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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To be petrified that I am now facing a C Section? Any advice, hints or tips gratefully received

100 replies

SadAndWorried1 · 18/01/2014 21:32

I am currently 35 weeks pregnant with my 2nd child. My DD will be 2 years old at the end of January and I know that we are so blessed to be in this position now after a long history of infertility and recurrent miscarriage. I had a natural (and long!) back-to-back labour with my daughter, ending in epidural and ventouse delivery.

However, this time I have excess fluid and the baby is still breech. The consultant thinks that it is unlikely he will get into a good position for birth as he has too much fluid to move around in. They have said that my options will be ECV (turning the baby from outside) and then a quick induction to try and get baby out before he turns back or a c-section.

I don't fancy the ECV as I have read it can distress the baby and I have also read that inductions often end in c-sections anyway. All that matters to me is that the baby is safe and well. Therefore, I am facing a C-section and it absolutely terrifies me. I think it is the thought of the operating theatre and being cut open as well as, what I imagine to be, a very painful recovery and long hospital stay.

The baby also has to go to special care to have a tube passed down his throat to make sure there is nothing wrong with his digestive system (hence causing the build up of fluid). This is also a really upsetting thought for me as I imagine he will be taken away from me straight away.

Does anyone have any similar experiences or any advice regarding C-sections. Anything at all would be very gratefully received.

OP posts:
BohemianGirl · 18/01/2014 21:37

Don't be afraid. Its infinitely better than shoving a bowling ball down a smartie tube. Trust me on this. I come from the position of a ventouse, failed delivery, emergency c/s and two elective c/sections. I'd take the elective any time over a hairy bloke with a sink plunger up my nethers.

plannedshock · 18/01/2014 21:41

I had breech baby, unsuccessful ecv, then c-section. It was fine, I wish I knew then what I know now I would of relaxed so much more.
My recovery was super quick, and not too much pain if you want to know anything in particular or even the whole procedure just let me know!!

Jojay · 18/01/2014 21:41

My experience was a bit different as I had an emergency CS under GA when I had my twins.

The recovery wasn't nearly as bad as I thought it would be. The first day was very uncomfortable but it eased quickly and within a day or two I was walking around pretty normally, just keep up with the pain relief, but the pain from the 2nd degree tear from DS2 was worse for longer.

My twins were in special care for a few days too and although it was tough at the time, it was a blessing as I was able to recover a bit better without them. I expressed for them and by day 5 we were all home and they latched on like pro's.

GobbySadcase · 18/01/2014 21:43

On a practical level. Post section:

Have a pillow nearby for the first week or so. If you want to sneeze, cough or laugh use the pillow to hold against your scar. Really helps.

Use lavender essential oil in your bath for its antibacterial properties.

After bathing use a hair dryer on a cool setting to dry your scar area. Much easier than patting dry.

If you need to pick up your toddler for cuddles it's easier sitting down and almost sliding them up your leg rather than using your abdomen.

Bear in mind all sections vary. I was able to drive 2 weeks after my second, but not after the first and third.

Good luck Smile

Showy · 18/01/2014 21:48

I'll copy and paste something I wrote in reply to somebody a couple of months ago re having a CS...

"A cs is nothing to worry about. Really, it's not scary. More than anything it's just weird. You'll have brilliant staff around you who do this many times a day. Their priorities are you and your baby and keeping you safe and healthy. A cs is not the poor cousin of a vaginal birth. You have choices within what's happening and it can be as positive and life-affirming as a vaginal delivery. You can choose your music, you can have the screens lowered at the point of delivery, you can have skin to skin straightaway. My DH even watched my second cs from beginning to end. It was a quiet, calm and very positive experience.

Everything will be explained to you first, you'll meet the surgeon and the anaesthetist well beforehand and they'll let you ask any questions but a quick run through...

Like I said, it's more weird than anything else. You'll be trussed up in support stockings, cannula in place and then you'll have the spinal put in. You sit on the side of the bed, hunched over a pillow, sort of pushing out your lower back. They'll give you some local anaesthetic which is like little bee stings and then they'll do the spinal. You can feel some pushing and pressure and the actual spinal taking effect feels like somebody pouring water down your legs. You'll then have time to lie back on the bed before the numbness sets in and you won't be able to move from about your chest down. You can still move your arms though, but they'll tuck them in under a sheet to keep you still and warm. Your anaesthetist from this point stays above your head, will talk throughout and will generally, ime, be lovely.

You'll be wheeled through to theatre where they'll check you're totally numb and do a little bit of prep. They will talk to you and tell you what happens next and then they'll start. They'll put in a catheter too but you won't feel that. There is no pain whatsoever but you can feel what is happening during the actual removal of the baby. Somebody once told me it feels like you're a handbag and somebody is rummaging in you for some keys. This is SO true. You do feel pressure and pushing, right inside you and up into your chest. From incision to the baby being out takes a couple of minutes. Really, it's very quick indeed and soon that baby is appearing over the top of the screen. You'll be so preoccupied with the new baby, you can have cuddles and skin to skin, you won't really be aware of the rest of it. It takes about half an hour to finish stitching all the layers but it whizzes by. You might feel odd, intermittent pressure on your legs. They put these self inflating boots on them and they encourage blood flow and circulation. It just feels like somebody squeezing your lower legs a bit. Apart from that, you'll feel v little during the stitch up.

Then you'll be wheeled into recovery and you will be looked after by a member of recovery staff but your anaesthetist will stay for a while too, just to check you're okay. You'll have the baby tucked in with you at this point and you can bfeed if you want. They'll give you some water too. You'll have a drip up rehydrating you (you'll have been nil by mouth for a while) but that first drink is lovely. You'll find too that you can move around by now. You can wriggle your feet and bend your knees and normal sensation returns really, really quickly. No pain though. They usually give you some morphine into your cannula and a suppository once you're stitched so you're painfree once feeling returns. Of course, if you have any discomfort, ask and they'll sort you out. I found I was quite chilly in recovery and also the spinal/morphine can make you a bit shaky. Plus all the adrenalin is rushing through you. Don't be scared if you feel shaky at all. It will pass and the anaesthetist can give you something to stabilise your blood pressure then too. You may be fine but it's worth knowing that you can feel a bit wobbly.

Once they're satisfied you're okay, they'll wheel you back to the ward. All this time your baby won't have left your side and it whizzes by so, so quickly.

They will encourage you to get up fairly quickly. Few hours post op if you can. I had ds at 3.30 and was up and sitting in a chair for dinner. It is best to get up and move around a bit as soon as you feel able.

What else?

You might have to self inject blood thinners for 7 days as a precaution. They're rolling this out in all hospitals but it isn't everywhere yet. It's fine, they'll show you how.

If you need pain meds (I never did), take them on time and don't let yourself get uncomfortable first. They'll probably give them to you and you can administer them yourself instead of having to call for them.

If you get pain in your shoulder, like you've slept oddly, it's trapped air from the op. It's common and your bowel will be a tad sluggish at first so you won't pass wind normally on day one. Peppermint capsules in water will remove the discomfort SO quickly. Just ask the staff.

They will monitor urine output before you can be discharged. You'll have to do your first 3 wees post catheter removal in a jug and record the amounts (you don't have to show anybody).

Catheter was in for about 6hrs post op for me both times. Soon as you can get up and use the loo, they take it out. Totally painless.

The earliest they tend to discharge is day 2, with day 1 being the day of the op but most places keep you in 2 nights as routine.

When you stand up at first, it'll feel like you're going to tear. It's just an odd sensation, not painful. Do stand up straight though and try not to hunch and shuffle. The feeling will pass.

Wear big cotton knickers which don't sit on your knicker line and sometimes a sanitary towel in your knickers against the wound can help you feel more comfortable.

Type of stitches depend on the surgeons preference. I had one long stitch with a bead at each end, removed at home on day 5 by the midwife. Again, this just feels weird.

Careful coughing and sneezing. They physio will show you how to brace yourself so you don't strain your incision. Physio will come and see you the day after the op to talk about recovery.

You will be advised to not do any exercise until 6 weeks and then only v gentle stuff. Proper cardio stuff will have to wait until 12 weeks. When you sit up too, use your arms, not your stomach muscles. Roll onto your side and push up on your arms and swing your legs off the bed. It just avoids you straining the muscles too soon.

Lots of fruit afterwards. Bowels will be a bit sluggish at first, so encourage everything to be soft and mobile as much as possible. Don't be afraid to poo though!

Nothing in the bath at first. No bubble bath. Bit of tea tree or salt fine though. Let your wound air dry or v gently pat.

I think I'll shut up now. If I think of anything else, I'll post again.

It's really not frightening at all."

noswingpark · 18/01/2014 21:49

I had an emergency csection with my 4th. It came as a shock after 3 easy labours (no stitches/pain relief/assistance). But like you I had too much water. They induced me at 38wks but baby's head was floating and he was back to back but at an angle. After 3 days and my waters going I got an infection and had a pulse of 180. They rushed me down. It wasn't too bad. The worst part for me was I had a bad reaction to he diamorphine they injected into my spine and I was very sick. I had the csection at 1.30am and stopped being sick at 10 after the anaesthetist came up from theatre to administer a drug. After that I was fine walking about. Once the catheter came out a few hours later even better. I went home the next day. Then on day five the midwife came and took my stitches out. It felt just like someone running their fingers over your lower stomach a bit of a tickle even! My baby was big for 2wks early 10lb 7oz so I'm glad I didn't have to push him out.
Sorry for it being so long!

PoshPenny · 18/01/2014 21:50

I thought the worst thing about the C section was not being being able to drive for 6 weeks afterwards. Please don't worry yourself to death about it. of course it's a bit uncomfortable and painful afterwards, but then I would presume that is exactly so even if you were fortunate enough to manage a wonderful natural vaginal birth without any tearing which many don't.

if you can organise a grandma to come and help afterwards for a week or so, but again that would be great after any birth...

Weelady77 · 18/01/2014 21:50

Only advise I can give you is take your painkillers on the dot without fail, good luck you will be grand Smile

bamboobutton · 18/01/2014 21:51

My elcs was a breeze! The theatre staff were fun and chatty and it was pretty relaxed.

it feels a bit odd as you can feel the sensation of them rummsging about but apart from that it was ok.

i was out of hospital after 2 nights and recovered much quicker than i did with my emcs.

if you can i would insist on having disolvable stitches, i had no end of problems with the removable ones with beads at the end, gaping hole, infections ,seepage, not nice!

HorseyGirl1 · 18/01/2014 21:53

had a c with my PFB. Complicated history not for here but anywhoo, baby was breech. They initially planned to turn and then induce afterwards around 37 weeks but took look at huge bump and tiny me and said did I want a C. Why yes, kind doc I certainly do! Please don't worry the recovery isn't as bad as you might expect. Agree that you need to keep on top of pain relief at start but it healed very quickly and I had no problems with it at all. I understand that everyone's experience is different but I would ask for one if I'm lucky enough to become pregnant again. Had C on Mon and home on Wednesday aft so not long stay either.

Koothrapanties · 18/01/2014 21:54

This may sound strange, but I really enjoyed my c section! I would do it again tomorrow! It was a bit surreal, but actually really beautiful. The recovery was fine, much much easier than being 39 weeks pregnant IMO! Having your beautiful newborn to look after really takes your mind off any pain. I stopped taking my painkillers in less than a week because i didn't need them.

Agree with the tips above. Definitely make sure you get peppermint oil capsules for trapped wind. The trapped wind pain was more painful than the surgery!

Good luck op :) you will be fine.

Amber76 · 18/01/2014 21:54

I've had two sections - both planned. The operation is absolutely fine - feel a prick in your hand when the put in some tube (can't remember what for) and a prick in your back when they put in spinal. And then no discomfort or pain after that - seriously, my root canal was far worse!! Some strange sensations when they pull baby out but nothing unpleasant.
I was a bit sore the first day but then okay after that - just a bit sore in the abdomen area but nothing painful as such.
I honestly think that if men could have babies they'd all have sections!

Say it to the doctors just before the section that you want a cuddle with your baby before they take him - good luck!

Inkspellme · 18/01/2014 21:55

I've had 2 sections (one due to breech). A planned section is the easier to recover from as your body isn't tired from labour first. Recovery was fine. After the first couple of days it is a matter of keeping up with effective painkillers.

The best bit of advice I was given was that just because I felt no pain just meant the painkillers were working and I still needed to take it easy.

Second the advice about the pillow -really helped me.

MummyPigsKnickers · 18/01/2014 21:56

Everything Showy said! I couldn't put it better than that...I've had three sections, don't be afraid, listen to everything they tell you and you will be fine. Good luck OP, it'll be all over and done with and your baby will be with you sooner than you think x x

SignoraStronza · 18/01/2014 21:57

What everyone else said. Re the tube thing, I was able to have lots of cuddles with dc (and first feed - no-one told me not to) before the paediatric nurse came in and apologised profusely that the doctor couldn't come over to the room to do the procedure, as was really busy on the ward. Dh was very welcome to accompany dd (which he did) and they were gone for all of five minutes. They asked him if he wanted to watch, but heppolitely declined, as he's not keen on medical stuff. Really isn't anything to worry about ime.

ladytyndale · 18/01/2014 21:57

I've had 3 emcs (yes you'd think I'd learn & go for elcs, but I've always been stubborn!) & I agree the worst bit is not being able to drive afterwards. On the plus side, I was told not to hoover either, so that was a job delegated to DP. Honestly its not that bad - I had no bad experiences, now I've got a lovely neat scar and 3 (sometimes) wonderful DC.

Fancyashandy · 18/01/2014 21:58

TBH, I felt more long term pain and discomfort with a vaginal birth then I did with an EmCS. An elective CS should be even better.

Don't worry too much, it's not all doom and gloom. And my baby had a beautiful shaped head compared to the cone shaped head with the forhead pushed out of alignment that the vaginal birth left behind.

Should have just got a tummy tuck atbthebsame time and I'd have been sorted!

Good Luck!

WidowWadman · 18/01/2014 21:58

Get yourself really big knickers and plenty of maternity towels. Use maternity towel as cushion over scar to prevent knickers waistband from irritating scar.

Take your painkillers - not only when it hurts but following timed intervals, so pain can never really build up.

Fancyashandy · 18/01/2014 21:59

And I was skin to skin straight away and BF no problem.

BonaDrag · 18/01/2014 21:59

I had one and I'm a total wimp. Honestly, it's different for everyone but I was fine. You get lots of excellent pain relief :o

If you BF, try and do so lying down for the first week or two. And try not to reach or bend over. You'll be just fine.

FourEyesGood · 18/01/2014 22:01

I can only echo what others have said. My CS was planned (low-lying placenta) and I read all the advice on MN beforehand. It's hard when you've already got a DC. My DS was pissed off enough about us ruining the little family unit; me not being able to pick him up for weeks afterwards must have seemed like adding insult to injury!

WorrySighWorrySigh · 18/01/2014 22:02

I had 3 CS. The first was done as an emergency after a long labour. The second and third were elective.

The middle one was really great. A wonderfully relaxed experience. We sat and read the paper then got called down. Recovery afterwards was very straightforward.

Third was only made difficult because I had a major chest infection (flu season) so coughing, which I did a lot, was painful.

Top tips:

  • dont look up into the light when you are in theatre (it is a mirror so you will get a better view than you need)

  • dont forget your camera

Ragwort · 18/01/2014 22:02

Agree - I had a EMCS, honestly it was a breeze Grin - I had no pain, no scar Confused, no problems at all. Recovery was fine, the night I got back from hospital I was up and about, cleaning, cooking - my DH kept telling me to sit down but I was so full of energy that I wanted to keep going. There was no problem with driving, it is an urban myth that you can't drive for 6 weeks (but please double check with your own insurer).

I can't help but think that recovery from a vaginal birth would have ten times as bad (I never wanted a second child - but nothing to do with how I gave birth Grin).

Of course, everyone is different, but really, it is nothing to worry about Smile read about some of the horrific VB stories.

Laquila · 18/01/2014 22:04

I had an EMCS after a VERY long back-to-back labour that just wasn't going anywhere, and it was nowhere near as traumatic as I'd thought it would be (not that I ever really believed throughout my pregnancy that I'd end up with a C-section!)

The whole process, once I'd signed the consent form, seemed to fly by - the worst bit was the discomfort of having the catheter fitted! I was on the operating table within minutes and the whole team were so lovely and made me feel so relaxed about the whole thing. The best way I've heard it described is "like someone doing the washing up in your stomach" - so true! It was a very odd feeling but I honestly don't remember it as painful. As soon as my boy was out the euphoria set in anyway :)

I was up and about the morning after and although I felt very stiff and a little bit groggy, I was uncomfortable rather than in pain, and the grogginess was probably more due to the exhaustion after the insanely long labour rather than the op itself. After a shower I felt like a new person, and found that as long as I kept myself topped up with ibuprofen and paracetamol (or codeine - can't remember), the pain honestly wasn't that bad. I certainly didn't feel that I was in a worse position, recovery-wise, than anyone who'd given birth vaginally. I wad diving again after a bout three weeks, I think, and probably could have driven before then but my mum was brilliant about chauffeuring me round so I made the most of it :) I also took her up on all her offers of cooking, cleaning and bringing round M and S sandwiches!

FWIW, I'd consider an ELCS next time round.

There are loads of great threads on here about sections (including the one that Showy originally posted the excellent above advice on) - I'd advise you to have a good search on here.

Crucially - buy granny pants! ;)

GobbySadcase · 18/01/2014 22:07

Reminds me of when I had ds2. They held him up over the curtain thing so I could see him and he peed in my eye Grin