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Childbirth

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

Unsure which birth option to chose, fear of birth, first pregnancy/high BMI

12 replies

daisydaisy1996 · 07/04/2025 15:18

Hi.. my BMI is in the 40s, I’m 28 and this is my first child. I’m now 39 weeks + 2 and I’m still unsure of whether vaginal birth or a c-section is the way for me. I know risks are associated with both and it’s looking like I’m going to be suggested an induction by my consultant.

I’ve been struggling with mental health and anxiety throughout the pregnancy, purely surrounding giving birth. The unpredictable nature of birth and the risks of what could go wrong are something that literally petrify me. I have reoccurring nightmares surrounding PPH and me literally dying. Through pushing and having a stroke or loosing so much blood. I try to research positive birth stories and remain that those outcomes will not be mine. But I still can’t shake this feeling and as birth is approaching I am driving myself crazy.

The reason behind a C-Section allows for some element of control, everyone has explained elective are usually more peaceful and calm which is something I need and if something was to go wrong, I’d be in the correct place for it to be rectified. However the healing and recovery process is a scary one, as my stomach overhangs quite a lot and naturally I sweat and I know it would be really hard to heal.

Consultant has advised an early epidural regardless and I attempt birth vaginally, stating if baby wants to come via C-Section she will chose to do so anyway. This doesn’t help my anxiety.. the thought of a long drawn out labour, which my mental health cannot take, a negative induction (if needed), epidural not working, PPH, needing to be cut for forceps/ventouse and completely losing control scares me. But I know this isn’t everyone’s experience, but the statistics are that it’s likely it could be mine due to risk factors and in terms of first birth stories and I’ve done a lot of research, this seems to be the regular outcome I’m seeing. The positives are that I can have my mum in the room, as well as my partner as she is my safety blanket and when I have panic attacks, is the only person who can bring me back to total calmness. I’m completely at a loss of which way to go.

I know I need to change my negative mind set, but despite how hard I’m trying I’ve literally reached a point where I don’t know how to anymore. Can people share positive labour/induction/c-section high BMI birth stories?? Or stories on those who have also struggled with the extreme fear of birth and how to help overcome this? From one very scared momma to be.

I also don’t need to be lectured, I understand some of my rationale is completely irrational and if I could control my mental health.. I very much would.

OP posts:
Caffeineneedednow · 07/04/2025 19:23

My bmi was 35 when I had my kids so not quite as high as yours but still high.

Sorry my first one is not great.i had a failed induction with my first so after 2 days of labour things weren't progressing so he was an emergency csection but no major issues after and I recovered relatively quickly.

My second was a planned c section. I did have a minor infection after that some antibiotics helped clear and had a relatively easy recovery. My only real symptom after was fatigue but I think that was more to do with a newborn who never slept 😂

Good luck and sending virtual hugs. It may also be worth talking to your midwife, I my experience they were great at calming nerves

ncforschoolhelp · 07/04/2025 19:43

I think if you want an ELCS you need to make an urgent appt to discuss it......

TickTockPolly · 07/04/2025 19:53

Unless you get lucky and your hospital has a spare ELCS slot and no one a higher priority than you, I expect a request at this stage will result in you waiting at the hospital, not allowed to eat or drink, until the surgical team have time and no one in a higher category than you.

if your consultant has recommended an induction, go for that.

Bells3032 · 07/04/2025 19:56

BMI of 37 when i got pregnant and 41 at the end of it. both pregnancies had natural, fast labours with no intervention whatsoever - ironically i wanted a c-section for other reasons but my daughter had other ideas and arrived a bit too early and a bit too fast. No epidural - not by choice.

Recovery with my first was easy an i was bouncing out of bed within ten minutes. Second one was harder - she was super fast after an induction and i didn't have time to adjust and ended up with a second degree tear. Still it wasn't terrible and though my recovery was slower i still was up and about easily though a bit sore when i weed.

I have had surgery on my rib though which my doctor likened to a c-section - just from the back. The recovery was ok but mobility wise i struggled more but was managable - though was terrified to cough or sneeze for weeks.

Keen tip is keep on top of your pain meds - including alternate ibroprofen and paracetamol and if you get a scar either vaginally or from a c-section then make sure you give it lots of air - shower at least twice a day and lie on your bed naked to allow better healing (obv this relies on you having support who can watch baby between feeds)

Both options are ok and its a really personal choice which one you go for. and even if you make a choice things don't always happen as planned.

InfoSecInTheCity · 07/04/2025 20:07

Hi OP, when I had DD 11 yrs ago I had a BMi of somewhere around 40 and insulin controlled Gestational Diabetes. Due to the GD, I was induced at 37.5 weeks as DD was measuring big.

i did not have a birth plan, I decided it wasn’t something I thought I had much control in so I would go with the flow.

It was honestly fine, lots of waiting around for people to be available and for the next stage but other than being hot and bored a lot of the time I found it all OK.

I had the pessary inserted which was a little uncomfortable and undignified but not painful, it’s like a pill on a string so the experience was like having someone else put a tampon in for you.

then they do some monitoring of Blood pressure and babies heartbeat for about an hour, then it was just waiting for something to happen.

I ended up staying on the ward overnight and trying to sleep in a room hotter than the devils armpit.

Then the next morning more waiting. They checked me and decided at about 1pm they could break my waters. A bit more monitoring then I went for a walk around the hospital. Contractions started up pretty quick and became established. I paced around and leant on the bed, didn’t like the bouncy ball at all so kicked that out of the way, decided to have a bit of gas n air which I really liked it felt like being proper drunk, then had a sudden need to push. DD was born at 6.30pm so about 5 and a half hours after they broke my waters.

i had a bit of a tear so they gave me some more gas and air and let me cuddle DD while they stitched me up, then I went and had a shower. We stayed overnight because they needed 3 sugar tests from DD before she could be released.

A high BMI does not equate to automatic disaster, I went in with several high risk attributes and it was fine. Would I want to do it everyday, no, but it was nowhere near as bad as I had imagined it would be.

Dairymilkisminging · 07/04/2025 20:19

Also the painkillers they give you can calm you alot so you may not panic as much as you think you will.

I've had 3 inductions and booked in for my 4th next month all have been fine.

StamppotAndGravy · 08/04/2025 00:24

I had an epidural mid way through a long and painful labour. It was amazing! I was still in control, mobile enough to change position on my own, and could dial the dose back so that I knew what was happening. It was calm and peaceful, especially after being a screaming mess of pain before. I could eat, hold a sensible conversation and sleep while my body worked. The midwife advised me not to push the button when I got to the pushing phase, so that bit did hurt, but it was manageable and I could push the button straight after

daisydaisy1996 · 08/04/2025 22:22

Update - my waters went approximately 4 hours after I made this post and little one had done a poo inside of me!! Had a lovely induction, with the best midwife however just didn’t progress from 2cm on the hormone drip to the max. Due to merconium in my waters, emergency c-section was suggested, however it wasn’t rushed due to me and baby being happy and and okay and baby girl arrived safe and sound this morning at 11:57!!! Thank you everyone, I was reading your stories and they definitely relaxed me!

OP posts:
LuluDelulu · 09/04/2025 06:34

Congratulations OP!!

Twinkletoes10 · 09/04/2025 06:39

Aw Congratulations , im so glad it all went well for you 🥰

SquigglePigs · 09/04/2025 07:33

Congratulations on your little girl! Glad everything went OK for you. Enjoy your newborn snuggles.

Bells3032 · 09/04/2025 17:48

Amazing. congrats!! As i said these things rarely go to plan

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