Last pregnancy - what about tying tubes after birth?

[MrsAmelia]

Hi Ladies,

For those who are pregnant and birthing their last child, and don’t want to risk pregnancy again, how will you manage birth control??

• Tubes tied? If so, will you request procedure take place immediately after giving birth? Have you already discussed with Midwife? Consultant?
  

• Birth control with implant?
  

• Pill?
  

I’m booked for a c-section in three weeks and this is our last (third) child. I am not sure about birth control, but definitely want it sorted asap (we are a super fertile couple 🤦‍♀️). I don’t want to worry later or be surprised.

I was considering asking to have my tubes tied but don’t know ... maybe an implant is better? I’m 42, if that matters (so peri menopause is around the corner)

Comments? Thoughts? Experiences?

[snitzelvoncrumb]

I had my tubes tied during my c sect. It was also a third baby, I was 37 at the time. I'm glad I did.

[Hothammock]

After kids I had enough of body interference and was certainly not going to start taking hormonal contraception as it just doesn't go well with me.
So dh had a vasectomy.

[stopchewingeverything]

Im a midwife and in your situation if i was totally sure this was my last baby, I would ask for my tubes to be removed at my C/S. There is some research to suggest that having your tubes removed as opposed to tied can reduce your risk of ovarian cancer later in life (I don't have a link to the research but the docs i work with quote it when consenting patients).

[Maxwillpop]

Im having a c/s in 5 wreks and ive requested to be sterilised during the section as im already un there makes sense to get it sorted. This is definitely my last baby so works perfectly for us

[mistletoeprickles]

I'm a c section in 6 weeks and the clips are going on whilst their in there!
I don't handle hormonal contraception well so it makes perfect sense to have it all done at once. However I've been warned that if it turns into an emergency section, I.e I go into labour before my actual section date they won't do it. I suppose this could vary depending on where you are though

[Thegirlhasnoname]

DH is planning on getting a vasectomy.

Guys and St Thomas’ have a leaflet online about getting sterilised during a section and it quotes a stat that you’re 10x more likely to get pregnant from having your tubes tied than you would be if your partner got the snip. We’re both keen for this pregnancy (2nd baby) to be the last addition to our family and due to a history of clots, I’ve been advised to definitely not take hormonal contraceptives by my consultant.

I only worry that the doctors will get lots of pushback as DH is only 31 and I am 29. We definitely know we’re done and don’t want any surprises though!

[NameChange30]

If I was having a c-section I would ask to be sterilised after, makes sense to have it done at the same time.

I am hoping for a vaginal birth so I think I will probably go for something like the coil or implant afterwards. I would like it if DH got a vasectomy but that's his choice of course so I'll have to see how he feels.

We are not super fertile - no contraception failures and it's take us quite a few months to conceive each time - so I'm not worried about accidental pregnancy if we use contraception. But I absolutely do not want another!!

[THNG5]

I had my tubes tied during my section of my third in 2019.

I just gave birth to my 4th by section yesterday! It really doesn't always work!

[Frazzlerock]

My consultant has asked me a couple of times if I want to be sterilised during my c-section. I did give it a lot of thought but decided not to in the end. She did say that lots of women regret it, but it is easier to do during c-section than going in again afterwards.
She also said they need to know by 20 weeks, so not sure if its too late for you? Might be worth asking if you're serious about it. You will need to speak to your GP about it though to make sure you are certain.

[TobysMum16]

I’ve been wondering about this. Having my second and don’t want anymore. Husband is happy to have a vasectomy, but do you know if there is a long wait to have this done on NHS?
I’m thinking if there is a wait I’d need to use something as a stop gap, but not sure what. Husbands not good with condoms, I’m reluctant to go on pill or something as it will make periods return and could do without that. (I breastfed after my first baby and didn’t have a period for 14 months, it was lovely. Knowing my luck though if I didn’t use anything with this one I’d get pregnant right away!) Not sure what to do really..

[NameChange30]

A vasectomy doesn't work immediately anyway, you have to use additional contraception for a while afterwards.

So you'll have to use something whether it's condoms, the pill, coil or implant.