C-sections

C sec and tubal?

Have any of you ladies had this done? I had a vaginal delivery with my first and it was a horrific experience. I have been weighing the pros and cons about a tubal and c section at once. I've researched and plan on speaking with my OB at my apt Tuesday but was really looking for some feedback from women that have experienced it.

BTW: This isn't a "too posh to push" kind if inquiry. I will def do another vaginal birth if it is recommended but with all the complications I had with the last I literally have anxiety attacks thinking about doing it all over.

Thanks for any info!
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Re: C sec and tubal?

  • This was 100 years ago, obviously, but my mom tried to get a tubal during her pregnancies 2x. Once with her third pregnancy and once with her fifth. On the third pregnancy, the doctor said that she had to wait 6 months to "think about it" and on the fifth pregnancy, my sister came early and the doctor said that "you should wait until you're sure this baby survives." My mom was 40 so she really didn't plan to go through pregnancy again, regardless.

    She was living near where you are when both these experiences happened so I thought I'd throw that out there. I don't know if this is ancient thinking that no longer applies or if it's a FL thing.

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  • I think it's pretty standard that they will do a tubal during a c-section as long as you request it well in advance. I had a vaginal, needed a c with the second, and need another c with this one. However, my OB said the decision to do the tubal needs to be made well in advance of the procedure, and he will not honor "on the table" requests. I'm sure that's because you're medicated, tramatized, etc. while they are doing a c. I also had a really bad vaginal birth with my first. They had to put me under general to do an emergency D&C right after delivery. I didn't get to hold or see DD for about 4 hours after she was born. I made my husband swear we had the right one, because I had no clue which one was mine! So, I can relate to a negative vag birth experience. But, I think sometimes women don't realize that a c isn't exactly a walk in the park either. To me, the horrible vaginal birth was the same as the c-section. I know it's easy to do the tubal while doing a c, but I don't know if an OB will delivery a baby by c-section just to be able to do a tubal that way. A regular tubal only request two tiny incisions, and can even be done on an outpatient basis (versus mutliple days in a hospital following a c-section). You really need to speak to them since it's really their decision.


    **DD1 - 7/9/98**

    **DS - 11/9/00**

    **DD2 - 4/30/13**

  • This probably does not apply to you but I had planned to do this only to find out at my last appt that my hospital, which is a Catholic hospital, will not allow a sterilization procedure to be performed there. Guess I get a 2nd procedure after I recover from my RCS!
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  • imagetracy41:
    This probably does not apply to you but I had planned to do this only to find out at my last appt that my hospital, which is a Catholic hospital, will not allow a sterilization procedure to be performed there. Guess I get a 2nd procedure after I recover from my RCS!

    I delivered at a private Catholic hospital and just had a tubal done with my 4th c-section. The hospital will ONLY allow a tubal with 3+ c-sections. I had to fill out paperwork, it had to go before the board and be approved.

    It was a very easy procedure. Took about 5 minutes since I was already on the table..........I don't regret my decision.

    GL! 

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  • This is something I wanted and my doc first said no. Even the day I had my unexpected 36 week csection ( for medical reasons). Well when I went in to see her several months later I had them had a total hip replacement at pregnancy effed up my pelvis ( have hip dysplasia very badly) once she saw that she almost kicked herself she didnt tie my tubes then. Well we changed insurnace and now it isnt even covered for me or my hudband. If it is an option for you then please push your doc, its your life and you know whats best for your family!!!! I pray every day I dont get pregnant again ( on bc) but still. GL!!
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  • thanks for the info ladies!!!
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  • Yes, I'm scheduled to get a tubal with my RCS.  It's completely normal here (in MA) and Dr's will definitely do it on request. 

    She did say that she will ask me before I go into the OR, during surgery, and then again right before she does it so at any point if I want to not go through with it I can back out.

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  • imageall1005:

    She did say that she will ask me before I go into the OR, during surgery, and then again right before she does it so at any point if I want to not go through with it I can back out.

    Yes, this is true. I think I was asked like a hundred times........ 

    image Mommy to Barbara 11/8/05, Elisabeth 5/13/07, Loukas 12/23/08 and Lazarus 09/25/12
  • Just had my 3rd and final c/s.  It was a scheduled c/s and I had a tubal as well.  My doctor told me I was an excellent candidate because of my age (37), complicated previous c/s, terrible recoveries and this being my 3rd child.  He did ask me a number of times and again on the operating table. 

    Because this was my 3rd and my previous c/s were complicated, my tubal took forever.  I was in surgery for an hour after DS was delivered.  And I was way more sore for days after my surgery this time around than I was with either of my previous two. 

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  • I had a tubal with my c-section. I just had to fill out my paper work a few weeks in advance. It only took about 5-10 mins.
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  • I've had a c section and a VBAC. My VBAC was a very difficult delivery in the world of vaginal births (3 hours of pushing, forceps assistance, 2nd degree tear) but it was light years better than the C-section. After my C I was uncontrollably vomiting for 12 hours. Zofran didn't help, nothing helped. I couldn't hold or nurse my daughter. Then two weeks later I went for a check up and my incision was infected (versus 2 weeks post vaginal birth where I was up and moving like before getting pregnant). It turned what should have been the best day of my life into the worst.

    I just found out today that it's likely I will not be able to VBAC this time (my cervix is not amenable and I have PIH and pre-eclampsia so I need to deliver within the next week) and I'm terrified. I may need to call the doctor and request xanax to get through the next few days because I'm so scared of another section. 

    The only bright side I can think of is that I can get a tubal (and I've expressed often to the  doctor that between DH and I only wanting 3 and a month of bedrest due to hypertension another pregnancy is not an option). Otherwise DH would have a vasectomy and there would be a waiting period before it's effective, which is annoying.

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  •  

    I had planned on asking my OB to do a tubal while she was 'in there'. Now after reading some of these posts about giving birth at a Catholic hospital, I don't know if that will happen..since I am giving birth at a Catholic hospital! YIKES!

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  • Yep....my tubal is scheduled along with my repeat c-section.
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