C-sections

RCS and doctor keeps asking about tubal!

So I normally see one OB but she was out today so I saw another one today. I have seen him 2x now and both times he has pushed the issue about getting a tubal at my RCS. This is only my 2nd child and I am still fairly young for child bearing. Why the push?! I should just tell him it's against my religion, maybe he will stop asking then. Argh. I am SO not ready to decide if this is it for my family size. Anyone else get this a lot with a RCS?

6 & 2 year old, 2 losses

Re: RCS and doctor keeps asking about tubal!

  • My doctor did not push it at all, but he knew from day 1 that we wanted more children and told me he would evaluate me each time I had a c-section. After my second he told me I was fine to have another. We will TTC #3 in about a year to year and a half to time it with the finish of nursing school for me.

    I will say though I was asked about three times at the hospital the day of, however I took it as the fact that the nurses were just checking to make sure everything I wanted done was done.

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  • No need to lie to him.  Tell him firmly that you do not wish to have a tubal during your RCS and you will not discuss it with him.

    You are not ready to make a decision at this time, so he needs to STFU.  If you ask him not to bring it up again and he does, I would talk to your regular OB about it and make sure you do not see this particular OB again.

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  • That's odd. I've never gotten the talk about a tubal, and I'm 38 and PG with #4 and will have my 4th c-section in a few weeks.

    When I went in this time, my OB started asking if I was thinking about having a #5! LOL!

    I am getting a tubal with this c-section though, but I was the one that brought it up. 

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  • I was 27 with my second, and I discussed it breifly with my Dr, and decided against it.  That was the end of the conversation until I was in labour, with the on-call doc asking me 4 times, and the 4th time she actually looked over the curtain and asked if I was sure I didn`t want a tubal.  With my third, I did opt to have my tubes done, I had a lot of problems with this pregnancy and knew I physically would have a really hard time being pregnant with a 4th baby.  My dr never pressured me, but did say she was glad to hear that`s what we wanted, because she doesn`t recommend having more then three RCS.  While in labour (I have impatient kids who can`t wait until their scheduled dates) the on-call doc reminded us that it was permanent, asked if we were sure that we would have no regrets, and that was that. 

    I would just tell him you are not interested, and request that he stop pushing you into it.

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  • imagetawillers:

    No need to lie to him.  Tell him firmly that you do not wish to have a tubal during your RCS and you will not discuss it with him.

    You are not ready to make a decision at this time, so he needs to STFU.  If you ask him not to bring it up again and he does, I would talk to your regular OB about it and make sure you do not see this particular OB again.

    Well, technically I wouldn't be lying to him, since it IS against my religion, but I have told him both times that "no, I wasn't getting one." If anything, DH is getting a vasc when it comes time. I told him today I wasn't ready to make that decision and also that I wasn't ready for all of this to end. He said "it's not and end, only a beginning." it's like why does he care how many kids I have? It's weird! I might mention it to my OB next time, she has never even brought it up to me, she told me I still had at least 10 years left to have kids!

    6 & 2 year old, 2 losses
  • that is so inappropriate. I would find a new doctor for your next pregnancy.
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  • Is there any reason?  Have you had any complications?  If not, and you're not interested, you need to tell them to back off.

    Both my OB and my MFM asked me about it.  I *think* my OB and I discussed it at one of my first appts w/ this past pg???  I probably should have w/ all my issues, but H and I just couldn't make that final of a decision, especially since this last pg was text book.  We're likely done but who knows.  Situations change.  I need to do something b/c I just get pg too easily.  We do manage to NOT get pg when we don't want to but I'm not sure I'm willing to chance it.  I won't go back on the pill, I don't want H getting a vasectomy and I can't imagine going back in to surgery for a tubal considering I didn't want to do it when I was already open on the table.

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  • imagemonica92603:

    Is there any reason?  Have you had any complications? 

    Other than my 2 losses, I have uncomplicated pregnancies so I am not sure why he keeps asking. He isn't even my primary OB, I think he is just covering his bases but it's annoying. I wasn't sure if it was routine. I could see if this was #3 or 4 that they might inquire but let me have 2 kids and then think about it! Jeesh!

    6 & 2 year old, 2 losses
  • Short of complications that could risk you or future baby's health they shouldn't bring it up more than once.  I'm having my 4th c section next month and they still aren't pushing me for a tubal.  All they did is ask if I wanted one this time.  I asked how many are safe and they said 5.  Now I'm getting the tubal anyway this time, MY choice,  but if they'd have pushed it I'd have walked out the door.  After my 4th child they asked once if I wanted one.  Well, maybe it was twice, once in the office, once at the hospital.

     

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  • No, my dr didnt push it at all--in fact I had to ask her about it (and I was 40 when DS was born)
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  • My original OB asked us once at the appointment where we discussed a repeat c-section, we said we weren't ready. I was asked again at my high risk appointment and somewhat pressure by the OB on-call because she believes that more than 2 are unsafe, I told her I wasn't interested but she pushed and pushed. We are scheduled for a c-section on Tuesday and I WILL NOT be getting my tubes tied. For us reversal wouldn't be financial feasible and although we don't plan on having any more babies anytime soon, it's not something I'm willing to rule out at this time. It's a very personal choice and to have an OB push you into it is a shame.
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  • My OB only asked at the first appointment. They asked what methods of birthcontrol I was considering after giving birth I told them and that was that.  And that was at both of my 1st appt. with my last two kids.  Now I did have my doctor look over the curtain during my last c-section and ask me if I wanted a little tummy tuck! LOL And I said please if he wasn't going to bill me for it lol.  This time DH and I have already decided this will be our last child so I will be getting a tubal with this c-section.  I don't feel comfortable having more than 3 c-sections.  I really didn't want one to begin with!  But after the first one my docs refused VBAC for the last one and told me when trying for #3 that it too would be a c-section.  Some I'm out the game after this one.  I hope we get a girl this time lol...
  • I just 5weeks but already know a will be getting tubal with this CS. I am 40 will be almost 41 when LO arrives and DH and I have decided that we are satisfies with 2 (this BFP was a total surpirise- we have undiagnosed infertility).  I don't think dr should be pushing you about a tubal (especially since he is not normal OB).  You don't have to lie to him just tell him that you have not decided (mention that this is the ?th time he has asked you) and tell him you will let him know if/when you make that decision - in other words - BACK OFF BUDDY!
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