ELCS after EMCS

[Since2016]

Just after some other experiences. I had a hideous birth with my first - 40+3 early labour from the weds, numerous sweeps, bounced between birth centre and labour ward fri - sat. V unsympathetic midwife. Meconium in waters sat pm, two failed inductions, didn’t dilate past 3cm and baby in distress - born by EMCS on sun am at 40+6 and then she spent a week in NICU on c-pap and IV antibiotics.

I’m 24 weeks. I’ve been clear from the get go that I want an ELCS after everything that happened last time. MW has referred me to a consultant at 32 weeks and told me it will be my choice and will be done at 39 weeks. But now getting horror stories / v anxious I will have to fight for it / wait till 40+ and will only get it if I don’t start naturally.

Any experiences of getting an ELCS after an EMCS like this? I’m terrified it won’t be agreed at 32 weeks. I’d assumed it would be fine but now getting v anxious. I really can’t risk putting myself through that again!

Dc1 got stuck, couldn't be pushed or pulled out with forceps, ended in NICU. I had no issues getting them to agree to a repeat c-section with dc2.

I did go into labour before my elective and when I turned up in labour they were happy to go with whatever I wanted.

Good luck

Crash section with DD. 17 days late, spontaneous labour, but meconium in waters, put on drip after 16 hours as wasn't progressing. But then her heart rate kept dipping and I had suspected sepsis. Very traumatic emotionally even though we both came out ok physically.

Now pregnant with dc2. Had consultant appointment at 16 weeks and elcs was agreed surprisingly with no battle which I was all prepared for. Got it in writing in a follow up letter and have an appointment at 32 weeks to double check it's still what I want and to arrange a pre-op and surgery date.

Thanks both. MW was super chilled about it I’m just anxious now! I’d rather have had an earlier appointment to confirm rather than wait another 6 weeks!

I had my DD by EMCS due to a failed induction. With my subsequent pregnancy, I wanted a VBAC. My consultant was very accommodating and the decision was very much up to me. If I'd wanted a section scheduled at 39 weeks, it would have been booked. In my case, it was booked in at 41 weeks.

I had the ELCS and it was so straightforward and I found the recovery so much easier too.

I had an EMCS 1st time and baby in NICU on IV antibiotics too. I just said all the way through my second pregnancy that I wanted an ELCS. When I was referred to the consultants they were fine with it. I think just be really firm, NHS guidelines say you are entitled to choose. For me the ELCS was a great choice, home 24 hours later and the recovery was so much faster! Congrats OP and good luck Xxx

If you've had a previous section, you should be offered one again. Some trusts may try and steer you towards a VBAC but a previous section is one of the medical indications for another. You shouldn't need to fight, and if your midwife seems to think it's a sure thing I'd assume it will be. Some areas push back on sections by maternal request if there's no other medical indication (though people should have a choice anyway) - but in your situation I can't see why they'd make you fight for it.

I've had an ELCS on the 15th October. Mine was purely for MH reasons, and I was prepared for a fight. But I simply did not, I was granted my CS right away. My consultant was AMAZING! I was aware of all the risks and that was that. I started to cry when I went into my appointment but I just got told to stop being silly and I could have my CS if I wanted it. Just be yourself explain your reasons and you will be fine. Its down to you at the end of the day, your the one who is giving birth! @Since2016

I had an elcs after an emcs, agreed at my 16 week consultant appointment without any fuss or need to fight whatsoever. It sounds like it should be fine. They won’t give you a date before 32/34 weeks anyway and the date will be sometime around 39 weeks.