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Childbirth

Anyone know anything about a section with an extension into the upper section?

7 replies

TinkerbellesMum · 27/06/2008 22:57

Last time they didn't make the cut long enough and had to make a second cut vertically (creating an upside down T shape). I wasn't told that's what they'd done until I had a copy of a letter sent to my GP (we get copies of all correspondence about us from the maternity hospital I am under) and it also said that next time I would need an elective.

Went for booking in today and the doctor said "you had xyz at your last section so you will have an elective this time." There was no discussion or explanation. Doesn't feel very "elective" to me.

My Neonatal MW who used to visit after Tink was sent home said it may be possible to deliver next time and I went to PALS after she was born because I was struggling after the GA and was hoping to fill the gap a bit. They arranged for me to talk some lady who is in charge of delivery or something like that Mum said she remembers her saying that there may be a chance of me being allowed to deliver next time.

I know that the worry for a natural delivery is that the junction of the scar could be under pressure and risks rupture. I've delivered naturally once and laboured naturally with Tink, they only took me in when it was obvious they couldn't stop her coming, she was footling and a rapid progression. I would far rather a natural birth than a section, not because I'm a martyr, I did better after the natural birth than the section which I'm still recovering from 23 months later.

Does anyone know anything about this type of scar, if it really is that bad, if it's worth pushing for etc?

Trust me, if this was a straight forward section I would have no worries about saying I was going for a VBAC!

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justjules · 27/06/2008 23:35

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TinkerbellesMum · 27/06/2008 23:44

Thanks, I only found out last week at 7 weeks, it's still bit of a shock and it was only seeing a little flicker of a heartbeat that's proven it's real to me! I'm symptom free which actually makes things worse with how badly things have gone because I don't have proof that I am pregnant (if that makes sense?)

I'm on the injections and they're starting me on a progesterone gel at 16 weeks to try and prevent an early labour so hopefully it will go easier this time and they've said that they will take me seriously if I tell them I'm in pain this time.

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justjules · 27/06/2008 23:46

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TinkerbellesMum · 27/06/2008 23:58

I'm on Aspirin permanently. On high dose of folic acid because Mum has spina bifida occulta.

Got told off by my GP for not already being on Folic Acid before I got pregnant, but I was actually waiting for my period because I was going to get the jab then spend three months taking folic acid and try and get them to put me on Xenical as my bad back has caused my weight to go up. All so I'd be ready to try again in three months.

Got told off this morning for having not seen my CMW yet and going to antenatal without green notes because they can't do a risk assessment without it.

LOL what is it about being pregnant that makes people allowed to tell you off?

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TinkerbellesMum · 29/06/2008 15:21

Bump

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maxbear · 29/06/2008 21:30

You might have a slightly higher risk of the scar rupturing than someone who has a horizontal incision but it is still not a very high chance.

You need to speak to someone who can look at your notes and then advise you accordingly. If they don't give you a good explanation about why you might need an elective section ask for a second opinion.

I have come across two women who had had previous pre term sections and were told that they should definately have cs in future pregnancies, they went on to have prem babies again and quick easy vaginal births. Both of these women had healthy babies and no scar probs, iirc both babies were born at a later gestation than their siblings. You can never say never, if a baby decides to come at 33 weeks or so they are only going to do a cs if there is a really good reason in case they bring the baby out sooner than it would come of its own accord if you see what I mean.

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TinkerbellesMum · 29/06/2008 21:59

I'm not the greatest fan of the doctor I saw the other day and we'd been there for 4 hours so I probably wasn't as forceful as I could have been.

(I was getting a fuzzy headache when I was pregnant with Tink which I don't and shouldn't get on Aspirin, I mentioned it and she said "You're not taking it for a painkiller, it's not a high enough dose" no, I take it because it thins my blood and if it's not moving very fast through my brain on Heparin and Aspirin something's not right with it! Told my rheumatologist after and she said something like "not all doctors understand this illness properly" so at least someone knew what I was saying.)

I have plenty of time to sort it out, but I've found going in armed can make a big difference in these discussions (had a few with Heparin or not). I've tried looking for stuff but never found anything about the upside down T.

They're saying that there is a new treatment that can lower the risk of premature labour that they will start me on at 16 weeks, so hopefully that will take us a bit further, but both my girls were in a rush!