need a c-section. I understand that with a c-section and tubal, it's all in the same area and can be done at the same time, once she's in there anyways. In the past, I have already made it clear to my OB that I will not agree to an elective c-section unless it's an extreme case (like it's a known fact that I'll end up in the OR with another section) but otherwise, I will go in on my own - and even did the castor oil trick that worked with DD1 when my c-section date was set for that next Monday but went in with the help of the lovely castor oil, I'm sure, the Thursday before lol I'm now sitting here and seriously debating my options. I can either hope for vbac #4 in a row or I could go in for a c-section after 1 c-section and 3 vbacs. The things I can't quite make up my mind are... well, first, I just can't fully 'agree' with the elective surgery thing... I also know that recovery time is far longer with a c-section, plus I'm not 16 anymore. Right now, I also still have DS that is up bright and early for school every day, 2 preschoolers and will soon have a newborn to deal with while I recover... Oh, and I'm basically on my own now that N is not going to be around here and I will not have him around here (even if it *seems* to make life easier for me in the short run because I'm not stupid and know it will not make my life easier in the long run) With a c-section, it's not a case of in and out within like 24 hours or less in the hospital as it is with a regular birth. I still have 3 others to deal with every single day and can't do that laying in a hospital room. But... I am set on getting my tubes tied, and I'm wondering if it makes a difference to have it done as soon as possible or wait however long to get it done after - which would then mean a surgery at a later date and recovery time as well... Plus finding a sitter again or someone that can stay with the kids, and leaving a newborn or very small baby with someone for more than a couple hours... Plus, the driving thing - I know you're legally impaired after a general and surgery for something like 24 hours (or is it 48 hours??) Anyways, I'm just stuck on this one... As it is, I will NOT have N in the room with me at the hospital. I doubt I'll even care enough to call him at all, but no matter what, I do not care to have him around me after what he's pulled and continues to pull. I really now don't have much for a coach or partner for delivery... I want and need my mom to take the kids as she's my only real option for that, and I suppose in a pinch I could call a friend, but not sure if I really want to or how comfortable with that I am... I'm just feeling like I'm in such a mess right now and not sure what I should be doing... |
#6
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Another C-section question...
"Ericka" wrote in message ... Kat wrote: With a c-section, it's not a case of in and out within like 24 hours or less in the hospital as it is with a regular birth. I still have 3 others to deal with every single day and can't do that laying in a hospital room. But... I am set on getting my tubes tied, and I'm wondering if it makes a difference to have it done as soon as possible or wait however long to get it done after - which would then mean a surgery at a later date and recovery time as well... Plus finding a sitter again or someone that can stay with the kids, and leaving a newborn or very small baby with someone for more than a couple hours... Plus, the driving thing - I know you're legally impaired after a general and surgery for something like 24 hours (or is it 48 hours??) Anyways, I'm just stuck on this one... Barring some kind of medical indication for a c-section, I think that the vaginal birth wins hands down. You'll bounce back faster (which you need), and no matter how you slice it, c-sections carry more risk to yourself and your baby than a vaginal birth (obviously barring real medical indications for a c-section). C-sections have become safe*er* than they used to be (for which we are all grateful, as there are times when they're necessary), but they are not as safe as vaginal birth. I do definitely agree with this. I also know that I don't take to a general very well at all. Well, going to sleep is just fine, but waking up is NOT alright with me, as I found with that first, and only, emergency c-section. Having your tubes tied can be done laparoscopically and is usually done on an outpatient basis. It seems to be the case that waiting a little bit after the birth improves the effectiveness of the tubal ligation. If you were to end up with a c-section, the small increase in efficacy probably wouldn't outweigh the benefits of getting it all done while they were already in there, but I would think that no way would the risk/benefit ratio work out to suggest you should choose a c-section in order to get your tubes tied at the same time. A c-section is much more extensive surgery than a laparoscopic tubal ligation. You can have a tubal ligation done while you're still in the hospital after a vaginal birth as well, but then you're getting slightly less efficacy, and if you ask me, I sure as heck wouldn't want to be poked and prodded right after giving birth. (I don't imagine a tubal is ever particularly fun, but for me personally, I'd choose to recover and then go back later for the tubal ligation.) Of course, if you're going to be in need of contraception soon after the birth, then maybe it would be good to deal with the tubal ASAP, but otherwise, you could wait and it wouldn't be a huge deal to do the tubal after you'd recovered. Those that I know that have had a tubal went in for the surgery. They were put out completely, the procedure was done and then they were sent home shortly after. It didn't take too long from when they were in until they were sent on their way, and I was told that it was fairly straight forward. I guess you're probably right... The c-section, I know, I had a fairly long recovery time with it. It was a month before I even went back to classes after, and for a while, I was not in good shape at all. Maybe it would be best to wait until after to get it done. There really won't be any need for contraception after the birth. I'm done with the drama and issues that N brings with him and I'm not having him around any time soon, and there DEFINITELY won't be any need for birth control right after unless I turn asexual and manage to reproduce with myself Best wishes, Ericka |
#7
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Another C-section question...
"Anne Rogers" wrote in message ... First off, I do NOT agree with the elective C-sections at all... But, with that said... That's a bit silly, there are very valid medical reasons for a minority of women to have a c-section, such as placenta previa, prior pelvic surgery, certain heart conditions etc. Obviously the vast majority of people thing that a prior c-section is also a good medical reason for a c-section (I'd tend to disagree, vbac overall looks better when you look at ALL outcomes - though there are still lots of subcategories where the odds swing the other way). I mean elective as in, "I don't want to do it the old fashioned way, so please schedule me for a section". Not some kind of medical reason. There are people, I know, that will simply decide they don't want to go through the whole labor and delivery and just want to go for a c-section because the option is there and available. Not the ones that HAVE to or should have a c-section for valid reasons - like the medical conditions or concerns. You probably fall into the category of vbac being better for both you and baby (and probably even in situations such as going overdue you might both be better to watch and wait, you'd just struggle to get an OB to do that), after all, you've made the decision that way 3 times before. I'm sure I would as well, and 3 vbacs on my side is probably more of a bonus for me. For some reason, it seems my OB (that I've had for years now - she wasn't my OB for the first, but she did the delivery, which was the emergency c-section, and then she was my OB from that section on... She also delivered 3/4 for me, but was on vacation, I believe, when DD1 was born) will not let me go very far over due. I don't know why. With #1, he was born via c-section when I went into labor on my own just 2 days after my EDD. With #2, she had me scheduled for induction when I was 7 days over due but I wasn't induced due to no beds being available, but actually went in that very night on my own in labor. And I was scheduled for induction as this will be 8 years ago at the end of this month and I don't think there was as much info about induction after c-section as there is now. She had me scheduled for surgery with #3 for a Monday, which was 8 days after my EDD, and my due date was on a Sunday. With #4, I think I was due on the 30th of the month, she said she'd see me no later than Halloween Day, a day after my EDD, and I would have a Halloween baby at the very latest. Yet she was born a week early. Have you really got all the information on having your tubes tied, like do you know if it's something your OB would do shortly after delivery, even if it was a normal delivery? Some will do that, even push that option. Not really. I know she will do it for me, though. I don't know when, exactly, or how long I'd have to wait, though. I believe it's 3 babies that they will do a tubal at, or if you can convince them sooner. There's not many that will do a tubal (to my knowledge) with 1-2 children (unless, of course, there's some sort of circumstance) I had a friend who had to convince her OB to do it. She was having a c-section anyways and this was only her second baby, but when she asked the OB to do it, the OB kind of refused and said they normally do it after baby #3. She was told that a tubal is somewhat "permanent", and although free to have it done, it is costly to have it reversed. The OB also told her she could meet someone wonderful and want to have more children, bla bla bla. This friend then told her OB that she's about to be a single mother of 2 with 2 different fathers and neither of the fathers being around and she's had lots of time to think about it and this IS what she wants. If she happens to meet someone fantastic, they're going to have to accept that she is not having any more children, or he's going to have to be real rich! She did have it done. On the total opposite side have you got info on other long term methods of contraception, coil, hormonal coil, implant and injection I think covers it - you can get them 6 weeks after delivery and then you're covered, though the injection I think is 3 monthly, the others are really long term, 5 years I think. Then you'd be covered, whatever happens until you can schedule a tubal when you have time for it. Probably, you won't find the recovery that bad and the more time that passes the more ways there seem to be of doing it and they get even less invasive. Cheers Anne I've looked around at other possibilities. I want something that is considered, basically, forever and permanent. I do NOT want any more. I'm already a single mom now, and it appears the kids' dad is a deadbeat. I'm already struggling with the 3, and now have to add #4 to the mix, and I just could not handle another one. Even in the future. I also think that DS is turning 8 in a couple weeks. A few years down the line, this baby will be older, DS will be pushing into the pre-teen ages and I do not care to start ALL over again with the diapers, pregnancy, lack of sleep, insanity. This pregnancy was even a bit surprise that kind of hit me hard. This isn't what I had planned, really, and I don't. Most contraceptives seem to be by perscription. At least with a tubal, it's completely free to have done, but with a perscription I would have to pay (yea, ok, every 5 years or so probably isn't a big deal, but again, a tubal is free) I just want to really cut the chances of another "SURPRISE!!!" down to almost nothing. With my first, I had an emergency section. It was for a footling breech at, really, the last possible second. Everything was going fine until that moment, and then I was rushed to the OR and put out for an emergency c-section. I didn't have any choice in it at all (obviously) and as it turned out, it was a HORRIBLE experience for me all around. I then had 3 successful vbacs with no issues, although I was monitored for any possible issues of a repeat breech and all that. So now... This is the last one for me no matter what. This one was actually a big "uh-oh... SURPRISE!" pregnancy. I have full intentions to get myself tied up as soon as possible, and my OB told me she can tie my tubes at the same time if I need a c-section. I understand that with a c-section and tubal, it's all in the same area and can be done at the same time, once she's in there anyways. In the past, I have already made it clear to my OB that I will not agree to an elective c-section unless it's an extreme case (like it's a known fact that I'll end up in the OR with another section) but otherwise, I will go in on my own - and even did the castor oil trick that worked with DD1 when my c-section date was set for that next Monday but went in with the help of the lovely castor oil, I'm sure, the Thursday before lol I'm now sitting here and seriously debating my options. I can either hope for vbac #4 in a row or I could go in for a c-section after 1 c-section and 3 vbacs. The things I can't quite make up my mind are... well, first, I just can't fully 'agree' with the elective surgery thing... I also know that recovery time is far longer with a c-section, plus I'm not 16 anymore. Right now, I also still have DS that is up bright and early for school every day, 2 preschoolers and will soon have a newborn to deal with while I recover... Oh, and I'm basically on my own now that N is not going to be around here and I will not have him around here (even if it *seems* to make life easier for me in the short run because I'm not stupid and know it will not make my life easier in the long run) With a c-section, it's not a case of in and out within like 24 hours or less in the hospital as it is with a regular birth. I still have 3 others to deal with every single day and can't do that laying in a hospital room. But... I am set on getting my tubes tied, and I'm wondering if it makes a difference to have it done as soon as possible or wait however long to get it done after - which would then mean a surgery at a later date and recovery time as well... Plus finding a sitter again or someone that can stay with the kids, and leaving a newborn or very small baby with someone for more than a couple hours... Plus, the driving thing - I know you're legally impaired after a general and surgery for something like 24 hours (or is it 48 hours??) Anyways, I'm just stuck on this one... As it is, I will NOT have N in the room with me at the hospital. I doubt I'll even care enough to call him at all, but no matter what, I do not care to have him around me after what he's pulled and continues to pull. I really now don't have much for a coach or partner for delivery... I want and need my mom to take the kids as she's my only real option for that, and I suppose in a pinch I could call a friend, but not sure if I really want to or how comfortable with that I am... I'm just feeling like I'm in such a mess right now and not sure what I should be doing... |
#8
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Another C-section question...
"betsy" wrote in message ... Kat wrote: As it is, I will NOT have N in the room with me at the hospital. I doubt I'll even care enough to call him at all, but no matter what, I do not care to have him around me after what he's pulled and continues to pull. I really now don't have much for a coach or partner for delivery... I want and need my mom to take the kids as she's my only real option for that, and I suppose in a pinch I could call a friend, but not sure if I really want to or how comfortable with that I am... I'm just feeling like I'm in such a mess right now and not sure what I should be doing... It looks like you already have answers for your other issues. In the big city nearest to me, among the various Catholic Charities offerings for single moms, there is a program that provides free labor coaches. Maybe your city has similar programs. In my area women working toward becoming certified doulas often volunteer their time or take what the mother can afford. If you check around quickly, maybe you can find good affordable labor support. --Betsy I called the line about community services we have here... They're like a 'distress line' and have info on everything from counsellors to places to get food and necessities and everything in between. I asked if there was anything that I could possibly get help from and there was this place called something like "Association for Safe Alternatives in Childbirth" and I called and left a message a few days ago. The machine said they check messages on a weekly basis only, so I will wait until the end of this week coming up and hope they can offer some help for what I need, or be able to point me in the right direction. This 'distress line' place I called for the city offers info on very low-cost or free services, they don't really give info on things that normally cost or are for-profit, so maybe this Association place might be a good start. |
#9
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Another C-section question...
Those that I know that have had a tubal went in for the surgery. They were put out completely, the procedure was done and then they were sent home shortly after. It didn't take too long from when they were in until they were sent on their way, and I was told that it was fairly straight forward. I guess you're probably right... The c-section, I know, I had a fairly long recovery time with it. It was a month before I even went back to classes after, and for a while, I was not in good shape at all. Maybe it would be best to wait until after to get it done. There really won't be any need for contraception after the birth. I'm done with the drama and issues that N brings with him and I'm not having him around any time soon, and there DEFINITELY won't be any need for birth control right after unless I turn asexual and manage to reproduce with myself I'm I hearing you right that the general anesthetic is the big deal for you? Remember that being knocked out for an emergency c-section is not the same as being out for a minor procedure. Also, each anaethetist will have different preference of drugs and exact methods and if you explain the problems from last time, they may also be able to make choices based on that. For a tubal, I think you'd be out about 15 minutes, a c-section is more like 45, longer anesthetics are more likely to give trouble in general, it might not seem like much difference, but the amount of drugs they give to keep you under will be obviously be significantly greater. I think you really need to talk to your doctor about your options, someone mentione essure and even procedures that are usually done under a general can often be done under a spinal with a motivated patient, so you could ask about that too. Cheers Anne |
#10
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Another C-section question...
I mean elective as in, "I don't want to do it the old fashioned way, so
please schedule me for a section". Not some kind of medical reason. There are people, I know, that will simply decide they don't want to go through the whole labor and delivery and just want to go for a c-section because the option is there and available. Not the ones that HAVE to or should have a c-section for valid reasons - like the medical conditions or concerns. Elective is doctor speak for their list of planned surgeries for the day, you could have an "elective" section that was actually more of an emergency than an "emergency" one, if, say there was a deteriorating situation, but they had you admitted for observation whilst adding you to the list for the next day, the women with a slow labour overnight might get in sooner and be considered an emergency! I'm sure I would as well, and 3 vbacs on my side is probably more of a bonus for me. For some reason, it seems my OB (that I've had for years now - she wasn't my OB for the first, but she did the delivery, which was the emergency c-section, and then she was my OB from that section on... She also delivered 3/4 for me, but was on vacation, I believe, when DD1 was born) will not let me go very far over due. I don't know why. With #1, he was born via c-section when I went into labor on my own just 2 days after my EDD. With #2, she had me scheduled for induction when I was 7 days over due but I wasn't induced due to no beds being available, but actually went in that very night on my own in labor. And I was scheduled for induction as this will be 8 years ago at the end of this month and I don't think there was as much info about induction after c-section as there is now. She had me scheduled for surgery with #3 for a Monday, which was 8 days after my EDD, and my due date was on a Sunday. With #4, I think I was due on the 30th of the month, she said she'd see me no later than Halloween Day, a day after my EDD, and I would have a Halloween baby at the very latest. Yet she was born a week early. You have to wonder if she was going on holiday in November! Fingers crossed you'll have a baby sometime in week 39, but 1 day over is a bit of a dumb reason for a c-section, maybe she's not really understanding you and is suggesting it more out of sympathy about not being pregnant for a week longer or something. Personally in this kind of situation I'd make it clear that I don't consider 1 day over to be overdue at all, WHO states normal pregnancy is upto 42 weeks. If that wasn't enough I'd add that I'd want at least two tests to verify that delivery really was necessary (it's very easy to convince someone that a single NST is enough of an indicator to deliver, if that's what the doctor wants to acheive!) and add something about "before you CONSENT" to it, basically trying to politely hammer home that she doesn't get to decide, she gives you the facts and you make the decision! Good Luck Anne |
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