C-sections

How early were your scheduled RCS?

Hello Ladies!

 I have finally decided on a RCS due to blood pressure issues and (well I don't have to defend the choice but...) After a conversation with my OB he said he typically schedules at 38 weeks...how early were your scheduled RCS? I was induced with my first who ended up breech and I had a c-section at 37w4d...he was only 5lbs 1oz and 17in long. I am seeing a diff. doc this time around and am confident in my care and am hoping this baby is growing better due to being on a different BP medicine and only being on it for the last trimester instead of the whole pregnancy...

 Thanks in advance for your replies!

Wife to Anthony 3/21/2009 Mommy to Memphis Drake 12/22/2009 Due with Son #2 12/15/2011

Re: How early were your scheduled RCS?

  • There are  multiple studies that indicate that a c/s shouldn't be done prior to 39 weeks unless medically necessary for the mother or the baby.  And on top of the studies, the ACOG specifically recommends that elective c-sections occur at 39 weeks or later, unless there is a medical reason. 

    Personally, I would ask why the doctor doesn't follow the ACOG recommendation and I would decline any scheduled c/s until 39 weeks.

    https://www.medicalnewstoday.com/releases/134699.php

    "Babies born prior to 39 weeks have more feeding difficulties, more breathing difficulties and need more medical support, whether it be artificial ventilation or oxygen support or some form of tube feeding,"

    "These early deliveries are associated with a preventable increase in neonatal morbidity and admissions to the neonatal ICU, which carry a high economic cost," the study concluded. "These findings support recommendations to delay elective delivery until 39 weeks gestation, and should be helpful in counseling.

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  • Mine was at 39w3d. I had to pick a day when I was 39wks to do it. My practice will only do them the week you are 39wks
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  • My Doc and the hospital do not allow schedualed c/s before 39w 1d. Because of the way my due date falls on a weekend, looks like I'll be 39w 2d.

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  • At my first prenatal visit my ob mentioned possibly scheduling my c-section at 37 weeks because of my history. He would determine for sure after seeing how the pregnancy progresses. 37 weeks and beyond is considered full term by many obs. But it leaves little room for error on the baby's actual gestation.

    I'm not concerned because my second pregnancy had to be delivered at 24 weeks gestation (1lb 7oz). He's now 4 years old and my amazing lil superman. So I'll consider myself blessed to get to 37 weeks. My first was at 37w6d and she was 6 pounds even. I am eating more this time and I think this baby will be bigger than the first.

    Hope that helps. :)

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  • Typically they should be schedules at 39 weeks. Thats when mine were/are scheduled. But since you seem to have a BP problem, I would still schedule it for 39 weeks but maybe be ready to go in earlier. 
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  • Mine is scheduled for 39 weeks. Like ppers said, it is highly recommended that you not go before 39 weeks unless medically necessary.
  • My practice schedules them after 39 weeks - mine will be at 39w2d.  In your case it might be medically necessary to do it earlier, but I would be uncomfortable with a doctor who routinely scheduled repeat c-sections before 39 weeks.
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  • 39w5d bc it's my FIL's bday; like others, my OB only schedules after 39w unless otherwise indicated or you go into labor.
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  • The hospital I delivered at will not allow elective inductions or C-sections prior to 39 weeks.  

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  • My c/s is tomorrow and it was scheduled at 36w2d -- I had DD in an unscheduled c/s at 36w1d with no complications. All deliveries are different but due to medical reasons I am being induced tomorrow - 
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  • imageDaisy22:
    Mine was at 39w3d. I had to pick a day when I was 39wks to do it. My practice will only do them the week you are 39wks

    Exactly this.

     

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  • Mine was scheduled for 38w1d for medical reasons. Normally my OB doesn't perform them before 39w
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  • imageSwitzerland:
    My c/s is tomorrow and it was scheduled at 36w2d -- I had DD in an unscheduled c/s at 36w1d with no complications. All deliveries are different but due to medical reasons I am being induced tomorrow - 

    Good luck today

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  • Thanks again for all the replies. We are looking at earlier than 39 weeks because of my high blood pressure. I am almost maxed out on the dosage of medicine and it is still running in the 140/90's so that is the reasoning behind it. I might have made it sound like my son had issues when he was born at 37w4d but he was perfectly healthy and had no issues with breathing etc. Good luck to the ladies delivering soon!!
    Wife to Anthony 3/21/2009 Mommy to Memphis Drake 12/22/2009 Due with Son #2 12/15/2011
  • My RCS was scheduled for 39w3d.
  • DD2 was scheduled for RCS at 39 wks 2 d since the Dr's office and hospital would not allow c/s to be scheduled prior to 39 wks (barring medical reasons).  It didn't matter as she ended up being born at 33 wk 5 d due to spontaneous PTL they couldn't stop.

    This time I will be trying to make it to 38 wks for my RCS since I am carrying twins - medical reason to have it prior to 39 wks.  

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  • 1 week earlier. However, I was reminded I could go on my own before then.
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