C-sections

Multiple C/S...have you talked to your doctor about how many?

IDH and I are really wanting to plan for baby #4.  I have had 3 previous c/s in 2001, 2004 and in 2010.  When I was pregnant with baby 3, my OB asked if I wanted a tubal after delivery.  I said I wasn't sure.  We decided that we would wait until after my delivery to see the condition of my uterus. ...

 Turned out that after my surgery, OB said I had very little scar tissue and no adhestions and that my uterus looked "great" for 3 babies- so there was no reason why I couldn't have another as long as I waited 18 mos in between births.  Well, DS is 18 mos, and if I get preg now, I would deliever 2 mos after his 2nd birthday.

 But, I've been reading about mulitple sections, and I'm getting a little concerned- well, scared.  I'm interested to hear what your doctors are telling you or if you or anyone you know has had 3+ sections.

Thanks in advance!

Re: Multiple C/S...have you talked to your doctor about how many?

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  • I have not but when I talked about it with my doctor she didn't want me to have more than 3. 

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  • She doesn't want me having more than 3. She did say that after the next one if my ute is in "good shape" like after my 1st one a 4th wouldn't be out of the question. I know it's ultimately up to me, but I trust my dr.*

    * I was talking to someone about this a few months ago and she said that she would find a new ob if they told her how many pregnancies she could have.

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  • When I asked my dr she said 5 or so.  Of course it depends on your body and how much sar tissue you have.
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  • I have had 5 c-sections and will have my 6th soon. I was never told not to have anymore. I heal well, little scar tissue and am thankful! I really think it is a case by case basis.
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  • I have only had one c/s and an currently planning to vbac #2 but I am preparing myself for the possibility of a rcs as well. I have met with all 4 of the doctors in my practice and have had this conversation with 3 of them. I was told that there is no set limit to the number of births someone can safely have via c/s. It all depends on your body and how you heal after each section. My OB did tell me that most women can have 4-5, safely but beyond that it gets a little sketchy. I know a few ladies at church who have had 4-6 each. I totally understand your nervousness though! Would it be possible for you to make an appt (before you start ttc) with the OB who performed your last section? Maybe you could go over your records/surgical report and discuss your concerns with her/him. I think it would be a good idea, just to put your mind at ease. Good luck to you!
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  • My Dr said he doesn't like to do more than 3.  If I wanted more than 3 (not sure I want more than 2), then he thinks it would be a good idea to really try for a vbac this time.  Otherwise, a repeat c-section might be safer with my conditions in this pregnancy. 
  • I've had 2 c/s and 1 vbac and anticipate a c/s with baby #4, and then we'll stop. Not necessarily b/c of repeat c/s reasoning, but just b/c we are done.  However, if after this section, if my ob recommended stopping (due to repeat c/s issues, which were discovered after my vbac attempt) I would listen to him.
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  • My doc said 3 was her comfort level.
  • i just had my 2nd c section and my Dr. told me i am good to try for a 3rd but to wait at least a year.  DH and i are waiting to decide if we will try for another or if he will be snipped.
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  • Thank you, ladies.  I really appreciate your input.

    I am going to sch an appt with my dr and go over my actual risks.  I really do trust all the doctors in my group, so I would feel more comfortable if they gave me the go ahead :)   

    Good luck to all of you!

  • I will be having my fourth next month.  My OB said I am fine to continue to have children as my scaring is minimal, my uterus looks good and I heal well. 
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  • I've had 2 c/s.  Personally I wouldn't have more than 3.  My view may be a bit swayed being an L&D nurse, but when a patient is on their 4th, 5th or 6th section things can get scary.  Scar tissue is one thing, but also there can be unknown problems like placenta accreta. 

    Multiple pregnancies can have more complications and then adding a surgical deliveries on top of it complicates things even more.  Each doctor has their own comfort level, most start to get kinda get a bit nervous when it's c/s #4 and up.  I had a lot of other issues with my pregnancies, which is why we are more than likely done with 2 kids. Good luck with your decision....I'm not trying to freak people out, I guess I just see a lot of bad stuff happen unfortunately... 

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  • My dr only said 3. With that being said, if I personally wanted a 4th and my dr said my body could handle another, I would go for it.
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  • Before my c/s I said to my Dr I wanted 7 kids, can I have 7 c/s? 

    I don't want 7 kids, but he said "Yes you can have 7 c/s but let's get you through the first 3 kids before you decide how many you really want."

    So I guess if I have my 3-4 kids I should be ok.

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  • My OB never gave me a limit and said we would see how I do after each one. So far I've had two. My OB said that at least 4 should be fine. He is very pro large family so I wonder if that has anything to do with it.  DH and I are done after one more baby so assuming I get a take home baby I'll only be having one more c-section
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  • I was never given a limit, I have had 2 c/s. My sil has had 7.
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