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Childbirth

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

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Original poster

Tips for asking consultant to bring section date forward

30 replies

crace · 14/03/2008 06:56

I have posted about DH having to travel 12 days post op. Seeing my midwife today she's booked me to see the consultant again next week about possibly moving the date forward 3 days or so. Planned for 39+5 at the moment, which is concerning in itself as I do go into labour but always end in emergency c/s (twice before) at 39+6.

So with these two reasons how do I convince the consultant to move it forward. Frankly if he just moved it to 39+2 I would be going home at the time I would be coming in and that would give DH and I two weeks + before he went away. I tried the "I go into labour on my own" card already with no success.

I am not about hysterical tears!

Xpost in Pregnancy

OP posts:

Are your children’s vaccines up to date?

Set a reminder

windygalestoday · 14/03/2008 07:28

this was 7 years ago but i was told you could only have the elective 1 week before your due date.

Lulumama · 14/03/2008 07:33

i think that you can just be honest and ask....39+2 is a reasonable request i think, they do prefer to do c.s electively at 39 weeks or more as there are less chance of breathing issues...

just tell him your reasons calmly.

he might say yes, he might not

make sure you have a back up plan.. friends or family or a post natal doula to help if neccesary, then you won;t be panicing

Original poster

crace · 14/03/2008 08:00

Back up plan definitely in place, it's a combination of worrying about me going into labour on my own which is definitely a possibility and I am so desperate not to have another emergency.

Oh well, all I can do is try

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Original poster

crace · 14/03/2008 08:00

Back up plan definitely in place, it's a combination of worrying about me going into labour on my own which is definitely a possibility and I am so desperate not to have another emergency.

Oh well, all I can do is try

OP posts:

PortAndLemon · 14/03/2008 08:38

Try and find eleusis -- she got her second section moved for similar reasons and can give you some tips (although, to be honest, I think it boils down to her being scary ).

ChopsTheDuck · 14/03/2008 08:39

hmm, the hysterical tears worked for me! Good luck.

Highlander · 14/03/2008 11:16

I was in a slightly similiar situation. Booked in for 40, but had hosp admission at 33+4. I said in light of ongoing bleeding, baby's small size and thus risk of stillbirth I thought it prudent to move CS FW to 39wks. Consultant readily agreed.

In puting FW your POV, you have to point out the risks to the unit in delaying CS, ie crash CS and how that affects their audits of safety. If your consultant refuses, insist that your concerns are noted in your notes and signed by a senior member of staff.

Original poster

crace · 14/03/2008 14:38

Thanks again - how do I find eleusis? I see her on the C/M board so maybe do a shout out there?

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Hopeysgirlwasntbig · 14/03/2008 14:39

I had DD by elective at 39+1, I think it's a reasonable request.

Original poster

crace · 14/03/2008 14:41

Did they just give you the date or did you have to beg for it? I've already tried to move him forward to no avail.. leaves with little hope of success

OP posts:

mears · 14/03/2008 14:43

Did you tell him honestly why you need it moved forward? It is not an unreasonable request.

MrsRecycle · 14/03/2008 14:46

look for micrathena...

Page62 · 14/03/2008 16:33

she's athena nocturna now actually, i think microthena wasn't an owl...apparently.

crokky · 14/03/2008 16:39

crace - just another thought for you, check what days the hospital does planned c sections so you have a day to aim for. The hospital I had my first child at only did planned sections on Fridays. Anyway I don't think 39+2 is an at all unreasonable request.

TLSM · 14/03/2008 17:23

I dont know if it makes a difference but I am booked in for my C section at 37+6 as my baby is breech and I have GBS so they dont want my waters to break - the reason they are doing it that early is because they do elective C Sections on a Thursday at the hospital I am at so it was either 37+6 or 38+6 so they have gone for the earlier one as I have my DS at 38+1 last time. I dont know if all hosptial have a day they do the planned ones but could be why they have picked that date as it seems a tad silly if you went at 39+6 both times before

suwoo · 14/03/2008 17:30

I was booked in for 39 weeks exactly, which is the procedure in the large Maternity Hospital I had mine at. Good luck.

Mouselady · 14/03/2008 17:40

I had an elective at 37 weeks exactly. The two nicest things my consultant said were at 12 weeks - 'the only thing I can be definite about is that you will not be going to term with this one' and at 35 weeks 'so what date d'you fancy?'
When I told him the date, he said 'I'm at a conference in Leeds, will Dr X do you?'
On the day, an emergency CS came in and it looked like I was going to be bumped onto the next day. The consultant phoned in from Leeds and next thing I'm in the theatre. BTW this is NHS.
Ask, and ye may be given.

Original poster

crace · 15/03/2008 18:01

I have no idea why my consultant was so intent when we met him, I reminded him about me going into labour and he just told me to come in. What part of I don't want an emergency didn't he understand?! I have HUGE anxiety about this, that I obviously didn't get across the first time.

DH can't come with me to the meeting so I doubt I will change his mind but I can try.

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mumofk · 15/03/2008 19:57

If you feel your consultant is not addressing your anxieties you can request a second opinion/transfer to another consultant- sounds like for some reason your consultant is fixed/not listening and certainly not explaining to you WHY he isn't prepared to consider changing your date.
Its a real shame your DH can't be with you- for something as important as this is there anyone else you could take with you (I have an appt with consultant coming up that I'm dreading, but realising I need someone to listen to what is said to I can mull it over afterwards, I know emotions/hormones will not allow me to remember it all accurately). My 'due in' thread have also advised writing down all the answers you're given (think it'll be easier said than done, hmmm maybe a dictaphone?).
Anyway, good luck with getting what you want and need.

Original poster

crace · 15/03/2008 20:10

He cites the problems with babies having breathing problems 38 weeks and beyond and it's good to have it as late as possible. I am thinking that I didn't get what I fear across well, or he just doesn't care.

I do understand about the breathing problems and that worries me as well, but surely not as much as going into labour and having another emergency?! Honestly.

Ack, who needs this stress!

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expatinscotland · 15/03/2008 20:30

38 weeks is considered full term, though?

And you've already gone into labour well before 39+5.

Sounds a reasonable request to move it forward.

If you don't get through to him, ask to speak to someone else. It's YOUR body and YOUR baby.

Boobalina · 15/03/2008 20:47

Moving it a few days will make no difference at all. I had an emergency with my first and was very anxious about having an elective with my sceond. Saw the consulant, he said I could have one and then left us with a nurse and a big Letts diary to book it in! They were full on 39 weeks exact to my EDD so they put me in for 38 + 5. I ended up going into to labour early - once the contractions came every 10 mins (which was totally fine btw!) I went in and then went off the boil again. Then a day later they came every 5 mins (still fine), I went in and it was the evening, they said, oohh you're in labout then, you are 1 cm now, theatre's free, lets get you down there. All very calm and chilled, walked down to theatre, had the spinal block and it was all really calm and nice.

So even if you do start early, just present your self at the labour ward and they should get you down to theatre as soon as they can.

Original poster

crace · 17/03/2008 10:00

I suppose an earlier section is fine, however the means but I want it to be a calm thing, not an ordeal as it has been the last two times. I hate that I am even having one to begin with!

Talking to DH over the weekend about it, he's a bit mystified why I am so stressed about it. As everyone goes back after two weeks anyway. Ok yes true but not overnight!! With two other children to look after. Men.

I think I am just carrying a lot of anxiety anyway and this is adding to it.

OP posts:

mears · 17/03/2008 10:56

Out of interest, why do you need to have CS crace?

Original poster

crace · 17/03/2008 12:23

It will be my third one - first fetal distress at 3cm, second failed hbac and emergency c/s at 1cm. Past history shows I don't dilate before babies get distressed so not attempting a vba2c otherwise I definitely would, regardless of risk!

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