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

Eau naturelle v caesarean: Too posh to push????

31 replies

bubblesincambridge · 09/07/2009 18:55

I will be nearly 43 by the time I give birth and I honestly think I'm too old for all my bits to spring back afterwards. I also honestly think that an elective caesarean must surely be the safest way to deliver.

However I don't really want to ask the midwife if it is possible to request a caesarean in case she puts me in the "too posh to push" category (especially if she spots one of my handbags!).

I'm certainly not too posh to push, and the thought of being incapacitated for several weeks after a caesarean doesn't appeal either.

Not sure how to handle the subject to be honest. Would be grateful for your thoughts.

OP posts:
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TheMysticMasseuse · 10/07/2009 20:10

i have only had vbs (2 of them) so cannot share my experience, but i have 3 friends who've had both a c-section (2 emergencies, one planned due to placenta praevia) and all 3 of them have told me that they would take a vb any time, that recovering from c-s was a nightmare and that they don't understand why anyone would choose to have one.

having said that- only you can decide, and you need to start discussing your options with your mw and ask to see a consultant if you want to go down this route. personally having experienced some minor problems with my perinaeum after my first birth, including having to have a surgical repair etc, and having done lots of research on it, i still think stitches in your fanjo are better than stitches in your uterus, but as i said- your body, your choice.

LibrasBiscuitsOfFortune · 10/07/2009 20:11

hurrah here we go:

www.bmj.com/cgi/content/full/336/7635/85?view=long&pmid=18077440

"high increased risk of serious respiratory morbidity was found for newborns delivered by elective caesarean section at 37 weeks? gestation (13.6, 5.1 to 36; table 4). The risk remained increased at 38 and 39 weeks? gestation. The increased risk at 39 weeks was not, however, statistically significant.
"

Sorry I was wrong it's 39 weeks not 38 weeks.

JemL · 11/07/2009 12:56

I think the thing about CS being the safest way is a misunderstanding, isn't the actual argument that a planned CS is safer than a emergency one?

I'm currently planning a VBAC, however I have to say with my emergency section, performed early evening, I was out of bed and in the shower the following morning, home 3 days after baby born, and drove after 3 weeks - and I was lifting my 9lb 10 DS, who was much heavier than a kettle!. In fact I was surprised by how straightforward my recovery was. But every case is different.

Ilovebeingamummy · 12/07/2009 18:31

All of this makes me so sad.

So many women are missing out (most by the horrendous unnecessary interventions once arriving at hospitals, admittedly) on what its really a rite of passage - designed to help us bond with our children and experience the incredible high (caused by oxytocin) of the realisation that our bodies are so capable of something so incredible.

What everyone has missed so far is the astonishing emotional experience that birthing your own baby (as opposed to having it 'delivered' of you by someone else) is.

(I know from personal experience of doing it both ways)

A baby born after a natural labour has the hormone oxytocin rushing through its body, along with its mother, promoting bonding and its ability to feed. Its lungs have been cleared as it takes part (and healthy babies do, if left alone) by moving and flexing their heads) in the journey down.

Babies whose cords stop pulsating before they are clamped and cut have a massively increased blood volume (differences in iron levels have been detected at 12 years of age) They also continue to receive oxygen through the cord, enabling them to begin breathing fully at their own pace.

Babies put down glycogen stores in their liver in readiness for labour, to enable them to manage it and the first few hours best. Babies induced are much more likely to suffer distress due to not being ready or well positioned (especially as due dates can be so wrong that some are actually premature). Babies born by cs have not have any of the benefits of labour.

The only reason a planned cs could be 'safer' than and emergency one is due to that baby not being already in distress due to the prior interventions (syntocinon induced contractions which are extremely painful, much less effective and cause the baby distress by putting so much stress on the uterus).

In all other cases a baby is far better off having had at least some labour - the more the better. They at least 'know' hormonally that they are going to be born.

I believe most women don't know all these things - I certainly didn't in my first pregnancy, submitting to all these things that robbed me of my birth experience and of being able to truly say I 'gave birth'. She wasn't 'born'. She was dragged out.

My second birth was not interfered with and lasted less than a third of the time. The pain was normal and I could manage it - not horrendous and caused by syntocinon.

I didn't suffer trauma - I felt empowered. He never got distressed. I BIRTHED my son! He was calm and fed instantly. It was incredible and no woman, through lack of information or by lack of staff, money or just for the convenience of the professionals involved, should be denied what is every woman's right.

Of course I believe in woman's choice (if there are medical/psychological issues that make abdominal surgery the 'best option') or if she has all of this (evidence-based) information and chooses not to take up her right to this amazing experience.

BTW I am not a natural birth nazi. I just feel passionate that women are being robbed of their right to be confident that their bodies and babies are designed to birth and the vast majority, if left alone, will benefit, not suffer from doing it.

Ilovebeingamummy · 12/07/2009 18:45

Also (sorry!) according the WHO there are no improvements in outcomes for mothers or babies for cs rates over 8%. Optimum rates should be no more than 10-15%.

Many of our consultant-led units have rates of 30%.

Thats 22% of cs which result in no improved outcome.

hocuspontas · 12/07/2009 19:05

lol! Yes 11 years of 'carnage' here as well MrsMattie! If I turn sideways my stomach still looks like the profile of a Neanderthal man

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