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Cesarean Support Circle-June/July - Page 4

post #61 of 139
Welcome new gals!!

I have major phantom baby too. My stomach visibly jumps and twitches.

I have propblems saying "I gave birth". No, I had major surgery and baby was the result. Were they "born"? Kinda, but they were extracted.

I think I have more issues about this than I thought....
post #62 of 139
I've never heard about codiene affecting milk supply, so I can't speak to that but I did have percocet and it didn't delay my milk at all. I'm not sure what you mean by mind altering drugs; if you want to get technical about it just about anything is a mind altering drug. Are you referring to something specific?

Rivkah didn't have any respiratory problems. Nowadays she has slightly jumpy breathing, but it's so much better than her brother's was that I can't bring myself to worry about it. She was born at 39 weeks 1 day, though, so there was no reason to expect a problem.

The phantom baby! :LOL When I was fairly early in my pregnancy, I'd feel the baby move and think "That was probably just gas" but after the pregnancy I'd feel the gas and think "That was the baby." It's funny how your mind plays tricks on you.

Tammy, I asked for blankets in the hallway going back to the OR because I was freezing, and they actually brought me a warm blanket before I even got into the room. :LOL I got another one afterwards for my legs, but I couldn't feel anything below my boobs, really.
post #63 of 139
I'm very late but here.
post #64 of 139
checking in.
eilonwy...update us on rivkah when you can. she is beautiful.
post #65 of 139
Drugs ... I think you can only get duramorph if you have an epidural (vs. spinal) as they inject it into your spinal cath. before removing it. I had MAJOR itchies on my face, nose, and eyes, and frankly, it was awful. I shook for hours, too, but that started while I was in labor. I think its b/c I was in heavy ketosis from lack of food and sleep for so long. But, I had no pain for a long time after the surgery and moved right to ibuprofen. I never did take percocet or morphine or anything. But everyone responds to pain and pain meds. differently. All that said, although I had colostrum, my milk didn't come in for 6 days (that's a whole other sad story). I think the milk issues just vary from person to person.

Anyway ... do you have any other questions about preparing? I recommend having a birth plan and discussing it with your providers. Call the hospital l&d and talk to the nurses. Go on a tour if you can. Learn about which battles will be the hardest and pick them wisely and carefully. I personally think had my c/s been planned (vs. at the end of 23 hours of labor), it would have been easier both mentally and physically. But overall, I think my recovery went well. Oh ... recovery issues ...

Granny panties all the way. Also, soft high waisted pants/shorts/jammies (or better yet, nightgowns or sundresses).

Take the stool softeners and gas pills. You will need them. And you will be happy you took them. Many hospitals won't let you eat unless you pass gas, and most won't release you until you have a bowel movement. And that first bowel movement isn't easy. Trust us. You'll want the stool softeners.

Get out of bed and rock in the rocking chair, walk around, do what you can to move as soon as you can. Take it slow and easy, but do move. The more you move, the faster your recovery, and the faster your GI tract will get back in gear. That first week its hard to know if you over do it, but increased bleeding and pain are pretty good signs.

Get something to put next to your bed at home to help you get to a sitting position (something to help pull you up). That was the hardest thing for me. You also might want to make sure you have a number of extra pillows. For me, the only comfortable sleeping position was with 2 pillows under my head and one under my knees. I used ds's co-sleeper to pull myself up.

I personally found nursing on my side to be impossible for about 4-6 weeks. It pulled painfully at my incision to lay on my side. So you might want to consider how else you'll nurse in bed with a Boppy or lots of extra pillows.

Get help. You won't be doing a lot of stair climbing for awhile. You aren't allowed to drive for at least 2 weeks. You're not allowed to carry anything heavier than the baby for about 6 weeks (or longer). And you can't vaccum or do laundry. You'll need people to do these things for you. Line them up now (or at least warn dh!). Also, since you have a little time, stock your freezer, especially if you don't have anyone else to cook for you (my dh can barely boil water). If people ask how they can help, tell them to bring food and help in the house.

That's all I can think of for now. I'm sure others will pipe in w/ other suggestions!
post #66 of 139
thanks, Amy! (BTW, my name's Amy, and I have a Henry, too )

I feel alot more prepared, now. I have an appt. with OB, tomorrow, and his nurse can help arrange a tour of the L/D at the hospital, and a talk with the nurse. I met the head nurse when I went in for BP issues in the sixth month, and I liked her, very approachable. I've had two babies at this hospital, but never learned about c/s or the nursery or anything. Also I want to meet with the anesthesiologist...I had an epidural with ds#2 and I want that guy again if possible.

So what I'm hearing is, a planned c/s might go alright. Seems like its the emergency ones, after long or induced labors or whatever, that take horrific turns.

Ours will be scheduled. Hopefully that will give everybody a chance to be calm and sane (including me).

Thankfully, I'll have lots of pp support. My mom and my sister are both coming, and planning for one of them at least to be here for 6 weeks! Luxury...I was pretty much on my own after each of the first 3. Dsis is coming early, to help me cook and fill up the chest freezer before the birth.

I feel very non-crunchy for mentioning this, but I'm so grateful that I'm not having another pit-induced birth. I've never done a c/s, and I totally get that the recovery will be a bear, but I was having a hard time coming up with the courage for an induction. I had a homebirth with ds#1, and after that experience the induced labor was so shockingly awful and painful, and took twice as long. I never want to do that again. But homebirth is not an option now, and induction is off the table, too. I guess after this baby, I will have done it all, LOL.

You all have really helped me come to some peace about this situation! I've appreciated you sharing your birth stories and advice. Even the tough stuff; I'd rather know than be blindsided.

Bought my granny panties today.
post #67 of 139
[QUOTE=townmouse]

I feel very non-crunchy for mentioning this, but I'm so grateful that I'm not having another pit-induced birth. I've never done a c/s, and I totally get that the recovery will be a bear, but I was having a hard time coming up with the courage for an induction. I had a homebirth with ds#1, and after that experience the induced labor was so shockingly awful and painful, and took twice as long. I never want to do that again. But homebirth is not an option now, and induction is off the table, too. I guess after this baby, I will have done it all, LOL.
QUOTE]

I had pit enduced labor with ds1. I would never do that again. Give me a c/b recovery anyday over that! Of course its the pit that put me in the OR to begin with.

I wanted to add seomthing about recovery. Even though it hurts like heck... stand up straight! Dont' slouch. Stretching is good for you after a c/b. To me the worst things was the epidural. My first recovery was really hard after all the labor I went throguh. My planned c/b was amazing. Bryce was cut on the eye and was in NICU for 30 hours but on MY end it went really well.

I can't believe my c/b was over 5 months ago!
post #68 of 139
I am wondering-
How many of you had stitches, vs. staples?
My first c-section I had staples. This last one- I had stitches and they were SO much better- didn't feel like my inards were going to fall out, etc.
And did any of you have your abdomen seperate? My Ob(awesome) actually sewed mine back together. I guess they split with my first pregnancy and the other OB didn't bother to fix them. ( I always wondered why no amount of Pilates seemed good enough to get my stomach back )
I was looking at pictures of women with this condition(severe cases)and it was pretty scary. I'm just so glad- my doctor saved my tummy!
Leila
post #69 of 139
I had stitches AND staples. Not kidding. I had 42 staples I think? I counted them and it was an insanely large #. INSANE.

I can't have morphine.... it has ZERO effect on me. Same thing with novocaine at the dentist's office. Might as well give me a shot of saline cause that's all it does.

Of course they still injected morphine into my thigh in the hallway as they were wheeling me to my pp room. I was going "waht is that you're putting in my leg?" and she says "morphine" I said "good thing MORPHINE DOES NOT WORK. GO READ MY CHART!"

Grrr. Then I had to wait 2 hours for more meds while they waited for my non-working morphine to get out of my system

I am a Percoset girl. LOVE it. It works like a pro for me.

We had a ton of Nigerian nurses at our hospital and they were big on "In Nigeria, women don't have pain medicine after c/s" To which I would respond, "That's nice. But this is America, and I want my meds every 4 hours on the hour, not a minute too late!" They were REALLY hard to talk into giving me my meds! I would have to BEG them and then they'd cut my pill in half and say "I think you only need half".

OHHHHHHHHH, that made me SO mad. I finally had my sister (who is an ob nurse) come up and she reamed out the nursing staff. Let me tell you, I had a pill in my hand every time I blinked after that

But you know, the more on top of your pain you are, the more manageable it is. You can wait until you're in pain and take 2x as much meds and get the same result as if you'd just taken them all along at a lower dose.

Welp, 2 weeks from today is my "deadline date"

Kimberly
post #70 of 139
townmouse I hope that your birth goes well..congrats to you! You are going to do so great going into this so prepared and have a wonderful experience.. I know this isn't probably what you had planned for your birth but it can be an amazing experience regardless..I know mine was and I will cherish it even though it may not seem the *natural* way.. I was treated very well in any case.

:LOL I am just now retiring my granny panty's (I'm a thong girly normally)! I must agree get some big comfy clothes to wear after the c/s as it hurts to have anything press up against your abs as they will be sore! youch!

Also I used my nursing stool to get in and out of bed which helped..I couldn't nurse anyway but lying down for the first 3 weeks as well.

definitly stay on top of the pain meds the first few days! I let myself go like 6 hours in the hospital at one point and boy did I regret that!

btw I had an epidural and I never recieved any sedatives that I'm aware of just stuff for nausea as I started to puke before going into the OR.

I went into shock after my c/s..no fun and it was super scary as my BP dropped to something crazy like 50/18 I literally could feel myself fading fast and DH was practically hysterical. It was very scary right after just having a baby! Luckily they gave me an epi shot I think and it brought me right out of it then I was given ds immedietly to start nursing..it was the sweetest moment to as he lifted his head right up off my chest and gave me the wisest most knowing look like we have know each other forever. That was amazing..

I also ended up with complications a week after my c/s-(pancreatitis,blood transfusions, and gallbladder problems) not to mention I had numerous viens infiltrated in the hospital and was treate dlike total crap the second time I was admitted. (wierd as the materity ward was just AWESOME!)

as or drugs I took percocet and ibuprofin until I was rehospitalized for 6 more days then I was strictly on phenegran/tylemol (suppositiories as I was not allowed to eat for days) as I had been puking for a week straight,great memory of my ds second week of life,right? I truly thing the complications and recovery from them were so traumatizing compared to my c/s which was a breeze in all actuality. I could have died because of this c/s complications and it really scares me & DH now to think that he & ds might be here all alone.

I totally understand what you mamas are saying about being unable to believe your dc was born! For me I pushed for 5+ hours (and was in labor for another 35+ hours before that) or so before the c/s and could feel him moving down and then right back up..I am so thankful for that memory of pushing and him moving! I think the pushing was the BEST part of my whole birth experience. I am so sad I never got to see ds cord though or be the first person to hold him..that one was really hard to get over.

ETA-I had 22 staples and my abs did split though it's not noticable in clothes as my tummy is smaller than it was before getting preggers (and my bb's too but that's a whole other thread!lol)
ok enough of my rambling..
post #71 of 139
Townhouse - I missed Mom2Baldie's pain med links, could somebody repost? Thanks!

Also, someone else (sorry I forgot who) mentioned the meds from a spinal not getting to the baby. I was wondering if there was anymore info on that - are baby's more grogged with an epi vs. a spinal?

Thanks ladies! We're back on the ttc wagon :

Lisa
post #72 of 139
Lisa,

I actually just posted a link somewhere on Birth and Beyond about how to make a cesarean more mother/family centered, but it didnt have anything about pain medication on it, I dont think. This is it right here: http://www.radmid.demon.co.uk/csgood.htm

I will look to see if I have anything that might be helpful to you though...
post #73 of 139
"I personally found nursing on my side to be impossible for about 4-6 weeks."

Oh absolutely. I'm just now being able to nurse on my side, 7 weeks pp tomorrow.


Mind altering drugs...I made them give me something before putting in the epidural, I think it was fentanyl. That made me so relaxed and happy (completely stoned) that they might have been able to do the surgery just with that. Of course, they didn't, I had 2 hours of the epidural to relax and try to get my cervix to go the 2 more cm...

But if the thought of a needle near your spine doesn't bug you as much as it did me (my emergency birth plan was for a general b/c I so didn't want a needle there), no need to get that kind of thing!

Of course, for me, ibuprofen is almost as strong as the fentanyl in terms of making me stoned. I'm just really sensitive.

codeine...don't take my word for it that it can hurt milk supply, it's just something a friend of a friend said to me. She was told the info when she was having a hard time nursing, but it was probably just in the colostrum days when everyone's getting antsy for the true milk to come in. If she had just been patient it might have all been okey dokey.

But don't believe codeine hurts supply from me, because I have no idea!


granny panties...I'm still wearing 'em. I'm still willingly wearing maternity clothes, though, and everyone always says you'll never want to wear those again! I like them, though. Bummed because I'm losing enough weight so they are falling off of me, and I'll have to get back in my regular underwear and clothes soon.


this ab muscle separation thing...what are you guys talking about? I've heard that a normal part of pregnancy is for your abs to separate a bit, but that it's normal and will go back by itself. I don't seem to have had it happen, or not that I notice at least. What does it look like, what does it feel like? Is it a vertical separation or a horizontal separation? And what does having it stitched up do for your future pregnancies?

Also, where is it stitched? I always imagined this separation to be up near the navel...if so, how is the surgeon for the c-section getting all the way up there? yikes!
post #74 of 139
Well, I know Codeine is just plain evil. I read somewhere long after my daughters c-section birth that it can make you gassy. GREAT! A wonderful thing to give someone who's just had a section!
This time I specifically asked for no codeine and I had no bowel pain whatsoever. I think it did affect my milk supply a little though. Of course, my body is used to no pain medication- ever. I never take asprin or anything.
I will admit to lying to the nurse who wouldn't let me eat until I "passed gas". I had only been drinking juice for like 2 1/2 days, not able to sleep, etc. Not that the food was any good- but it was at least something.

I still don't completely understand how my OB actually stitched my abs together- but I found this about the condition:
Diastasis--a condition that sometimes occurs during pregnancy--is a separation of the vertical tendon that divides the rectus abdominis muscle. Check for it by lying on your left side with pillows under your shoulders. Place your fingertips 1 to 2 inches below your bellybutton. Lift your head and feel for a ridge protruding from the midline of your abdomen--that's a diastasis. If you have it, avoid pressing your belly outward or rotating your torso when doing abdominal exercises--you'll exacerbate the separation.

I also saw pictures on some plastic surgery/tummy tuck site I found on Google. They were extreme cases I'm sure- but scary. I guess some people don't realize they have it and therefore don't do the proper excersises to help it heal. I think mine actually got worse- which s why the doctor helped me out.
post #75 of 139
Just chiming in on a few things.

I had staples. Tghe first time the guy putting them in out in a few crooked. They pulled really bad. BUt I only had them for about 5 days. Then I got the dreaded steristrips... those were a bigger pain than the staples!

Second time I had staples. I had several fall out the day of surgery but it was no big deal. The steri strips were applied a lot more careful so I didn't have any problems with those.

Painkiller: I'm a percocet gal. Problem is that I can't take it that often. It makers me loopy and it makes all of my sense very very sensitive. So, I need the room super quiet and the lights low. Not to mention that it makes me pass out. It took me a couple fainting episodes to relate it back to the percocet.

After my second c/b I told the anesth. that I didn't want anything to make me feel "loopy" So, he put nothing in my epidural but the epidural. I didn't get morphine or anything. I had that little push button machine for about 10 hours. Then I had a couple sets of percocet and then I was done with meds.

With my first c/b they kept giving me something besides the percocet and I was out of my gord for days! I can't even remember Tracy as a brand newbie I can remember him being born abd our first nursing session. After that is when they started the "wierd" drugs and everythng gets hazey

It pays to be very open with your pain guy. He is your friend! If you have prior experience and have had sideaffects tell him. He may be able to do somthing different. If you have no experience jsut tell him that you don't want to feel this way or that way and he may be able to help you avoid it too.
post #76 of 139
I had stitches & steri-strips and had an allergic reaction to the steri-strip glue (made my skin peel). I didn't have any real problems, just some normal fat ooze (yucky, but not dangerous).

Overall, my pain management went well, seeing as I hadn't even thought about the possibility of a c/s let alone pain management for one. But if you have the opportunity, talk to your anesthesiologist before the surgery. Discuss spinal vs. epidural. Discuss possible pain meds. during, immediately after, and in the days that follow. If you've been sensitive to anything in the past, make it known loud and clear. There are lots of options out there, and many don't interfere w/bfing or milk supply.
post #77 of 139

LC for C/S Mommas?

I've been thinking for some time about how nice it would've been to have a LC at the hospital who was: (a) very pro-bfing; (b) gentle; (c) understood how to help a mom who had just had major abdominal surgery; (d) understood how to help a sleepy, lethargic baby; and (e) understood how to help a mom (and baby) with a milk supply that took forever to come in. I had none of these things and we really struggled. So, I've been toying with the idea of becoming a LC that specializes in post-c/s bfing help, as I could've really used that help myself. And in some ways, I think it would help me heal.

What do you ladies think? Could you have used more lactation support? Did you feel that the LC's you saw had no concept of c/s recovery and bfing issues? I'm just wondering if there really is a need or if its just something I experienced.
post #78 of 139
Staying on top of the pain was hard for me. I felt so much better after the section than I did after Eli's birth that I couldn't really wrap my head around the idea that I'd just had major surgery (truth be told, I still can't) so I felt silly asking for pain medication, especially before what I had wore off completely. So I felt fine, until I'd go to change position or get out of bed or pick up Rivkah and find out the hard way that the medication had worn off and that I had in fact had major surgery. Then I'd page the nurse practically in tears, and she'd very sweetly say "Would you like one pill or two?" They never pressured me to take more than I wanted, and that's a good thing because I was really afraid of taking so much percocet (I actually spent several years addicted to that stuff, and getting off was no fun at all! )

I still wish that someone had told me I might need granny panties and shorts that came up to my belly button before Rivkah was delivered. Someone should post a thread in "I'm Pregnant" --what you should know just in case of a c-section. I certainly wasn't expecting to have one! Really, it ought to be a sticky. Three pairs of granny panties would have made the early days of my recovery much more pleasant.

Oh, you can get duramorph in a spinal; I know, because I did. I liked the spinal better than the epidural I had with Eli, because it seemed easier to recover from. My back hurt for ages after the epidural, I think Eli was 4 months old before it went away entirely. This time, I can barely feel the site at 3 weeks pp.

I had stitches, because I'm allergic to surgical steel. I totally forgot about that when they were asking me about my allergies until I looked over at my mom and saw her zipper showing a bit, which reminded me. My mother had open heart surgery and forgot to mention that she's allergic to surgical steel. She had zillions of staples going down her leg and closing her zipper, and good grief did she get sick from it! Both incisions started swelling and they wouldn't heal right, and of course they couldn't just pull all the staples out and stitch at that point... it was awful. I'm glad I remembered in time! Anyway, the doctor who did my surgery said he doesn't routinely use staples, because they're harder to keep clean and recover from than the stitches & super glue.

The lactation consultants I saw were really great, and they were all thrilled to hear that I was still nursing Eli. The only thing I wish is that someone had told me how to situate a toddler and an infant around my incision. In fact, I think there should be some kind of class on how to deal with a young toddler after a c-section. He was so hurt that he couldn't just climb onto me after the birth. It was so bad that when I asked him if he wanted to nurse, he reached down his grandmother's shirt as if to say "Sure I want to nurse, but not with you!" I think in a lot of ways, the surgery has been more difficult for Eli to recover from than for me.
post #79 of 139
Quote:
Originally Posted by eilonwy
Someone should post a thread in "I'm Pregnant" --what you should know just in case of a c-section. I certainly wasn't expecting to have one! Really, it ought to be a sticky.
Don't hold your breath. This is one of those topics that is like "its not really going to happen if you are really prepared" so no one wants to talk about it. I've encouraged women to write a c/b birth plan and they flip out!

Does it seem to you that more and more gals here are having those unexpected c/bs or is it that ppl are more willing to be open about it?

My LC was worthless. I don't think it had anything to do with me being cb. I think she was just worthless as an LC all around.
post #80 of 139
I had the staples. If I need to have another one, I'm going to ask for stitches though as I really hated them. I had them in for more than two weeks. The wound wasn't closing properly with a lot of seepage and I was too paranoid to have them take them out, so they let me keep in them in longer. I have the "classical" incision and I'm glad that I normally wear underwear that are really high up, well over my bellybutton as my incision went right to my bellybutton.

It escapes my mind what I had for pain relief, they gave it to me in suppository form though (yay : ). I do know after the second day I didn't have anything and it never bothered me. I am a wimp when it comes to the thought of pain, but I actually have a pretty high pain tolerance when it comes right down to it.
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