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Looking for advice on elective c-section for health reasons.

5 replies

jcscot · 26/07/2006 10:21

Hi. This is my first post after reading for a few months.

I have had POTS for around 10 years (formally diagnosed about 3 years ago) and the consultant referred me to another specialist because he noticed my rather loose joints. In March of this year, I was diagnosed with EDSIII.

My POTS is fairly severe - lots of dizziness/fainting, I can't drive because of it and I seem to be tired and run-down quite a bit. I'm no medication at all, mostly because I had severe reactions to anything they tried me on and because my husband and I were hoping to start a family. (I'm also allergic to a whole range of of antibiotics, so I take nothing stronger than an aspirin when needed!)

As far as the EDS goes, I don't have the severe pain that some people can get - although I do have grinding knees and joint pain in my hips and knees (especially when cold). The diagnosis came as a shock as I never knew that there was anything particularly wrong with the way my joints moved, or the way my skin stretched. I don't have the problem with healing, although scratches and cuts seem to linger and leave scars and I bruise very easily. I've had an operation in the past and there was a lot of bruising and pain around the wound - more than average - but the scar has healed well.

Anyway, that's the background info - now for my question.

By the time I was diagnosed with EDS, I was around 14 weeks pregnant with my fourth pregnancy. (I've had three miscarriages since Jul 2004, one of which was twins - I was investigated for genetic/blood disorders that can cause recurrent miscarriage but the tests were negative, although I've since been told that EDS may have been at the root of it.) The specialist that diagnosed the EDS mentioned the risk of rapid labour and premature labour and told me to tell my consultant. I have really bad hip/pubic bone pain and my dizziness has been getting worse.

I did this and she dismissed my fears, saying that EDSIII only caused problems in labour if I had a blood clotting disorder - which I don't have. I've since moved house and will be seeing a new consultant in a couple of weeks' time (at which point I'll be 33 weeks) and I don't want to have to wait for them to go and research the condition. My midwife has never heard of either POTS or EDS. My last midwife - who was wonderfully supportive and went and looked into both conditions so she could advise me - suggested that I push for an elective c-section to try and prevent any dislocations and to prevent the strain of labour from tiring me out so much that I won't be able to look after the baby properly.

As far as support after the birth - I've moved back in with my parents and will be staying with them for the last few weeks of my pregnancy and until Christmas. My husband is in the Army and is, unfortunately for him, not around right now - although he hopes to get some leave when the baby is born (paternity leave is not a legal right in the Forces although they do try to accomodate you wherever possible).

What should I be telling them? Should I be pushing for a c-section? I know some of the risks associated with EDSIII but I'm not sure of the risks associated with POTS; my consultant says that there are more risks after the birth - extreme tiredness etc, especially if I have a difficult labour. Has anyone any advice concerning either condition that they could share?

OP posts:
Overrun · 26/07/2006 11:13

don't know enough about your conditions, but if you are okay with the idea of a c section, then go for it, lots of people have them for much less good reasons than you have.
I am sure your midwife wouldn't be advising you to ask for one if she didn't feel that it would be best for you, but that doesn't mean that you have to do it.

jcscot · 26/07/2006 11:33

I have to admit that the thought of a c-section, whilst scary, is rather reassuring. I'm aware of the recovery time and the risks but I'm also aware of the risks/recovery time should I suffer a difficult labour. The thought of being on crutches/in traction with a newborn is not pleasant and there is a real risk - so I'm told by my midwife - that I'd need an emergency section if the labour went on a bit because of the POTS (it could put strain on my heart).

If they could guarantee me a straightforward labour, I'd be fine with it but I know this isn't possible.

I'd also be lying if I said that it would be easier for my husband to get leave if we knew exactly when the birth would be. However, the 'convenience' of a c-section in this regard is not a priority - it's a fringe benefit, if you see what I mean.

My real problem seems to be that the consultant I saw at 16 weeks had never heard of POTS and dismissed the EDS - the complications in conjunction with a blood clotting disorder she mentioned only apply to Vascular EDS, not to Hypermobility and I'm worried that I could find myself in trouble due to medical ignorance.

OP posts:
bundle · 26/07/2006 11:38

jcscot, I don't know about your specific medical problems but could you ask to be referred to an obstetrician who specialises in higher risk pregnancies, who might have come across something similar before?

jcscot · 26/07/2006 11:49

I did ask about that but I have to go with the consultants the hospital has available. I haven't yet met my new consultant, although I've heard good things about her. I just want to ensure that I have the right info in case she isn't knowledgable about either condition. I don't have a lot of time for her to do any detailed research because of my dates (I'll be 33 weeks when I see her) and the risk of premature labour.

OP posts:
bundle · 26/07/2006 16:26

could you get the doctor you see for your medical conditions, who diagnosed you, to write a letter? surely they've had pregnant women amongst their patients before?

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