how to get best csec possible

[tonythetyger]

I had an emergency csec with ds 4 years ago after induced labour and failure to progress (am type 1 diabetic so they induced at 39 weeks).

I have finally got pregnant again nearly 2 years after a miscarriage and on my first appointment mentioned that I'd like to have a vbac. Diabetic consultant (who I saw at 5+1) said he saw no reason why I couldn't go to 40 weeks if my control was as good as last time to optimise my chances of labour starting naturally and I was pleased with that.

However, the following week I had an early scan and discovered that I'm having twins!!! Very exciting but not great for the vbac plans.

The mw and obstetrician I saw today and yesterday both said I had no option to have a csec. While I'm not keen on the idea I do want what's safest for babies and me and I know that I tick a lot of the boxes against a successful vbac on the rcog guidelines. Also from a couple of conversations with people who've had csecs recently the experience appears to be that if you don't labour the recovery is much quicker. I don't know if that's generally true or not but mine was not a great one after 21 hours of labour.

What I'd like to do (to stop me having nightmares about being cut open again) is some help with things I can ask for and actually get to make it a more bearable experience. So far my thoughts are:
8 weeks of painkillers (no fainting with pain at 2 weeks because they've sewn up too many internal nerves)
room to myself afterwards
proper post-natal care or release after 1 day if they can't give it.

Any other ideas would be gratefully appreciated.

Do you have private health insurance? Many cover private c section for "complications" of pregnancy which almost always includes multiple birth. I've had 2 ELCS inc one for twins, 8 weeks ago, and they were both v positive calm experiences. I was off painkillers within a couple of weeks with both, driving after 4 weeks, and this time hauling my 16kg toddler about too. Best of luck x

My private insurance which is through work doesn't cover c-sec

DF118 i think, but unsure as it was a few years ago.
volterol sets off my asthma

i was given them by the hospital on discharge, not GP

i got my tubes tied as well so thats a lot more painful, the incision was fine

Just to emphasis the private insurance. I'm in exactly the same position, previous emc now pregnant with twins! Insurance didn't look like it would cover it until I pushed them on it, worth a go!

Just to emphasis the private insurance. I'm in exactly the same position, previous emc now pregnant with twins! Insurance didn't look like it would cover it until I pushed them on it, worth a go!

Have had emergency section after 24hrs in labour and elective section.Recovery after elective was really awful,still had scar pain after 6 weeks,with my first(emergency) I had no pain whatsoever.

I was totally unprepared as everyone said electives are easier,would be no problem,I would def keep an open mind next time.

I asked and was refused a private room 2nd time round after I had wrongly presumed I would get one again.But with twins surely you will be a priority!

Hi TTT had an elcs 2 weeks ago. I found the mws hugely helpful whilst on the ward ( policy was to keep you there for 24hrs before moving you to private room). Once I was in a private room I was pretty much abandoned though. Checked on twice, had to get own food and was often last on the list for the drugs run! They would have happily discharged me after 1.5 days (c section on Thursday pm, offered to send me home Saturday am) which I refused and stayed in another day. The hospital bed was really useful for helping get into position to get out of bed and feed etc , moving in bed at home was one of the most difficult things. However, 2 weeks on I'm off my meds and feel good- definitely quicker recovery than from 3rd degree tear and episiotomy.
The theatre staff were all lovely and it was a very special happy experience

I had an ELCS and thought it was brilliant. Only had 2 paracetomol after surgery painkillers wore off. Discharged after 2 days - could have left after 1.

Thanks for the comments. My most recent nightmare was about being cut up to breast bone at 20 weeks to reposition babies. I think it's starting to prey on my mind a bit...