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Pregnancy

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

Been asked to consider a C-section

6 replies

PMAmostofthetime · 07/03/2023 14:43

I have been asked to consider a planned c-section at 39 weeks- due to some concerns that I may not dilate- but they can't be sure and everything could go smoothly.

I really don't want an emergency C-section which is a possibility if I don't take the planned one.

However they can't tell me how likely that could be only that it's higher risk than most pregnancies.

Any advice please?

What should I consider? Any websites I can look at to help my decision. They want to know as soon as possible so they can book it in.

Thanks

OP posts:
Number1number2 · 07/03/2023 19:13

If it helps, an emergency C-section just means one that isn't planned. It doesn't automatically mean a life or death situation. So I would probably opt to aim for a vaginal birth on that basis but being aware that a c section might be needed. Or maybe agree to one if I haven't gone into labour by a certain date.

However, it's hard to say without really understanding the issue, the risks and the probabilities.

Ireallywantsomechips · 07/03/2023 20:21

I don’t have any websites for you but I’ve just had an ELCS after previously having and EMCS

The emergency one was fine, I had alot of adrenaline to get me through it and no time to think really. Everyone was lovely and really caring throughout. No time for photos or anything until after baby was delivered so I did have some weird subconscious disconnect that she wasn’t really my baby for a while! It did pass eventually

The elective was great! Very relaxed, which seems a bit weird after the emergency but everyone’s looking after you still. My midwife took loads of photos, videoed baby coming out of me like I adied and even showed me my placenta! (She did ask if I wanted to see it)

Recovery with an elective c section was much easier! A midwife said it’s because with emergency the body has to recover from labour first before the surgery itself so it takes longer.

Obviously it’s entirely your choice but I would recommend having an elective for less stress and easier recovery. I had hoped for VBAC second time round but my placenta wasn’t playing ball and I was so upset. But really it doesn’t matter in the end how they arrive as long as they’re healthy xx

PMAmostofthetime · 07/03/2023 22:59

@Number1number2
Thank you so much for your reply- it's the rushing that concerns me and I know a few people who's Emergency c-section resulted in more complications- prior to this I'd never have chosen c-section.

@Ireallywantsomechips this has given me something to think about and I am very grateful to you for sharing.

OP posts:
Sparklesocks · 07/03/2023 23:38

I have gestational diabetes and have decided to go for an elective, this was offered to me as there is a higher risk of shoulder dystocia with vaginal birth for GD babies. I’ve done a lot of reading on the risks and weighed it up and it’s the right choice for me. I’m also aware the recovery time is longer than a vaginal birth so am not going into it lightly.

The NHS site lists some of the risks here:
www.nhs.uk/conditions/caesarean-section/risks/

And the guide on Tommy’s is quite useful:
www.tommys.org/pregnancy-information/giving-birth/caesarean-section/c-sections-everything-you-need-know

Ultimately it’s your choice and you need to do what feels right for you.

PMAmostofthetime · 07/03/2023 23:46

Sparklesocks · 07/03/2023 23:38

I have gestational diabetes and have decided to go for an elective, this was offered to me as there is a higher risk of shoulder dystocia with vaginal birth for GD babies. I’ve done a lot of reading on the risks and weighed it up and it’s the right choice for me. I’m also aware the recovery time is longer than a vaginal birth so am not going into it lightly.

The NHS site lists some of the risks here:
www.nhs.uk/conditions/caesarean-section/risks/

And the guide on Tommy’s is quite useful:
www.tommys.org/pregnancy-information/giving-birth/caesarean-section/c-sections-everything-you-need-know

Ultimately it’s your choice and you need to do what feels right for you.

Thank you so much, I will look at the links now.

Good Luck

OP posts:
Dyra · 08/03/2023 09:27

If it helps any, there's 3 categories of emergency C-section. Each with its own level of "rush" depending on the well being of mum and/or baby. Cat 1 wants baby out within 30 minutes (immediate threat to life), Cat 2 within 75 minutes (ongoing compromise to mum/baby unlikely to resolve), and Cat 3 within 24 hours (no problems, just baby needs to come out i.e. mum goes into labour before elective date).

What you could do is draw a line where you feel continuing would be counterproductive. E.g. baby out within 24 hours of first contraction, or if no dilation within 4 hours. Discuss with your midwife and consultant, as I have no idea where a realistic line for you would be. I'm just a gal from the internet.

Anyway, my point is that there doesn't have to be a rush. Once your line has been reached, even if you and baby are fine, you can have a C-section. You'll be low down in priority, so might have to wait a while, but you'll be closely monitored the whole time.

I had a Cat 2 C-section, due to failure to progress (awful term, though accurate) and repeated fetal decelerations (the actual reason for the C-section, even if they only mention the former). I waited about 45 minutes for a theatre to be freed up. I had my epidural topped up, then waited to get numb. Took longer than expected, but as baby and I were fine, there was no rush at any time. The only complication I had post surgery was wound infection, but that was more down to having a massive overhang and over doing it.

Hope that helps a little bit.

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