OTH, c/s problems may arise later, unless something really goes wrong right in the OR. So, infections, lingering pain (which I certainly experienced for a year+ after my c/s), scar problems, problems in subsequent pregnancies, etc. all show up much later. Additionally, the outcome of both procedures is much more focused on the infant's health, rather than on maternal health/healing.
I do know a former coworker who had a scheduled c/s for breech presentation (she was a family practice doctor and delivered babies herself). Anyhow, her wound failed to heal. I forget what the medical term is for this. She ended up with a huge band of messy scar tissue, like 6" wide across her belly and it took months and month to heal. She has to have plastic surgery on her stomach to make repairs.
But it does seem like there are so many more chances for something to go wrong, infection, uncontrollable bleeding, bad reaction to anesthesia, bladder problems (they usually move it and then reattach it), scar tissue, infertility issues, hernia, torn large blood vessel, etc, etc and those are just some dangers to the mother.
And the risks go up the more c-sections you have so I think anyone given a chance to vbac the first time should most definitly go for it.
Lisa, lucky mama of Kelly (3/93) , Emma (5/03) , Evan (7/05) , & Jenna (6/09)
Loving my amazing dh, James & forever missing Aaron Ambrose (11/07)
Turns out some of her scar tissue had adhered to her bladder, causing the tear. Her OB told her any future children will have to be born via c/s because her bladder will most likely tear again (He had to do the bladder repair as the hospital's on-call urologist was out of town...that's another story.) She had to have a catheter for over a week and was in the hospital for 5 days I think.
She did recover well, but I think that was due to her sheer stubborness. Amazingly, she is back at work only 7 weeks post surgery. So even though she had fairly good recoveries both times, she still experienced serious problems as a result.
I got an infection of my incision, which threw me into a sick fever. Days later I started hemorraging. I'm quite sure they left a peice of placenta when they did the C, as the thing that came out of me couldn't really have been anything else. I hemorraged again, at the ER after running a high fever for a week unable to take care of my baby. I had a hemotoma of the uterus, I went back in the hospital, had to have two units of blood, endless tests, needle sticks & IVs, couldn't take care of my baby for weeks, and couldn't even BF for ten days (pumped and DS went back like a champ) bc of the posionous meds they gave me to clear up their mistake.
Not cool, doctor evil. Not cool.
During my second pregnancy, i had terrible scar pain for like a week during the last month (i believe it was adhesions releasing). It was terrible.
Midwifery Student and Mama to 2 daughters and 3 sons.
I have given birth a variety of ways and I am thankful for what each one has taught me.
I had an UNplanned cesarean and had a major wound issue...I had a huge fluid buildup behind my incision and it just poured out everywhere a week after my daughter's birth. They reopened the incision and we had to learn how to pack it with gauze twice daily for almost three months. That alone was far more traumatizing than the c-section, which was no walk in the park either.
|I know a woman who needed a hysterectomy during a repeat cesarean|
What a nightmare.
Other than incision pain that has lasted for years, and emotional pain as well, I cant say I had an injury. I did have my incision open up a bit a week or so after my first baby.
I have recently read online a few horrifying stories of the uterine artery being cut and the mother having massive hemorrhage. I also have read many stories of the bladder being cut accidentally.
I didn't have any problems with my c/s (other than serious disappointment!), but I had a VBAC with my second baby anyway because I just really wanted to.
Mama to Thales, 12/9/02, and Lydia, 2/26/06
The anesthesia caused my heart to do odd things and for a little while afterward I had to undergo testing to make certain I did not have permanent heart damage.
I was "out of it" during the whole thing due to anesthesia, and I can barely remember my own baby's birth.
I had terrible migraine headaches for days afterward due to the spinal.
I was in such terrible pain and my recovery took so long- I could not enjoy my baby as much as I'd have wanted to. Everything had to be done for me. I couldn't even change her diaper myself until she was a week old.
I will never forget how awful I felt afterward. I would never choose this option again.
Also, my nephew's ankle was cut deeply during his cesarean birth.
Dr sewed a nerve into my fascia (sp?) or something like that. Basically whenever I tried to move post c/s, the nerve pulled and it was EXCRUCIATING. I was on morphine something post c/s, when that wore off I was taking Percocet, Motrin & Tylenol around the clock, and I could still barely move. I kept complaining I hurt, and the stupid Drs/nurses kept telling me 'of course you hurt, you just had labor and then surgery'. After 2 weeks at home, I was taking the same amount of painkillers as post surgery and I still hurt. It would take me 15 mins to get out of bed, my dh had to help me. I couldn't lay down or stand up straight, I had to sit propped up. I was crying on the phone to the OB clinic and some guy/clerk told me I'd have to wait 3 days for an appt. as it obviously wasn't an urgent matter as I wasn't bleeding. I went to this OB clinic in person and same guy again told me I couldn't see a dr. I finally went to the General Practice Drs (in the same hospital) and got an appt. by saying I had right sided pain and not mentioning I was 2 w post c/s (well at least until I was in there). They had to admit me, (I was separated from my newborn), run heaps of tests including CAT scans to find out the problem.
My next birth was a planned HBAC which ended in a forceps delivery (shoulder dystocia) with a torn cervix and a 3rd degree tear. But even that wasn't as bad as that first c/s I had.
Wait, not sure if this is considered injury -- my SIL did have placenta and gauze left in her during her scheduled csection. She nearly bled to death and had to have it surgically removed two weeks later.
I actually had injury with my first but it was an emergency and my spinal failed. During my second csection I had repair work done. I had all the adhesions removed and I had a chunk of skin removed where the scarring was horrible (they ended up ripping me on one side and my scar was very lopsided). It was like a tummy tuck almost.
I am not sure if this has anything to do with my csections but I do have some bladder issues. No different than my friends though that have had multiple vaginal births though. I plan on having a hysterectomy when I finish breastfeeding and at that time I do plan to have a tummy tuck and my bladder put in a sling.
Some common things that can happen in a csection is knicking he bladder or baby. The bladder knicks tend to happen when the bladder is not completely drained and I've read more commonly happen during an unplanned csection. A baby can be knicked due to position in the uterus, fluid levels, placental position, or sloppy work by the surgeon. Bruising can also happen during any csection, especially if a baby is lodged in there. My son actually had to be born using a vacuum-- luckily he was not bruised and didnt even have a mark on his head.
I got to come home with a catheter and pee bag. It was a total PITA.
The c/s was a mess from start to finish. I healed pretty well physically. Emotionally--that's another story.
my first c/s...kinda scheduled last minute...went as well as a c/s could go actually. dr. respected all my wishes, did a good job on the surgery and i healed very fast.
second c/s...that's another story! 4 days labor at home w/midwife-transferred hospital. crappy doc. anesthesiologist messed up my spinal, so i had numbness on my upper left leg for about a year. my scar healed very slow and had pain/sensitivity there for a long time. i think a lot of that was due to emotions too. however, the scar was not anywhere near as good as my first.
i had a friend who had a c/s 10 yrs ago that went so horrible she never wanted more children and didn't have any more!
so sad....can't wait to VBA2C (when we conceive again! )
My friend had an elective cesarean with her twins at 30 weeks because apparently preemies cant handle labor :. Anyway, she was too sleepy the first 24 hours to even wake up, let alone see her kids. Then about a week after surgery she got a bad infection. Then she got another one at 3 weeks post. Her scar still hurts horribly. She is now about 7 months preggo and planning a repeat because her doctor wont allow VBACs and she doesnt want to switch. So I am the one going in with her-so I can hold the baby to her boob to nurse, lol.
I also know an 8 year old in real life with a big scar accross his back from where they accidentally cut him during the cesarean. Poor baby.
Wonder why I am scared of having a cesarean?
I planned a HB but went in for a c/s due to breech, dialated to 9 cm and except for the emotional trauma, the surgery had no complications. I have to say I go back and forth between being totally at peace about trying for an HBAC someday and being terrified to ever get pregnant again!
A week into recovery, when things should be returning to nearly-normal, I started getting worse. I was having chills/fever and the pain in my incision was worse than it had initially been. I constantly wanted cold packs on my incision. I had no apetite (breastfeeding, so I still ate) and no energy and I felt just plain awful. I saw my doctor in passing because we were taking DS in for blood tests for jaundice and I tried to describe my symptoms to her. I called the OB nurses and told them that something wasn't right. The OB nurses told me to call back when my fever was higher. So when it finally was, I did.
They had me see a surgeon that (Friday) afternoon and he determined that I had an infection in my incision. He prescribed hot towels on my incision and some heavy-duty antibiotics. The hot towels were to allow my incision to open where it needed to to allow the infection to drain. If this opening happened on it's own I was supposed to call the OB nurse who was supposed to let the surgeon know. It started draining the next morning and I called but the nurse didn't notify the surgeon. I was scheduled to see the surgeon on Monday and was scolded when he learned that it had opened on it's own over the weekend and he hadn't been notified. I let him know that I did my part in telling the nurse.
For the following two weeks I saw the surgeon daily to pack the wound where the incision opened up. I was prescribed a second round of antibiotics. Thankfully (and amazingly) as soon as the packing began, the pain started declining.
Three weeks later (baby is 1 month old) the packing process is still going but I only had to see the surgeon every-other day this week (a friend/nurse has been packing me at home on the off days).
I guess infection like this is a risk with any surgery. The onset of infection in my experience was more painful than the initial surgery pain. It will probably be another week before this opening in my incision is fully healed.
I think this counts as "suffering injury as a result of a scheduled c/s."
~e, wife to my sweet T
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She has adhesion pain now, and her scar had to be revised and uterine scar tissues removed after the 4th section because it was such a disaster.