Advice for Consultant tomorrow! Please help

[Rebecca299]

So here is background story! 9 years ago I had my daughter fine pregnancy until around 36 weeks. Was swabbed had group b strep. Went overdue and had my daughter at 40+8. 18.5 hour labour no antibiotics giving for group b strep, bowels had moved in waters then was put on drip. Fully dilated daughter wouldn't move down then needed up in fetal distress, buzzer pulled and instrumental delivery. Episiotomy and LOTS of stitches. My daughter ended up with group b strep and meningitis nearly died. I was ill lost a lot of blood. Had a debrief in 2016 as was still struggling with what happened, admitted errors with dates and size etc.

So far forward to now I have been under consultant care and at my 34 week appointment I have what can only be described as a heartless cow, apparently me asking for antibiotics this time in labour and to be induced is being dramatic. The appointment went that bad I was crying my eyes out and the consultant walked out the room and left me.

Tomorrow I am seeing my actual consultant as she is back from holiday and I am wanting to ask for a section. My reasons being as I want to be in control of the situation, no antibiotics required, baby is 92.4 on centile at last appointment, to avoid an instrumental delivery and just to cure my general anxiousness.

Am I being unreasonable and how to I ask for this? I'm so nervous and I know I will cry. So upset as I need to go alone.

I'd appreciate a handhold, I know this is length post. Xx

I have just (5 days ago) had an elective section due to my request. They have to agree to it as per nice guidelines and if they are unwilling then they have to make you an appointment with a consultant who will sign it off.

I seen a doctor under my consultant who basically agreed on the spot after hearing my reasons, previous trauma, and then I had my DC 6 days later.

And I cried too. But I made sure that I knew my reasons were very valid (not that it actually matters) and that I was fully aware of what it would entail. I feel that they try to put you off at every opportunity, but once it was clear I had made up my mind and done my research then they quickly agreed.

I've weighed everything up I'm having nightmares every night. It sounds silly saying it out loud but I have tears in my eyes now. Just feel I want to enjoy the new born stage as last time it was horrendous.

Me and my daughter have the best bond but my god it was hard with all her health stuff and not sleeping. All these things together are just too much xx

Just tell them you want an elcs. If they refuse they have to refer you to someone who will do it for you.
You don't really need a reason for cesarean anymore and they can book you in at very short notice. Don't get emotional about it at your appointment, the calmer you are the better for discussing details.

I had an elcs last time but the choice was out of my hands as I had breech twins, it was the safest thing for them.

OP I had an absolute shit show of a first birth and needed lots of therapy and medication to get over it and the following PND and Heath anxiety. I had an elective section with my second for that reason and my consultant was brilliant. Maternal request for a section should be considered under the NICE guidelines (easy accessed via google it’s worth reading) and if your consultant isn’t happy with your request under the guidance they should refer you to another consultant for a second opinion. A traumatic first birth is a very valid reason for an elective and in my experience my consultant was incredibly supportive and actually went above and beyond on the day of surgery to make sure I had a good experience after hearing/reading about my first birth. It was a very healing positive experience for me- I was up and about very quickly and found it very easy to recover from compared to episiotomy/forceps/PPH/sepsis. My first baby was in SCBU with sepsis and facial nerve damage from forceps too so the section for me just felt much safer for us both even when weighing up the cons of surgery. Good luck