I'm 26w into my second pregnancy and no closer to a decision on whether I will go for an ELCS. DD1 was a back to back labour, assisted delivery via forceps and episiotomy resulting in a 3rd degree tear. My notes said something about fetal distress and poor maternal effort.
I had to have pelvic floor physio for about 5 months after the birth and thankfully no long lasting effects from the tear. Now leading up to 3rd trimester I am finding issues only if I get constipated (pushing muscles feel weak)
The midwifes and drs have all expressed support for my choice of birth given a previous 3rd degree tear but I am a bit scared of major surgery/ELCS. At the same time I am scared to go through another traumatic birth with a long recovery if my pelvic floor issues mean I will have poor maternal effort which it turn will result in another assisted delivery. This time I may not be so lucky with recovery - could have been worse with prolapse/incontinence/fissures/etc
Maybe my body just births badly and I should just go for ELCS?
Is it possible to just breathe and let a baby come down the birth canal with contractions or is pelvic floor strength to push a baby out absolutely necessary? When they were wheeling me into theatre to prep for EMCS they said DD was coming down with each contraction (no pushing on my part as I was being wheeled in) and by the time we were set up in theatre she'd come too far down for an EMCS anyway.
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Childbirth
Higher chance of intervention or EMCS if first pregnancy had 'poor maternal effort' in notes?
8 replies
LillianFullStop · 01/03/2020 17:27
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