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Childbirth

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

Elective c-section or not?

20 replies

jcscot · 26/07/2006 09:56

Hi. This is my first post after reading for a few months.

I have had POTS for around 10 years (formally diagnosed about 3 years ago) and the consultant referred me to another specialist because he noticed my rather loose joints. In March of this year, I was diagnosed with EDSIII.

My POTS is fairly severe - lots of dizziness/fainting, I can't drive because of it and I seem to be tired and run-down quite a bit. I'm no medication at all, mostly because I had severe reactions to anything they tried me on and because my husband and I were hoping to start a family. (I'm also allergic to a whole range of of antibiotics, so I take nothing stronger than an aspirin when needed!)

As far as the EDS goes, I don't have the severe pain that some people can get - although I do have grinding knees and joint pain in my hips and knees (especially when cold). The diagnosis came as a shock as I never knew that there was anything particularly wrong with the way my joints moved, or the way my skin stretched. I don't have the problem with healing, although scratches and cuts seem to linger and leave scars and I bruise very easily. I've had an operation in the past and there was a lot of bruising and pain around the wound - more than average - but the scar has healed well.

Anyway, that's the background info - now for my question.

By the time I was diagnosed with EDS, I was around 14 weeks pregnant with my fourth pregnancy. (I've had three miscarriages since Jul 2004, one of which was twins - I was investigated for genetic/blood disorders that can cause recurrent miscarriage but the tests were negative, although I've since been told that EDS may have been at the root of it.) The specialist that diagnosed the EDS mentioned the risk of rapid labour and premature labour and told me to tell my consultant. I have really bad hip/pubic bone pain and my dizziness has been getting worse.

I did this and she dismissed my fears, saying that EDSIII only caused problems in labour if I had a blood clotting disorder - which I don't have. I've since moved house and will be seeing a new consultant in a couple of weeks' time (at which point I'll be 33 weeks) and I don't want to have to wait for them to go and research the condition. My midwife has never heard of either POTS or EDS. My last midwife - who was wonderfully supportive and went and looked into both conditions so she could advise me - suggested that I push for an elective c-section to try and prevent any dislocations and to prevent the strain of labour from tiring me out so much that I won't be able to look after the baby properly.

As far as support after the birth - I've moved back in with my parents and will be staying with them for the last few weeks of my pregnancy and until Christmas. My husband is in the Army and is, unfortunately for him, not around right now - although he hopes to get some leave when the baby is born (paternity leave is not a legal right in the Forces although they do try to accomodate you wherever possible).

What should I be telling them? Should I be pushing for a c-section? I know some of the risks associated with EDSIII but I'm not sure of the risks associated with POTS; my consultant says that there are more risks after the birth - extreme tiredness etc, especially if I have a difficult labour. Has anyone any advice concerning either condition that they could share?

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Are your children’s vaccines up to date?
Elibean · 26/07/2006 10:13

I don't, sorry, but wanted to bump this for you and also suggest you re-post on the Health board...just to increase your chances of finding someone with the answers to your questions.

Good luck, and congrats on your pregnancy!

Elibean · 26/07/2006 10:14

Oops - and welcome to MN!

TuttiFrutti · 26/07/2006 12:29

What are POTS and EDS?

jcscot · 26/07/2006 12:52

POTS = Postural Orthostatic Tachycardia Syndrome. An automnomic disorder with abnormally low BP and a irregular heartbeat resulting in dizziness and frequent fainting.

EDS = Ehlers-Danlos Syndrome. There are various types of EDS; I have EDS III (Hypermobility).

Sorry, I should have explained more .

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TuttiFrutti · 26/07/2006 17:56

Sorry jscot, I don't know anything about these conditions. However, I have had a C-section and they are really nothing to worry about, I found natural labour much worse although everyone's different and some women are lucky enough to have easy and quick natural labours.

I have low blood pressure, although I'm sure nothing like as low as yours, and that can be a problem because it can prevent you having an epidural which you may feel you need if your labour is prolonged. I had an epidural anyway because I was in so much pain for so long, and I had to have an oxygen mask on to stop me passing out.

TuttiFrutti · 27/07/2006 17:07

Bumping this for you.
Anyone got any experience of these conditions?

Toady · 30/07/2006 00:04

Just thought of this posted to another lady tonight who needed some advice, would definitely recommend it as they will give you information based on experience or will try and find out for you.

Join
here

Toady · 31/07/2006 07:12

jcscot - bump just in case you have not seen my link, they may be able to help

mumandlovingit · 31/07/2006 07:57

i dont know anything about your conditions but i was under the impression that everyone had the right to request a c section for thir own reasons?? and from yours i cant see why they would refuse.it will be a great strain on your body to go through vaginal labour, physically and emotionally.i would stress the issue that you're deeply concerned about it and its affexting your wellbeing etc and if one consultant doesnt agree go to another.
dont e bulied into having a vaginal birth if you dont want it.you are more likely to have post natal depression etc and not have the strong bond with your baby that you need at the start of its life.
good luck and let us know what you decide and the outcome.

jcscot · 31/07/2006 18:19

Thanks for the link and the advice. I'll wait and see what my obs consultant has to say on the matter.

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spinach · 17/08/2006 21:09

i've only just seen this... I have eds III too.... whoever does your section needs to be aware that your are more prone to additional blood loss, poor healing etc. a c section is deep. i've had one, and my consultant was very concerned about the eds.... have also had other major surgeries.... each time, the consultants have been stunned by the volume of blood loss.
Am currently having a battle with my antenatal clinic to get appropriate care and attention for my section in Nov. Eds also makes ligaments etc more lax than normal... so does pregnancy, so the two combined can be a concern. Eds is something to treat seriously when pregnant, especially with c section.

I guess you've had your appointment now, how did it go?

velcrobott · 17/08/2006 21:33

This is fascinating as I have EDS too!!! And c-sections have never been mentioned to me !
And I have had normal (natural) births though I did have severe SPD wit number 2 and blame EDS for it!
I am stunned that EDS (know nothing about POTS though) would lead to a section.

So JCSCOT, why would you choose to have a section if you are allergic to AB, likely to have blood loss problem....

jcscot · 19/08/2006 18:47

I have had my consultant's appt and am now booked in for a section at 38wks. My consultant turned out to be relatively knowledgeable about EDS and had also done some background reading into various studies etc. She was prepared to support me through whichever birth method I chose and we settled on a c-section as the safest thing. Should I present in preterm labour, I am perfectly happy to try and let nature takes its course (especially if I'm having a classic EDS rapid labour) with the option of a section should things not go well.

Velcrobott - As for why I would "choose" a section - the initial reasons are plain from my original post. This is not a decision that was made lightly, but in full discussion with both my obs/gynae consultant and the consultant whom I see about EDS. I only asked for a little advice from anyone here that might know anything about either condition - I'm not willing to get into one of those awful debates about whether or not elective c-sections are wrong.

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velcrobott · 19/08/2006 22:43

Sorry... I wasn't trying to debate it I just didn't understand what you were saying.... You said you were allergic to AB (which a lot of women get with sections) and sensitive to blood loss..... sections are operations ! So I am sorry for asking daft question!
As it happens my uncle is a genitisist who specialises in EDS, I was disgnased 25 years ago and know a lot about my condition (and my son has inherited it so I do know quite a bit!)... so I thought you were asking "advice concerning either condition that they could share?" Never mind!
Glad you're having what you want...

velcrobott · 19/08/2006 23:00

Fascinating that you think I was debating it (I was merely asking a question)...... if you choose a section you might find it useful to not feel so defensive! I wasn't critising and yet that's how you read it,..... LOL

jcscot · 20/08/2006 13:21

^Sorry... I wasn't trying to debate it I just didn't understand what you were saying.... You said you were allergic to AB (which a lot of women get with sections) and sensitive to blood loss..... sections are operations ! So I am sorry for asking daft question!
As it happens my uncle is a genitisist who specialises in EDS, I was disgnased 25 years ago and know a lot about my condition (and my son has inherited it so I do know quite a bit!)... so I thought you were asking "advice concerning either condition that they could share?" Never mind!
Glad you're having what you want... ^

First of all, I never said I wanted a c-section in preference to a vaginal delivery - I said that I'd been advised to ^ask

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spinach · 21/08/2006 20:37

blimey, i didnt mean to spark an argument... i often get asked about my choice for a section and get fed up defending my choice. EDS is a secondary concern for me too, the main reason for my sections is spinal problems. I actually dont know about EDS and pregnancy/childbirth as such so if anyone can enlighten me more i would be grateful as my obs consultant is not taking eds seriously. All i know is that the eds makes me more prone to spd... which is what i have at the moment.... sonsultant not taking that seriously either... generally feeling miserable about hospital consultant.

jcscot · 22/08/2006 17:07

I was pointed in the direction of the EDS Support Group (can't remember the url, but if you google them, they should show up) who publish a booklet called "EDS and Childbirth and Pregnancy" that you might find useful.

Incidentally, I've just been in and out of hospital for the past two weeks with SPD and am now having to use crutches and have been told to rest up until the baby is born. My consultant has also brought the date of my section forward until the 37wk point in order to minimise the risk of permanent damage to my joints.

Spinach, perhaps the doctor that diagnosed you with EDS would be prepared to write a letter to your gynae consultant outlining the risks as they pertain to you which would help with making any decisions about sections? My consultant rheumatologist did this and it was very helpful (he's the leading researcher into EDS so he carries a lot of clout).

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spinach · 22/08/2006 17:27

was it prof grahame? So long ago that i was diagnosed, i dont see anyone about it as such...

jcscot · 22/08/2006 21:46

It was Prof Grahame - he was really helpful.

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