Tubes tied during c-section or vasectomy?

[Decisionstomake1]

I guess I am posting for traffic! But maybe also AIBU to think tubes tied during c-section would be a good option? Has anyone had it done?

Currently pregnant and will be having a planned section same as my previous pregnancy (high risk - baby will need to come early).

I was going to ask about getting my tubes tied during the procedure. My thinking being if most of the risk of tubes tied is the operation itself and I’m already being cut open maybe it’s a good idea! or is there a lot of risk outside of this / was the recovery very bad?

A vasectomy is such a minor op, little recovery time, some doctor surgeries offer it,if he's keen let him get on with it.

I had 7 years of fertility treatment. I spent about 40k on treatment. My eldest was my last frozen embryo. I had her at 40. I then got pregnant by accident and had my second 15 months later. It was suggested that I could be sterilised during the C-section for my second. However, my husband decided to have a vasectomy instead. The thinking was that my body had already gone through the medication, the IVF, the miscarriage and the C-sections. My husband decided to take one for the team this time. I couldn't physically or emotionally take anymore trauma.

Oh wanted to add. He was back to work within 48 hours. Had little achy pain and some swelling but recovered very quickly.

I had it done during my 4th c-section. I was warned it has a slightly higher failure rate if you have it done during a c-section but really its a miniscule failure rate. I was also warned that there was a chance i could get heavier periods ( which i did). I would say it was slightly more uncomfortable afterwards but nothing major and it was definitely preferable to having a separate surgery done.

Mine was funded on the NHS and so was all my friends that have had it done.

I had a planned c section with my 2nd.
6 days later my DH has a vasectomy.
I did think it was fair and sharing the load.

@Decisionstomake1 how did everything go for you? What did you decide in the end? I am in an almost identical situation to you! So very keen to hear your outcome.

I was offered it with my second caesarean but declined. Although I was pretty sure we wouldn’t want more kids, I didn’t think it was a decision I felt comfortable making while hormonal etc.
DH had a vasectomy about a year later once we were certain about the decision.

I asked the midwife why it was not offered during the C-section and she said something about how it used to be offered but was not anymore because of the risks to the mother post partum - not clear what the risks were but it was hormonal. 🤷‍♀️

My DH said he had no problem with getting a vasectomy and said all the right things. However after my second was born and it was time he dragged his feet and stuffed around for 4-5 years. It was hugely stressful because me getting pregnant again was risky and I believe that my hormonal birth control was a big contributor to pnd.

If you don’t want more kids take matters into your own hands.

Both!!

I had the tubal during my c-section because I wanted to make sure I couldn't get pregnant again and didn't want to risk my husband getting cold feet with a vasectomy, he was supposed to have one after our third child which was 8 years ago and never did so we ended up with another baby and I just didn't want to risk another pregnancy again, I've had no effects from it at all, I know this is an old thread but just commenting for other people in that situation

I was told they no longer offered it at my hospital because of the higher failure risk and higher post-partum complications.

For christ's sake, it is not brain surgery she's wanting.
A simple clip is placed around each tube. They are not 'tied'. She is having a Caeser, so will have an open abdomen. The tubes couldn't be any more visible/accessible if they tried.
Complications no more than with just a Caesarian - which yes, does carry risks, but adding in a couple of staples will not make a difference to healing or risk.
The lack of anatomical knowedge is writ-large here
Much better to have control over one's fertility than rely on someone else.

If a "few staples" don't make a difference to healing and risk, why did my doctors (and those of other PPs) tell them that they would?

It's minor surgery. If you're already having major surgery with a c section and being cut open already, it's possible you may not even notice any side effects. During my c section recovery I don't think I could tell the difference between that and my other c sections. The main thing it caused was worse periods afterwards but I've got no evidence that it was the sterilisation that caused it. I definitely feel secure having taking my own fertility into my own hands and I've not fallen pregnant in the 8 years since, so it's been successful.

You’re saying that the doctors are all wrong because your single operation went well. They’ll be looking at the outcomes of thousands of cases to give their advice. That’s why their advice is better.

Vasectomy