If you've had a c-section, do you feel that it was necessary? - Mothering Forums

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#1 of 73 Old 04-09-2007, 08:51 AM - Thread Starter
 
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And why?

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#2 of 73 Old 04-09-2007, 10:09 AM
 
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#1 - c/s for breech - probably not. I managed to birth a breech baby a week ago. But I didn't know that then, and it was the best choice I could make with the info I had.

#2 - placental abruption - yes, I don't think there was any other option that could have left us both alive and well.
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#3 of 73 Old 04-09-2007, 12:28 PM
 
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Yes, and no.

I had a cesarean for a baby in a transverse lie. When we went to the hospital to attempt ECV, all the fluid had leaked out and there was nothing left to turn him in. So, under those circumstances, yes, I think it was necessary.

HOWEVER, I really, really, really wish my midwife had done somethng to verify his position during those last two months of appointments other than nonchalantly commenting things like, "Hmmmmmmm.... I can't quite seem to tell where this baby's head is... I think he may be sideways, but I'm not sure..." and then at other appointments "Hmmmm.... I'm not exactly sure, but I think I feel a head down in the pelvis, maybe..." Perhaps if she had been a little more agressive in finding that out, I could have attempted the ECV earlier, or done excercises to turn him head down, or whatever. So, in the sense that a few months is often plenty of time to get a transverse baby flipped, no, I don't think my cesarean was necessary.

Does that make sense?

Wife of one and mom of five, including my HBAC twins!
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#4 of 73 Old 04-09-2007, 12:58 PM
 
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I think so. When I was about 7 cm dilated, my babies heart rate went down to less than half of what it was supposed to be and never came back up. I changed positions and got in some really weird ones too, nothing worked. They considered manually stretching my cervix the remaining cms but were worried about how long my pushing might go. So I agreed with them that a c-sec was the best thing. I have no regrets on that
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#5 of 73 Old 04-09-2007, 01:01 PM
 
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yes. calcified placenta. cord doubled around his neck AND once around his left foot.
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#6 of 73 Old 04-09-2007, 01:42 PM
 
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Yes. Both were footling breeches. Anyone else who wants to vaginally deliver that presentation is more than welcome to.

Sabra: Mama to Bobbie (3/02), Linda (1/04), Esther (10/05), Marie (11/10), & Douglas (11/12)

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#7 of 73 Old 04-09-2007, 02:33 PM
 
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I'm not totally sure. But with the information and resources I had available to me, I think it was all that was left to do. I was in labor for about 49 hours before my section, the first 42 or so at home. I dilated with no problem, she was just stuck behind my pubic bone. I was at 10 for close to 24 hours! No urge to push (Not that we didnt try) I agreed to AROM after 12 or so hours at 10, no changes. (this is at home so I wasnt stuck to a bed, I changed positions a lot) After a transfer, and *shudder* epidural and pit, we had no progress, so a c/s. baby was posterior, and almost 9lbs. I have a hard time calling it "necessary" because, well, I dont even believe in a c/s being necessary because the baby just "wouldnt come down"

I wonder what would have happened if we'd just waited indefinitely. or if we managed to get her to turn. or if i'd gone to a chiro, or eaten better and had a smaller baby.

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#8 of 73 Old 04-09-2007, 02:37 PM
 
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A lot of family history played into my c-section.

All of my sisters who went to term had very large babies, exceedingly high blood pressure and then drastic change of heart rate for the baby. They all ended up in emergency c-sections. None of them had babies under 9lb. 14 oz. The largest was 12'6oz.

I also have asthma and knew the breathing issues I would have and did not want to again end up with an emergency c-section.

I was also not aware of all that was out there for natural options.
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#9 of 73 Old 04-09-2007, 02:39 PM
 
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Yes it was necessary. DD was severely IUGR. My placenta was failing. It saved her life.

Why do you ask?
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#10 of 73 Old 04-09-2007, 02:43 PM
 
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Absolutely necessary - prolapsed umbilical cord. It saved her life without a doubt.
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#11 of 73 Old 04-09-2007, 02:46 PM
 
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Yes, in the end because of fetal distress.

And no because the intervention leading to the c/s was unnecessary and what caused the fetal distress.
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#12 of 73 Old 04-09-2007, 02:46 PM
 
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Absolutely not. my c/s was for "not-qualified-to-catch-a-frank-breech-baby-practitioner." There was no medical reason for it whatsoever - I just happened to go into labour on the day that none of my possible practitioners were on call.
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#13 of 73 Old 04-09-2007, 03:05 PM
 
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Absolutely not. I still don't really know why he did it. I had high blood pressure and they were concerned that I was developing toxemia, but it wasnt high enough for me to be on any kinds of medication or anything, so it couldn't have been that bad. (was 12 yrs ago so I don't remember the exactly the bp)

BTW, mine was scheduled 2 months ahead of time at a doctor's office (so there was no "omg your bp is so high we have to get the baby out" kind of drama)

The doctor told me that a cesarean would be safer due to my high blood pressure, and that it would 'help me avoid the pain of childbirth' and I jumped at the chance, because I was young and nieve. Of course he didn't mention the amount of pain I would be in AFTER the birth, or the amount of time after the pain killer prescription wore off that I would be in excrutiating pain and "just taking advil" as the doctor so nicely suggested.

I think he just didn't want to have to be on call for a birth and saw this as his opportunity to get out of one, because I was so young and stupid.
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#14 of 73 Old 04-09-2007, 03:19 PM
 
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Yes, kind of. The first was only because I was induced with cytotec. The second I do believe was necessary. I probably could've pushed for vaginal after transferring from home to the hospital, but my daughter probably would be dead (as it stands, she has massive brain damage from a stroke that probably occured during the labor). I just stalled for whatever reason after a long labor (by the time I had my c/s i'd been in labor for almost 72 hours). That said, I don't blame it on trying for homebirth and would try for HB again. Things happen, I know I did all I could to be safe and I had a great midwife. The same thing could've happened in the hospital, or even been worse because I'm sure they would've shot me up with a pitocin and junk and made it even harder on dd2.
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#15 of 73 Old 04-09-2007, 03:27 PM - Thread Starter
 
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Quote:
Originally Posted by intorainbowz View Post
Why do you ask?
I'm asking because I do know that c-sections are sometimes necessary, and I want to hear the stories behind them.

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#16 of 73 Old 04-09-2007, 03:32 PM
 
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I think mine was, as much as I hate to admit it. I pushed for 13 hours and she just wouldn't come out. Pushed in every position known to woman. Pushed and pushed and pushed. so... we packed up and went to the hospital and I was cut open.
This hasn't stopped me from blaming myself for not achieving a vaginal birth.

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#17 of 73 Old 04-09-2007, 03:34 PM
 
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I have had two c-sections, first was induced even though I was 5 1/2 cm. dialated when I went in, was put on magnesium for my BP, and talked into an epidural after hours of refusing, my labor wasn't progressing "fast enough" for the doctor (20 hrs. later) and told me I needed a c-section. Second one, well, I can't honestly tell you the reason, the baby was big (yeah right), they didn't have my medical records from my previous delivery, that's all I can think of, and it was 9 days before my due date! In retrospect, I would say that neither were necessary! Now I am pregnant with number 3 and no one in my area will do a VBA2C, so I'm stuck having a third c-section, and this has been my easiest and healthiest pregnancy so far.

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#18 of 73 Old 04-09-2007, 03:36 PM
 
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chiromama, sounds like we had similar experiences was your baby's positioning off?

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#19 of 73 Old 04-09-2007, 03:37 PM
 
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Mine was... At only 5 cm, his heart rate kept dropping, then completely stopped (had the scalp electrode on), forcing me under general anesthesia and saving his little life. I STILL cry over this experience, having losing the vaginal delivery I wanted, but so grateful he survived it.
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#20 of 73 Old 04-09-2007, 03:40 PM
 
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Quote:
Originally Posted by LiLStar View Post
chiromama, sounds like we had similar experiences was your baby's positioning off?
Dunno. the surgeon said she wasn't. (hence the blame and guilt and hating myself ) but I think she had to have been.

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#21 of 73 Old 04-09-2007, 03:46 PM
 
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I don't believe my c-section was medically necessary. It was necessary because I don't believe any of my care providers knew enough about breech birth. In a different situation, I would have been able to vaginally birth my baby just fine. I never stopped believing in my ability to birth my breech baby!
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#22 of 73 Old 04-09-2007, 03:51 PM
 
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Yes. Attempted homebirth; 30 hours of labor at home, 10+ more at the hospital (with pit and epidural), and never progressed beyond 5cm. Baby was posterior with an extended neck (chin up rather than tucked). I just don't think he ever would have come out without trama/going into distress, even if I'd labored another couple of days.


Quote:
Originally Posted by chiromama View Post
This hasn't stopped me from blaming myself for not achieving a vaginal birth.
: Which really sucks. I feel defective. I wonder what I should have done differently, but don't come up with anything...
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#23 of 73 Old 04-09-2007, 03:56 PM
 
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yes - severe pre e / iugr / HELLP / fetal distress / breech @ 24 weeks

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#24 of 73 Old 04-09-2007, 04:13 PM
 
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yes i did and it saved my sons life...
his cord was wrapped around his neck twice and in 2 true knots...everytime i had a contraction (which lasted 7 min EACH) his heart rate would drop to the 40's...i didn't get the birth i wanted at all but i did get to go home w/my baby and in the end that is what matters!
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#25 of 73 Old 04-09-2007, 04:28 PM
 
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I had 2, the first was because of placental abruption, I hemorrhaging and it was totally necesarry. The second one was a scheduled c/sect, I could have done a VBAC but I chose the c/sect becuase of my medical history/status, the fear of another abruption, and the fact I wanted my tubes tied as soon as I delivered. While it may not have been "medically necesarry" it was what I was comfortable with and my choice.
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#26 of 73 Old 04-09-2007, 05:00 PM
 
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Nope.. first was frank breech. I found out three years later that there is a doctor in town that delivers breeches. But i made the best decision that i could at the time with the information i had available.

Second c-section I am still trying to figure it out. He had hardly any fluid left at term (five cm is low. he had 1.8 cm). I chose a section instead of induction. I will go over it a thousand more times in my head and do the coulda shoulda woulda, but i am never going to know. However, i wouldn't have been in the position to skip to a c-section had i not had my first (unnecessary) section. Nor would i probably have had the blood incompatibility that made the biophysical profile necessary.

Midwifery Student and Mama to 2 daughters and 3 sons.     
ribboncesarean.gif vbac.gifhomebirth.jpg I have given birth a variety of ways and I am thankful for what each one has taught me.

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#27 of 73 Old 04-09-2007, 05:59 PM
 
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Yes and no here, too.

I don't think that he was coming out vaginally. He weighed 11 lb, 14 ounces and was persistent OP. I was an anterior rim for 10.5 hours. I was in every position imaginable. I went into labor on my own, at 41 weeks. I had some BP issues, and my platelets were 105 thousand, so I was probably developing pre-e, as well.

I sometimes think that if I had done *more* spinning babies stuff (I did a fair amount), that maybe he wouldn't have been OP. If maybe I had restricted calories, he wouldn't have been so big (I pushed protein the last month, and he grew a fair amount that last month). If maybe we had waited a little bit longer, he would have rotated and come down. All the what ifs.

But, my gut tells me that it was a necessary section.
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#28 of 73 Old 04-09-2007, 07:45 PM
 
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Honestly, I don't know. My baby was posterior and I had back labor for about 20 hours before I started pushing. I pushed for three hours and I was ready to kill myself if it would stop the pain. During the last hour, he didn't descend any further. When they did the c-section, it took three doctors half an hour and a vacuum extractor to yank him back out, and his head was pretty bruised up too.

If c-section hadn't been an option, I suspect he would have eventually come out without killing either one of us. So in that sense, maybe it wasn't really "necessary." But I can't imagine how much worse the experience would have been for me (and him) if I had kept pushing long enough to get him out. It was traumatic enough as it was.
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#29 of 73 Old 04-09-2007, 07:54 PM
 
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Yes, it was medically necessary. I had very high blood pressure and DD was posterior and malpositioned. I was in labor for a long time. Pushed for hours in so many positions but she just wouldn't budge. In the end, DH and I decided that a C-Section was the way to go, much to my disappointment, when the option was presented to us. I think it did save DD's life. When she was born she was gray and completely nonresponsive. She ended up in the NICU. I don't know if spending another hour or so pushing would have caused something unimaginably tragic to happen so in hindsight I think it was a smart move to go ahead with the surgery.

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#30 of 73 Old 04-09-2007, 07:59 PM
 
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For what we knew at the time, I have to say yes to regarding DS's. His head was cocked at a funny angle, and then my cervix was swelling. Considering that we weren't up to speed on the latex allergy, I now wonder how much of that swelling was allergic reaction rather than trauma from his head. It's moot now.

With DD, we tried again, and like with DS, had support for going the distance, but again, baby's head was in a bad position. In DD's case, she never tucked her chin and was facing my leg.

It helps that I could see the molding very clearly with both to know I wasn't being fooled that they were each in a nonoptimal position.

So much for "nonrepeating factors" as the OB labelled DS's circumstances.
*sigh*

IF there's ever another, the hospital where my CNMs deliver has had a labor tub now for the last few years. I would go for that in a heartbeat. I didn't find the shower to be all that relaxing. I would also definately bring music, some way to play my iPod into the room. I know I have a relaxation response to music. I would also teach DH some pressure points that I've learned that trigger a relaxation response in me.

IF

"What will you do once you know?"
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