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Childbirth

Share experiences and get support around labour, birth and recovery.

2nd baby breech after previous c/s

17 replies

londonirish · 20/09/2010 14:14

Hi, I'd appreciate some advice!

Basically, I'm 37wks with second baby. First was Em cs and was just awful. Today I've been told that this baby is breech and have been booked in for another cs in 2 wks time.

I'm devastated..I know its not the end of the world but I really wanted to try to do this one right..

I've been told that ECV is out of the question due to the possibility of rupturing the scar tissue but is there anything at all that I can do??

I'd much rather try to actively do something to turn the baby than let this happen to me again (I guess I've buried all the trauma about the first birth and I'm just remembering it all again).

Thanks in advance for any advice what so ever (even if it is to tell me to cheer up and get on with it!)

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QTPie · 20/09/2010 17:05

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Haliborange · 20/09/2010 17:09

Try the Moxa, as QTPie suggests.

If you're desperate for a VBAC some independent midwives might be prepared to assist with a breech VBAC at home if you would go down that route, but do your research and find someone decent.

If that fails and you don't want a HB then try banishing any thought of an elcs not being "doing it right". "Right" is a baby that is healthy and a mother who is in a fit state to look after it. If an elcs is the best way to achieve that in your case then thank goodness they exist!

TuttiFrutti · 20/09/2010 17:53

Why was your emergency cs so awful? Was it just the fact you had a cs at all, or did something go wrong?

If you have an elective cs (and in your position I definitely would) it will probably be very different from your earlier experience. I have had both emergency and elective cs and they were worlds apart, with the elective completely pain-free and a very quick recovery. With the emergency cs, I needed morphine for the pain - with the elective, it was paracetamol only!

And as Haliborange has said, please don't think for a minute that an elective cs is "not doing it right".

londonirish · 20/09/2010 18:57

Tutti-was no more awful than many emcs I suppose-38hr labour followed by emcs and baby whisked away scubu before I could see her, then only getting to see her the next day.

Thank you all for your advice-am feeling a lot more rational now. As long as the baby is born healthy I will feel lucky and fotget about right and wrong ways to give birth.

Am glad to hear that elective cs is more civilised-its bound to be!

I'll look up the acupunture and moxibustion: the midwife did mention complementary medicine this morning.

Thank you

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mungogerry · 20/09/2010 19:07

Accupuncture and doing body "inversions" also help (your body). Search out spinningbabies dot com.

My 3rd baby was breech, my 4th too - until 36 weeks when he turned while I spent a day - yes a whole day - weeding the borders on my hands and knees. He was 10lbs 13 born, so wuold have been over 9lbs when he did this turn, so don't listen to anyone who says they get too big or it is too late for them to turn.

My hossy were quite happy to do an ECV the following week if he had not turned. There may be a consultant who is willing to do one - as it is down to personal consultant choice (I asked them about it).

Good luck, and if all else fails elective sections can be beautiful births - number 3 ended up in one for me.

QTPie · 20/09/2010 19:44

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londonirish · 20/09/2010 21:17

Mungoerry-thank you, I've had a look at the inversion exercises-my garden could do with a bit of weeding so this could be the motivation to do it! I have been told that there is no way it will turn at this point so is really reassuring to know that it is possible.

QT-thank you for your positive birth story-its a world away from my emcs! It has made me reassess my views of elcs...actually getting quite excited now..with all being well I'll have another baby in 2 weeks time!!

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Bechka · 20/09/2010 21:41

Another positive ELCS story here - mine was brilliant, it is my only birth experience, but I certainly wouldn't have a baby any other way after such a fantastic and joyful birth.

I too have heard that EMCS and ELCS are totally different experiences. Wishing you lots of luck, please do not feel that you're not doing it 'properly'. Really hope some of the responses here will make you feel more positive about it. Sorry for your EMCS experience, no wonder it has put you off CS's.

Chynah · 20/09/2010 21:54

'"I really wanted to try to do this one right.." Err surely ANY birth that results in a healthy baby & mum is 'right' !!

I have had 2 ELCS by choice (no medical reason) Great experiences and quick recoveries.

NoseyNooNoo · 21/09/2010 00:16

There are lots of things you can do to turn a baby - moxa, acupuncture, polar-bear-position (head on floor, bum in air), homeopathy. You could also see a HypnoBirthing practitioner who could help you to relax so that the baby can turn.

Having said that, an ELCS need not be a big deal. They can be very nice experiences and are worlds away from EMCS. The main thing is a happy mum and healthy baby.

Good Luck!

QTPie · 21/09/2010 10:22

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TwoArmfulsOfBoy · 21/09/2010 12:00

OP, I was in your shoes 2 months ago. DS1 was an EMCS, I had a fairly unpleasant post-op experience and I was very keen to try for a VBAC with DS2. At 39 weeks I was told DS2 was breech. I managed to persuade a consultant to at least consider ECV, but DS2 was a whopper and in an awkward position so they felt it would put to much strain on the uterine scar (and would be unlikely to work). So I was booked for ELCS with 3 days' notice.

Like you, I was devastated. I wans't really concerned about "doing it right", but I had really wanted to avoid the consequences of another section (post-op recovery, potential breastfeeding problems, etc). Most of all I wanted the chance to experience a VB. I felt so negative about the ELCS that I even worried it would interfere with bonding with the baby.

I spent a lot of time in a head down position at home trying to get the baby to turn, and also tried moxabustion, but he stayed stubbornly breech. I did consider other options, did lots of research on the internet, and went back for weveral discussions with the obstetric team in the couple of days before the ELCS. I felt that I couldn't justify the potential risks of breech VBAC (I would have considered it if I'd had a previous VB, because then the risks are lower). I thought about waiting until I went into labour, in case the baby turned at the last minute (although I was told that this was unliely to happen), but the evidence suggests that outcomes for mother and baby are worse if CS for breech presentation is performed during labour. By the day before the ELCS, I had accepted that ELCS was the safest way for DS2 to be delivered, and felt a lot more positive about the whole idea.

I can honestly say that the ELCS was a positive experience, and very, very different from an EMCS. The whole process was much calmer, staff introduced themselves properly and had more time to explain things, there was none of the panic and drama of an EMCS. It was strange not to have any labour, and quite surreal to walk down the corridor to the theatre thinking "In half an hour's time I won't be pregnant any more and we'll have met DS2". Little things made such a difference - we were given a choice of music to play during the procedure, the screen was lowered immediately after DS2 was delivered so that I saw him as soon as possible.

Recovery was much easier and much faster compared to the EMCS. Because the surgery is elective the surgeon is able to operate more slowly, causing less trauma to the tissues and minimising blood loss, so there is less post-op pain and healing is quicker. I was walking around the next day, home after 2 days, and walked (very, very slowly) around the corner to the park on day 3. I didn't need any pain relief stronger than paracetamol and anti-inflammatories. I felt relatively normal after 3 weeks, and 8 weeks on I feel great.

I will always have a small regret that I didn't get to experience a VB (we're not planning a DC3). It is a uniquely female experience and I would have liked to have known what it felt like. There is also something exciting about waiting to go into labour, and in the element of uncertaintly about how events will turn out. I am glad that I got to experience at least the early stages of labour with DS1. I coped pretty well during DS1's labour until things went pear-shaped at 4cm, and part of the desire for VBAC with DS2 was driven by curiosity - how would I cope during the later stages of labour, pushing etc. I will never know now - but DS2 was born safely and is well, as am I, and in the end that really is all thsat matters.

In reality, given that DS2 was a hefty 9lb6oz and I am only 5'4", it is quite likely that I would have ended up with an EMCS if he had turned and I had been able to attempt VBAC. ELCS was the right choice for me and for DS2 - a different birth experience from VBAC, but also different from EMCS.

Remember that even with ELCS you should be able to have some input into the birth - e.g. what music is playing when the baby is born, how you find out the baby's sex, who holds the baby after he/she has been born and checked over, skin-to-skin, breastfeeding etc.

Sorry for the essay - I remember how upset I was when I was first faced with youruation and I hope some of this is helpful. Finally, good luck and I hope all goes well for you and your baby!

mumtojohn · 22/09/2010 14:32

Hear, hear, QTPie!

Sounds to me like you shouldn't put yourself through it. And also sounds like your EMCS saved the day last time, so I would look on it as a positive end to a horrendous experience.

You'll be hard pushed to hear a bad ELCS story and indeed there are none on this thread.

hatsybatsy · 22/09/2010 14:56

you did do it properly last time -you gave birth to a healthy baby!

a c section is no less a birth than a vaginal birth?

FWIW I have had 2 elective sections with 2 breech babies - both were quite relaxed events with our music playing on the cd player. no stress. held the baby straight away and had skin to skin in recovery room.

I did have a failed ECV - and did half heartedly try various exercises to try and get the first baby to turn but he didn't....

exercsies recommended to me were swimming and spending time on all fours - preferably with my head down as supposed to encourage baby to move. felt rather daft though!!

best of luck with it all - but please do look at ELCS stories - am confident most will be positive?

londonirish · 22/09/2010 19:02

Thank you for all the positive stories-it really means a lot that you all took the time to reply to my post.

I'm sorry if I said cs was not doing childbirth right-of course it is. I felt such a failure last time that I am eager to avoid being hard on myself at a time when I need to remain physcologically well!

Twoarmfuls-you've just explained how I feel and allayed a lot of my fears. In truth, being such a control freak, this type of birth should probably suit me! It will definitately be strange walking into theatre and know when I will get the baby.

QT-thank you for the advice on post-op cs.DH will be having two weeks off followed by 1 week half term (we're both teachers). So I feel really lucky in that respect.

Have been trying the "bum in the air" type exercises-which would be fine if it wasn't for the killer heartburn!! Oh the joys-how to make yourself look ridiculous and feel crappy in one move!

Thanks again-you all have helped me so much.

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hatsybatsy · 23/09/2010 10:56

I think the 'cs id not doing childbirth properly' is just something that exists? Too posh to push and all that. It's a pressure from society that affects us all.

really it's a load of nonsense though - it hurt me quite a lot when ds was born... to the extent that i felt really pressured to try for VBAC with dd - and was then gutted when had to have another ELCS.

it does feel bad for a while - I did hanker after a VB -to the extent that I considered having a 3rd dc!!!! But sense prevails and time is a great healer. I can't really see what all the fuss was about now - I have 2 great kids (aged 6 and 4) and really, how they were born is just not important any more!

QTPie · 23/09/2010 16:00

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