C-sections

Hubby thinks dr. is c-section happy because of $....

So my hubby believes that I have placenta previa..he was there for our level 2 ultrasound.  He doesn't think I need a c-section though..and no, he is no doctor! He was talking to some friends and they said their wives were pushed into c-sections and didn't need them..so they decided to do natural.

Hubby thinks this is the case and even if I am low-lying or marginal previa..it isn't needed and that the doctor only wants more money from us and insurance.

What do u think?

Do you always have a section for low lying or marginal? 

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Re: Hubby thinks dr. is c-section happy because of $....

  • Your doctor went to school for many, many years and probably knows a little more about this than your DH.  If your DH is really concerned, maybe you can schedule an appointment where you both can sit with the doctor and discuss the risks/benefits and alternatives to a c/s.  I'm sure there are some docs out there who push c/s more than they should, but most doctors are probably doing it in your best interest.
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  • I think that it is a completely personal decision.  But and this is entirely from a couple of experiences....

    My friend had partial PP and when she went in for the scheduled Csection she requested and US that day.  The US showed that the placenta had "moved up" and she chose not to do the Csection and went natural. But she went in for the C section first just to be safe and then went natural.

    Now my cousin's wife (this just happened in Oct) had PP and and they were trying to wait it out to see if as the ute grew it would move up, she was trying to avoid a csection, and she ruptured and had to go in for an emergency at 34.5 weeks and baby Kean (pronounced Key-an) just got out of NICU two weeks ago.  SHe had a blood transfusion and they are both doing ok now, though it was a scary and rocky start. 

    I didn't tell you that to scare you just so you know both ends.  I think that it is your decision but if you tell your OB how much you don't want a csection he can monitor it closely, your H can be there and see all the options and make an informed decision at the exact right moment, just remember that PP is dangerous for mom and baby and if it is not going to fix itself then getting bbay here safely is what matters for you both!! 

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  • If you have an actual placenta previa at term, yes you need a c/s.  There is really no question here.  Women and babies died from placenta previa before c/s was available, and they still do in other parts of the world.  What happens with a placenta previa is that during labor, the placenta becomes detached when the cervix dilates.  This cuts off the oxygen supply to the baby and causes massive bleeding for the mother.

    Low-lying placenta is a little different.  If the placenta is a certain distance from the cervix, you may still be able to deliver vaginally.  But if it's too close, a c/s still might be the safest option.  It depends on how far it is from the cervix.  Placentas can also move up as the uterus grows.

     I do think we have too many c/s being done in the US.  But it's not because doctors make more money from them, and it's not because of placenta previa.

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  •  I would think you would beleive your dr opposed to your dh and would you really want to be seeing a dr who you may think is only in it for the "money"? My best friend and cousin both had placenta previa (one had partial previa) and both their doctors recommended a c/s.
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  • Would he be willing to get a second opinion, or talk to the doctor about his concerns? Like a PP said, with marginal previa, sometimes it'll move up enough late in pregnancy for a vaginal birth.

    I know I had another u/s at 32 weeks and it had moved far enough away from my cervix that I was cleared for vaginal birth. My MW told me they would track it longer if it hadn't moved up enough at that point.

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  • imageChiTown Bridget:
     I would think you would beleive your dr opposed to your dh and would you really want to be seeing a dr who you may think is only in it for the "money"? My best friend and cousin both had placenta previa (one had partial previa) and both their doctors recommended a c/s.

    I believe my Dr.  I just wanted to see what everyone had to say...

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  • I think your husband needs to stick to his day job, and let your doctor do their job.
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  • I am an OB nurse and can tell you that your husband is wrong.  If you do have a placenta previa, you cannot deliver vaginally.  This is where the placenta is implanted over the cervix, this means the first thing that would be delivered in a vaginal birth is the placenta, thereby cutting off the baby's oxygen and blood supply.  If it is a marginal placenta previa, it may shift toward the end of pregnancy so that it is out of the was of the cervix, but if it doesn't then a csection would be needed.  Your doctor is correct in recommending this.  Your husband's friends may have had wives with different situations that caused them to have csections, but remember they are not you.  Can pretty much guarantee this friend didn't have a previa as to the reason for their section.Your doctor's main goal is healthy baby healthy mom.
  •  I had a  low lying placenta that the doctors thought corrected itself. Well last Saturday my placenta ruptured (35 weeks) and baby and I almost died. I had an ultrasound a  week prior and there were no signs that it would happen. I felt GREAT the Friday prior and woke up at 2 am Saturday morning bleeding. My doctors said had it taken the ambulance 10 more mins to get me to the hospital I probably wouldn't have made it. The c-section saved both of our lives!! I've lost half the blood in my body and had two life saving transfusions in the last week. I'm still not at 100%, but doing much better now.

    I'm not trying to scare you, just letting you know that placenta previa is serious business. I don't think my husband ever truly understood the severity of it until that night and he was at all of my appointments.

    Good luck and take it easy. 

  • A good thing about being able to choose your doctor, is that you can choose one that you trust. I would search for a new doctor if you don't trust yours.
  • I do trust my doctor..this was more of a post to say that hubby just thinks everyone is out to get him, and to make $.  He watched part of that documentary with Riki Lake.."Science of being born?" or something like that...

    In the doctumentary they talk about the money and insurance side of hospitals and doctors and how they just want to get you in and out, to deliver more babies to make more money, etc etc...so I think that was what this was about.

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  • Your husband needs a smack across the head.

    Placenta Previa is not something to mess with. I know from experience.
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  • I agree with your husband (and Rikki Lake) that doctors frequently do unnecessary cesareans for a variety of reasons. I regret my unnecessary cesarean, and think that many, many women are cut for non-medical or iatrogenic reasons. 

    Placenta Previa is not one of those reasons. If, at term, you have a previa, baby needs to be born by cesarean.  But that's something that can be checked by US, the baby's lungs should be checked before delivery, etc. If the placenta has moved away from the cervix, a vaginal birth should be encouraged. Not all doctors are trustworthy (not to say they're bad people, but everyone has their own biases and interests), and everyone should learn things on their own.  But previa is a situation where a cesarean is the only option if nothing changes.

    By the way, since you have time to plan, you could work with your husband to put together a "family friendly" cesarean birth plan.  That may make him feel a bit better about what's going on.
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  • I can assure you, from the perspective of someone who works for a medical liability carrier, that physicians open themselves to much higher risks of being sued (because c/s are more risky) and they don't do them to make more money. Your husband is being dumb.
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  • My c-section cost a whopping $1,000 more (total, I paid nothing) than a vag birth would have.  I highly doubt a doctor is going to take the risks for that little amount of money. 
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