Has anyone had an elective hysterectomy during an elective c-section in the U.K.?

[Mommabear20]

Just that really?

I've had 2 straight forward vaginal deliveries with my 2 DC, but now being pregnant with my 3rd, which was unplanned, I'm looking at trying to get a hysterectomy as I absolutely cannot have, and don't want, anymore children. As I was on contraception when I fell pregnant this time around, my trust in 'temporary contraception' is none existent now. However I know that doctors are very reluctant to do hysterectomies without medical need due to the cost 😣
I'm just wondering if anyone in the U.K. has successfully had one during a C-section?

I know a few people who have had their tubes tied during a C-section but not a hysterectomy I'm afraid- that's pretty drastic and not necessary given the effectiveness of tube ties

Why A hysterectomy rather than being sterilised? The latter is fairly routine during a C section - I’ve not done it but I know plenty of people who have.

Having tubes tied doesn't stop periods, which then seem redundant and expensive if the serve no purpose. And as with all contraceptive, there's a 1 in 100 chance of getting pregnant within the first year after surgery. But no uterus, no pregnancy!

You can ask but I'm willing to bet it won't even be entertained as an idea. It's a lot of risk to bring a 1% chance down to 0.

There's a big chance of massive blood loss. A recently pregnant uterus is far more vascularised than normal. In cases where a hysterectomy is performed after an elective section (due to placenta accreta, so not really a choice in either the caesarean or the hysterectomy), cell salvage is usually present, and lots of blood products to hand as well. A regular hysterectomy is a far longer procedure than a caesarean, even without all the stitching up. So you'd need a dedicated elective maternity theatre as well, which not all trusts have. There's also longer and more painful recovery to factor in.

I know you'd still have periods regardless, but would you consider doubling up contraception to reduce your risk of pregnancy further? Have your tubes tied/bilateral salpingectomy, as well as a coil (hormonal or copper) inserted as part of the caesarean? Or get an implant afterwards? And definitely get DH/P to get the snip.

I had my tubes clipped but I'm pretty sure that they wouldn't do it. It's major surgery. I presume you'd keep your ovaries?

I'm no expert, but doesn't a hysterectomy carry significant risks like the risk of prolapse and premature menopause within a few years? I wouldn't want to take those risks compared to getting my tubes tied.

Wouldn't that cause a huge trauma to your body? It's a lot. 2 huge operations. It may seem like a 2 in 1 but your body needs to heal internally too.