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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

C section fears killing me!

29 replies

RyuRyuk · 13/10/2014 16:53

Hi everyone...

My elective (medical/personal reasons) c section is in two days and I've just been to the hospital to sign my consent form ....I'm bricking it! Sad

I know of the risks and that its protocol to explain them but having them explained in full with the sections two days away terrified me...internal/external infections that aren't deadly if they 'catch them in time' Hmm, internal damage to other organs that would require more surgery to correct, nicking the baby's head, blood transfusion ...but the chance of a hysterectomy petrifies me! Sad Yes the doc explained that these are very rare but I think I stopped listening after hysterectomy! Sad

Could any other c section ladies offer some positive advice or support? I'd be eternally grateful!

Thanks

Xx

OP posts:
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LittlePink · 13/10/2014 17:13

Please don't worry about all the things that "could" go wrong. They are very rare but they just have to warn you of the risks for legal reasons. I had an emcs with dd and yes they did nick her head to be honest but it was very superficial and healed so quickly. All the other things didn't happen. The theatre team were fantastic, really calm, friendly and had music on in the background. The recovery was fine and no infections. It's only natural to be anxious but they will be lovely to you I'm sure and baby will be delivered into a calm and relaxed atmosphere. Good luck, exciting times!!

Showy · 13/10/2014 17:19

I've had two emcs. I'll cut and paste my description of it in a minute, purely because I think fear of the unknown is your main enemy right now.

My cs were straightforward, second one was an utter, utter joy. Recovery easy and I would do it again in a heartbeat.

The thing which is peculiar about a cs is that you have to sign a consent form acknowledging every negative possibility. It doesn't mean they're likely to happen, just that it's protocol. Think of it this way, imagine having to sign a consent form for pregnancy. There are thousands of tiny risks. Or getting in a car. Do you accept that you might die, crash, get lost, damage your property, hit a pedestrian etc etc. Sign here please. But those things are unlikely to happen.

A cs is a common, safe procedure for the majority. Try and think of what will happen, not what almost certainly won't. What will you wrap your baby in? Will you have skin to skin? Take music? Take control.

RyuRyuk · 13/10/2014 17:21

Thanks Little! SmileI know I'm being silly and shouldn't be negative just hoping I'm not the one in a million with these risks! X

OP posts:
RyuRyuk · 13/10/2014 17:24

Thank you Snowy Everything in life has risks I know I should try to listen to that and be more logical, I think it was the fact that being reminded of and having those risks explained made everything worse for me Sad x

OP posts:
Jaffakake · 13/10/2014 17:27

Oddly I think I was lucky when I had my emcs. It was at the end of an extraordinarily long labour. At that point the risks felt tiny in comparison to keeping going after 5 days of getting nowhere!

I don't think they make you sign a disclaimer about natural birth, cos it's meant to be just that. I imagine the risks detailed there would be equally as daunting.

Big hugs. It'll all be fine, I'm sure x x

Showy · 13/10/2014 17:28

"A cs is nothing to worry about. Really, it's not scary. More than anything it's just weird. You'll have brilliant staff around you who do this many times a day. Their priorities are you and your baby and keeping you safe and healthy. A cs is not the poor cousin of a vaginal birth. You have choices within what's happening and it can be as positive and life-affirming as a vaginal delivery. You can choose your music, you can have the screens lowered at the point of delivery, you can have skin to skin straightaway. My DH even watched my second cs from beginning to end. It was a quiet, calm and very positive experience.

Everything will be explained to you first, you'll meet the surgeon and the anaesthetist well beforehand and they'll let you ask any questions but a quick run through...

Like I said, it's more weird than anything else. You'll be trussed up in support stockings, cannula in place and then you'll have the spinal put in. You sit on the side of the bed, hunched over a pillow, sort of pushing out your lower back. They'll give you some local anaesthetic which is like little bee stings and then they'll do the spinal. You can feel some pushing and pressure and the actual spinal taking effect feels like somebody pouring water down your legs. You'll then have time to lie back on the bed before the numbness sets in and you won't be able to move from about your chest down. You can still move your arms though, but they'll tuck them in under a sheet to keep you still and warm. Your anaesthetist from this point stays above your head, will talk throughout and will generally, ime, be lovely.

You'll be wheeled through to theatre where they'll check you're totally numb and do a little bit of prep. They will talk to you and tell you what happens next and then they'll start. They'll put in a catheter too but you won't feel that. There is no pain whatsoever but you can feel what is happening during the actual removal of the baby. Somebody once told me it feels like you're a handbag and somebody is rummaging in you for some keys. This is SO true. You do feel pressure and pushing, right inside you and up into your chest. From incision to the baby being out takes a couple of minutes. Really, it's very quick indeed and soon that baby is appearing over the top of the screen. You'll be so preoccupied with the new baby, you can have cuddles and skin to skin, you won't really be aware of the rest of it. It takes about half an hour to finish stitching all the layers but it whizzes by. You might feel odd, intermittent pressure on your legs. They put these self inflating boots on them and they encourage blood flow and circulation. It just feels like somebody squeezing your lower legs a bit. Apart from that, you'll feel v little during the stitch up.

Then you'll be wheeled into recovery and you will be looked after by a member of recovery staff but your anaesthetist will stay for a while too, just to check you're okay. You'll have the baby tucked in with you at this point and you can bfeed if you want. They'll give you some water too. You'll have a drip up rehydrating you (you'll have been nil by mouth for a while) but that first drink is lovely. You'll find too that you can move around by now. You can wriggle your feet and bend your knees and normal sensation returns really, really quickly. No pain though. They usually give you some morphine into your cannula and a suppository once you're stitched so you're painfree once feeling returns. Of course, if you have any discomfort, ask and they'll sort you out. I found I was quite chilly in recovery and also the spinal/morphine can make you a bit shaky. Plus all the adrenalin is rushing through you. Don't be scared if you feel shaky at all. It will pass and the anaesthetist can give you something to stabilise your blood pressure then too. You may be fine but it's worth knowing that you can feel a bit wobbly.

Once they're satisfied you're okay, they'll wheel you back to the ward. All this time your baby won't have left your side and it whizzes by so, so quickly.

They will encourage you to get up fairly quickly. Few hours post op if you can. I had ds at 3.30 and was up and sitting in a chair for dinner. It is best to get up and move around a bit as soon as you feel able.

What else?

You might have to self inject blood thinners for 7 days as a precaution. They're rolling this out in all hospitals but it isn't everywhere yet. It's fine, they'll show you how.

If you need pain meds (I never did), take them on time and don't let yourself get uncomfortable first. They'll probably give them to you and you can administer them yourself instead of having to call for them.

If you get pain in your shoulder, like you've slept oddly, it's trapped air from the op. It's common and your bowel will be a tad sluggish at first so you won't pass wind normally on day one. Peppermint capsules in water will remove the discomfort SO quickly. Just ask the staff.

They will monitor urine output before you can be discharged. You'll have to do your first 3 wees post catheter removal in a jug and record the amounts (you don't have to show anybody).

Catheter was in for about 6hrs post op for me both times. Soon as you can get up and use the loo, they take it out. Totally painless.

The earliest they tend to discharge is day 2, with day 1 being the day of the op but most places keep you in 2 nights as routine.

When you stand up at first, it'll feel like you're going to tear. It's just an odd sensation, not painful. Do stand up straight though and try not to hunch and shuffle. The feeling will pass.

Wear big cotton knickers which don't sit on your knicker line and sometimes a sanitary towel in your knickers against the wound can help you feel more comfortable.

Type of stitches depend on the surgeons preference. I had one long stitch with a bead at each end, removed at home on day 5 by the midwife. Again, this just feels weird.

Careful coughing and sneezing. They physio will show you how to brace yourself so you don't strain your incision. Physio will come and see you the day after the op to talk about recovery.

You will be advised to not do any exercise until 6 weeks and then only v gentle stuff. Proper cardio stuff will have to wait until 12 weeks. When you sit up too, use your arms, not your stomach muscles. Roll onto your side and push up on your arms and swing your legs off the bed. It just avoids you straining the muscles too soon.

Lots of fruit afterwards. Bowels will be a bit sluggish at first, so encourage everything to be soft and mobile as much as possible. Don't be afraid to poo though!

Nothing in the bath at first. No bubble bath. Bit of tea tree or salt fine though. Let your wound air dry or v gently pat.

I think I'll shut up now. If I think of anything else, I'll post again.

It's really not frightening at all."

noblegiraffe · 13/10/2014 17:30

It's a horrible form isn't it? The first time I signed one I was out of it on gas and air and would have signed anything that would have got the baby out of me safely. The second time stone cold sober in a consultant's office was much more scary.

But if you had to sign a form for natural birth it wouldn't look great either. Giving birth has risks, but there's no going back now! Just don't dwell on it, think about your baby instead :)

tomatoplantproject · 13/10/2014 17:30

I had an emcs and it was really calm - the team were lovely and I felt incredibly safe with them. I maintain that a cs birth is far less traumatic for the baby - there is no fight and being squished just a simple pair of hands to lift him or her out. Dd was incredibly chilled and relaxed post birth which I put down to being born by cs.

I vaguely remember signing the consent form but it was all a bit of a haze. But giving birth naturally has all sorts of risks too but they are just different to a cs.

Best of luck and enjoy those precious first few days!

Titsalinabumsquash · 13/10/2014 17:35

I'm due to have an ELCS with this baby Showy your post has really put my mind at rest. Thank you Thanks

SweetsForMySweet · 13/10/2014 18:06

I had an emcs last time but I've researched elcs because I am pregnant with dc2 and a vbac may not be possible. I've read an elcs is more straight forward than an emcs because with an elcs it is planned so less chance of things going wrong or complications. There is a risk of infection with every operation but if you take it easy and follow the guidelines (re:not driving, not lifting and keeping the wound clean) it should be less likely to happen. They also advise leaving 18 month before getting pregnant again to allow the wound to heal and hopefully prevent problems with the next pregnancy. Try to relax, in two days time, you'll be holding your beautiful baby in your arms :)

LBNM19 · 13/10/2014 18:07

Having mine on Wednesday pre op assement tomorrow and feeling the same I'm really scared. Good luck x

RyuRyuk · 13/10/2014 19:01

Thanks for the great support ladies! Lovely to hear you've all had such positive experiences under both emcs and elcs Smile Snowy can't thank you enough though for such an indepthe and lovely reply! It was so helpful and calmed me a heck of a lot! Thanks

LBNM19, Titsalina (LOL love the name! Grin ) good luck girls! Things are a little daunting but we'll pull through! Smile

Thanks xx

OP posts:
UpUpAndAway123 · 13/10/2014 19:54

Hi,
I had an elective section last Tuesday and it was brilliant!
I planned a home birth but DD turned breech at 36 weeks and refused to turn back so to me a section was the safest option. I too was nervous-especially as planning a lovely home birth Smile
However, from start to finish it was brilliant-so much better than my first birth (horrendous ventouse left with pnd and ptsd). I had researched a lot about 'gentle cesareans' and my birth plan reflected this. The doctors and midwives fulfilled the full plan from us seeing whether we had a boy or a girl, delayed cord clamping, husband cutting cord and immediate skin to skin.
Recovery has been fine (again a million times better than first time) and I feel on top of the world-I only have positive memories of the section anr I consider it a beautiful birth Smile my husband also can't believe the difference either between this and last time.
Good luck and it will be lovely x

Syd35 · 13/10/2014 20:44

*Showy" just wanted to say what a lovely account, your post is spot on from what I remember of my emcs, brings it all back now Smile

OP I am going to request c-sec this time too as I don't want to go through hours of labour to find I can't do it naturally like last time.

Best of luck it will all be fine. x

cheesecakemom · 14/10/2014 00:59

This reply has been withdrawn

This has been withdrawn by MNHQ at the poster's request.

TeamEponine · 14/10/2014 03:17

showy has given an amazing description of the whole CS procedure, so I won't bother repeating any of that! What I will say is that I had my ELCS four weeks ago and was horrifically anxious, both about the procedure and the recovery. The ELCS was actually a very positive experience and the recovery has been far better than I expected.

One thing I would highly recommend is getting a c belt. You can find them on Amazon. It has made a huge difference to my recovery. Really supports and protects your scar and makes moving around far easier and more comfortable.

Good luck and enjoy meeting your baby! Thanks

zoemaguire · 14/10/2014 03:57

Also, bear in mind that even if things go 'wrong', it'll still be fine! I had am elcs 8mo ago and got a post op infection. Yes I had to go back in for iv antibiotics, but actually it was a calm peaceful three days in my own private room with painkillers on tap and helpful midwives giving advice on breastfeeding. Looking back it was one of the more positive aspects of the experience! I was petrified too but it was fine. 8 months on it already feels a distant memory.

TinyMonkey · 14/10/2014 11:29

Showy that is an amazing post, thank you so much. It's looking very likely that I'll be having an ELCS in seven weeks or so and your post has really put my mind at rest.

Also, good luck RyuRyuk, I'm sure everything will be absolutely fine.

SignoraStronza · 14/10/2014 11:44

I had elcs with my third recently (previous emcs and elcs) and although things turned out to be not at all straightforward, the whole experience was still calm and I was made to feel at ease, with everything explained to me. I had lots of adhesions (understatement) and it took a lot of work to take everything apart, remove ds and put me back together again and they kept quite a close eye on me afterwards (narrowly avoided a transfusion). However the key thing was that they were prepared for all eventualities and have done this many times before.

Hippymama · 14/10/2014 11:53

I was going to post a description of my elective c-section but Showy's is fab. I loved my c-section. Such a contrast from my first (natural) birth and I wouldn't hesitate to have another. I was very nervous beforehand but the anaesthesist was just fab. He really calmed me down and when my section was delayed, he came to see me to let me know and keep me in the loop of what was going on. I was able to take a cd to listen to in the theatre too, which helped to keep me relaxed. My little boy was born whilst we were listening to the stone roses :)

Good luck for next week, please don't be nervous x

Hippymama · 14/10/2014 11:56

Oh and peppermint tea is fab for trapped wind (common after c-sections) I took some in with me, but the nurses also had peppermint cordial available on the ward. We ended up being in for 5 days because my son picked up an infection (unrelated to the section, I'd had Group B Strep so it was more likely to do with that) so had to have antibiotics, but I felt good afterwards. When we went home, I kept getting told off by the midwife for "doing too much".

freshlysharpenedpencils · 14/10/2014 12:00

I had an emergency C-Section so I wasn't told any of the risks (sounds like that was a good job). Those risks I assume are incredibly rare - but they HAVE to tell you on the form. So don't worry. Mine was fine (it was the 3 day labour before hand that was horrid) I didn't feel anything and my baby is healthy. That's all that matters. Be thankful that it's on offer for us. I am pretty sure without mine neither my son or I would be alive. Take care after it to allow yourself time to heal.

Ragwort · 14/10/2014 12:08

I had an EMCS (after being turned down for an ELCS Grin) and I was absolutely delighted ............ a VB would have utterly terrified me, and reading some of the horror stories after VB (which no one ever mentions before) I am so, so grateful I had a CS. My DS would have died without a CS.

No problems apart from some slight numbness after the birth, no scar Confused and it is an urban myth that you can't drive after a CS - but check with your own insurer.

Booboostoo · 14/10/2014 12:55

I had two wonderful CSs. Yes there are possible complications but they are rare and generally manageable. Keep in mind also that there are complications with VB as well but they are not usually discussed.

mrsnec · 14/10/2014 13:19

I can't really add anything else but I wanted to give reassurance in terms of the baby too. I was booked for an elcs but they decided to do an emcs when I went in for my pre op assessment. It went ok but I needed transfusions afterwards but that wasn't a problem at all.

The point I wanted to make was that despite all that dd had an apgar score of 9. I think my situation might have been the same as Rag says too.