C Section Advice

[MissTwister]

Hi All

If I end up having to have a C-Section due to Placenta Praevia would this need to be under GA or not? Hoping not!

thanks

xx

Not usually, my two were with spinals

Oh good! Mine is posterior too which I think is better in terms of C-Section

Both my dc were the same! Def have a section!!

They only ever do a CS under GA when it's a crash emergency CS.

An ELCS (planned) is not done under a GA

gymbum that's not true. Some c-sections are planned to be under a GA due to existing medical conditions.

Nature really, such as which medical conditions?

I had an emcs due to placenta praevia. It was under a spinal but you'll probably have 2 anaesthetists that are ready to turn it into a general as it's a very unpredictable condition. Good luck OP

gymbum I've read a number of posters on the pregnancy board today who are having planned c-sections under GA. What their exact medical conditions are I don't know. But another poster has mentioned a planned c-section under GA due to eclampsia and a spinal fusion.

The condition/conditions would have to be extremely serious and potential life limiting. I think we need to be careful we don't frighten people when it comes to CS unless we fully understand what we are saying and can fully explain our reasons rather than vague someone said etc. I speak from experience and also having had a planned CS.

Op. Wind is correct in terms of the procedure for placenta praevia.

gym I'm not trying to scare anyone but your statement was incorrect and I'm not relying on vague posters information. I think it's important to be correct. I did not say it would be applicable in the ops case and also said it was only applicable for certain medical conditions. The vast majority of elcs will be under a spinal but not all as you seemed certain of.

Well you should have made yourself clear. And you are relying on third party information from a couple people on the pregnancy forum to make a judgement on what I said. You, yourself have never spoken to an OB consultant or done any research, have you? I spent 10 months researching this and paying a fortune to get second and third opinions prior to having my ELCS with DD.

Op have a look at this book. Really good read and goes through different types of CS on the NHS and what the guidance.

www.amazon.co.uk/Caesarean-Birth-Positive-Approach-Preparation/dp/0956848001

gym I'm sorry you've taken such offense to my post. My statement is correct however and is backed up by information from a number of reputable sources. My own personal experience is irrelevant.

Good luck op apologies for derailing your thread.

Nature. Your personal knowledge is very relevant if it's based on radom Google searches. Don't accuse me of not having correct information when it's clear you have no experience what so ever and are relying on second hand information rather than facts from professionals or actual research.

gym I'd personally prefer to rely on information from the nhs and nct than your personal experience. I have no idea what research you have done or what your circumstances were so maybe for your exact situation it never arose that in certain situations a cs is required where a spinal block or epidural are not possible.

Nature. Maybe you should speak to Mr Campbell too. His part of the team that runs the NHS Leeds Teaching hospital. His just one of the people I spent a lot of time consultanting with

finder.bupa.co.uk/Consultant/view/23527/mr_david_james_campbell

Gym, to answer your question: patient choice (there are a few people who refuse a spinal such as people with severe needlephobia), certain spinal conditions or spinal surgery and some bleeding disorders that risk causing a haematoma in the spine with needle insertion. (I'm an anaesthetist.)

Misstwister, a posterior placenta praevia would usually be very straightforward and carried out under spinal anaesthetic. As another poster said, there is a small risk of conversion to GA but this is more likely with anterior PP, especially in people with previous CS scars.

lady patient choice is indeed an option. And as I stated above there are conditions that would be claased as serious therefore requiring a GA. What I didn't appreciate was someone that knows nothing about it or that has never spoken to a medical professional trumping up about a general comment I made.

Gym your comment was incorrect though in saying they would only give a GA in a crash emcs situation. I know two people (one heart condition, one blood clotting disorder) who have had planned elcs under GA. I'm sure it wouldn't scare the op to say she will likely not have a GA but that some do with underlying conditions.

I would assume a heart condition and a blood clotting disorder would be considered serious conditions in these circumstances? If you look at my comment further I did clarify that some serious conditions and life limiting conditions would end with a GA.

Your original comment was that they'd 'only ever' do a c section under GA as a crash section which isn't true!

Yes my original point was vey generic but in response to the Ops original question. I did go on to clarify that follow the other post though or does that not matter?

I do believe that people should be more considered when they answer these questions. In my experience what people said affected me and worried me hence the reason I sort advice from Mr Campbell and Miss Bhabra. They were both amazing consultants. It was through them I realised that a lot of what you hear/read about CS can be very misleading.

When you are a non medical professional, you can tend to read into everything.