C-Section scheduled, feeling nervous (updated, post 74)

Mrs. Bob Loblaw

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36 years ago, I was born by c-section because my mom had a narrow birth canal. Today, my doctor mentioned that my pelvis is narrow, despite by wide hips, and that he doesn't think I can deliver my baby. Big babies run on both sides of our families and they believe my baby is over 9 pounds, based on ultra sounds and him feeling the baby. She definitely seems like a big one.

I'm scheduled for a c-section in a week and am feeling pretty nervous. Any advice? Stories to share? I'm pooh-sized - how much worse will it be for me? I'm so excited and I kinda expected needing a c-section, based on what's happened in my family, but I can't help but be scared.
 
Is this your first baby? Personally, I would never agree to scheduling a C-section if it was only for concern of my pelvic size based on exam and the baby's size on ultrasound. Ultrasound measurements are estimates and pelvic exams are subjective. I don't know if there is more to the story, but that it my first response based on the info you have written.

I had a C-section with my first baby after laboring and pushing. However, I would never have not taken the possibility of delivering without surgery. There are implications to having surgery for both you and the baby. It is the right decision in many cases, however it is not for general concerns for a big baby and narrow pelvis with no labor from my understanding. I would take the chance of not having major surgery personally.

If you have a C-section, the recovery is longer. Ask for help from family and friends. It is a big transition having a baby and recovering from surgery adds more to the mix.

Mom who will have c-section #4 in a couple of weeks.
 
If you are feeling nervous about the advice of your dr, don't hesitate to seek a 2nd opinion. Doesn't mean you won't deliver with your dr but just checking on whether this is the appropriate course of action.

My sister has had 2 c-sections due to large babies. Her son was 10 lbs and last daughter was 9.5. It's totally fine. Kind of a pain recovering like anything else but totally doable.
 
I have had two c-sections and I think the unknown and anxiously awaiting my first was terrible. It was not nearly as bad as I thought it would be! Get up and walk as soon as possible. The sooner you get up and move the easier your recovery will be. Don't be afraid to take your pain meds, stay on top of them at the hospital and by the time you get home you will find that 3 Advil will do the trick to ease any discomfort! I would also highly suggest getting a postpartum band! Were it as soon as you are able to in the hospital. I wore mine for several weeks after both of my sections. Get it as tight as you can. And lastly, don't be afraid to send your baby to the nursery at night. The nurses will bring the baby every few hours for you to feed her. I said I would never send my newborn to the nursery, you know what they say. Never say never! You just had a major surgery, you need to get as much rest in the hospital as you can because you can't take those fabulous nurses home with you! :) best of luck! You will do great and congratulations! If you have any questions feel free to pm me!
 

I had both children by c-section. The first was after 12 hours of labor and the second was a scheduled c-section (though 2 weeks earlier than the "planned" c-section due to developing polyhydramnios - which is too much amniotic fluid). I will say the scheduled one was so much better. My husband was with me both times and got to hold the baby right away.

Recovery time is a little slower with a c-section. Just take it slow. There really is nothing to be scared of. You don't really have to worry about the baby size with the c-section. I am sure everything will go smoothly. :)
 
I had an emergency c-section after 24+ hours of trying to induce and severe pre-eclampsia and hellp syndrome. I don't know if it was because I was in such bad shape before giving birth or what but I took Tylenol only starting about 6 hours after. As soon as I was allowed I was out of bed and walking around.
I don't have anything to compare it to, but honetly my recovery wasn't hard at all. I took it slow for a week or so, but felt good except for itching around the incision.
 
daughter has had 3 C-sections, first was emerg one. without the section we would not have 2 of 3 of the boys alive. wrapped cord issues that were not found until section. healthly baby no matter how it comes is the most important thing to remember. we almost lost her first born at birth after normal preg and that changes how you feel. he is now a normal 9 year old. ps from what I have seen, ultrasounds are not a good predictor of weight of baby. 2 of grandsons were supposed to be between 9 and 10 pounds were both just over 7 pounds at birth and not premies
 
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I have had 3 c-sections, yielding 4 kids (the last being twins). Our first DD was breech with one leg down. I had to have a c-section. The second DD did not want to come out and her cord was around her neck so I had an emergency c-section. All went great. I will say that I felt good after the first. What a PP said - get up and walk around. Something that was really annoying and painful was not being able to pass gas right after. They won't let you eat until you do. I took medicine to help that along. No need for pain. My husband stayed in the hospital the whole time for all three and it was wonderful having him be there with me. You won't move so fast right away especially in and out of bed but it does get better.

Enjoy your beautiful baby!
 
I would never schedule a c-section, based on those reasons. Never. Please speak to a midwife and get a doula, if you don't already have one. Doctors have passed this off as a valid reason for years and years. It's not valid in most situations. There is no reason not to try and have the baby vag in ally.
A c-section is full on abdominal surgery and takes time recovering. Please seek a second option...or even a third. It is amazing how different your birth can be. :goodvibes
 
All four of my children were born via c-section. My advice to you would be:
  • Stay on top of your medicine
  • Keep the IV port in as long as possible - with my fourth I was given pain medication through the IV on the second night
  • Accept help from others - at the hospital and at home
  • Take your boppy to the hospital
  • Allow your body time to recover

Enjoy your new bundle of joy!
 
I had my son via c-section after 44 hours of labor including 3+ hours of pushing. He was physically stuck, not fun.

As for the c-section, I honestly thought it was easy to recover from. Getting out of bed the first time was the hardest part. I agree 100% about the post-partum belt. It was not only helpful in keeping things feeling like they weren't about to fall apart but protected the incision from pants rubbing.

When my son was 6 days old we were out on a sleigh ride getting out Christmas tree. People thought I was crazy but I just trusted my body and rested when needed. You'll do great!
 
OP-

1. Unless you have a diagnosed pelvic abnormality, you will most likely be able to have your baby naturally. Even if the dr. thinks otherwise.

2. C-sections for a suspected "big baby" are NOT recommended by ACOG (American council of gynecology). Many times, ultrasounds to predict a baby's size are inaccurate.

3. Once you have a baby via c-section, many hospitals in the US will not allow a VBAC the second time around. Sad, but unfortunate. This leads to more complications for the mom.

4. I would suggest postings to one of the following Facebook groups: ICAN (international cesarean awareness network), evidence- based birth, or check out the best practices set out by ACOG.


Your birth, your baby, your body. This is a huge deal. PLEASE check out the evidence based birth website before agreeing to something that is not the best choice for you and your child (not saying that a c-section is the wrong choice, just that you should feel secure that it is being done for the best, most evidence based reasons, supported by research,)

Good luck, feel free to pm me with questions. As you may guess, I am quite passionate. (A traumatic birth experience 2 years ago led me to the groups above. They will be happy to help!)
 
36 years ago, I was born by c-section because my mom had a narrow birth canal. Today, my doctor mentioned that my pelvis is narrow, despite by wide hips, and that he doesn't think I can deliver my baby. Big babies run on both sides of our families and they believe my baby is over 9 pounds, based on ultra sounds and him feeling the baby. She definitely seems like a big one.

I'm scheduled for a c-section in a week and am feeling pretty nervous. Any advice? Stories to share? I'm pooh-sized - how much worse will it be for me? I'm so excited and I kinda expected needing a c-section, based on what's happened in my family, but I can't help but be scared.

Although there are some cases of cephalopelvic disproportion, they are pretty rare. It's almost impossible to guess that based on feel of the pelvis. There is a ton of movement that occurs in the pelvis during labour. Tiny women can (and do!) deliver big babies. I'd never schedule a c-section (major abdominal surgery) for something that MIGHT be a problem (but also may not be an issue).

A trial of labour is pretty much always recommended. Obviously, I don't know your exact situation, but I'd ask your doctor exactly WHY he/she thinks your pelvis isn't big enough to have a ******l delivery. I've found that a lot of OBs prefer c-sections - they are scheduled, take less time than an average ******l delivery, and cost more. Ask your OB about their c-section rate - if it's over 30%, they are probably steering women toward them (honestly, anything over 15% should raise flags, but in the US with rates so crazy, 30% is pretty standard).

There are so many things you can do that will be a help in keeping your pelvis open - don't labour and deliver on your back. Stay upright as much as possible, labour on your hands and knees if your back hurts, and don't get an early epidural/have "routine" pitocin. C-sections increase your risk of multiple complications (both for this pregnancy and future ones), and they hurt a lot, for many weeks (sometimes months) after, for most people.

Ask questions. Don't do it simply because your doctor told you that your pelvis is narrow, do it because you have researched and truly believe it's the best for you. A trial of labour (and not an induced labour - that increases your risk of a c-section a huge amount) shouldn't be discounted unless there is truly a danger in waiting. It's great that c-sections are available for those cases where it's truly necessary, but it's become the standard of practice for so many doctors and it's really a shame.
 
I've had three c-sections.

The first, I labored all day and had an emergency c-section that night. Recovery was painful, but I was 21, so I bounced back fast.

C-section #2 was scheduled (although I went into labor on that day anyway). I was extremely lazy after this one and didn't move around much at all for about a week - worst recovery ever!

C-section #3 with my daughter - she was born premature (33 weeks) - she was taken to the NICU and I had to go to her since she couldn't be brought to me, so I couldn't laze around in bed.

I got up less than five hours after my c-section and walked an extraordinary distance (holding a wheelchair for balance) through four hospital hallways and sitting in the wheelchair before I got to the NICU.

I really pushed myself and it was painful, BUT it was the best recovery I've ever had. I was two hours from home and had no help (aside from my husband coming down on my discharge day and spending the night with me at the Ronald McDonald House, and then having to go home to stay with my boys the next day), so I had to be very self-reliant.

I was 10 years older than when I had my first section, 30 pounds heavier than the first one, I was taking it easy with the pain meds, and walking a long distance every day - I credit walking for my recovery being so easy. So my advice: Work through the pain that first day, so you don't suffer for weeks after!
 
I want to slap your doctor. I want to have a long chat with your mother for putting this nonsense in your head. And I want to slap HER doctor.


The whole point of the hormone relaxin (the stuff that's making your joints all wobbly) is so that the joints OPEN. What things look or feel like to your doctor right now (some dude sticking his hands in your stuff...do you THINK you might be a bit, you know, tense?) mean NOTHING.

OH it does mean one thing. It means that that is HIS belief system. He's going to put it onto you. And he's not the one that is going to get to have MAJOR abdominal surgery on the very day you meet your baby.


I have a friend who had a liver transplant. Big huge tremendous surgery. And she felt sorry for those who have children by surgery*, because no one handed her a newborn that she was now 100% in charge of on that same day.




*(I don't give it the cutesy name that's a lie because Julius Caesar's mom was alive long after he was alive, and that simply didn't happen back then when children were born by surgery...I call it surgical birth because that's what it IS)


Back to your doctor...why on earth would he want to SCHEDULE it? Oh yes. Because it's convenient for...yep, him.

First babies often go "long". That means those babies NEED more time.

My son was forced out against my will at 42 weeks 3 days, and *had signs of prematurity*.

Oh! They said "the baby's going to be at least 9 pounds, that's hard". I said "bring it on" because fat squishes.

He was 7 lbs 12 oz. He was nearly 2 feet long, probably folded in thirds when inside. He appeared big. He was NOT. With his length, he was scrawny. But they said "9 lbs".


My husband was born at 44 weeks (rock solid dates...FIL on leave and a train woke them up in the middle of the night...cue the sexy music...) and was UNDER 9 pounds. Of course, he was getting out of his crib by 9 months (and hiding), but there are some tradeoffs with having a fully "cooked" baby sometimes.


At the very least *let the baby choose the day or so of his birth*. Let yourself recover from what you have been indoctrinated with your whole life. I'm SO SORRY that this has gotten into your head and has caused you to doubt your own wonderful body.



Doctors have passed this off as a valid reason for years and years. It's not valid in most situations. There is no reason not to try and have the baby vag in ally.
A c-section is full on abdominal surgery and takes time recovering. Please seek a second option...or even a third. It is amazing how different your birth can be. :goodvibes

YES YES YES and more YES.


OP-

1. Unless you have a diagnosed pelvic abnormality, you will most likely be able to have your baby naturally. Even if the dr. thinks otherwise.

2. C-sections for a suspected "big baby" are NOT recommended by ACOG (American council of gynecology). Many times, ultrasounds to predict a baby's size are inaccurate.

3. Once you have a baby via c-section, many hospitals in the US will not allow a VBAC the second time around. Sad, but unfortunate. This leads to more complications for the mom.

4. I would suggest postings to one of the following Facebook groups: ICAN (international cesarean awareness network), evidence- based birth, or check out the best practices set out by ACOG.


Your birth, your baby, your body. This is a huge deal. PLEASE check out the evidence based birth website before agreeing to something that is not the best choice for you and your child (not saying that a c-section is the wrong choice, just that you should feel secure that it is being done for the best, most evidence based reasons, supported by research,)

Good luck, feel free to pm me with questions. As you may guess, I am quite passionate. (A traumatic birth experience 2 years ago led me to the groups above. They will be happy to help!)


So much yes.

The people at ICAN will respond urgently to you, with feelings behind it, because they have been there done that and are scarred in many ways because of it. Their choices are now narrowed. They have been lied to and bullied and they have dealt with the aftermath.

They might overwhelm you with their caring and wanting to help. They don't want to scare you.

They want to HELP you and want you to have a BETTER experience. They want your BABY to have a better experience. They don't know you but they love you and your baby, and want the absolute best for you.

So please don't be overwhelmed. Especially by me. Right now. Here I go...




Although there are some cases of cephalopelvic disproportion, they are pretty rare. It's almost impossible to guess that based on feel of the pelvis. There is a ton of movement that occurs in the pelvis during labour. Tiny women can (and do!) deliver big babies. I'd never schedule a c-section (major abdominal surgery) for something that MIGHT be a problem (but also may not be an issue).


Yes.

My MIL is 5'1", tiny, and grew up in occupied Korea with all of the nutritional deficiencies that no doubt went along with that. Her first baby....rural tiny town, just the women of the village helping her. Labored for 5 days, birthed her first baby. 10+ lbs.

She chose to not tell me that story. Not telling me that nearly killed me (quite literally). Americans are so insane they think 12 hours is a long labor. American birth practitioners are so crazy they think 6 hours is long.

I'm sure it's hard to be a hand's off, traditional, old-fashioned birth attendant. I don't care.

I tell you this to show you what nonsense people can say and do to you. My labor was FINE. The main pain I had was because of his position, which no one knew about and therefore couldn't change. I'm not saying it was awesome...it was labor. But the labor itself was nothing horrible. What WAS horrible was my hired help. And that's why I tell you the following. (I don't want to scare you about laboring...I want you to be forewarned about the hired help and how wrong they can be)


2 days of what I later realized was prodromal labor (exhausts you but does NOTHING towards getting the baby out...exhausts you even more when your birth attendants are idiots and don't know what prodromal labor is). 2 more days of somewhat more real labor, but with a baby who turned out to be sunny side up with his hands at his face. NO ONE KNEW this because none of the people I hired or was forced to see had a clue what they were doing.

The people I had at home threatened to leave me if I didn't comply with them. (illegal) They assaulted me by breaking my water (nearly 4 days of some sort of labor, intact membranes...can you say *baby isn't ready*?) as I said "no". They lied to me about how ready they were to receive the baby. They lied to me and coerced me and interfered with communication between me and my husband and lied their rears off to my aunt to get me to the hospital. Then they didn't tell the hospital WHY I was there.

The hospital yelled emergency at me for hours upon hours. They did everything they could to STOP labor then blamed it on me. They had faulty equipment and lied to me about a variety of things and it was all blamed on me. They "got me to yes" (paraphrase of an amazing essay written by a medical student about what they are taught).

They kicked me out 42 hours post-op, saying my insurance wouldn't allow me to stay. This isn't true or legal in any way, shape, or form, but adding to the nonsense...they kept saying the wrong insurance company. They knew I had a 3rd floor walk-up apartment, and sent me home 42 hours post-op as I cried and begged to not be sent home. The ONLY thing good about that part is that it took until the 5th day for my milk to come in, and I was a heck of a lot more patient (as was my son who got a tremendous amount of colostrum) than the hospital staff would have been.

And then? The doctor billed me as having CHOSEN it. Oh and he was out of network. Thousands of dollars more....




They were wrong. They were scared (had litigation looming that I didn't know about). Your doctor is TELLING you "I am scared". He wants this to be easier on him (you can tell because of the scheduling). He won't think about you a minute after he's done with the surgery and you'll be left to either recover easily or not.

I was sent home from the hospital with a hemoglobin level that should have triggered a transfusion. I saw the OB 2 weeks later and he said nothing. I didn't know until I read my records for the umpteenth time when my son was 4 years old.


A friend of mine in a situation like yours, with a mother who told her her whole life that the women in their family "can't" have babies normally, chose scheduled surgery. And regretted it. I don't think she's brave enough to not do it again, but she didn't like the surgery or the LONG recovery time.


It's not just those of us who didn't want it who have a hard time recovering. She wished someone had told her the TRUTH about having major abdominal surgery the day you meet your baby. I tried to, but she wanted to think it was because I wasn't expecting it and had sort-of-labored for days.
 
I had two scheduled c-sections. I was hysterical with the first scheduled c, but everything was okay. I was more nervous than anything...fearful of something happening to the baby, fearful of the surgery...just fearful. It was all okay. It was much better than I expected.

If your doctor is recommending a c, there is a reason. I would go with the doctor's advice given that they know you in real life. :)

My first baby was a little over 8lbs, my second was 10lbs 10ozs. The ultrasounds were "off" when predicting both weights. I am still happy that I went with the c-sections. I would not want to chance going through a long delivery and then having an emergency c-section. I think the emergency c-sections are much harder on a woman's body.

The things that helped me:
1. Get UP and WALK. It is painful the first time, but it helps. I didn't do this the first time and it was a hard recovery. The second time, I forced myself OUT of the bed by pulling myself up and swinging my legs over the side of the hospital bed. I pulled myself up and off I went. Much better recovery.

2. Let people help you...you will need it and they want to help.

3. Drink lots of water...helps with the pooping the first time.

4. Take your meds.

Good luck!!
 
36 years ago, I was born by c-section because my mom had a narrow birth canal. Today, my doctor mentioned that my pelvis is narrow, despite by wide hips, and that he doesn't think I can deliver my baby. Big babies run on both sides of our families and they believe my baby is over 9 pounds, based on ultra sounds and him feeling the baby. She definitely seems like a big one. I'm scheduled for a c-section in a week and am feeling pretty nervous. Any advice? Stories to share? I'm pooh-sized - how much worse will it be for me? I'm so excited and I kinda expected needing a c-section, based on what's happened in my family, but I can't help but be scared.

I don't think you have asked whether or not you should have a c section, you did ask for advice after etc.

Yes, recovery time is longer but it's fine. I was 40 years old when I had my scheduled C and thankfully, no complications just listen to the nurses after and follow all instructions. They tend to know the most.

You will be fine -- and look at it this way, you don't have to worry about when you will go into labor (for the most part). For a planner like me, that was awesome.

(Before y'all jump down my throat, that's not why I had a scheduled C. There was a very valid, medical reason for scheduling.)

Good luck and God bless you and that baby!
 
36 years ago, I was born by c-section because my mom had a narrow birth canal. Today, my doctor mentioned that my pelvis is narrow, despite by wide hips, and that he doesn't think I can deliver my baby. Big babies run on both sides of our families and they believe my baby is over 9 pounds, based on ultra sounds and him feeling the baby. She definitely seems like a big one.

I'm scheduled for a c-section in a week and am feeling pretty nervous. Any advice? Stories to share? I'm pooh-sized - how much worse will it be for me? I'm so excited and I kinda expected needing a c-section, based on what's happened in my family, but I can't help but be scared.

Sounds very similar to my situation (except mine wasn't a scheduled C-section, I labored for 28 hours :rolleyes:), my pelvis does not move to allow a baby down the birth canal, it's now been proven to my Ob.
My grandmother, mum, aunty, sister all could not birth a baby the old fashioned way and I told my Ob this and he still wouldn't put me in for a C-section. If he had've it would've saved me 28 hours of pain ;) and a pelvimetry exam.

For those that are saying the Doctor isn't right in doing this, what medical background do you have with this lady to support your opinion.
I'm sure the Dr has something to base his/her decision on, it isn't something that is taken lightly.

Good luck with Bub, do things at your own pace, accept help from family and friends if offered and try and sleep when he/she does.

And don't forget, we love pics :)

*cluck cluck*
 
I had my first child naturally and my second I felt almost coerced into a C-section and I still regret it. OP do not schedule one, tell the doctor you'd like to try on your own first.

I was in good shape, exercised regularly and ate well during my pregnancies, but had very difficult labor and deliveries, lucky me. :confused3

My Dr. said my second DS would be a 9 lb baby so he induced me a few days before my due date and my body was not ready yet. I didn't dilate after 24 hours and had a C-section. He was only 7 lb. 7 oz. My oldest DS was over a pound more than him, so I know I could have delivered him as well.

Recovery wasn't too bad, but 2 years later I'm still numb at the incision site and sometimes have a little pain if one of my kids pushes on it.

Please try on your own first, I wish I would have stood up for myself a little more and waited longer.
 













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