Gyne recommending Sterilisation due to high risk csection

[MuffinMouse]

I'm 39 and my Cons is advising sterilisation during my 3rd csection as it is going to be v high risk op - and more risky to have a fourth.

Anyone else facing this? Not sure how I feel about it.. (DH will be over-the-moon when I tell him )

Hello, can I ask why you have been told your third section is v.risky?...I'm having another section in July .

I would consider seeking a second opinion.

Could you not wait to fully recover or seek options for treating your high risk condition?

My friend is having her fourth baby and it will be her fourth section. She is being sterlised this time, but asked to be. She also asked last time and they refused due to her age.

Actually during the section itself? My mum was sterilised during her 3rd section, had her tubes cut and tied, but she became pregnant with my youngest sister 2 years later...

I've heard that it doesn't work so well during a section as everything is swollen and so there is a higher failure rate if it's done then.

I~'ve had 3 sections.......it was never mentioned by my consultant.....but a few dr's when i was admitted for a scare with the baby did ask.....I'd never thought about it!

I wouldn't do it.

Your DH can have the snip if the thought makes him so "over the moon".

Regardless of what the Cons. recommends and what your dh thinks. do you want to be sterilised or not? I think that's the question you have to ask yourself.

I think you'll get varying opinions on sterilisation during csection depending on which Cons. you speak to. Some are more than happy to do it (even though it is known to have a higher failure rate). Then others would recommend you recover from the cs, let things return to normal, then have it done as keyhole at a later date.

Having multiple surgeries in the same spot is always riskier and more complicated. Some surgeons will be honest about it (like yours) and advise of the dangers, others will see that it is none of their business how many children a woman has and will leave it to the womans choice.

Is it the same consultant who did your preveious section and did they comment then about the state of your uterus?

Its just I've had 3 c-sections and during the last one the consultant commented on what a lovely uterine scar I had and that I'd be fine to have a fourth if I so wished - not that I will though.

I'd also personally do sterilisation later if thats the route you want to go down but do agree with Cote that I'd speak to your DH about the snip first.

My cs is a bit different from other third-timers. I have multiple adhesions (I heal too well) - which caused a problematic 2nd c-s as they had to unstick bowel/muscles etc before they could deliver. (And adhesions from other abdominal surgery). I've had a lot of pain in this pg because of the adhesions stretching. Which are expected to just get worse. Plus I have a fibroid right in front of my scar which makes it a tricky cs for other reasons - and I had a reaction to the spinal last time. I don't want to worry anyone having an elective as I don't think my case is that typical.

I'm not questioning the Cons advice - just whether anyone else is/has faced the option. As I don't know what to do.

The Cons basically thinks that it is safest not to go through it a fourth time. I won't be allowed any laparascopy in the future for the same reason. (So can't get sterilised after this cs).

Wondering if Cote might be right about a snip, as it might be safest all round! DH not at all keen.. This news might change that - he's not saying for sure..

I guess you have to think about why you don't want to be sterilised.

Is it because you would like more children?
Is it because the failure rate is higher?
Is it because it doesn't feel like the right thing to do for your body?

Only until you work out why you feel like you do can you make a decision

It's not clear what your concern is.

Is it that you worry the sterilisation wouldn't be successful?

Given the risks of another pregnancy I think your DH should really think about a vasectomy, particularly if the only kind of sterilisation you can have is less reliable.