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Childbirth

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

Advantages and disadvantages of a c-section

67 replies

Gangle · 05/08/2007 12:54

Sorry to open up a controversial and over argued debate but I've just found out I'm pregnant and know for sure that I want a c-section. Just wanted to hear the positives and negatives for those who have been through the experience, particularly in terms of recovery times and scarring.

OP posts:
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Lorayn · 08/08/2007 12:27

I really can't see why anyone would want to put themselves through a major operation+recovery time rather than go through it naturally and be able to care for their baby as soon as it was born. I tried my damnedest with DS to do everything and was out of bed within 24 hours, but I cried my heart out the morning of the delivery, knowing I was not going to be able to do it myself. I tried everything to make myself go into labour before the section date!!!

fedupwasherwoman · 08/08/2007 12:46

Lorayn,

my local hospital are chronically understaffed with regards midwives. I did not wish to labour naturally as one of possibly 4 women under the care of one trained midwife plus helpers with my husband having to pop out into the corridor to find the midwife and plead for assistance.

I was on older first time mum and new that statistically with my particular circumstances the chances of a c-s were 50/50 anyway.

Being an older first time mum I considered the risk of losing a baby in a long complicated inadequately managed labour was too great for me. (No time to grieve or time for lengthy recovery from complications associated with natural delivery gone wrong, would need to try to conceive again a.s.a.p. to try and beat the biological clock). I opted for c-section as I had more faith in the medical staff and medical staffing levels plus it mean't that a midwife was assigned to be in theatre ready to just take care of the baby as soon as it was born, not to try and look after me and the baby, just the baby.

If midwife staffing levels were fully up to par and if there had been a dedicated obstetric on-call anaesthetist I might have reconsidered but after 2 c-s my family is complete.

My decision was an informed one, not one based on the pusuit of a wonderful birth experience or because I was too posh to push, for me the outcome of a safely delivered baby was paramount and I did what I thought was necessary ta maximise my chances of that given my circumstances.

Recovery from both c-s was not a problem, and although it was longer than for a straightforward successful natural birth, I have no long term/lifetime side effects like some women I know from their difficult natural births.

fedupwasherwoman · 08/08/2007 12:48

P.S. I was caring for my baby as soon as he was born in as much as I held him in my arms, fed him and due to the staff shortages I changed all but the first couple of nappies whan back on the ward.

eleusis · 08/08/2007 13:00

Lorayn,
This is neither the time nor the place. Go start another thread ranting about sections. But, not here not now. It's a pity you didn't enjoy your sections. But, that no reason to go scaremongering first time mums to be.

Fedup,
Nice post. And I agree that a planned section is the safest surest way to get a healthy baby out.

Hayley,
Don't forget to give us an update.

claraq · 08/08/2007 13:55

I may be missing something but I can't work out why people feel so strongly against elective c-sections when there is a reason for them (whatever that reason may be). Ok the recovery time is longer but all in all my experience was really quite a nice one and certainly a lot less traumatic than some of my friends' natural birth (tearing left, right and centre, post traumatic stress etc). I didn't think for a moment that I was not able to care for my baby straight after she was born and anything I could not do, DH could - which was fab for him and really helped with early bonding.
Having said that I am going to try for a VBAC this time (and not sure why this isn't a good idea either, Eleusis, surely if it was a problem my consultant would not be encouraging me to do so?) as the one thing that puts me off c-section this time is not being able to cuddle or care for my 2-year-old dd when I get home.
Whichever anyone choses, they should not feel like they are taking the 2nd best option.

Lorayn · 08/08/2007 14:00

Well, I cant see the OP saying why she wants an elective section, just that she wants one, and as for risks, having just found out she is pregnant I doubt that it is due to risks, also one of the things she asked was for positive and negatives so I shall say exactly what I want, kthnx.
The negatives are you don't flipping need it and it is a major operation,a s for the scarring being so worrying, why on earth is that such a big deal???
This is a child being born, not a fucking fashion symbol.

eleusis · 08/08/2007 15:16

Claraq, I think the risks of placenta abruption are brushed over on the NHS. I'm not prepared to take those kind of chances. I know they are rare, but the consequences are horrific. And, once I've had a section (the first one was most certainly not planned), I can't see signing up to a whole new set of potential lifelong side effects (incontinence, torn and broken body parts I've never even heard of). And of course there is the fact that I wouldn't trust the NHS to properly manage the labour and delivery. Just way too many risks.

Lorayn, the OP does not need to justify her decision to you. Where I draw the line is if an OP asks for a two sided debate, then go on. But if she comes on say I've decided I want x so please tell me about it and how to get it. Then that is not an invitation for a debate. Have a bit of common courtesy. Respect her decision and bugger off to another thread. By all means you are entitled to air your opinion on mumsnet, but it is not appropriate on this particular thread. You are acting like Xenia, preaching your cause in places it doesn't belong.

Lorayn · 08/08/2007 15:29

So positive and negative doesn't mean two sided? Well, blow me down with feather. Oh and btw, I had placental abruption, it is very rare, and I would still opt for a vaginal birth. And if you think that caesarians have some kind of better safety issue w/e (not including older mothers) then maybe you should read up on it instead of encouraging expensive, unnecessary operations.

www.childbirthconnection.org/article.asp?ck=10271#why

Oh, and finally, as I seem to have to keep making aware, this is an OPEN forum, therefore I can post what I like.

DaisyMOO · 08/08/2007 15:40

Do you mean uterine rupture rather than placental abruption eleusis, which is the main risk associated with VBAC?

DaisyMOO · 08/08/2007 15:42

God, that was badly worded, sorry, hope you understand what I meant?

eleusis · 08/08/2007 15:55

yes, that is what I meant. Sorry

macneil · 08/08/2007 16:15

I had an elective c-s because I have a hip thing, which would have made childbirth impossible. As I've had a fair bit of major surgery in my life, I have to say the c-s didn't feel like major surgery at all. I had a rather mean friend who was trying to steer me away from it because she thought I was having a c-s for too-posh, save-my-fanny reasons, and she kept going on about the MAJOR surgery and how I was risking my life.

The epidural was a huge worry for me. I was very scared about the risks of paralysis (it turned out I needn't have been) and because of my hip thing I have a small scoliosis, that no one knew about because I don't appear to be very wonky. But it took ages to get it in. My mum was not numb through her c-s and it has always been a terror of mine. So I just shook and shook when they kept pricking and finally they worked out why I wasn't going numb and then the whole thing was lovely and calm and went swimmingly.

Pain didn't last very long. Stomach is very flat again, so my stomach muscles seem okay, although I don't exercise, so I can't really say how good they'd be under pressure.

Here's where I think I'd advise caution. I had awful trouble breastfeeding, and eventually had to give up. My milk supply came in very late because you have to schedule your c-s more than a week earlier than due date so you won't startle everyone by going into labour. And because there's more going on with the cutting and stuff, it can be - was for me! - longer before you get to hold your baby and I didn't get skin to skin and I can't help wondering if that would have made ALL the difference in successful breastfeeding. There's more - my baby had to have a bit of air pumped into her to start breathing, which is not uncommon with the c-s as she isn't squeeeeezed out of the uterus which clears the lungs and kickstarts them. This air-pumpety procedure, the name of which I'm not bright enough to remember, is often thought to inhibit their suck mechanism. And again, because she was born a little early, she was very small and weedy, and this, too, has an effect on breastfeeding, because I was told her mouth was too small and my nipple too big. How rude! To both of us in fact, as the nurse told me she had a receding chin!

If you go for a c-s and want to breastfeed, discuss skin to skin, discuss suppor, and be aware of the risks. I don't regret the ease of the c-s, but I have always regretted that I didn't know how it might have affected my baby's chance of breastfeeding, so that we lost that chance.

Hope that helps, it's just a personal experience and by no means typical, I'm sure.

Lorayn · 08/08/2007 16:20

I was able to get skin-to-skin and feeding almost straight away, well, as soon as I'd been sewn up!! My midwife encouraged me to try to start expressing a day or two before, to ease my body into knowing it was going to feed.
As I said, with certain problems/medical conditions it really is a must, and I'm glad yours went well.

RedFraggle · 08/08/2007 20:42

Hayley, how did the appointment go?

toomanyballs · 08/08/2007 21:14

I have had 3 sections, 1st real big baby out now emergency, 2nd elective ( well, convinced by consultant but I took the decision and I am happy with that ) 3rd emergency after trying for 12 hrs and baby not understanding that you have to stay engaged once you are engaged!! and decided that wanted cs gently before the need for another big emergency and we had tried long enough. Agree alot with most things on post ( for and against ) so shant go on about personal experience but had no problems with recovery, pain or anything. Up walking about 12hrs after 3rd ( best care, big up Salisbury )have never taken pain killers home from hospital. I know a few people with horrific natural? births that are still causing them problems and the people I know who have had cs have said pain was the biggest problem ( thats what pain killers are for ). I did try for vbac again with 3rd, don't really know why, just wanted to but not unhappy about any of the choices made.
Bottom line - I know where I prefer my stitches, in a straight line across my belly.
Don't suppose my ramblings helped anyone but you can CAT me if you like.

eleusis · 09/08/2007 07:48

Hayley's new thread

hayley2u · 09/08/2007 11:43

hi. sorry put on other thread. my consultant was absolutly lovely. i was so nervous about seeing him. and to find he was so easy going,was nice. just explained my reasons that i had traumatic birth and suffered bouts of depression after first birth. plus also tld him about him losing my twin of this pregnancy and felt this was the safest way for me to have my baby. he told me it was my decision and that i know best. what a lovely man.

we all have right to what we want but i do believe a c section is the safest way for child.

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