can I go into labor with planned c-section - Mothering Forums
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#1 of 12 Old 11-01-2014, 05:34 PM - Thread Starter
 
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can I go into labor with planned c-section

I just found out that I am pregnant; yay! I have a transabdominal cerclage on my cervix, which can't be removed in late pregnancy, so I will have to have a c-section. Do doctors ever allow you to go into labor before doing a planned c-section? Are there advantages? I want to be able to go as long as possible, and I also wonder about the hormones released during labor, that are beneficial for mom and baby. Wondering about your experiences.
My first birth was unmedicated and at a birth center with midwives, so this will be a different experience for me.

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#2 of 12 Old 11-01-2014, 06:37 PM
 
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This is a thing that might depend on hospital resources. If you're doing this at a tertiary care medical center with dedicated anesthesia and multiple dedicated ORs for L&D, they might be totally fine with having you come in when you go into labor, assuming there are no issues that make them want specialists on hand for the birth (like a congenital heart problem or something).

If you're going to a community hospital that has limited ORs, and has to page anesthesia in on nights or weekends, they might really want you to schedule in advance. And if you want a specific doctor to do your section, the only way to guarantee that is by scheduling it.

I don't know whether there are advantages to waiting until labor. There are definitely practical benefits to scheduling your c-section, particularly if you have other kids and need to line up child care. I appreciated that, in my pre-labor c/s, I felt no pain (although recovery had some ouch).

And it's worth keeping in mind that there are limits to what you can be certain about and what you can control. You could schedule a c/s for ten in the morning on a Tuesday at 39 weeks, and start contracting in the middle of the night at 37.
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#3 of 12 Old 11-01-2014, 10:31 PM
 
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Benefits of going into labour include the exposure to hormones as you mentioned as well as eliminating the risk of iatrogenic prematurity.

If it's something you decide you want to do it's not a question of your doctor *allowing* it. You get to decide. It is always prudent to discuss the implications though, as MeepyCat pointed out. I'm also not sure what the implications of the cerclage would be if your cervix was trying to dilate or if you were contacting against an undilatable cervix. I think waiting for labour is a great idea, as long as the reasons for needing c/s in the first place don't make it too risky.


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#4 of 12 Old 11-07-2014, 07:11 PM
 
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I had 2 repeat c-sections with labor (started 2 days before scheduled delivery twice) and 1 without. I really appreciated the emotional aspect of knowing my baby was ready to come when I went into labor on my own, but my C-section with no labor was no better or worse than the others. Still had skin to skin (with dad the last time), breastfed soon after, and actually left the hospital after 1 night. My reasons for C-sections is different than yours, though.
Good luck figuring out what will work for your family!
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#5 of 12 Old 11-08-2014, 04:03 PM
 
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can I go into labor with planned c-section

@radiowave what other Info are you finding about this? I think @Sourire labored before c-section birth...


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#6 of 12 Old 11-08-2014, 08:13 PM - Thread Starter
 
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I haven't learned much. I have my first appointment with my midwives on the 25th, and hope to get more information then!

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#7 of 12 Old 11-08-2014, 10:17 PM
 
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I don't know how you would be able to labor with a cerclage that cannot be removed. Wouldn't it severely damage your cervix?
Being all for labor and the natural process, I don't think I would chance it in your case. You really need to speak to your health care provider in the event you go into labor before your scheduled c-section. From my understanding you will know sooner with a cerclage when you are having contractions than without, so that may afford you the extra time you need to get to the hospital.
I suppose the fact that it cannot be removed is most important when speaking to anyone medically about your situation.
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#8 of 12 Old 11-09-2014, 05:48 PM
 
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There is a difference between going into labour and labouring. With a planned c/s, some women chose to wait until they go into labour to present to hospital but we're not talking hours at home, we're talking presenting at the first sign of labour starting. For many women that would mean the c/s would be done before any significant cervical change had occurred. Of course it doesn't guarantee it and the hospital needs to be able to do a c/s with no notice which is why it needs to be discussed with the HCPs.


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#9 of 12 Old 11-10-2014, 04:46 PM
 
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Thank you, I did not know there was difference between laboring and labor. I hope that the OP will be able to labor without any issues with her cervix, that would be wonderful as the hormonal changes of labor (laboring?) are so important, the list is endless. I recall reading Michael Odents work in this area, but there is so much info out there. I can understand why the OP would very much want to labor.
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#10 of 12 Old 11-30-2014, 02:45 PM
 
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Following this thread, as I've "decided" on a planned c-section this time, after 3 previous failed attempts at natural birth (the most recent one an attempted homebirth). DH & I are discussing whether we want to actually schedule it or if we want to wait until I go into labor & head on over. I don't have cervical problems, and have had FTP every time, so I'm not really worried about medical complications as much as just deciding which is a better decision. I have some PTSD from all the negative experiences, and having a measure of control this time is important to me. I'm interested to hear everyone's take on this question.

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#11 of 12 Old 12-01-2014, 12:55 AM
 
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I think that very much depends on what your particular trauma triggers are. If having some control in the form of choosing the birth date and being able to negotiate the admission/pre-op process without also dealing with contractions then booked may be the way to go. If you're trying to reduce medicalisation in whatever way possible then allowing your babe to choose his/her birth date may give you greater peace. This is going to be very much an individual choice for you. As I said in my PP though, it is essential to talk to your HCPs about how well equipped they are to respond to a spontaneous presentation. It sounds like you are not going to be so time critical as the OP so that may make it easier (if you don't mind labouring for longer).


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#12 of 12 Old 12-01-2014, 08:57 AM
 
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Thanks for the response, @katelove . I will definitely discuss it with my doctor the next time I see her. My main concern is that I get HER as my surgeon, because she's really laid back & willing to do things my way, while I'm not so sure about the others in her practice. They are the premiere maternal-fetal medicine group with the best hospital in the (large) area, so I don't think facility prep will be an issue (though, of course, we'll discuss it). Don't want to thread-hijack any more, so thanks for the advice.

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