Cesarean Birth/Recovery Support Thread 9 (april 04) - Page 3 - Mothering Forums
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#61 of 168 Old 04-08-2004, 06:11 PM
 
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Ive had antibiotics with after both my c-sections and im sure i will again.
Im glad i did, i ended up with an infection after i got out of the hosp with Irelend..
I never had any probelms with BF..
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#62 of 168 Old 04-08-2004, 06:15 PM
 
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OTF wrote
Quote:
What are your concerns with the antibiotics and breastfeeding?
Thrush mostly, although I know that's not the end of the world either.

LisaG

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#63 of 168 Old 04-08-2004, 06:58 PM - Thread Starter
 
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O ok.

My kids have never had thrush. None of them. I've only known a few babies to have thrush ever. Maybe my kids had it and I didnt know :

Anyway, I had to take antibiotics after Jack was born, I guess he was 6 weeks old. I got a terrible sinus infection that wiped me out and then got pnemonia. I was on a Zpack. Pretty strong stuff and no thrush.

I guess that was so unimportant compared to the other stuff with my csection. LOL

Now you will have me thinking about it!
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#64 of 168 Old 04-08-2004, 07:01 PM
 
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Wow! When I answered I thought I knew it all:LOL

I should have said- I never had them and until now have never heard of such a thing as routine:

I would also be concerned about thrush, so I hear you on that.

:Patty :fireman Catholic, intactalactivist, co-sleeping, GDing, HSing, no-vax Mama to .........................:..........hale:
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#65 of 168 Old 04-10-2004, 01:15 PM - Thread Starter
 
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Bump!
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#66 of 168 Old 04-10-2004, 04:09 PM
 
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Thrush is a pain! My ds has been fighting it since birth. I don't know where it came from because neither of us have had an antibiotic. Until now. I have a tooth that is dying. They want me to take an antibiotic if it starts to hurt in order to keep it from abcessing. Not fun!

Wish me luck...I'm going on a 12 hour car trip with a toddler and a 10 week old! My MIL is in the hospital (has been for 1.5 weeks...LONG story) and we are going in. Then the next week dh is at a conference and I'm staying with my parents.

None of this really has anything to do with c/b... oh well... I'm a chatter box

Oh, I've started having a ton of soreness in my incision. It hasn't bothered me since about week 2 post c/b. WHy would it be bothering me now??

Single Mom to 2 amazing little men. T(7) and B(5)
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#67 of 168 Old 04-10-2004, 07:51 PM
 
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Originally posted by its_our_family
Oh, I've started having a ton of soreness in my incision. It hasn't bothered me since about week 2 post c/b. WHy would it be bothering me now??
someone correct me if i am wrong on this, but i believe this has to do with nerve endings growing back again. this is normal for incision sites or even other injury sites like burns.
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#68 of 168 Old 04-11-2004, 12:11 PM
 
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Can anyone point me to a good website or resource that talks about c-sections, how they're done, what kinds of options there are, etc?

I'm 38 weeks today and my baby is still breech. We're still working on turning her, but I need to get mentally prepared for the possibility that I might need to plan a c-section, and for me that means getting as much information as possible.

Thanks.
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#69 of 168 Old 04-11-2004, 12:30 PM - Thread Starter
 
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Originally posted by tammylc
Can anyone point me to a good website or resource that talks about c-sections, how they're done, what kinds of options there are, etc?

I'm 38 weeks today and my baby is still breech. We're still working on turning her, but I need to get mentally prepared for the possibility that I might need to plan a c-section, and for me that means getting as much information as possible.

Thanks.
My birth plan is one of the first things on this thread if you would like to take a look at it. Also ask as many questions as you need to ask!

Here are some websites that helped me! This site is geared towards plus size people but I think most the information is pertinent to all:
http://www.plus-size-pregnancy.org/C...vbacindex.html
It looks like a lot of the good stuff on this site is not as available as it once was.

Here is a birthplan for a woman who does not want to room in:
http://www.krysiasweb.net/CBirthPlan.shtml

I used some ideas from this:
http://www.childbirth.org/section/plan.html

Important to read about spinals, I didnt get one but many here have:
http://www.oyston.com/anaes/local/spinalcs.html

Family Centered C-section:
http://pregnancy.about.com/cs/cesare...a/aa072197.htm

More info on epidural and spinal:
http://www.medana.unibas.ch/eng/amnesix1/obst_4c.htm

Recovery info:http://allsands.com/Lifestyles/Pregn...rth_vva_gn.htm
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#70 of 168 Old 04-11-2004, 02:01 PM
 
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Tammylc,

You might also find these two articles to be of help. The first one is a doctor's description of an ideal c-s birth. I found it interesting and the recommendations helpful, but I also found it to be challenging because I'm not so sure how easy it would be to find a doc and support staff willing to work with you to create that ideal environment.

The second link is an article from a mom who had planned for a homebirth and then found the baby to be breech - did everything to change it and then found herself having to surrender/make peace with/accept/go through a c/s birth. I found it to be extremely moving - if is from a non-christian goddess perspective -not sure if that will be ok for you or not.

http://www.eheart.com/cesarean/oliver.html

http://www.beliefnet.com/story/61/story_6169_1.html

May your birth be a peaceful and joyous event and may you be lovingly supported through the journey.

LisaG

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#71 of 168 Old 04-12-2004, 10:46 AM
 
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I've been thinking...I'm not sure who will mod the c/b forum but we should see about making a sticky out of c/b birth plans! That way OTF wouldn't have to keep putting it back on and ppl like me...wouldn't lose track of theirs and still have it available to others

I have a lot of ideas for tha forum so I hope they open it

Tammy--I hope your babe turns for you! I'm sure you've looked into about everything..if not give the webster technique a try

Single Mom to 2 amazing little men. T(7) and B(5)
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#72 of 168 Old 04-12-2004, 11:36 AM
 
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its_our_family - I have indeed checked looked into about everything - and I go leave for my third chiropractor session in about 5 minutes...

LisaG - haven't had a chance yet to look at your links, but that second one sounds about perfect - I'll definitely check it out when I get back. Thanks.

OnTheFence - thanks for the laundry list of links! I'll check those out this afternoon too.

Thanks everyone - I really appreciate the help.
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#73 of 168 Old 04-12-2004, 02:04 PM
 
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Tammy-

I'm nak right now, and you've already gotten a lot of good info. so I'll just say 2 things- #1- make certain they do a double layer suture/closure (stronger in future pregnancies than a single layer closure). and #2- take the stool softeners afterwards

:Patty :fireman Catholic, intactalactivist, co-sleeping, GDing, HSing, no-vax Mama to .........................:..........hale:
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#74 of 168 Old 04-12-2004, 03:09 PM
 
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Just got back from my OB and he's comfortable scheduling a c-section for just after 40 weeks and trying for a VBAC if labour starts naturally prior to that. He would prefer to schedule at 38 or 39 weeks because of my medical situation, basically saying that while my chance of uterine rupture is not greater than anyone else's, and though it's always serious, it would be even more serious for me given my hypercoagulable state and the fact that there's also a risk I'd still have anticoagulants in my system if the rupture happened early on. However, given the relatively small risk and my willingness to change from Lovenox to heparin (heparin has a shorter half life and an antidote) at 38 weeks, he's willing to give it a go. We also talked briefly about banking some of my blood starting at about 32 weeks, just in case. I think I'd feel more comfortable doing that. I'm so relieved... though I'm not sure it'll be easy to get a doula at this late date.
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#75 of 168 Old 04-12-2004, 04:00 PM
 
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NHF- I am so glad that you and your OB came to a decision that you are happy/comfortable with.

:Patty :fireman Catholic, intactalactivist, co-sleeping, GDing, HSing, no-vax Mama to .........................:..........hale:
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#76 of 168 Old 04-13-2004, 09:40 AM
 
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I have an appointment with my newly acquiredOB this afternoon (see a couple posts up for my story). I'm trying to be as prepared for the visit as possible, so I'm writing up a list of goals for the appointment and questions to ask. I'd appreciate any feedback anyone has to offer.

1. Schedule an ultrasound so we can see if there are any identifiable reasons why the baby hasn't and shouldn't turn.

2. Talk about External Cephalic Version - What does it involve, exactly? How often has he done them? What's his success rate? What's his emergency c-section rate following ECV? What are the risks? Am I a good candidate? How soon could one be scheduled?

3. Talk about a c-section - What does it involve, exactly? When, relative to my due date, would he want to schedule it? Would it be possible to wait until I went into labor, rather than scheduling it? What are the pros and cons of scheduling vs. waiting for labor? What are my options - who can be in the room, what kind of anesthesia could be used and what are the effects, what kind of pain relief could be used and what are the effects? Most importantly - how can I make this as much as possible like a "regular" birth, and not like a surgical procedure? How soon can I touch the baby? Hold the baby? Breastfeed? How long would I be in the hospital? Could the baby room-in with me?

Anything else I should ask?

Thanks in advance.
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#77 of 168 Old 04-13-2004, 09:50 AM
 
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Hi, I came across this and thought I'd pass it along, just FYI (I wish I had known)


Uterine rupture during a trial of labor after a one- versus two-layer
closure of a low transverse cesarean.

Emmanuel Bujold, Camille Bujold, Robert J. Gauthier; Ste-Justine
Hospital,
University of Montreal, Obstetrics and Gynecology, Montreal, Quebec.
Objective: To determine whether there is a difference in the rate of
symptomatic uterine rupture during a trial of labor (TOL) in women
who had a 1-versus a 2-layer closure of a low transverse cesarean
section (LTCS).

Study Design: Medical records of all women who had a TOL after LTCS
between 1990 and 2000, in our institution were reviewed. The rates of
uterine rupture were compared between women who had a 1-layer at
their previous cesarean section with those who had a 2-layer closure.
Multivariate logistic regression analyses were used to control for
maternal age, birth weight, gestational age, use of epidural,
induction of labor, oxytocin augmentation, prior vaginal delivery and
prior cesarean section for arrest disorders.

Results: There were 1649 women included in the study._ Women with a
previous 1-layer closure (n=398) had a rate of uterine rupture of
3.3%, whereas those with a previous 2-layer closure (n=1251) had a
rate of uterine rupture of 0.6% (p<.001)._ The odds ratio for uterine
rupture in women with a 1-layer closure was 5.2 (95% confidence
interval, 2.1 to 12.8).

Conclusion: A 1-layer closure at the previous LTCS is associated with
a 5-fold greater risk of uterine rupture during a trial of labor for
the subsequent delivery than a 2-layer closure.

Abstracts of the 2001 21st Annual Meeting of the Society for Maternal-
Fetal Medicine. American Journal of Obstetrics and Gynecology
(supplement) 184(1):S18, 2001.

:Patty :fireman Catholic, intactalactivist, co-sleeping, GDing, HSing, no-vax Mama to .........................:..........hale:
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#78 of 168 Old 04-13-2004, 11:18 AM
 
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hi mamas! Just checking in..

I am loving all this info/links..keep it coming!!!

things have been ok this week. i have been a little weepy thinking about my lost *ideal* birth though..I think I'm driving DH crazy as he doesn't quite get why I keep going over and over everything. i mean he knows *why* and understands to a point, but I think he thinks I should be able to let it go easier than I have i guess..

I've had tons of incision pain latley as well ((its-our_family))..it's wierd too as it's more of a dull burning muscle pain, I guess that does makes sense about the nerve endings growing back/rewiring themselves.

Unfortunatley it was at it's WORST this weekend as my 4 yr old nephew accidentally kicked me in the left part of my incision sat!!! ouch!

Blissful Mama to DD-(5), DS-(6) and someone new due in November!
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#79 of 168 Old 04-13-2004, 11:49 AM
 
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I too, am having the pinching pain on my outer incision, it kind of stings, I don't remember it with the last 2

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#80 of 168 Old 04-13-2004, 06:05 PM
 
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Hi Jess (and others),

Just to add to the pool of info - here are some articles and links that further debate the advantages/disadvantages of single vs. double. I haven't taken the time to read them.

Am J Obstet Gynecol. 2003 Oct;189(4):925-9.
Uterine rupture, perioperative and perinatal morbidity after
single-layer and double-layer closure at cesarean delivery.

Durnwald C, Mercer B.

Department of Obstetrics and Gynecology, MetroHealth Medical
Center, Case Western Reserve University School of Medicine,
Cleveland, Ohio, USA.

OBJECTIVE: This study was undertaken to evaluate the risks and
benefits of single-layer uterine closure at cesarean delivery on
the index and subsequent pregnancy.Study design A retrospective
study of women delivered of their first live-born infants by
primary low transverse cesarean delivery (1989-2001) and their
subsequent pregnancy at our institution was performed.

RESULTS: Of 768 women studied, 267 had single-layer and 501 had
double-layer uterine closures in the index pregnancy. Single-layer
closure was associated with slightly decreased blood loss (646 vs
690 mL, P<.01), operative time (46 vs 52 minutes, P<.001),
endometritis (13.5% vs 25.5%, P<.001), and postoperative stay (3.5
vs 4.1 days, P<.001). In the second pregnancy, prior single-layer
closure was not associated with uterine rupture after a trial of
labor (0% vs 1.2%, P=.30), or other maternal or infant
morbidities. Prior single-layer closure was associated with
increased uterine windows (3.5% vs 0.7%, P=.046) at subsequent
cesarean delivery.

CONCLUSION: Single-layer uterine closure is associated with
decreased infectious morbidity in the index surgery, but not
uterine rupture or other adverse outcomes in the subsequent
gestation.

PMID: 14586327 [PubMed - in process]

The one study that indicates a fourfold increase in risk of rupture with single-layer suture:
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=12066117
(Note however, that this same researchers also concluded in another study using the same data that there were 2-3 times higher rupture rates based on shorter inter-delivery intervals, so I wonder what else is going on induction-wise in that Montreal tertiary care center. Like maybe high prostaglandin use in vbacs?]

The rest of the studies:
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract


LisaG

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#81 of 168 Old 04-13-2004, 07:19 PM
 
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Just curious, has anyone managed to get a doc to agree to delaying having the cord cut during a c/s? I'm guessing they'd be a bit squirrley about the potential increased risk of infection having the incision stay open longer.

Thanks,
LisaG

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#82 of 168 Old 04-13-2004, 10:43 PM
 
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None of my OBs would allow delaying, so we banked the cord blood instead.

:Patty :fireman Catholic, intactalactivist, co-sleeping, GDing, HSing, no-vax Mama to .........................:..........hale:
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#83 of 168 Old 04-14-2004, 03:45 PM - Thread Starter
 
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Too much risk for infection. Plus due to blood incompatibilities I wanted the cord cut immediately!
However you can ask that your DH cut the cord. You have to make arrangements before hand and he has to be quick and respectful of the sterile field.
My husband could have done this but refused. I think if I have another baby I am going to ask my sister to cut it if my husband will not.

Kim
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#84 of 168 Old 04-14-2004, 09:02 PM
 
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Just realized I never posted my birth story!!! Sorry...it's long though, so be warned! I've never tried to link before, so forgive me if this doesn't work. All in all it was a pretty scary experience, but I'm healing well. Thank you for all your support AND for that birthplan!

http://www.babiesonline.com/babies/f/firstangel/

Password is angel

Rachel
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#85 of 168 Old 04-14-2004, 09:24 PM
 
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Rachel the link won't work for me, I would love to read your birth story though! I am so glad you are healing well. Sorry to hear your experience was scary. Please take care of yourself mama!

Blissful Mama to DD-(5), DS-(6) and someone new due in November!
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#86 of 168 Old 04-14-2004, 10:56 PM
 
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Jumping in to ask a favor....I don't have time to wade through all the c-birth support threads, but I have a friend who is having a planned section with her second, and I wanted to send her some links to the c-birth plans I've seen mentioned here. Does anyone have any links for me? You can PM me if you don't want to clutter this thread further.

If it's relevant, she had a section with her first (I don't know why) and an ultrasound found a window so they're scheduling her at 38 weeks so she (likely) won't go into labor first.

Many thanks!!!

Come visit the NEW QuirkyBaby website -- earn QB Bucks rewards points for purchases, reviews, referrals, and more! Free US shipping on great brands of baby slings and carriers and FREE BabyLegs or babywearing mirror on orders of $100+. Take the QB Quiz for personalized advice!

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#87 of 168 Old 04-14-2004, 10:57 PM - Thread Starter
 
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Quote:
Originally posted by Quirky
Jumping in to ask a favor....I don't have time to wade through all the c-birth support threads, but I have a friend who is having a planned section with her second, and I wanted to send her some links to the c-birth plans I've seen mentioned here. Does anyone have any links for me? You can PM me if you don't want to clutter this thread further.

If it's relevant, she had a section with her first (I don't know why) and an ultrasound found a window so they're scheduling her at 38 weeks so she (likely) won't go into labor first.

Many thanks!!!
My csection birthplan is the second post on this thread.

Kim
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#88 of 168 Old 04-15-2004, 01:50 AM
 
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Oops, guess I should have read further into the thread - I just saw so many on my search for cesarian support I got intimidated.

Does anyone else have one to share? Any and all input appreciated as I know my friend hasn't done a lot of research.

Come visit the NEW QuirkyBaby website -- earn QB Bucks rewards points for purchases, reviews, referrals, and more! Free US shipping on great brands of baby slings and carriers and FREE BabyLegs or babywearing mirror on orders of $100+. Take the QB Quiz for personalized advice!

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#89 of 168 Old 04-15-2004, 11:20 AM
 
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I have one but I'll have to find it. I can try and post it tonight

Single Mom to 2 amazing little men. T(7) and B(5)
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#90 of 168 Old 04-15-2004, 05:28 PM
 
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Quirky, I didn't have a formal one, but did express these wishes to my ob/gyn and hospital staff. I wanted to keep it simple. They were very good-asking my husband and I for our preferences without our having to make issue of things.

I wanted an epidural.
DH was to be in surgery with me (hospital policy anyway.)
Please tell me when they're about to bring her out.
DH to accompany them to the nursery with her
Stitches, not staples
I wanted to nurse as soon as possible (they had her in my arms within half an hour)
Room-in with baby (also hospital norm)
And the usual baby-related things that you would request with any type of delivery if so inclined-no eye ointment, etc. etc.
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