Originally Posted by kbins
I have at least three of these 'risk factors' (I suspect this baby will be close to 9 lbs as well). Hopefully having this discussion with the OB tomorrow will either convince him to go fight the hospital, or he will reassure me why he feels my risk is not as great as I believe.
My OB did tell me before I got PG that he feels the risk is 'slightly' increased at 5 c/s deliveries, but if I wanted 5 kids, he'd be OK with that, as long as I spaced them out. I think we'll try to stop at 4, regardless. My life, heart and home are very full at the moment.
I welcome any further information or discussion.
I'm not sure which study you looked at, but see if you can find the Landon study - 2004, I believe. He doesn't address abruption, but does discuss rupture rates and rates of placenta accreta. As I recall, after 3 or 4 sections, the risk of an accreta jumps, but I can't remember exactly how much. It was basically a slight risk in the odds of having a previa, and a huge increase in the odds of developing an accreta if
a previa were present.
Have you asked your OB the results of your u/s? I had an anterior placenta with my last baby, but it was high and not a risk for an accreta.
As for the other factors...obviously, it varies from one woman to the next, but my 2nd through 4th babies were all over 10 pounds, and my 5th was 9lbs. 15oz. My 3rd and 4th were both post-dates. I went into spontaneous labour with my first at 38w,5d, and had my second scheduled at 39w,2d (which I did not
want). My last one was done at 39w5d. I'd have preferred 40w1d (40w was a Sunday), and the OB was okay with that, but OR schedules didn't allow it. I've laboured at least a little with all but one of them. As far as I know, there's never been any sign of any thinning or anything else on my uterus. The only comment any of the OBs have ever made is "your uterus looks great". So...5 babies, 2 post-dates, 4 macrosomic, labour present 4 times (significant labour in two cases...full dilation), and no rupture. I've also never given birth vaginally. Ruptures do happen, but it's hard to pin down the risks.
Don't worry too much about going into labour before your surgery date. Despite the way the doctors make it sound, I've never heard of anyone rupturing on their first contraction, yk? If you start labour, just get to the hospital asap, and explain the situation.My update:
For anyone who hasn't picked up on it somewhere else, I had my last section (and tubal) on June 26th. We have a beautiful baby girl, named Jenna Marie. She's very sweet and a good nurser and good sleeper - very easy. I was only hoping for alive and preferably healthy, but I got bonuses!
The anesthesiologist did let dh come in for the spinal. It made a huge difference having him there. After it was over, he said, "I can see why you wanted someone there for that. It's not pleasant." I also got stitches, instead of staples, for the first time - WOW! I couldn't believe the difference in both pain and mobility. The nursing staff were also willing to believe me when I said I didn't need any help with breastfeeding, etc. The night nurse checked on me quietly with a flashlight, and didn't wake me up...she just checked to make sure the baby in a safe position beside me on the hospital bed
before going on to the next patient. So - it all could have been a lot worse.
As far as c-sections go, it's been a good recovery. I'm a little more emotionally stable than I usually am - maybe because I know I'm done, and I never have another one facing me again. It still sucks, and if I could go back and rewrite everything about my reproductive life (except my kids), I'd do it in a heartbeat, but I can't. It is what it is, and I cope the best I can.
looking forward to being fully recovered and able to put dd2 in the Ergo and stuff like that. This recovery started off great, but it seems to be dragging on forever