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Childbirth

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

C-Sections: Planned v Emergency. How was it for you?

36 replies

Mazzletov · 18/03/2009 22:03

It's taken over a year but next week I'm having a meeting with the Clinical Director of Women & Child Health and the Head of Nursing for Women & Child Health at my local hospital, to discuss a letter I wrote to them following the emergency Caeasarean birth of my undiagnosed breech baby. I am hoping to get them to think about ways to make the surgery less traumatic, and I would really like your help with this!

Having planned a home birth, I had anticpiated:

  • seeing the baby immediately
  • being the first to hold her
  • mine being the first voice she heard
  • seeing her all covered in goo
  • generally being more of a participant at the point when she and I separated.

None of these things happened. Given the fact that I have a beautiful, healthy daughter it may seem churlish to complain about:

  • People describing her to me while I remained unable to see her
  • hearing her voice amongst others in the room (and the blare of the radio) but not being able to see her
  • Her being cleaned, wrapped in an unfamiliar blanket and having a hat put on before my husband could hold her near enough for me to see her face while they sewed me up
...but these are the things that overwhelmed me with sadness at the time, and still do. I am aware that I'm not alone in this. On mumsnet and in magazines I have read about mums:
  • leaving crusty bits of blood on their baby's eyelashes for days, as "evidence" that the baby had indeed come from inside them.
  • feeling outraged about the HAT being put on before they'd met the baby.
  • finding it very frustrating being able to hear the baby but not see them.
I think that if there is a general consensus about what makes emergency C-sections disappointing, this could form a case for urging hospitals to take note. Similarly if there's a consensus about what HELPS, they could make sure these things happen.

(From Mumsnet I learned about the terrible experience of women who have C-sections under GA, and how helpful it is/would be to have photos "proving" the baby they are holding the next day is the one that was indeed inside them before they were put to sleep. A midwife reading the thread said that henceforth she would try to take pictures in such a situation. This just seems so blindingly obvious to me that I can't believe it isn't general practice. I'll mention this in my meeting too.)

In my letter I wrote, "I understand that planned C-sections are significantly less traumatic than emergency ones, because such arrangements are made." I also wrote, "I understand most women's negative experiences of c-sections are very similar, yet it seems this information is commonly and routinely ignored with regard to new cases".

Am I right?

I don't have the time or energy to do proper research. I would just ask Mumsnetters to please share their experiences on this. I'LL BE CHECKING FOR LATE ADDITIONS TO THE THREAD SO PLEASE SPREAD THE WORD AND ASK PEOPLE TO JOIN IN by answering the following:*If you had an emergency C, what did you hate about it, and what might have made it better?

*If you had a planned C, what aspects of it DID you plan, and how did this help?

*If you've had experience of both, what was the difference?

*If, unlike me, you've done more reading around this subject, do you have any useful references/figures/data for me?

I just keep hearing that planned ones are so much better, and I think it CAN'T BE THAT HARD to transfer some general lessons from planned C-sections into everyday practice when they are doing emergency ones.

I'd like to go to this meeting and say, "I asked on Mumsnet, and X hundred women said they would rather you didn't clean the baby before handing it over. X hundred said they'd rather have seen the baby leave their body. And X thousand said they'd rather, instead of pestering them to have an epidural in the hour preceding the surgery, you'd been discussing these options with them."

OP posts:
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nowtygaffer · 19/03/2009 12:30

I have had 2 EMCS. The first was awful and affected me for a long time afterwards. I hated the lack of control and especially the fact that I only saw my daughter when she had been washed and cleaned. The aftercare was dreadful. It took me a long time to bond with my DD. It would have made a big difference to me if I had had a de-brief with the doctor as I spent 3 yrs feeling I had done something wrong. It was only when I was pregnant again that the doctor told me my DD would never have come out normally due to a combination of her position and size.

My 2nd EMCS was at a different hospital as I couldn't face going back to the other one. It was a much more positive experience even though it was more of an "emergency". The doctors knew how much I wanted to avoid another EMCs (I had tried to VBAC). I requested that my DS was not washed or dressed until I asked them to. My DH held him in a towel next to me whilst I was being sewn up! The aftercare was brilliant too.

I am now expecting again and will have a planned caesarean this time! I'm hoping that it will be a more relaxed affair!

Mazzletov · 19/03/2009 13:35

Thanks so much to everyone who's posted so far. Keep it coming!

I'm aware that asking for contributions has raked up a lot of stuff for people. this evening I'll start a thread to share support and ideas about how we can feel better about what happened to us. A year ago I wrote 5 points that were helping me, which I'll try to remember!

ShowofHands: I'm so sorry I'd logged off before you posted so couldn't send you BIG HUGS immediately. I am hoping to relieve some of my guilt about DD's arrival by getting the NHS to listen up and make changes. YOUR POST WILL HELP. Even having one complete stranger who succinctly and emphatically backs up EXACTLY what I am saying will add weight to it. Thank you.

Kitstwins: I remember your story when I first came to Mumsnet 14 months ago and was so moved to find other mums sharing their difficult stories. Thanks so much for adding to this thread.

Wheelybug: DH held my hand while they administered the spinal, it hadn't occurred to me that this might not happen for every woman. This has prompted me to give some thought to the things I'm GLAD about, and challenge the hospital on whether they are standard practice or whether it's the luck of the draw.

I haven't read everyone's posts yet. I'm so grateful for the input. BIG THANKS!

OP posts:
MrsJoeMcIntyre · 19/03/2009 14:05

On the above - dh wasn't allowed into theatre until they had administered my spinal, and my cs was planned.

Wheelybug · 19/03/2009 14:27

Hmm - maybe it depends on the anaesthetist. Having said that, the anaesthetist (who was a lovely chap) had walked in on me blubbing all over DH following his chat about 'now this could go wrong... and this ... and this' so maybe they thought if they didn't let DH in someone else would have to deal with me . As it was, once we got on with it I was a very brave soldier .

Portofino · 19/03/2009 14:29

Mine was a crash section aftermany hours of labour and several hours of pushing. I didn't "hate" it exactly, barely remember anything. At the end of the day it was an "emergency" and certainly saved dd's life if not my own as well. I wouldn't have expected anyone to be taking photos in this scenario. Something's are more important.

The aftercare I received though was awful. Someone stated earlier they had more fuss made after cs as it was an "operation". I had very little attention at all. I was told to remind them when i needed to take painkillers, and despite ringing the bell for ages no-one came.

I couldn't get out of bed for 24 hours and once dh was sent home, I couldn't even reach to lift the baby. No-one even brought me a cup of tea, let alone anything to eat. It was like, this is the maternity ward, women don't need "proper" nursing here, even if they have been up for 24 hours and had major surgery.

I did feel cheated afterwards, and as others have said, didn't feel that dd was really mine.

TheCosmicClock · 19/03/2009 14:32

mine was planned with my second child as got really buggered up with first natural labour..3rd deg tear, retained placenta, post partum haemorrhage on day 10 where tear completely restitched...

my section was lovely. calm, quiet, serene.
I was very nervous as hate spinal stuff, but all was fine even though complicated by my broken coccyx.
hurt like buggery afterwards, but worth it.

Wheelybug · 19/03/2009 14:37

I didn't comment on aftercare - I think it was basically ok 4 years ago but last week was terrible really. They were massively understaffed. At one point 1 MW and 1 student MW, no one else to 19 women and babies all in seperate rooms. Thankfully being a second timer I was pretty happy to get on with things but hadn't managed to bf DD1 due to her issues at birth so getting feeding established was all new and apart from 1 very helpful healthcare assistant the support was pretty bad. Thnakfully i had read and new enough to actually help myself and dd2 learnt pretty quickly. I think if I had been a first timer in this situation it would have been dreadful. The hospital's policy for discharge is now 48 hours after c-sec which suited me and my papers were done in advance and we were told to go as soon as the clock turned the 48 hours. As I said, this suited me and I was relieved they'd cut the time but I imagine others may have found this a bit soon. To be fair, I was asked how I felt about going home after 48 hours so there was opportunity to ask to stay.

The doctor who did the CS told me I'd be in bed for 24 hours with a catheter in. I questioned this as I remember after my emergency being up in about 15 hours. As uit was the MW had it out by about 8 am (dd was born at 3.42pm) and had ushered me into the loo and urged me to have a shower (but to wait for DH to arrive so he could supervise !). I then had to climb into the bath to have a shower in an overbath showery thing - not ideal after a c-s !

MrsJoeMcIntyre · 19/03/2009 14:44

Oh, aftercare is another question entirely!

countrylover · 19/03/2009 15:09

After care was zero after my section - I was lucky in that my Mum stayed the night with me in a chair next to my bed. But she had the highly unpleasant task of changing my sanitary pads as I was bleeding everywhere and she also organised clean sheets. If she hadn't have been there I'm not sure anything would have been done about as I was so out of it I didn't even notice.

The next morning she also had to get someone to come and take the catheter out as my bag was nearly over flowing. Again, I don't think anyone would have noticed as no one came to check on me at any point. (I was in my own room as DS in SCBU and they took pity of me so at least I did have some privacy but I do think I got forgotten about)

MamaG · 19/03/2009 15:13

I had an emCS under GA

I would have liked an explanation as to why they had to press on my throat, I would have liked DH to be able to stay with me while I went under the anaesthetic. I would have liked pics as well (as long as they covered up my fanjo with a bit of cloth)

My MW had actually remembered me saying skin to skin was important to me so she'd instructed them only to wrap BabyG in a blanket - not even put a nappy on him - so I did get teh skin to skin when I'd come round. A small thing, but it means a lot. Even thoughI only remembered 12 weeks down the line

MamaG · 19/03/2009 18:27

this thread might be helpful to OP and anybody else struggling after a cs

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