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Childbirth

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

Support thread for those of us who are requesting an ELCS after a previous traumatic delivery

823 replies

withorwithoutyou · 27/04/2010 14:21

Hello everyone.

I have noticed a lot of threads regarding requesting ELCS lately, probably because I am in the process of trying to request one myself!

I just wondered if it might be useful for us to have a support thread where we can talk this all through as I know it can be a challenging process to go through.

Can I please also ask in the nicest possible way that anybody contributing to this thread can respect our desire for ELCS over VB? Thank you!

Anyway, I'll start - I have one DD, born 20 months ago by forceps after failed ventouse. She weighed 9 pounds 11 and I am concerned this one will be heavier! I am 30 weeks and have my first consultants appt tomorrow where I will be requesting an ELCS!

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gateacre1 · 01/07/2010 16:11

Congratulations withorwithoutyou!
really glad the C section went well and that you were up and about so soon!

Lovethesea thank you for all of your information, im going to compile a file of information ready for my 16 week appt and hope for the best

Does anyone know what degree an episiotomy correlates too?
(sorry if this is tmi, the scar I have runs straight from the posterior vaginal wall all through perineum into the sphincter ring muscle) My GP told me this was not how it should have been done, she said they should have done a J cut??

Still waiting to hear from hospital about debreif appt!! think I may call and chase them up!

Hevster · 01/07/2010 16:37

cheers mendipgirl, I will seek the second opinion at Salisbury and if I don't get anywhere I guess I will have to contemplate going to Bath.

Lovethesea · 01/07/2010 16:50

withor - sooooo happy to see your news! Love the name Eloise too and so glad you are both well and safe and happy. Can't wait to read all about it but thank you so much for starting this thread and for getting back to us so soon. Delighted for you and praying mookle is having a good time too.

gateacre - an episiotomy is normally done to avoid tearing into the anal sphincter muscle. That would be at least a 3rd degree tear, possibly a 4th. The episiotomy is usually done medio-lateral - off at an angle to the side so any tears carry on that way away from the anal muscles. Sounds like they did a midline one with you - a straight line down from the vagina. Used to be more common but is now seen as too likely to tear into the anal muscles and so ususally not good practice.

hevster - so sorry to hear what a fight you have going on. Glad you are determined and know what you need this time round.

withorwithoutyou · 01/07/2010 18:27

Thanks lovethesea and gateacre, going to try to do my birth story now while DH sorts out DD1 for bed and DD2 is still sleeping.

We got there at 8 on Tuesday morning. I had been told last week that we were first on the list. We got called through at about 8.10 and I had to put on a gown and the aneasthetist came to see us. I started to feel a bit stressed and not ready as had been expecting a longer wait. Anyway, another couple were behind the curtains in the ward and as they took her medical history it was obvious she was high risk and she ended up going in first which I was glad about.

We finally got called around 11.30 (turns out we went in last out of the 3 couples!) which was good because after a bit of sitting around waiting I was more bored than nervous.

Went in and had the spinal, it was very, very dense, quite a weird sensation but good to know I really wouldn't feel anything. The anaesthetist explained my blood pressure might drop and make me feel sick which did happen while they were doing the initial cutting, I felt sick for a few minutes then fine again. Could feel a lot of pressure but no pain - at one point did womnder if I was having an asthma attack though as found myself a bit breathless, I think my organs may have been being pushed around at that point.

Anyway, next thing the baby was out, cried straight away, apgars of 10 and 10 which was brilliant. She was weighed etc before I even got to see her so was a bit of a wait but not long before she was brought over. DH held her and she stopped crying straight away and just lay there looking over at me.

Being stitched up was quite quick then we got moved into high dependency unit. I would say at the very worst some parts of the delivery were unpleasant - e.g. feeling sick and I personally don't like to not be able to feel my legs. But really I wouldn't use a stronger word than unpleasant, and those parts were quite fleeting.

I was asked a few times about why I was having a section and everyone was very understanding.

In HDU DD2 was given to me for skin to skin, then she fed. She then went to sleep for hours and hours and hours which we totally weren't expecting as DD1 had screamed and screamed for most of the first week.

The spinal started to wear off and there was only one very painful part when I could suddenly feel the scar. They gave me liquid morphine at that point. I was very nearly sick but managed to keep it down and the pain went and was never anywhere near as strong since.

We were supposed to be in HDU for 6-8 hours but I was really keen to get down to the ward before visiting hours ended at 7 so we could see DD1. As I had eaten toast and drunk tea and could feel my legs they let me go down to the ward at about 6. I had to get out of bed into a wheelchair so it involved standing but it was absolutely fine. We had asked for a private room and as the ward was so busy it was the only space left so they let us have it for free which was brilliant!

DD1 came in and was absolutely besotted with her sister from the get-go. The only jealousy is when someone else holds the baby and she wants to be holding her herself.

The baby woke at about 8 and fed on and off til about 3.30 AM! I was kind of expecting it as DD1 fed loads so I was well prepared. About 3.30 she was fussing more than feeding and the midwife offered to take her away for a bit so I could get some sleep. I did do this as by that point I was worried I was going to fall asleep with her in my arms and drop her. The midwife was amazing, took her off, I got 3 hours sleep then went to get her at 6.30 but she was still asleep at 9!

Milk came in on day two, probably as a result of the marathon feeding session the night before. DD2 slept last night from 9.30 til 8 and only woke for feeds twice. Am slightly paranoid about whether she's feeeding enough as DD1 fed loads and still lost too much weight. DD2 seems to be a much more efficient feeder though and has had lots of dirty nappies so think she should be ok.

DH and I can't get over how laid back she is and it's really brought home just how traumatic DD1s delivery was. I'm so, so happy not to have put another baby through that kind of start and absolutely 100% sure we made the right decision.

Recovery-wise, I feel fine. Still taking the painkillers but find it hard to remember to take them on time as the pain really isn't bad. Personally I've found it easier than recovering from forceps/episiotomy/tear - such a relief to be able to go to the toilet without worrying about stitches there.

I think that's everything. Just a wonderful experience all round really. I feel like I finally know what it feels like to bring a contented little baby home and just enjoy it. Makes me a little for DD1s start in life but the best thing we could do for her now is have a straightforward delivery this time round and keep things as happy and normal as possible and we've been able to do that so it's all good.

Sorry for the essay, didn't want to leave everything out! Wanted to reiterate again how brilliant the hospital staff were, every last one of them were lovely, I'm so glad we went there this time

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OneBabyPlease · 01/07/2010 19:33

CONGRATULATIONS Withor and family!

So pleased for you - sounds as though DD2 has had a far less traumatic delivery into our world - pleased it went well for you & wishing you a speedy recovery.

I am now 20 days post elcs - DS1 is FAB! He now weighs almost a pound heavier than his birth weight & is thriving! I feel absolutely great, scar is fading already & I have pretty much forgotten that I had major surgery less than 3 weeks ago! DH is on his 2 wks paternity leave now so we've had several adventures on the bus as he doesn't drive! Registered DS1's birth today - still have to pinch myself to believe he's here!

Hope Mookle is getting on ok - looking forward to her update.

Hope everyone else is well - anti-elcs HCP's really should have a look at this thread to be more understanding of the different issues we all have regarding VB.

Good luck all xx

WhatSheSaid · 01/07/2010 20:58

Congratulations withorwithoutyou I'm so glad it all went smoothly. What a great birth story.

mumtoblaire · 01/07/2010 22:32

Congratulations withorwithoutyou!!

So good to hear such a positive birth story.

Onebabyplease - It is so good to know that all going to plan that you can feel so fit and so well after only 3 weeks. I can remember quite clearly how i felt 3 weeks post birth with DD1, and that was almost 7yrs ago. I am so looking forward to the birth of this little one[if i get my elcs].

I have my 34wk scan tomorrow to see if the placenta has moved up as it was low lying at my 20wk scan. I know myself it will have as I have had no problems or physical signs.

I keep you posted.

ealey · 02/07/2010 10:28

Congratulations withorwithout you, so pleased to hear that it all went so well, and that you're able to enjoy little Eloise (beautiful name)! I completely agree about the chilled out baby thing, it came as such a shock to have a baby that would cry a little when hungry or tired but otherwise be quite contented. It's so lovely to be able to enjoy these precious early weeks after the misery of last time around.

Hevster, I'm so sorry to hear that your consultant was difficult. I really hope you have better luck with your second opinion, and if not, then looking to move elsewhere and being assertive about it will hopefully get you what you need in the end. It's just such a shame that the process has to be so stressful for most of us when pregnancy is so difficult anyway.

Lovethesea · 02/07/2010 16:49

mumtoblaire - thinking of you with your scan .... how did it go?

Just back from the GP who is happy for me to drive now (3 weeks post elcs). He did look at my scar briefly and was shocked I was only 3 weeks post birth, apparantly I am healing extremely well I phoned my insurance company yesterday and they said as long as a GP is happy they are fine with me driving anytime. So - I am mobile again!

Still avoiding lifting anything heavy, or my toddler, and my mum is staying another week to help us out. I feel absolutely fine but she offered her help and DH might need to be away overnight this week so I thought I'd be daft to risk pulling something internally if I can avoid it.

Only down for me is that I have had to stop breastfeeding I've developed deep breast tissue thrush again (had it after DD's birth). I've seen an expert on bf, had everything else checked (tongue tie etc) and started the treatment for thrush but the pain was unbearable. Last time I battled through 20 days of treatment with no effect and was utterly miserable. This time I just feel it's a battle I don't have the energy for with a toddler to care for as well. DS has had 3 weeks of bf which I am very glad of, but I was starting to hate him waking to feed (and he was getting v.unsettled with thrush badly in his mouth and nappy) and the pain is torture, absolutely extreme and lasted for a couple of hours after each feed.

So - on we go! Now a family of 4, I even got contraception sorted at the GP today (though with a newborn and toddler I doubt it'll be needed for some time.....) whereas last time we didn't even think of trying until 5 months post birth I was in so much pain (and it wasn't actually possible until 7/8 months post birth).

Hoping mookle is doing great too and quietly cheerleading the rest of you researching and planning your campaigns to get your elcs's.

mendipgirl · 02/07/2010 16:56

Sorry about the BF Lovethesea, I had loads of problems with DD1 and struggled on for a month before I gave up and have decided I won't put myself through the same torture again, life is too short. I'll still try, but not to the point of hating every minute! Am sure you have made the right decision.

mumtoblaire · 02/07/2010 18:45

so went for 34wks scan today to check that placenta had moved up. I wanted it to stay low so obviously it has moved up and out of the way. I did ask the sonography lady if she could lie but she just gave a little laugh.

Meeting with my midwife this afternoon, haven't seen her since booking in appointment as she has been very busy and on holiday. I told her that I had seen consultant at 32wks with regards to elcs. She asked how it had went and what my reasons were. After I explained my post birth problems she said that reading the notes from the consultant meeting and what I had just said to her....she thinks that i will have no problems getting elcs.
She said to focus on intercourse problems and any incontinance issues as these are usually most important when consultants are making their decisions. So fingers crossed. I see consultant again in two weeks so I am going to write out all my concerns as I know I will end up holding back.

Also found out at scan this moring that baby is on the upper end of the 95th centile...estimated weight at 34wks is 3.5kg[7lbs 5oz]. So midwife reckons this may even help with getting elcs. DD1 was 8lbs 1oz and was born day early.

{grin} I have put on 10kg so far and baby weighs 3.5kg, so i have only gained about 6.5kg not baby weight.

Lovethesea · 02/07/2010 19:00

mumtoblaire - glad things sound positive for a consultant agreement, and also glad that you don't have PP (given how dangerous it is) but can totally understand why it would have made the plan simple for you too!

The mw sounds great and I agree that longterm health issues - incontinence and sex problems - should sway the odds in your favour to decide. It's great that the baby is big and healthy, I was shocked that DS was 8lbs 8oz at birth at 39 weeks so that made me extra happy I'd gone the elcs route!

mumtoblaire · 02/07/2010 19:28

God I hope so. I am totally set on an elcs. Consultant appointment is on 15th July also thats my first day of maternity leave, so hopefully will get go ahead then.

DH is terrified that I get a "no" he says he doesn't know if he would be able to watch me go through that again.

Question -- If Raspberry leaf tea/capsules help the uterus to contract more efficiently then taking them after birth/section would surely help with uterus shrinking back to normal? No/yes any ideas?

gailforce1 · 03/07/2010 19:26

mumtoblaire - I have had many dealings with consultants over the years (although not about CB issues) and I would offer the following advice - embelish what you say!! It has worked for me!! So if, for example, you are incontinent of urine (as I was) I increased the no of times per day I had leakages! He never asked what effect this had on my life so, without being asked, I made sure I told him in EVERY Grim detail! (He looked most uncomfortable when I described my before and after sex life and would have agreed to anything to get me out of there!!)
Besst of luck and dont forget you are entitled to 2nd opinion.

mumtoblaire · 04/07/2010 09:17

Yes that is what I plan to do. Whats 20mins of embarassing talk about my sex life in the grand scheme of things.

Hazeyjane · 04/07/2010 13:29

Hello everyone, just finishing packing my bag and stuffing my face in preparation for tomorrow - ulp!

withorwithoutyou · 04/07/2010 16:48

Just popped on to say very best of luck hazeyjane, will be thinking of you tomorrow.

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mumtoblaire · 04/07/2010 16:48

Hazeyjane - Best of luck tomorrow. Hope to hear all about it soon.

OneBabyPlease · 04/07/2010 17:56

Good luck Hazeyjane, look forward to hearing how it all went.

Lovethesea · 04/07/2010 19:15

Good luck Hazeyjane - so excited you will meet your wee one very soon and hope and pray all goes really smoothly for you. Looking forward to reading all about it

mookle · 05/07/2010 09:36

just a quick hello to say came home from hospital last night, a couple of issues kept us in will post more later. baby kitty francesca weighed 8lb and is beautiful and doing well. hope everyone else is ok x

WhatSheSaid · 05/07/2010 09:41

COngratulations mookle. Babies arriving thick and fast now! Look forward to hearing the whole story

OneBabyPlease · 05/07/2010 11:28

Congrats Mookle!! Hope you're both ok & look forward to hearing how it went. Well done!

withorwithoutyou · 05/07/2010 11:43

Congratulations mookle, glad you're home now, love DD's name.

Just checking in quickly to let you know how recovery is going. It's been 6 days since the section and I'm feeling good. Been getting up and down the stairs etc fine since we got home 2 days post section. We went out to a fun day at a local lake for a few hours yesterday and it was lovely to get out and do something with DD1.

My scar is slightly weepy and red on one side. M/w looked at it yesterday and said just to air it but it looked slightly worse today and I didn't want to take any chances so went to the Dr. She said it's just a really minor infection which should clear up really quickly and has given me antibiotics. it's really not bad at all but I didn't want to give it the opportunity to get worse.

Eloise is doing fine. Unfortunately, she's following in her sister's footsteps with her 6 hour constant feeding sessions. They go on all evening and half of the night - didn't get her into bed until 4.30 am on Friday night. We've decided to introduce a bottle in the evening as we went through this before with DD1 and it was the only thing that kept our sanity. Planning to breastfeed the rest of the time, just got to hope it doesn't hagve a negative impact on feeding. Although it wasa better birth thuis time and Eloise is a better feeder I think I havbe a really slow milk supply and find it impossible to fill my babies up, even though they feed constantly!

Anyay, other than that, all is well!

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Lovethesea · 05/07/2010 14:44

Glad the GP has sorted you for antibiotics withor and hope it heals up very fast. One side of my scar was redder and thicker than the rest at first too - it's all fading and shrinking so much now it's not so visible. It didn't weep though, and if it had I would also have been off for antibiotics.

Mookle - glad you are home and hope the issues that kept you in longer aren't bothering you anymore. Welcome Kitty :-)