Originally Posted by rachelr2
I am looking for data, advice and reassurance from anyone on having a cesarean requiring a vertical incision. Becasue of a fetal abnormality requiring a larger incision, we have no choice and I am really scared of the whole thing. Can anyone help me?
I had an emergency C section in April due to a UR with what was essentially a vertical incision. My previous C section scar ruptured and I also ruptured vertically. Honestly, I noticed no difference in my healing between this surgery and my previous C section. I was up and out of bed and walking (slowly) the next day. I had general anesthesia this time and the epidural I had the first time was much, much preferable. But I had no catheter, no IV, had eaten real food and showered within 24 hours of the surgery. Part of this was because my baby was in the NICU, so if I wanted to see her, I had to get out of bed, so the staff was extemely accommodating to me. But I would insist on being up and about as soon as you can.
Also, be sure to take your pain meds as needed. You don't want to get behind on the pain and be chasing it. I spent a miserable second night because I slept through my 2 am pain med dose. I told the nurse the next day to please come and wake me up for the middle of the night dose and she did and that helped tremendously. I did notice that I needed pain meds after I went home longer this time than I did the first time. With my previous CS, I did not need a refill of the Percocet I was discharged with. This time I needed 1 refill, but was off them by about 10 days post surgery. But I was also MUCH more active this time post surgery, again because my little girl was in the NICU and I had to be up and about and walking in order to see her. I think I over did things a bit, but I really didn't have any choice. Definitely take things easy. Be active, but don't overdo it.
If your little one spends time in the NICU (and it sounds like perhaps he might), you may want to consider a plan for how to manage that. Our hospital's NICU is HUGE (largest in the Washington DC metro area) and DH had to run around and make sure I had a wheelchair available for me to use when we were with her (which was about 20 hours a day out of 24). This was more difficult after I had been discharged, but my baby was still in the hospital. Definitely stay as long as possible in the hospital to make it easier to visit your baby in the NICU. The OB offered to discharge me at day 3, but I declined and stayed the full 96 hours because it made it much easier for me to visit her when I was in the same place. The NICU she was in also had fold out beds so that you could sleep in the NICU with your baby if you wanted.
One thing to think about is that if you want to VBAC in the future, a vertical scar is more likely to rupture than the more typical low transverse incision. So it may be almost impossible to find an OB who would take you on as a VBAC candidate, if that is something that might interest you. The rupture stats I have seen for classical C section scars tend to be around 4%. I know that my OB (who is extremely VBAC friendly) wants to do a planned C section prior to labor when and if we are lucky enough to be pregnant again.