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Looks like I may not get my UC afterall...5th section...maybe. - Page 2

post #21 of 87


I am so sorry. When I discovered I was pg after my second c/s, I cried so much knowing that I couldn't have another surgery if I didn't want to be maimed or die. I know that's not reassuring, but in my situation, that was the reality, and that's what opened me to the possiblity and eventuality of my first uc and also this one coming up. I think I can relate to your pain in some way. I am so so sorry.

If the choice to have another c/s ever became the better one, I would definitely hire both a midwife and a doula to stand in the OR with me and dh, having shared care all the way through and who were strong women, willing and able to advocate for me and my wishes. We did have a midwife share care with the OB for my surgeries, and she did her best, although the whole thing was new to her- she'd always done vaginal births.

But, she closed the curtains when the drs left them wide open to the hall with me naked (: ) and stayed with dh to fend off the formula-mongers and antsy nurses who wanted to take our babes away every half hour for checking something. She also held and continued to refer to the forms that I signed stating my refusal of eye drops and tests for my newborn. I wish that I'd had a second person there, though, which is why I suggest a doula; she could be there to care for you exclusively. Our midwife advocated, my dh kept our babes safe and I was mostly left alone because there simply were not enough people there to tend to every need.

Also, for me, even with a scheduled c/s, there was never any guarantee that I would actually have the OB who saw me up until then. It was always a possibility that that OB wouldn't be there because of having been on-call the night before and gone home, replaced by an OB I'd never met. The second c/s OB never read my medical papers or my hospital forms- the ones stating what I consent to and what I do not, so our midwife (who was livid about that) did a sort of running commentary the whole time to inform him before he acted outside the allowable parameters of my consent. He wasn't even aware of my latex allergy and had to have everything in the OR switched just a few minutes before the surgery, even removing the latex gloves from his hands to do so. Ridiculous. In fact, I asked my midwife to ask him if his gloves were latex because I know that the non-latex gloves are blue, and he was wearing white ones.

Booo.

Anyway, please do research and find the best options you can. And keep us updated about your pg since many of us, I suspect, don't often read the other pg forums and we're all concerned for you with this new information!
post #22 of 87
Thread Starter 
Quote:
Originally Posted by PreggieUBA2C View Post


I am so sorry. When I discovered I was pg after my second c/s, I cried so much knowing that I couldn't have another surgery if I didn't want to be maimed or die. I know that's not reassuring, but in my situation, that was the reality, and that's what opened me to the possiblity and eventuality of my first uc and also this one coming up. I think I can relate to your pain in some way. I am so so sorry.

If the choice to have another c/s ever became the better one, I would definitely hire both a midwife and a doula to stand in the OR with me and dh, having shared care all the way through and who were strong women, willing and able to advocate for me and my wishes. We did have a midwife share care with the OB for my surgeries, and she did her best, although the whole thing was new to her- she'd always done vaginal births.

But, she closed the curtains when the drs left them wide open to the hall with me naked (: ) and stayed with dh to fend off the formula-mongers and antsy nurses who wanted to take our babes away every half hour for checking something. She also held and continued to refer to the forms that I signed stating my refusal of eye drops and tests for my newborn. I wish that I'd had a second person there, though, which is why I suggest a doula; she could be there to care for you exclusively. Our midwife advocated, my dh kept our babes safe and I was mostly left alone because there simply were not enough people there to tend to every need.

Also, for me, even with a scheduled c/s, there was never any guarantee that I would actually have the OB who saw me up until then. It was always a possibility that that OB wouldn't be there because of having been on-call the night before and gone home, replaced by an OB I'd never met. The second c/s OB never read my medical papers or my hospital forms- the ones stating what I consent to and what I do not, so our midwife (who was livid about that) did a sort of running commentary the whole time to inform him before he acted outside the allowable parameters of my consent. He wasn't even aware of my latex allergy and had to have everything in the OR switched just a few minutes before the surgery, even removing the latex gloves from his hands to do so. Ridiculous. In fact, I asked my midwife to ask him if his gloves were latex because I know that the non-latex gloves are blue, and he was wearing white ones.

Booo.

Anyway, please do research and find the best options you can. And keep us updated about your pg since many of us, I suspect, don't often read the other pg forums and we're all concerned for you with this new information!
Thanks! Yes, DH is always on "baby duty." Meaning the second baby is out, I'm alone. Of course, I'd rather he go with the babe but still... *sigh*

Anyone with a big mouth wanna come to a c-section?
post #23 of 87
I TOTALLY TOTALLY would, if I could. And I'd be the biggest mouth anyone had ever seen while still smiling, of course- don't wanna be rude

A really strong-willed woman with hospital privileges would be awesome. Is that an option for you? If you choose the c/s, of course.

My situation is very different from yours. Both c/s were low transverse and the second OB simply cut out the first scar and used it as the opening to pull ds2 out, then stitched it, so I only have one 'hole' in my uterus. I honestly don't know what I would do in your situation. I think I'd probably UC accepting that I may have to transfer. In our former city, it took 40 minutes on average to prep the OR for an in-hospital emergency c/s and 20 minutes if we came in from home via ambulance, so essentially, it was actually safer to risk a UC than to go in to begin with.
post #24 of 87
Thread Starter 
Quote:
Originally Posted by PreggieUBA2C View Post
In our former city, it took 40 minutes on average to prep the OR for an in-hospital emergency c/s and 20 minutes if we came in from home via ambulance, so essentially, it was actually safer to risk a UC than to go in to begin with.
Why doesn't that surprise me??
post #25 of 87
Marie, my sil said you really should post on the Atlanta ICAN group. Also check if there's an ICAN group near you.
post #26 of 87
Thread Starter 
I, personally, don't much care for ICAN. I recommend it to others...it's a good resourse for info...but I can get that elsewhere. Just for ME, and how I funtion, I can't be around fear based people & when I was reading ICAN it ABOUNDED. I need confidance & strength.

I really wanna keep UPing and UC. I talked with R and he's supportive. But I also need to not be doing it to tell the world "F off, I CAN" but because it's best and safe. I just don't know...
post #27 of 87
Did your report say anything about the condition of your uterus during the last surgery?
post #28 of 87
Thread Starter 
Quote:
Originally Posted by crunchymomof2 View Post
Did your report say anything about the condition of your uterus during the last surgery?
Just this:

"There was extensive peritoneal adhesions covering essentially the entire lower uterine segment."

And a few other spots noting "significant scar tissue and adhesions."

ETA:

I also see "Extensive ureteroperational adhesions" and "extensive scar tissue involving the anterior abdominal wall."
post #29 of 87
Thread Starter 
Can someone translate this as apparently I'm too dumb...?

"The incision was completed in the midline and extended bilaterally."

That IS vertical, no?

ETA----

For some reason i get the image mentally from that of a HOROZONTAL cut going UP at the ends...if that's what it is I am fine VBACing that way.
post #30 of 87
Bilateral-
Biology. pertaining to the right and left sides of a structure, plane, etc.

Sounds horizontal to me.
post #31 of 87
Thread Starter 
Quote:
Originally Posted by crunchymomof2 View Post
Bilateral-
Biology. pertaining to the right and left sides of a structure, plane, etc.

Sounds horizontal to me.
Me too...but in one area they SPECIFICALLY say "classical." I am SO confused!

ETA...In part it says:

"Primary: No. Repeat: Yes. VBAC Trial: No. Incision: Classical."
post #32 of 87
Just throwing this out there... I'm not a mw yet, but aspiring. Anyway, what if you contacted MANA to find a mw in training to come attend your birth and prenatals. You could also say, your out of town cousin uncle, sister, whatever is an OB resident, so you don't really need the education. Honor the doctor, feed their ego. Let them know that you so appreciate the service they are offering you. Let them know you are a "hokie" that wanted so badly to have a natural birth. Ask what things they can do to help your surgery feel like a birth. Don't schedule all your appointments, or call and cancel the morning of. Go every month or so until you go into labor, and then call in.
post #33 of 87
Quote:
Originally Posted by rmzbm View Post
Me too...but in one area they SPECIFICALLY say "classical." I am SO confused!

ETA...In part it says:

"Primary: No. Repeat: Yes. VBAC Trial: No. Incision: Classical."
Can you see scars on U/S? Maybe an option?
post #34 of 87
Quote:
Originally Posted by rmzbm View Post
Can someone translate this as apparently I'm too dumb...?

"The incision was completed in the midline and extended bilaterally."

That IS vertical, no?

ETA----

For some reason i get the image mentally from that of a HOROZONTAL cut going UP at the ends...if that's what it is I am fine VBACing that way.
first of all...!

that sounds horizontal to me. it sounds like they started the cut in the middle (midline) and then extended the cut to both sides from there.

if it were vertical they would have written that the cut was extended superior and inferior.
post #35 of 87
Thread Starter 
Quote:
Originally Posted by kidspiration View Post
first of all...!

that sounds horizontal to me. it sounds like they started the cut in the middle (midline) and then extended the cut to both sides from there.

if it were vertical they would have written that the cut was extended superior and inferior.
You're always so darn logical! Yes. I agree...it DOES sound that way. But what of the word "classical?" I am just PUZZLED! :
post #36 of 87
I found this info digging around on vbac.com:

".... The potential dangers of uterine rupture are related to the rapid 'explosive' rupture, which is most likely, to be seen in women who have a classical midline scar. Rupture of the scar after a classical cesarean section is not only more serious than rupture of a lower segment scar, it is also more likely to occur. Rupture may occur suddenly during the course of pregnancy, prior to labor, and before a repeat cesarean section can be scheduled. A review of the literature at a time when classical cesarean section was still common, showed a 2.2% rate of uterine rupture with previous classical cesarean sections and a rate of 0.5% with previous lower segment cesarean sections. That is, the scar of the classical operation was more than four times more likely to rupture in a subsequent pregnancy than that of the lower segment incision. (continues on)"


Based on this info, just being pregnant carries a risk of uterine rupture.

This is actually the info that convinced me to HBAC my daughter!

I figured if I was already at risk by being pregnant I was willing to take a slightly higher risk and labor and birth at home.

If I were in your situation I would probably educate myself and UC; although I still have a lot of trauma issues related to my DS's c-section, so I know I'm not too very objective when it comes to the topic.
post #37 of 87
Thread Starter 
Quote:
Originally Posted by KariM View Post
Based on this info, just being pregnant carries a risk of uterine rupture.
Yeah, I know - and I am actually not the LEAST bit afraid of that. No fear, nada. Right NOW I am not convinced I HAVE a vertical cut. How on earth can one NOT know, this is dumb...he SAID it was vertical but he also made NO effort to look at a peice of paper. I AM calling back tomorrow. There are a few other OBVIOUS mistakes on this report, smaller things but still. "Classic" - for example - could be a typo for all I know! *sigh*
post #38 of 87
It probably is a typo. I'd try on my different options and see how they made me feel. I dont think I could sign up for a c/s but you have to do what feels right.
post #39 of 87
Thread Starter 
Quote:
Originally Posted by crunchymomof2 View Post
It probably is a typo. I'd try on my different options and see how they made me feel. I dont think I could sign up for a c/s but you have to do what feels right.
The only option that makes me feel right and good is UC. No, a section doesn't feel right, at all.
post #40 of 87
Quote:
Originally Posted by rmzbm View Post
Yeah, I know - and I am actually not the LEAST bit afraid of that. No fear, nada. Right NOW I am not convinced I HAVE a vertical cut. How on earth can one NOT know, this is dumb...he SAID it was vertical but he also made NO effort to look at a peice of paper. I AM calling back tomorrow. There are a few other OBVIOUS mistakes on this report, smaller things but still. "Classic" - for example - could be a typo for all I know! *sigh*
the OB definitely could have made a mistake during his dictation. i would think that the likelihood of making a mistake and calling it a classic incision when it was actually horizontal is much higher than him DESCRIBING the cut incorrectly in the notes, kwim?

i'm rooting for you to have the *BAC of your dreams, wherever that * might be.

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