Can I get your advice on these questions please?

[nunnie]

For my Consultant appointment on Monday to discuss birth options as have had one VB with a failed 3rd stage and one EMCS for brow presentation.

• What went wrong with spinal? Is it likely to happen again? Am I able to request a GA?
• Increased risk of uterine rupture due to timescale?
• Am I likely to get more scar pain as pregnancy progresses? (Was admitted to hospital on monday for this).
• Was there an issue with my cervix being red when examined in 2007? (this was picked up on examination on monday).
• If I decide to have an ELCS what is the process if I labour early?
• If I decide on a VBAC should I be concerned about quick progression as this happened with previous 2, what is the process if I don't arrive in time to carry out the appropriate monitoring?
• What if I labour and have signs of rupturing when arrive and there are no theatres available?
• If I decide to have a VBAC and the placenta retains is it possible to have a GA not spinal?
• Is there an increased risk of retained placenta due to section scar?
• Is it still possible to carry out a manual, does it increase the risk of a rupture?
• ELCS under GA is partner allowed to be present?
• Am I a higher risk of pre term labour due to gestation age of previous birth?
• NHS/Private care options?

Am I missing anything obvious please?

You've got a lot going on in your head.

What DID go wrong with the spinal? Which birth did you have that with? How do you know it went wrong?

What timescale are you talking about for increased risk of uterine rupture?

First some reassurances and straightforward answers.

Uterine rupture is extremely extremely rare.

Causes or retained placenta are non-optimal birthing positions and a managed 3rd stage (the injection)

The partner is usually not allowed to be there with a GA. However, with a ELCS there is usually plenty of time to try the spinal first (if that is what you want) and check that it is sufficient, before conducting a GA.

Does your hospital have any patient guides or professional policies online? Mine did and they answered a lot of questions about how things were done there - and also brought up new questions.

The spinal numbed my legs not my torso for my EMCS so I felt them cutting and was quickly knocked out, this was my last birth.
Timescale issue is I have fallen pregnant again 11 weeks post EMCS

My retained placenta was caused by it sticking to scar tissue from endometreosis and the managed 3rd stage didn't make a difference apparently.

Not sure I have faith in spinal anymore

Not found anything online.