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C-Section Birth Plan Suggestions - Page 2

post #21 of 29
My OB told me yesterday that I can have Duramorph in my spinal (if the baby hasn't turned from breech) and it will last for 10-15 hours, or I can just have enough to last for the surgery and a few hours later (which I said I would prefer, in case the meds make me feel yucky). She said I can discuss the options with my anethesiologist.

Perhaps that is what you are talking about, the Duramorph?
post #22 of 29
I too had a wonderful c-section experience. Things that I got:

1) Dh and baby never left my side (not even for a moment)
2) baby went to my chest after a VERY brief check over (she was a month early so there were concerns)
3) Drape was lowered so I could see everything
4) My music in the OR
5) Recovered in my private room (with baby and dh)
6) OB gave a play by play of everything they were doing
7) Catheter after spinal (but my spinal never actually took)

Some things you may not have considered, have a robe with you that doesn't tie up in front. Bring some snacky type foods with you to hospital. Bring your camera into the OR so your dh can take pics right away.
post #23 of 29
If you do end up with a c/s, I would suggest asking the doctor to get double layer suturing and to also look up a local ICAN chapter at http://www.ican-online.org
post #24 of 29
I had a c-section for breech twins. It was scheduled for 38 weeks, but we never thought I'd make it that far before going into labor since I'd been on bedrest since 29 weeks for preterm labor. When I DID make it that far, I felt somewhat conflicted about doing the c-section w/out labor first, but I was sooooo done with being pregnant (was measuring 53 cm at that point), that I decided to go ahead with it. I was having contrax. every three minutes at the time of c-section, so I like to think that maybe I was in labor afterall. My babies never had any problems.

The one thing that we did without realizing what the outcome would be was that we insisted that the babies NOT be given a bath (I wanted to do it myself after a few hours). I wanted to smell them when they still smelled all birthy. The nurses looked at me like I had three heads, and told me that the babies would be "gross," but went along with my plans. The unexpected outcome of this was that the babies didn't have to leave the operating room! This was what I dreaded most about the c-section, and I wish I had known ahead of time that the only reason they'd take them away was to bathe them. Dw held the babies right next to my head while I got stitched up (I was in no state to hold them myself at that point), and then they got put on my bed with me and we were wheeled into recovery together.

The other thing that I was glad about was that we asked to keep the placentas (I actually forgot to ask until I was already on the operating table), and I'm really glad we did. We still have them in the freezer, but we are planning to plant them under a tree as soon as we get our own place.

One thing that I wish I had known beforehand was that they were going to shave my pubic hair for the surgery. This is because they put a really sticky "shield" over that area, and it would hurt a lot to take it off if there was hair under it. Having someone shave my pubic hair was a horrible experience. If I had known that was going to happen, I would have shaved it myself (or, more likely had dw shave it) at home.

I had an epidural and it made me feel really sick after the c-section. I was throwing up and just felt awful. I resisted anti-nausea drugs for along time because I just didn't want any more drugs in my system and I was worried it would make me feel dopey. But after about 12 hours, when I was still puking and couldn't walk due to the nausea, I finally agreed to some anti-nausea drugs. They worked wonderfully and I felt great after. So, if you feel sick from the epi, don't hesitate to take something!

Be prepared that it may take a while for your milk to come in, especially if the c-section is scheduled before you go into labor. Mine took five days. Nurse as frequently as you possibly can, and don't feel pressured to supplement while you wait for your milk. It WILL come in!

I hope your baby turns for you, but if not, I hope the c-section goes well!

Good Luck!

Lex
post #25 of 29
I had an emergency c-section because of a footling breech with my first DS. I have a bicornuate uterus, which causes frequent breech presentation, so I might have the same problem with this one. I would also recommend against ECV. If there is a slight chance you could have a bicornuate uterus (it doesn't always show up on ultrasounds) it could be very dangerous.

My story is really wierd -- DS was breech at 5 months, breech at 35 weeks, vertex at 37 weeks, then turned footling breech again at 39 weeks!! I went into labor, had a quick and relatively painless labor, and went to the birth center at 8 cm dialated. They did a cervical exam, felt feet, and freaked out, and called an ambulance. DS was born 45 minutes later by c-section.

One thing I can say, a "planned" c-section would have been MUCH preferable to an emergency one. I was rushed, tugged, wheeled around, etc. I didn't know what was going on most of the time. A few things that I can tell you:

--I could slightly "feel" the cesarean. I had a spinal, but you can still feel tugging and it is a very very odd sensation. It really scared me at first. It happens so quickly, though!!

--I totally wish that I could have watched what was going on. I had no idea when he came out until my mom said, "Ashley, he's out!" And I saw him laid on my belly, and pee.

--Bring a camera and have someone take pictures!! I so wish I had pictures.

--I had no birth plan, but my DS was never taken away from us. He was weighed in the surgery room, then bundled for DH to carry behind me as we went to recovery. I then nursed him and snuggled him and then watched the nurse give him a little sponge bath. That part was all great. My milk came in only 2 days later, and I had lots of colostrum.

--Recovery was very painful and they made me get up and walk about 3 hours after the surgery. It was 50x more painful than labor!! Take the pain medication they give you! Be prepared for the recovery to be difficult. For me it was difficult emotionally. I couldn't get up and rock my son when he cried. I couldn't walk around the room and bounce him. For 2-3 days I really couldn't get up much at all! That is very hard, but it did mean that DH got to bond with DS.

Good luck!!
post #26 of 29
Congratulations on your upcoming birth. I had two cesarean births, and the first one was a hellacious ordeal and the second one was pretty nice.

The recovery for the second one was much shorter and easier, I was not separated from my dd except for about twenty minutes immediately after the birth (very annoying, but she was on my dh's bare chest during that time except when they weighed her).

I hired a doula for the second cesarean, even though I knew it would be a cesarean. She is a massage doula. She showed up while I was a nervous wreck in pre-op and gave me a massage to relax me. She stayed with me during the cesarean delivery.

That helped. But the biggest thing we did was to get the hospital to commit to my birth plan in writing -- months before the birth. I got the director of nurses, the director of the nursery where the babies are kept, the director of L&D and the director of Mother and Baby all to sign the letter. I had my OB write a letter to the hospital and advocate on my behalf, since my requests were a large deviation from the hospital's usual policies.

I called the chief neonatologist and told him my plans, and got him to agree that my dd would remain in the OR with me on my husband's bare chest instead of warmers, that she could nurse during any heel sticks (we expected a very large baby and my first baby was hypoglycemic), that there would be absolutely no separation from me while I was in recovery or at any other time, that my toddler could stay in the hospital with me after the birth, and numerous other special requests.

I handpicked my anesthesiologist weeks in advance to minimize the risk of spinal headache and scheduled the birth for his convenience. I chose a rude, obnoxious anesthesiologist (I was forewarned) who blabbed on about football and snapped at me. I chose him because he was famous with local doctors for getting the right place in the spine every time and the local doctors picked him for their own procedures. This is really important, the last thing you want is spinal headache, so get someone who is really good at this (it's an art, not a science, imho). I had no complications from the spinal anesthesia, which was great, because my sister and my next door neighbor both had horrible complications from their spinal anesthesia at their babies' cesarean births. Personally, I had a spinal tap once that had complications requiring five days of hospitalization, so I would prefer a rude anesthesiologist with a gift for getting it right the first time than a sweet, respectful, spiritually centered, warm, delightful anesthesiolgist who missed. So ask your OB about the best spinal doc, and don't let them put you off with assurances that they are all the same. They aren't all about the same. Hopefully, you can find someone who is respectful, spiritually centered, warm and delightful who is locally famous for getting the spinal anesthesia right the first time.

I really pushed the issue and asked for the hospital to commit to my requests in writing, and started early, because the first time I had an unexpected cesarean the hospital staff totally ignored my birth plan in almost every way possible. If there is something you really don't want to have happen, put "I DO NOT CONSENT" and then follow it with whatever it is you do not consent to.

In my case, I did not consent to anyone who was not licensed with full privileges observing, assisting, or in any way participating or learning on my daughter or me.

I also brought my own purple knit sheets from Target and a pillow from home so that the bed would be soft and cozy instead of scratchy and horrible and I brought my own good clear fluids and broth so I would not have jello for my first meal.

PS: I made extra copies of the letter from the staff confirming they would honor my wishes, etc., and stapled that letter to my birth plan and passed them out generously. I mailed a copy of that letter from staff to the pediatrics team at the hospital to make sure everyone knew. I also lined up an appointment with the lactation consultants the morning of my dd's birth and I went and met with them a few times while I was pregnant so they would already know me. They got a copy of the birth plan, too.

You can have a good cesarean birth experience.
post #27 of 29
I have to add one more thought. The spinal anesthesia is really important. The selection of spinal anesthesiologist, board certified of course, is really important. Ask anyone who has had the SA messed up. So in my case, I decided to schedule the cesarean to make sure the guy who got it right every time would be available, instead of taking my chances with anyone who happened to show up. I don't know about the advantages of waiting to go into labor, though, my OB downplayed those advantages.
post #28 of 29
I was glad to see your reply. I havea spinal deformation and cannot get babied into my birth canal. I am having a TON of denial with this, but I am trying to cope by getting info on the most natural way to have a c-section. My heart was set on a birth tub for my first...needless to say I had a different ending. Did I mention that with the non-preparation, it took 6 weeks of pumping before she latched? C-sections are just the worst. They are a means to an end, but what a terrible means.
post #29 of 29
It really makes me sad to hear so many of you so certain ahead of time that a c-section has to be a horrible way to give birth to a baby. Only because I felt the same way a few weeks before the birth of my first daughter, who was a planned c-section due to breech. The great thing about a planned c-section is that you can come to terms with it and make it into a beautiful thing despite the limitations.

I just posted a copy of my daughter's birth story on my web site, it's in Word doc format, so if you can't read it let me know and I'll get it into a better one. http://www.shellykang.com/JulieBirthStory.doc I hope this helps give someone hope for a happy birth of their own.

I was very lucky, my second baby was not breech and I had an unmedicated hospital birth with her - also a wonderful experience, but due to extensive tearing and hemmoraging (unrelated to the previous c-section) I had to have surgery a couple hours later. Recovery from that was probably worse than from the c-section! Still, both were beautiful experiences in their own very difficult ways.

Happy Births to all of you,

Shelly
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