Just out of curiosity. It seems a lot of October 2015 have scheduled c section dates or induction dates set... So how are you planning to have your LOs ?
I was induced with my first at exactly 41 weeks and luckily had a vaginal birth but I wouldn't do that again to myself if I don't have too....it was AWFUL
My plan is to go in naturally. However I was just tested for Cholestasis and the results take a week. If I have that I sadly will be induced due to health
I feel perfectly fine, just occasionally itchy. Praying results are negative.
What I am planning, what the baby is planning and what the doctors will do for health reasons may all be different plans. My little one tried to make a surprise appearance on Tuesday!! Can't wait to see the results!!
C section because my twins share a placenta. I could try vaginal, but the chance of baby b losing oxygen increases the longer she takes to come out so I prefer a section. The risks simply aren't worth it to me.
The plan this time is to attempt a VBAC *fingers-crossed* My plans of a home, water birth the first time around didn't come to fruition due to borderline pre-e and I ended up staying at the hospital after my NST at just over 41 weeks. I've been given the option to attempt a VBAC at home this time - While the risks are low and after going through all that I did with my first, I don't feel confident enough to do this away from the hospital, we're just too far away if something were to happen.
My plan is to go into labor naturally I did with my son and it was waaaay better than being induced with my daughter. That being said if anymore pre-e symptoms crop up or BP keeps rising the dr said we may have to induce early:( at least he made it to 36 weeks before BP started acting up.
Hoping to go into labor naturally like i did with DS, but now that I'm aware of all the health-related things that can derail my plans, I'm so worried that it won't happen that way. I'm mentally preparing myself to be flexible!
Getting induced @ 29 wks, for SGA baby, kinda dreading it, but want to do what's best for baby. Look like he may be a late Sep, rather than early Oct baby...
I'm a FTM and wanting to go natural as possible... If nothing is happening around the 40 week mark I will try doing things to naturally get things moving (nothing crazy like castor oil or breaking my own water though! Just things like walking, rocking on the birthing ball and some accupressure) I really really don't want to have to be induced!
Good luck to all you mama's! Here's to being on the home stretch to finally meet our precious LO's!
So, what counts as an elective c section? I'm just curious cause I didn't know you could just ask for a c section just on account of because and that's what I keep thinking when I see "elective" c section.
@j1d, when I think "elective" c-section, I think of women who request a c-section when there are no health complications present that would preclude a vaginal birth. At least in the broadest sense of the definition . . .
I'm not sure if my scheduled c-section would be considered medically necessary or elective, because I CHOSE to schedule a c-section rather than attempting a VBAC. I picked c-section for health reasons on the poll, though, because my GD and history/increased risk of pre-e increase the likelihood that I'd end up needing an emergency c-section anyway.
@MamaOwl15 that's almost exactly what I was wondering- if ladies were saying a repeat c section vs a vbac was elective or if they are saying they straight up just said, "eh, vaginal birth, not for me." Cause I totally get either scenario I just didn't think you could actually choose the second one.
@MamaOwl15 that's almost exactly what I was wondering- if ladies were saying a repeat c section vs a vbac was elective or if they are saying they straight up just said, "eh, vaginal birth, not for me." Cause I totally get either scenario I just didn't think you could actually choose the second one.
My OB is letting me opt for the c-section even though not medically indicated.
@MamaOwl15 that's almost exactly what I was wondering- if ladies were saying a repeat c section vs a vbac was elective or if they are saying they straight up just said, "eh, vaginal birth, not for me." Cause I totally get either scenario I just didn't think you could actually choose the second one.
My OB is letting me opt for the c-section even though not medically indicated.
Did you ask or did your doc offer? I'm just super curious about how all that works.
@MamaOwl15 that's almost exactly what I was wondering- if ladies were saying a repeat c section vs a vbac was elective or if they are saying they straight up just said, "eh, vaginal birth, not for me." Cause I totally get either scenario I just didn't think you could actually choose the second one.
I've never personally known anyone who did this, but have you ever heard of "designer births?" Filthy rich Park Avenue moms (the ones who hire a nanny even though the SAH, so someone can watch Jr while they go to brunch and get a pedicure) sometimes get a c-section and a tummy tuck while they're at it. Also theoretically preserving their vaginas from mangling.
@MamaOwl15 that's almost exactly what I was wondering- if ladies were saying a repeat c section vs a vbac was elective or if they are saying they straight up just said, "eh, vaginal birth, not for me." Cause I totally get either scenario I just didn't think you could actually choose the second one.
I've never personally known anyone who did this, but have you ever heard of "designer births?" Filthy rich Park Avenue moms (the ones who hire a nanny even though the SAH, so someone can watch Jr while they go to brunch and get a pedicure) sometimes get a c-section and a tummy tuck while they're at it. Also theoretically preserving their vaginas from mangling.
Today, right now, as I'm in bed, swollen, chubby and in pain, I can't say that sounds like a horrible option. I mean, I'd never do it... Most likely... Probably.... Maybe? Can I get some lipo on my thighs at the same time and it does it come with a back massage?
@MamaOwl15 that's almost exactly what I was wondering- if ladies were saying a repeat c section vs a vbac was elective or if they are saying they straight up just said, "eh, vaginal birth, not for me." Cause I totally get either scenario I just didn't think you could actually choose the second one.
I've never personally known anyone who did this, but have you ever heard of "designer births?" Filthy rich Park Avenue moms (the ones who hire a nanny even though the SAH, so someone can watch Jr while they go to brunch and get a pedicure) sometimes get a c-section and a tummy tuck while they're at it. Also theoretically preserving their vaginas from mangling.
Today, right now, as I'm in bed, swollen, chubby and in pain, I can't say that sounds like a horrible option. I mean, I'd never do it... Most likely... Probably.... Maybe? Can I get some lipo on my thighs at the same time and it does it come with a back massage?
You're flat on your back, so no massage, but since they actually have to move any belly fat you have out of the way to get to your uterus, I'm tempted to be like, "can you just remove the fat and throw it away?"
Insurance is the problem for me though. Since they won't cover taking my uterus out with the baby, I'm pretty sure they won't cover lipo and a tummy tuck!
I think a prenatal massage and a few sessions with a trainer would actually be cheaper and less painful.
@j1d, when I think "elective" c-section, I think of women who request a c-section when there are no health complications present that would preclude a vaginal birth. At least in the broadest sense of the definition . . .
I'm not sure if my scheduled c-section would be considered medically necessary or elective, because I CHOSE to schedule a c-section rather than attempting a VBAC. I picked c-section for health reasons on the poll, though, because my GD and history/increased risk of pre-e increase the likelihood that I'd end up needing an emergency c-section anyway.
@J1D this ^^ basically some women will ask for a c section to avoid vaginally birthing without any medical complications or previous birth or c section.
A lot of people will chose to have another c section over a VBAC to avoid complication, and I count that as medically necessary because the complications out weight the pros.
I know a woman who literally would not get pregnant unless she could have a c section, so she found an OB who would let her do it. I'm pretty sure most OBs won't do a section without it being medically necessary.
@MamaOwl15 that's almost exactly what I was wondering- if ladies were saying a repeat c section vs a vbac was elective or if they are saying they straight up just said, "eh, vaginal birth, not for me." Cause I totally get either scenario I just didn't think you could actually choose the second one.
I've never personally known anyone who did this, but have you ever heard of "designer births?" Filthy rich Park Avenue moms (the ones who hire a nanny even though the SAH, so someone can watch Jr while they go to brunch and get a pedicure) sometimes get a c-section and a tummy tuck while they're at it. Also theoretically preserving their vaginas from mangling.
* Elective Primary Cesarean Section (EPCS): A planned first or “primary” cesarean section in a healthy woman for the birth of a baby when there is no medical, fetal, or obstetric reason for the surgery. May be influenced by non-medical issues, such as physicians’ personal beliefs (not facts) about safety, liability, insurance coverage, liability fears, hospital economics, efficiency, convenience, and reimbursement rates, as well as other factors not listed. (American College of Nurse-Midwives, Position Statement: Elective Primary Cesarean Section & Citizens for Midwifery, News Release: “Patient Choice” Cesareans Almost Non-Existent)
* Maternal Request Cesarean Section or Cesarean Delivery on Maternal Request (CDMR): A subcategory of elective primary cesarean sections. A planned (before labor begins) first or “primary” cesarean initiated by the mother with the understanding that there is no medical, obstetrical, or fetal indication requiring cesarean delivery, and after a through review of the risks and benefits of cesarean delivery vs. vaginal birth by the obstetrician, the woman’s decision is to have a planned cesarean section. The primary decision maker for a CDMR is the woman. (National Institute of Health (NIH) Cesarean Conference definition, March 2006 & Childbirth Connection, Listening to Mothers II Survey)
Take note that both are done with the understanding that there is no medical, obstetrical or fetal indication requiring cesarean. I would highly recommend going to the ACOG website and looking into it. Women are not to blame for the increase in cesareans.
I know a woman who literally would not get pregnant unless she could have a c section, so she found an OB who would let her do it. I'm pretty sure most OBs won't do a section without it being medically necessary.
Yes. Yes they absolutely would. Medical necessity is PURELY subjective. Medical EMERGENCY is not. Allow me to explain.
The top three indications for a cesarean in the U.S. are Labor Arrest (34%); Nonreassuring Fetal Tracing (23%); and Malpresentation (17%).
These are statistics from the ACOG website. I'm not pulling this out of my ass. I'll even attach a cute little picture of the pie chart they have posted on their website.
Let's go over these one at a time, shall we?
Labor arrest is exactly what it sounds like. Your labor stops. It's that simple. As long as baby's heart tones are strong, ask yourself why this would necessitate a cesarean. Maybe ask if the only reason your dr is suggesting it is because he wants to go home and watch Oprah or go play golf with his buddies. Be especially wary if you're in the hospital on a weekend or if your doc is suggesting immediate major abdominal surgery around 5pm or 10pm. This could mean that the cesarean is necessary to HIM, not you. If you've read Ina May's literature you'll know what sphincter law is (and why it has anything to do with labor arrest), and if you don't; look it up. It's interesting.
Moving on to "Nonreassuring fetal tracing". This is referring to the tracings on a cEFM (continuous electronic fetal monitor). It's that annoying machine that they strap to your belly and make you try to sit still through contractions so they can get a good read on decels (when you have a contraction, your baby's heart rate drops a little and only temporarily during the contraction. This is normal but it shouldn't drop past a certain point). You'll be interested to know that the ACOG not only states that nonreassuring fetal tracing does not constitute an automatic cesarean for a category 3, but that even USING a cEFM on a low risk pregnancy increases the chances for a cesarean and is NOT recommended. But don't take my word on it. Look it up.
Finally we have Malpresentation. Basically breech. There are only two types of breech that pose a problem. Footling and Transverse. Babies can safely and successfully be birthed butt first. Obstetricians learn how to deliver butt first breech in medical school, yet refuse to do it in practice because hey, let's face it, it's much easier and quicker to cut someone open than to sit around and wait patiently for baby to come out on its own. Even the two breech presentations that are a problem do not immediately necessitate a cesarean. A procedure called an External Cephalic Version can be done to try and turn baby around. Most of the time it is successful.
All three of these phenomena (of which none are medical emergencies that constitute an automatic c-section) make up 74% of cesareans. So yes. Obstetricians knowingly and willingly perform Cesarean Sections without a medical necessity.
With my first, my OB gave me the option to elect a c/s. I said no. We went through and ended scheduling an early induction due to severely herniated disc; the risks of continuing to treat me for the herniation while pregnant outweighed the risks of having my son early, as long as the amino for FLM indicated he wouldn't have issue. We got the FLM green light, scheduled induction the next day. As I was waiting for my med to arrive from the pharmacy, DS flipped transverse. I was so pissed that I had to lay there and wait for a c/s.
Fast forward 4.5 years, three of which I was adamantly against having more children. My original OB is since medically retired and my new OB tells me I am not a VBAC candidate due to my MTHFR DNA mutation (clot risk). Because of this and previous hypertension, I face highly increased risk of fetal distress if I go beyond 38w. I'm not terribly upset that I will be having a rcs; my recovery from the first was amazing!
All that to say - I selected "for medical reasons", because, well, my provider is not comfortable with the risks of me doing a VBAC. Could I have tried to find another provider to offer a VBAC? Sure. But, they would be very few and far between, and I honestly don't feel like taking the risk with my son's life.
I know a woman who literally would not get pregnant unless she could have a c section, so she found an OB who would let her do it. I'm pretty sure most OBs won't do a section without it being medically necessary.
Huh. I have a friend right now that I think would totally elect for a c section if her doc would let her. I just honestly didn't know you could do that. I don't think my ob would. I'm gonna ask at my next appointment! Not because I want one, just cause I want to know if they would.
I know a woman who literally would not get pregnant unless she could have a c section, so she found an OB who would let her do it. I'm pretty sure most OBs won't do a section without it being medically necessary.
Huh. I have a friend right now that I think would totally elect for a c section if her doc would let her. I just honestly didn't know you could do that. I don't think my ob would. I'm gonna ask at my next appointment! Not because I want one, just cause I want to know if they would.
At my OB appointment Wednesday I was given the option for a c section or another vaginal birth. The reason I was given an option because my son was 9.7 lbs and ended up with shoulder dystocia, broken left clavicle and neuropathy damage. But I told him no I prefer vaginally if possible. I find out next week the estimated size of the baby and he will ask me again if I choose natural over c section.
Other then that my drs would never sign off on a c section.
I know a woman who literally would not get pregnant unless she could have a c section, so she found an OB who would let her do it. I'm pretty sure most OBs won't do a section without it being medically necessary.
Huh. I have a friend right now that I think would totally elect for a c section if her doc would let her. I just honestly didn't know you could do that. I don't think my ob would. I'm gonna ask at my next appointment! Not because I want one, just cause I want to know if they would.
At my OB appointment Wednesday I was given the option for a c section or another vaginal birth. The reason I was given an option because my son was 9.7 lbs and ended up with shoulder dystocia, broken left clavicle and neuropathy damage. But I told him no I prefer vaginally if possible. I find out next week the estimated size of the baby and he will ask me again if I choose natural over c section.
Other then that my drs would never sign off on a c section.
To me that would still fall in the category of "for medical reasons."
I know a woman who literally would not get pregnant unless she could have a c section, so she found an OB who would let her do it. I'm pretty sure most OBs won't do a section without it being medically necessary.
Huh. I have a friend right now that I think would totally elect for a c section if her doc would let her. I just honestly didn't know you could do that. I don't think my ob would. I'm gonna ask at my next appointment! Not because I want one, just cause I want to know if they would.
At my OB appointment Wednesday I was given the option for a c section or another vaginal birth. The reason I was given an option because my son was 9.7 lbs and ended up with shoulder dystocia, broken left clavicle and neuropathy damage. But I told him no I prefer vaginally if possible. I find out next week the estimated size of the baby and he will ask me again if I choose natural over c section.
Other then that my drs would never sign off on a c section.
To me that would still fall in the category of "for medical reasons."
Exactly ! But if I didn't have any previous birth with problems the OB would have never gave me an option for a c section !
We don't get options for c sections here unless medically necessary, but I noticed quite a few people "wanting" one and Dr giving the okay without medical reasons.
My doctor is letting me choose. I have a scan on Tuesday to assess size, and will make my decision based on that. My reasoning: my daughter was born 2 weeks early weighing 8.6, she broke her collar bone, and I had a 4th degree tear. If he is 9 plus.. I won't chance it. It was bad on her and landed her in the NICU.
My doctor is letting me choose. I have a scan on Tuesday to assess size, and will make my decision based on that. My reasoning: my daughter was born 2 weeks early weighing 8.6, she broke her collar bone, and I had a 4th degree tear. If he is 9 plus.. I won't chance it. It was bad on her and landed her in the NICU.
That would classify under c section based on health !
Re: Birthing your baby.
I feel perfectly fine, just occasionally itchy. Praying results are negative.
Me as well !
Can't wait to see the results!!
Good luck to all you mama's! Here's to being on the home stretch to finally meet our precious LO's!
Anyway, I'm letting mine do his own thing.
I'm not sure if my scheduled c-section would be considered medically necessary or elective, because I CHOSE to schedule a c-section rather than attempting a VBAC. I picked c-section for health reasons on the poll, though, because my GD and history/increased risk of pre-e increase the likelihood that I'd end up needing an emergency c-section anyway.
Insurance is the problem for me though. Since they won't cover taking my uterus out with the baby, I'm pretty sure they won't cover lipo and a tummy tuck!
I think a prenatal massage and a few sessions with a trainer would actually be cheaper and less painful.
A lot of people will chose to have another c section over a VBAC to avoid complication, and I count that as medically necessary because the complications out weight the pros.
* Maternal Request Cesarean Section or Cesarean Delivery on Maternal Request (CDMR): A subcategory of elective primary cesarean sections. A planned (before labor begins) first or “primary” cesarean initiated by the mother with the understanding that there is no medical, obstetrical, or fetal indication requiring cesarean delivery, and after a through review of the risks and benefits of cesarean delivery vs. vaginal birth by the obstetrician, the woman’s decision is to have a planned cesarean section. The primary decision maker for a CDMR is the woman. (National Institute of Health (NIH) Cesarean Conference definition, March 2006 & Childbirth Connection, Listening to Mothers II Survey)
Take note that both are done with the understanding that there is no medical, obstetrical or fetal indication requiring cesarean. I would highly recommend going to the ACOG website and looking into it. Women are not to blame for the increase in cesareans.
The top three indications for a cesarean in the U.S. are Labor Arrest (34%); Nonreassuring Fetal Tracing (23%); and Malpresentation (17%).
These are statistics from the ACOG website. I'm not pulling this out of my ass. I'll even attach a cute little picture of the pie chart they have posted on their website.
Let's go over these one at a time, shall we?
Labor arrest is exactly what it sounds like. Your labor stops. It's that simple. As long as baby's heart tones are strong, ask yourself why this would necessitate a cesarean. Maybe ask if the only reason your dr is suggesting it is because he wants to go home and watch Oprah or go play golf with his buddies. Be especially wary if you're in the hospital on a weekend or if your doc is suggesting immediate major abdominal surgery around 5pm or 10pm. This could mean that the cesarean is necessary to HIM, not you. If you've read Ina May's literature you'll know what sphincter law is (and why it has anything to do with labor arrest), and if you don't; look it up. It's interesting.
Moving on to "Nonreassuring fetal tracing". This is referring to the tracings on a cEFM (continuous electronic fetal monitor). It's that annoying machine that they strap to your belly and make you try to sit still through contractions so they can get a good read on decels (when you have a contraction, your baby's heart rate drops a little and only temporarily during the contraction. This is normal but it shouldn't drop past a certain point). You'll be interested to know that the ACOG not only states that nonreassuring fetal tracing does not constitute an automatic cesarean for a category 3, but that even USING a cEFM on a low risk pregnancy increases the chances for a cesarean and is NOT recommended. But don't take my word on it. Look it up.
Finally we have Malpresentation. Basically breech. There are only two types of breech that pose a problem. Footling and Transverse. Babies can safely and successfully be birthed butt first. Obstetricians learn how to deliver butt first breech in medical school, yet refuse to do it in practice because hey, let's face it, it's much easier and quicker to cut someone open than to sit around and wait patiently for baby to come out on its own. Even the two breech presentations that are a problem do not immediately necessitate a cesarean. A procedure called an External Cephalic Version can be done to try and turn baby around. Most of the time it is successful.
All three of these phenomena (of which none are medical emergencies that constitute an automatic c-section) make up 74% of cesareans. So yes. Obstetricians knowingly and willingly perform Cesarean Sections without a medical necessity.
Fast forward 4.5 years, three of which I was adamantly against having more children. My original OB is since medically retired and my new OB tells me I am not a VBAC candidate due to my MTHFR DNA mutation (clot risk). Because of this and previous hypertension, I face highly increased risk of fetal distress if I go beyond 38w. I'm not terribly upset that I will be having a rcs; my recovery from the first was amazing!
All that to say - I selected "for medical reasons", because, well, my provider is not comfortable with the risks of me doing a VBAC. Could I have tried to find another provider to offer a VBAC? Sure. But, they would be very few and far between, and I honestly don't feel like taking the risk with my son's life.
Edit: prematurely posted.
I just honestly didn't know you could do that. I don't think my ob would. I'm gonna ask at my next appointment! Not because I want one, just cause I want to know if they would.
At my OB appointment Wednesday I was given the option for a c section or another vaginal birth. The reason I was given an option because my son was 9.7 lbs and ended up with shoulder dystocia, broken left clavicle and neuropathy damage. But I told him no I prefer vaginally if possible. I find out next week the estimated size of the baby and he will ask me again if I choose natural over c section.
Other then that my drs would never sign off on a c section.
Exactly ! But if I didn't have any previous birth with problems the OB would have never gave me an option for a c section !
We don't get options for c sections here unless medically necessary, but I noticed quite a few people "wanting" one and Dr giving the okay without medical reasons.
That would classify under c section based on health !