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Childbirth

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

Want a C-Section

16 replies

pogpog · 07/03/2011 16:01

I am 40 years old with a history of mental health issues (depression and a breakdown 3 years ago, panic attacks - the list goes ons!). I am absolutely TERRIFIED of giving birth naturally and want to get an elective c-section. Does anyone know how hard it is to get one on the NHS? How do I go about actually getting one and what evidence do I have to provide in support of my choice? I am scared of being bullied into having a natural birth (I had an ectopic last year at Kingston Hospital and the care was not great). We are prepared to pay privately if need be, but obviously would rather do it on the NHS if possible. Does anyone have experience similar to mine who was offered a C-section to avoid trauma/long term depression? We live in the Kingston area so would be willing to go to any hospital nearby/go into London. Thanks.

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DevonDumplin · 07/03/2011 16:46

Sorry no advice here but am watching intently as I?m in a very similar situation.

Are you already pregnant? And have you been officially diagnosed with tokophobia?

Either way you really need to get yourself into counselling specifically for this as they want you to have so many months counselling before they commit to anything. Tokophobia is recognised in literature as a potential reason for elective caesareans however whether you can find a doctor who?ll actually agree to do it . . .

Good luck and please post to let others know how it goes. x

gloyw · 07/03/2011 20:06

I had an elective section for my 1st DC - it was wonderful, and I'm very grateful I had the option.

In a bit of a hurry right now, but this thread here - www.mumsnet.com/Talk/childbirth/954334-Anyone-asked-for-ELCS-for-first-baby contains details of the route I went down (I was posting as barkfox then).

If you want to know more, do ask, I will check back on this thread.

Mumcah · 07/03/2011 20:26

A friend of mine had an elective recently. At her booking in appointment with the midwife she explained her huge fear of giving birth and the midwives were very supportive in her desire to have an elective.
I think you will be entitled to one but you may have to push for it.
Good luck.

Chynah · 07/03/2011 21:54

I had an ELCS on the NHS for my first baby (as you can see from the thread/link Gloyw has posted. If you haven't already got a consultants appointment get one ASAP as it s a slow process. Good luck.

N1MTB · 08/03/2011 10:01

Hi pogpog - a friend of mine nearly had an elective C-section for exactly those reasons. She was basically scared witless at the thought of giving birth naturally and used to burst into tears when talking about it. She couldn't sleep at all and it really made her anxious. She's generally very "robust" mentally and, luckily for her, didn't have your history of issues. Anyway, she was told she could book in for one on the NHS after seeing a consultant as he appreciated how traumatic the pregnancy was for her (as she couldn't think about anything other than how scared she was by the birth). In the end, she decided to try for a natural birth but ended up with a C-section anyway for failure to progress. She had her baby at Homerton in East London but the NHS policy is the same all over. (How hospitals interpret it is another thing...)

If you are really frightened, definitely get a consultant's appointment ASAP. You can (and should) get an elective C-section for psychological reasons as well as more obvious medical ones.

(Had two natural births myself so am not advocating C-sections over that if everything is ok (psychologically and mentally), but I was lucky that they were relatively straightforward and very fast. Still bl**dy hurt though Wink)

Ephiny · 08/03/2011 13:59

I think it is possible but you might have to be quite pushy and insist on seeing a consultant, ask for a second opinion if necessary etc. Not saying be rude or unpleasant about it, just persistent in explaining what you need and why, and don't let anyone dismiss your concerns.

Reading with interest as well as I am in a similar situation. I think you shouldn't have any difficulty finding a sympathetic consultant if you go the private route, so you always have that as a backup if you don't get anywhere with the NHS.

samarcanda · 08/03/2011 14:01

I'm having and ELCS privately at St Thomas, almost same price as natural birth so not too expensive. My cousin was brain damaged by forceps and I'm terrified of assisted delivery.
my doctor has been very supportive (even admitted ELCS are safer for the baby than the unknown VBs)

try and push in the NHS, and if not go private, you can still do the antenatal on NHS and only pay for the c section. Also these days you're out after 2 nights so it's not as expensive as it used to be when they were keeping you 4-5 nights.

good luck xx

pogpog · 08/03/2011 14:20

Thank you all for your suggestions. I'm starting with my Doctor to see if they will support me in this (as they know my history). I'm only 10 weeks but it is all I have thought about since I found out!

OP posts:
GetDownYouWillFall · 08/03/2011 14:58

I had a traumatic first birth which progressed to severe mental health problems and PND post birth. I ended up being hospitalised for 3 months in a mother and baby unit. I am now pregnant with my second and just had my booking in appt. The midwife said that I would be able to get an ELCS if that's what I wanted - I've got to make an appointment to see the consultant.

I'm still undecided if that's what I want, but at least it shows they do take mental health issues in relation to labour and post natal period as serious.

I agree with others you have to be assertive with your wishes and make sure they are aware of how important this is for you.

PaigeTurner · 08/03/2011 18:08

I had an ELCS with my first (and last!) at St George's last year.

I self-referred to the perinatal mental health team at the hospital (basically phoned up the supervisor of midwives and asked if someone could help me as GP had been useless). I was fobbed off with the offer of ADs at 20 weeks - by 33 weeks I was in a pretty bad way with depression and also I suffer from emetophobia and was terrified of being sick in labour.

I had a very understanding psychiatrist and mental health midwife who between them made sure I got an appointment with a consultant who agreed straight away to the op - but not until 36 weeks.

It was definitely the best decision for me. Hope this helps, and good luck.

PaigeTurner · 08/03/2011 18:11

Oh, I have to say though, be prepared to explain your decision to several disapproving HCPs - I was consistently referred to as 'no medical reason' and my hv wrote 'social reasons' in my red book which still makes me fume.

Chynah · 08/03/2011 18:27

Paige - I had no medical reason at all for my CS with #1 and had 'for safe delivery' or similar on my notes. Supose they have to write something!

gloyw · 08/03/2011 19:08

Interesting - I had 'maternal request' on my notes [other lengthier notes and a letter from the perinatal psychiatrist in my file if anyone wanted more info] -

It definitely got me rolling eyes from a couple of MWs at the hospital, and there was a rather nasty incident where I wasn't given the painkillers I was supposed to be on (I was left to manage on 2 paracetamol less than 24 hours after op). When I requested them, it was explained to me by an unpleasant MW that 'you will get pain after a caesarian, which you chose...' - well, not if you're given adequate pain relief, as agreed by the consultant....

I was grudgingly given them, but they made me wait. This was the only instance of actual pain I had during recovery.

In the interests of fairness, I should say that my community MW, who was my main point of contact, and the Consultant MW at the hospital were great, and I couldn't have asked for better.

The MWs at the MW led unit were horrible - like a group of nasty girls in the playground. At one point there were three of them behind the desk, talking about someone else's holiday, when this awful long wail/moan/scream from a woman in labour in one of the rooms stopped conversation. They all sniggered, and one of them said, really sarcastically, 'I think Miss Waterbirth is realising it's going to hurt now...'

I mean, wtf. This particular hospital's maternity services has had a lot of bad press and investigation in the last 2 years, so I think it's unusually bad.

Anyway, just an aside.

Chynah · 08/03/2011 20:13

Gloyw - I was prescribed a painkiller in my notes that it was impossible to give me as the hosital didn't dispense it! Found out after an uncomfortable 24 hours when someone noticed and was then prescribed something they could give me! That was my second CS. With my first they forgot my cleenax(sp) injection for the first day and one lot of painkillers as they got distracted on tedrugs round - when I pointed it out to them they said I'd had them as they'd been signed off Confused Apart from that CS was fab!

gloyw · 08/03/2011 20:25

Yikes, Chynah. I'm making a note to self, if I get pregnant again, I will be having another CS, and am very happy about that - but I'll be a lot more 'proactive' about keeping on top of painkillers and timing of doses myself. It didn't occur to me that I would need to be, but now I know better!

Chynah · 08/03/2011 20:42

I took my own little supply whan I went in for #2 afterall they don't give you anything you can't get off the shelf. Whilst I could not fault my CSs and would definitely have another I found the whole materniy ward thing a lot easier after #2 as I 'knew the ropes' and so didn't have to rely on the MWs to get me things/tell me things etc.

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