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Childbirth

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

C-sections aren't all bad, surely?

65 replies

newbiemummy1 · 25/06/2010 22:24

Hi there,

I'm newly pregnant and just found this site and thought I'd jump in at the deep end and ask a question about childbirth!

I'm pregnant with my first and have been reading up on all sorts of births. From what I can tell a straightforward vaginal birth is optimal for mother and baby. I have read that c-sections carry an 80% lower risk for oxygen deprivation though - isn't that quite a high figure???

It's just I know a few people in RL who are snooty about c-sections but to me I can't understand how they can be so submissive when they obviously can be better than some natural births.

Just wondered what it was all about really? I'm sensing some people get a bit competitive about this kind of thing? The whole world of competitive mothering scares me a lot!!

OP posts:
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sarah293 · 27/06/2010 20:44

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newbiemummy1 · 27/06/2010 20:47

GA? Does that mean general anaesthetic? I thought c-s were normally done with an epidural or spinal?

I'm not really the wait and see type, unfortunately!

OP posts:
sarah293 · 27/06/2010 20:49

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BrigitteBardot · 27/06/2010 20:52

I have had 2 planned C-S with GA and part from not getting to see the birth of my children, it's gone very well.
I can honestly say I have had hardly any pain, but I have had trouble Breastfeeding, not sure if there is a link.
This is just my experience.

Bechka · 27/06/2010 21:30

I had an ELCS and it was a fantastic birth experience. No pain, although I did take all pain relief offered. I have never had a VB so can't compare, but will definitely have an ELCS for any future babies.

I was awake throughout, and am still breastfeeding six months on, DD has never had formula. So if you want to bf, it can be done with ELCS, I had heard a myth beforehand that your body wouldn't produce milk quickly enough with ELCS as you don't go into labour, but.... it was fine.

BrigitteBardot · 27/06/2010 21:31

Just re-read my post, appalling grammar, sorry!

ttalloo · 27/06/2010 23:52

newbie, I think that your question is a sound one, and I wish I'd had the guts to raise it in my ante-natal classes.

I went to active birth classes when pregnant with DS1, where we were told that all we had to do was breathe properly, practise yogic poses and connect with the earth's gravity and we'd be able to cope with the pain (which was a positive thing in itself) and have a natural, intervention-free delivery. All I could think was how I was going to manage in labour when I couldn't even master the poses and breathing exercises at 25 weeks pregnant. I didn't dare admit it, though.

In my case, how I gave birth was taken out of my hands because I developed pre-eclampsia and DS1 had to be born nearly five weeks early by emergency CS. Both he and I would have been dead if it weren't for the CS, and I didn't care one jot that I'd missed out on the joy and pain of a VB. I just felt relief that we were both fine.

DS2 was born by emergency CS after failure to progress after 12 hours of labour - his head wasn't engaged and I was only 1cm dilated. The first CS meant that I couldn't be given any drugs to speed up contractions and the news that I needed a CS to get him out felt like a blessed relief - I'd had enough pain before the epidural went in to know that I couldn't take much more.

I've been lucky to have deliveries I could cope with. I recovered quickly from both CS and was up and about on the second day and doing everything I needed to do within three days. I have friends who took weeks to recover from traumatic VBs and I know what I would rather have.

My point is that every woman should be allowed to go for the kind of delivery she chooses, but remain aware that until the baby is on its way, you can't know for certain how things are going to turn out. Fixating on giving birth "properly" by having a VB, no pain relief, etc. just sets you up for a sense of failure if it doesn't go to plan. All that matters is that the baby arrives safe and well to a mother who is safe and well.

We should be grateful to live in a time and country where maternal mortality rates are low (although not as low as they should be) because of medical intervention during labour. There is a reason why so many women and babies around the world still die in childbirth for want of a midwife or a doctor - it might be what our bodies are designed for, but it's dangerous to believe that a bit of deep breathing will get you and your baby out of trouble if things start to go wrong.

Do whatever you think is best for you and your baby, newbie. That's all that counts.

cory · 28/06/2010 09:16

I think they would normally only do a GA if there is a good reason, otherwise their first suggestion would be an epidural.

laward · 28/06/2010 15:35

Always found it interesting that over 90% of women obstetricians have elective c-sections

bcrmum · 28/06/2010 16:07

I also have had 3 c-sections and another surgery in the same place between 2 and 3. I was emergency 1st time (Face up 9lb 1 oz didn't dilate was induced) and elective after that. Whilst I would say that I recovered quickly after no 1 and was hoovering within 4 days.(In retrospect stupid) I was advised to have a section for 2 as there was an increased risk of my scar rupturing as I was 36. After my emergency surgery I was advised not to have any more pregnancies due to the scar tissue but accidentally had no3(Angel boy)at 39 which was incredibly stressful on my body.
In retrospect I wish I had tried for a "normal" birth with No 2 for my body's sake.
I feel that it is up to you though..you have to get all the info and weigh it up. Given a choice no-one will cut me open again.
A lot of the risks are age dependant and can run in families so more info to process!
In my area(Ayrshire) babies born by c-section are a lot more likely to get respiratory problems as the mucus which is pushed out of the lungs by natural delivery can lie in a c-section baby. No2 turned blue and stopped breathing when I fed her and had to have her lungs "washed out" and was in special care for 3 days.

I am aware that this sounds negative but I do have 3 beautiful healthy children as an end result.
I hope you have a fab stress free delivery whatever you choose.

LolaKnickers · 30/06/2010 16:32

I had an ELCS and think it was the best choice for me.

I made my decision for exactly the reasons the OP has stated; the riskof oxygen deprivation with a natural birth that goes wrong. There are risks for C-sections, hence they are not for everyone. I am a healthy weight and have low blood pressure, so considered the risk to me of surgery was acceptable and outweighed by removing the risk of oxygen deprivation to the baby. There is also a small risk of respiratory issues with c-section (apparently it's a more likely than the risk of oxygen deprivation during normal childbirth, so is a negative for c-sections). I considered I would rather have a higher risk of this minor and short-lived issue, than the admittedly very small chance of oxygen-deprivation, as however small the risk, the consequences are so devastating.

There's also a website which gives a lot of useful info. Don't think you can post links, but if you google "balanced caesarean" you'll find it.

Sorry this is a long post, but it really bothered me when I was making my decision that there is a lack of unbiased information out there and all you come up against is too posh to push, are you worried about your sex life, have you seen celebrities doing it...

An elective c-section isn't for everyone but for some it is the best choice. Good luck to the OP making a decision (and just let it wash over you if anyone suggests you're too posh to push. Grr..)

Chynah · 30/06/2010 17:38

Totally agree Lola - chose ELCS for my births and very happy that I did.

barkfox · 30/06/2010 17:59

Interestingly, for those who haven't seen it - news.bbc.co.uk/1/hi/health/10448034.stm

From the article: - "The World Health Organization has dropped its recommendation that fewer births be carried out by Caesarean section, saying there was no evidence for a limit.

The WHO had previously advised that no more than 10 to 15% of babies be delivered by section, a figure often cited by those concerned about rates in the UK - where one in four babies comes into the world in this way.

But now the WHO states that "there is no empirical evidence for an optimum percentage" and stresses that "what matters most is that all women who need Caesarean sections receive them"."

The WHO target recommendation is frequently mentioned on CS threads here. It seems the WHO actually dropped this recommendation last year! but it's gone very under-reported for some reason.

lifeinthesun · 01/07/2010 18:42

newbiemummy1 I just had my 2nd c section 3 weeks ago and would just like to say that whatever decision you make you must be aware that a cesarean is not any easy or particulary pleasant experience. It is a major surgery and the first few days afterwards are difficult. It does make the first few weeks of looking after your baby harder and it makes me very angry when people say it is the easy option. It really isn't!! I had my first c esction as my DD was breech and decided not to take the risk of a VBAC with my DS as did not want the stress of an emergency c section if things went wrong. Dont't rush your decision.

NonnoMum · 01/07/2010 18:51

Congrats on your pregnancy newbie. Welcome to Mumsnet! Tis v interesting, is it not?

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