C-sections

If you know you're having a c/s...

... will the doctor let you go into labor naturally and then have a c/s or does it have to be planned?  I just thought of this while lurking...

I plan on ttc #2 sometime this coming fall and I was told after lo that I would have to have a c/s for any additional children I have.  This c/s wasn't planned, but I wasn't progressing (even after pitocen) and lo's heart rate dropped. 

Anyone I know who had a planned c/s picks a day... for some strange reason that gives me a "playing God" complex... babies come when their ready.  So I was wondering have you (or anyone you know) who was going to have a planned c/s able/allowed to go into labor naturally and then go to the hospital for the c/s or do you have to pick a date/time before hand?

TIA!

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Re: If you know you're having a c/s...

  • My dr and I talked about a rsc vs vbac and decided a rcs was the best route for me.  At my last appointment actually, we talked about scheduling the big day. I have to sat it was a little odd getting ot pick your child's birthday, but it's nice to have a finite end instead of just waiting for labor to happen.
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  • Most doctors prefer to schedule a RCS or planned CS in advance to be sure operating rooms are available, doctors are free, and the appropriate support staff (anesthesiologists, etc) can plan as well.  For some types of medically necessary CSs, it's also best to avoid labor entirely.  It just makes everyone's life easier.

    There's no guarantee, however, that the date of your scheduled CS is when you'll have baby. DD decided she was ready and my water broke 6 days before the scheduled date.  It's also not unheard of to reschedule a CS if the operating rooms are occupied with emergency CSs.

  • I've never heard of allowing you to go into labor then do a Csection. I think there are too many risks involved. Plus you need to get an operation room reserved ect.
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  • I had the same "playing god" concern, but decided that if I let the doctor pick the date and didn't change it for my own plans or needs then I still let it happen as it needed to and it wasn't me picking the birthday.  HTH.
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  • I can't tell from your post if you'd be interested in a vbac or not, but if you would be, I wouldn't let the dr dictate that you must have a c-section because your previous labour didn't progress (unless, of course, there is a medical reason your shouldn't go into labour or other factors you didn't mention, which I know could very well be the case). Every labour is different and many women don't progress with one labour and go on to have a healthy delivery the next time. My friend had a c-section with her first after not progressing, and had four-hour-long labour from start to finish with her vbac (with an 11 pound baby). I don't mean for this to sound like I'm pressuring you if you're happy with another c-section, but just to let you know you probably have options if you're not.

    In any event, you can have another c-section after going into labour, but it might take some time to find a care provider who will readily agree to this (although, really, what is your current OB going to do if you refuse to schedule a c-section? Drive to your house and drag you to the hospital?). I saw a midwife for my most recent pregnancy, and at first I was contemplating a repeat c-section. Like you, I didn't like the idea of scheduling a c-section- I generally believe that babies know when to come and wasn't liking the idea of surgically removing him by picking a date on the calendar. Where I live midwives are fully certified as primary care providers and are able to order c-sections (although are not able to perform them, obviously) and when I was considering it, the midwife agreed that I could request a c-section if I wanted after I went into labour naturally and she would sign off on that and the on-duty OB at the hospital would do it. I was told that having a section during labour has more risks for you, but that those risks aren't huge and in the end, it's your body and your choice (in the end I chose a vbac).

    Good luck!

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  • I shouldn't go into labor because of my first c/s. I have a vertical cut on the inside (normal is horizontal) and am at greater risk of rupturing during labor. That being said, I was scheduled with Lucas at 38w1d and I was in early labor at 37w5d. When I was hooked up the the monitor on the scheduled day I was having more regular ctx.
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  • I had a planned c/s with DS at 38 wks 5 days and my water broke the day before. I went to the hospital, obviously in labor, and they did the c/s.  No big deal.
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  • My doc said I am clear to try for a VBAC but they still want to schedule a cs as a last resort. The reason being they cannot induce me because of my previous CS.  If i do not go into labor on my own by the cs date (i chose to do it on my EDD) then I will have a cs.  if i go into labor naturally then i can have a VBAC pending no complications.
  • I was told my pelvis is too small to deliver naturally (that even if I had progressed, my 6lb baby wouldn't have fit).  My mother had the same issue with us kids - although when I mentioned it to my doctor when I found out I was pg, I was told it wouldn't be an issue; apparently it was.  I was told I could try a vbac, but it would probably end in a c/s again.  

     What state do you live in? I like the idea of requesting a c/s after I go into labor and am curious about that option.

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  • imageLucyD1029:

    imagemidnitesdrm:
    My doc said I am clear to try for a VBAC but they still want to schedule a cs as a last resort. The reason being they cannot induce me because of my previous CS.  If i do not go into labor on my own by the cs date (i chose to do it on my EDD) then I will have a cs.  if i go into labor naturally then i can have a VBAC pending no complications.

    This is where I'm at as well.  My doctor is fine with a trial of labor, but would like to have a c/s scheduled, so it's on the books.  He's also uncomfortable letting me go much past my due date, but I guess we'll cross that bridge when we get to it.

    If a VBAC is something you are interested in could you schedule the RCS it for 41 weeks instead of your EDD just to give yourself a little more time?   

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  • We had a scheduled cesarean with our firstborn, and I got to choose the day. I chose the EARLIEST day possible (39 weeks as the first possible day due to ACOG standards), and it happened to be a Friday. I had no problem picking out the day, as I was ready for him to be here because of ridiculous back pain that required copious amounts of medication to control. :)

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  • It's no different than an induction.  My OB chose the c/s date each time, I had no issue with that.  I definitely wouldn't want to go into labor first, mainly because I want to ensure my OB will be the one to do my c/s, but also because there are more risks involved.  And for me, part of the appeal of a RCS with other kids at home is being able to arrange for childcare ahead of time.
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  • It probably depends on your doctor and hospital.  The plan for me right now is to schedule an RCS around 40-41 weeks.  If I go into labor naturally before that, then they'll let me have a TOL/VBAC attempt, during which, at any point, I can say, I'm done, let's do a c/s.  The only issue with that is that I would get whoever is on-call to do my RCS, whereas the planned one would be with the OB that I really like.

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  • My docs office will schedule it on their own one week prior to your due date.  The hospital policy won't let them do it any sooner than that, so if your due date is on a weekend, it will be the Monday or Tuesday after.  

    If you go into labor sooner than that date, then they just have you report to the hospital and it would be an emergency or unplanned c/s. 

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  • imagebitsybubbles7:

    I was told my pelvis is too small to deliver naturally (that even if I had progressed, my 6lb baby wouldn't have fit).  My mother had the same issue with us kids - although when I mentioned it to my doctor when I found out I was pg, I was told it wouldn't be an issue; apparently it was.  I was told I could try a vbac, but it would probably end in a c/s again.  

     What state do you live in? I like the idea of requesting a c/s after I go into labor and am curious about that option.

    This is me too which is so crazy to me as I am a size 12 pre-preg.  But they say my pelvis is too small as well.  I never progressed with my first even with pit. and had a c-section, the rcs with #2 and am scheduled for one with this baby.    I had an maternal aunt on my mother's side and my G-Great grandmother also had the same problem.

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  • if you want to vbac you have to wait a certain amount of time usually after baby 1...usually 18 months.

    If you a repeat section they will plan your section for 39 weeks..(depending of course on other things) but that is usually the time frame.

    If you go before...you go before, but they won't usually let you go into labor on your own after that.

     

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    BFP 12/16/14| EDD 8/19/15 |MMC 1/15/15 (9 weeks 1 day)
  • imagesurprise3rd:
    imagebitsybubbles7:

    I was told my pelvis is too small to deliver naturally (that even if I had progressed, my 6lb baby wouldn't have fit).  My mother had the same issue with us kids - although when I mentioned it to my doctor when I found out I was pg, I was told it wouldn't be an issue; apparently it was.  I was told I could try a vbac, but it would probably end in a c/s again.  

     What state do you live in? I like the idea of requesting a c/s after I go into labor and am curious about that option.

    This is me too which is so crazy to me as I am a size 12 pre-preg.  But they say my pelvis is too small as well.  I never progressed with my first even with pit. and had a c-section, the rcs with #2 and am scheduled for one with this baby.    I had an maternal aunt on my mother's side and my G-Great grandmother also had the same problem.

     

    I hear ya, crazy!!! 

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  • It's policy at my Dr.'s office to schedule a repeat c-section 7-10 before the due date. Obviously she'll take measurments and check me before then to see if my body is actually gearing up for labor and baby is getting ready too and go from there. It's weird when people ask you your due date and you tell them but have to inform them that baby will likely come a week earlier than that. That's why I'm a lurker here, I'm technically due August 1st but will have my little one no later than July 25th so I guess I'm a July mama too!
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  • You can go into natural labor and then have a c-section. My doctor told me, however, that the recovery time is faster if you don't go into labor and just have the surgery. I do know that you cannot be induced after having a previous c-section based on the potential for uterine rupture (I believe).
  • My ob will let me go into labor naturally and is not scheduling my c/s.  She said if anything changes healthwise with me or the baby, then we will have to schedule it.  I just don't want to schedule and she is totally fine with that.

    The unfortunate thing is, I am a great candidate for a vbac, according to my dr, but the hospitals around here aren't vbac supportive, so my compromise is to go into labor on my own (I hope) and then show up at the hospital and have my c/s then.

     

     

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  • My OB prefers to schedule c-sections around 39 weeks (not before unless there is a medical need for early intervention).  We were in the process of scheduling my c/s for DD when my water broke.  I wasn't in active labor and ended up waiting in triage for nearly 5 hours while other c/s when in front of me.  This time around, I'm hoping LO waits until she is scheduled for practical reasons- mainly so we can make sure DD is taken care of but DH doesn't have to leave me at the hospital to get DD, etc.
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