October 2013 Moms

HTT- Elective C-secs

tmccord21tmccord21 member
edited August 2013 in October 2013 Moms
I'm not sure if we've done this HTT before....

What do you think of Elective C secs? 

I have never given birth or experienced labor contractions. But I think it's RIDIC when someone chooses c-sec because they don't want to deal with the potential pain of a vag birth. I understand a C-sec for numerous medical reasons but convenience or because someone is scared is crazy. I much rather go through some pain that my body is fully capable of handling than a major surgery.   

I have numerous friends who scheduled a c-sec for the reasons I stated above. Sissies....

Re: HTT- Elective C-secs

  • Honestly, I liken it to people who would choose to have gastric bypass when they haven't tried true diet and exercise. Sure, the one route requires a lot of work on your part, a lot of discipline and self control. Turning to surgery to "fix" you or make something "easier" or less work is do crazy to me. Surgery can have life threatening complications that are avoidable! Why would you willingly opt for that before even trying another way?! Our bodies are very strong and capable of more than our brains realize. Let them do what they are meant to do!
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  • i feel like the tide is turning with c-sections, at least from what it was years ago.  I think many dr's are not as quick to give the green light for elective c-s or inductions.  when i had my son i will never forget a dr scheduled an elective c section so he could go on vacation.




    :-O

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  • allymp13allymp13 member
    edited August 2013
    After reading the responses in the "I pity your lady bits" thread it doesn't sound so bad. Not gonna lie the thought had crossed my mind bc I'm scared to death of the unknown and all the horror stories people are all too willing to share. But I would never actually choose that route, but I don't judge those that do. 

    I think whatever you choose for your body is up to you, I may not agree with it, but it really doesn't bother me one way or another.

       

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  • This will be my third c section, be a use my first was breech. I choose to not have v bacs due to the complications which can ensue. I would actually like to give birth naturally....I feel like I'm missing out somewhat. Choosing from the get go to avoid the birthing process to me is wrong. I didn't even know they let women do that to be honest.
  • I have to agree with DH13 it will be painful no matter what! However, to have a c-section just to pick a certain date kinda floors me! I do think there are times where it may just be safer to do a c-section even if it's not an emergency. Prior c-sections, situations like that make sense to me. Although, I respect the gals that wand to try a VBAC. I'm not sure if I would be brave enough!
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  • allymp13 said:

    After reading the responses in the "I pity your lady bits" thread it doesn't sound so bad. Not gonna lie the thought had crossed my mind bc I'm scared to death of the unknown and all the horror stories people are all too willing to share. But I would never actually choose that route, but I don't judge those that do. 


    I think whatever you choose for your body is up to you, I may not agree with it, but it really doesn't bother me one way or another.
    I do pity those lady bits lol! C sections come with their fair share of crap, but I just wanted to let all you ladies know out there that I respect every single one of you. I've never had to go through the pain of labor-not by choice-and I admire all who do. But I did not have an elective c section-nor would I ever-just to avoid pain. That's ridiculous. Reminds me of women who don't breastfeed for fear they might ruin their boobs or it hurts too bad. Stupid!
  • Amjoy25Amjoy25 member
    edited August 2013
    To answer the HTT at hand: I would never elect for a c-section, unless it was medically necessary, but I will not resist one either if it's suggested. I have heard more horror stories related to natural births than births by c-section. That is all.

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  • I am all about people making their own decisions about their bodies. That being said I work in surgery and I think people jump to have elective procedures including c-sections without really understanding the risks. Yes, medicine and technology is highly advanced but in the end its not perfect and humans make mistakes and things happen that can have long term effects that may be life changing or ending.

    Some seem to think that a c-section is somehow less traumatic than a vaginal delivery but I would urge them to actually watch one or two. It's pretty brutal. Potentially life saving for mother and baby but not something you want to have done for no reason.


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  • Amjoy25 said:

    Now, I can get behind you if you say you liken it to women getting breast implants. That's an unnecessary surgery just for vanity. ::puts on flame suit::
    Fake boobs are stupid. That is all.

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  • edited August 2013
    Amjoy25 said:



    Honestly, I liken it to people who would choose to have gastric bypass when they haven't tried true diet and exercise. Sure, the one route requires a lot of work on your part, a lot of discipline and self control. Turning to surgery to "fix" you or make something "easier" or less work is do crazy to me. Surgery can have life threatening complications that are avoidable! Why would you willingly opt for that before even trying another way?! Our bodies are very strong and capable of more than our brains realize. Let them do what they are meant to do!

    I work for a bariatric fellow, and it is protocol that patients lose a certain percentage of their weight prior to being allowed to have a gastric bypass. It's not as easy as you have made it seem. Yes, gastric bypass helps them lose weight, but its main purpose is to make people healthier. These people do not want to be models, they just want to be able to walk without a medical device, ride a bike, play with their kids/grandkids, rid themselves of hypertension, diabetes, decrease the incidence of certain cancers. They also go through rigorous physiological evaluations to ensure they will keep the weight off. It's deft NOT the easy way out.

    Now, I can get behind you if you say you liken it to women getting breast implants. That's an unnecessary surgery just for vanity. ::puts on flame suit::




    I was about to say the exact same thing. Also, once the surgery is done it is hard work for the person to get the right amount and type of calories while not stretching out their stomach. You should probably talk with someone who has actually had this surgery done, you may be surprised with what you find out.

  • On the original htt topic, I don't really have any issues with people choosing c section over natural. To each their own. It isn't for me, but who am I to tell another woman how to birth her child.
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  • If there is nothing medically wrong with you or the baby, then I don't think the doctors should cater to you.

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  • Amjoy25Amjoy25 member
    edited August 2013
    cdhaslag said:
    Honestly, I liken it to people who would choose to have gastric bypass when they haven't tried true diet and exercise. Sure, the one route requires a lot of work on your part, a lot of discipline and self control. Turning to surgery to "fix" you or make something "easier" or less work is do crazy to me. Surgery can have life threatening complications that are avoidable! Why would you willingly opt for that before even trying another way?! Our bodies are very strong and capable of more than our brains realize. Let them do what they are meant to do!
    I work for a bariatric fellow, and it is protocol that patients lose a certain percentage of their weight prior to being allowed to have a gastric bypass. It's not as easy as you have made it seem. Yes, gastric bypass helps them lose weight, but its main purpose is to make people healthier. These people do not want to be models, they just want to be able to walk without a medical device, ride a bike, play with their kids/grandkids, rid themselves of hypertension, diabetes, decrease the incidence of certain cancers. They also go through rigorous physiological evaluations to ensure they will keep the weight off. It's deft NOT the easy way out.

    Now, I can get behind you if you say you liken it to women getting breast implants. That's an unnecessary surgery just for vanity. ::puts on flame suit::
    Just out of curiosity do you think it's unneccesary if the person has a deformity? I have implants because my breasts were 2 cup sizes different. I didn't get porn star boobs or anything crazy lol just enough to make a matching set!
    No. Of course there are exceptable reasons IMO. Breast cancer/mastectomies, lifts after baby, and deformities...it's the chicks that are like "I want a DD, because I'm a B cup". Nope. Be happy with what your mama gave you, that you have healthy breasts, and work those B's in cute little tank tops/strapless tops.

    I guess I should say I worked for a plastic surgeon, and I've seen my share of crazy.

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  • JenMatt2010JenMatt2010 member
    edited August 2013
    Not on board with this. Vaginal birth is better for the baby (barring other complications/reasons for csection obviously). I had to have a csection with DS because he was face presentation and I'm hoping to VBAC with this one. Scared to death after reading the lady bits post, but still not willing to just ask for a major abdominal surgery. (Totally not knocking women who don't want to try VBAC though, it's a scary idea as well, I'm only talking about FTMs that are "too posh to push")

    And FWIW, my recovery from the csection was easy peasy, but still not traveling that road again unless I have to.
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  • mmgkms said:

    I mean, it's didn't tickle, but it wasn't the worst pain in the world.

    Hahahahahahaha. This gives me hope!
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  • Vaginal birth is hard work, but I would never choose a c-section over natural. My sister just had her 2nd c-section this past Sunday. She described the pain as "excruciating" with the second. With vaginal birth I have always been up and walking around almost immediately after delivery. Sure I'm sore for a bit, but I would not want major surgery on top of having a newborn.
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  • Just to be devil's advocate here! I would think death is 3x higher because the majority of the 30% + Momma's getting c-sections have some sort of complication leading to the c-section ::flame suit on:: I have no evidence to support this theory it is just a thought that occurred to me!
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  • I can't get on board with elective C/S. Even the whole "MYOB- it doesn't affect anyone else but mama" stuff, because it can affect baby, and it raises the cost of healthcare for everyone. So in a way it affects all of us. Plus, the risk of maternal death is something like 3x higher than a vaginal birth. Many, many people seem to forget that is is major abdominal surgery with serious risks associated with it, and therefore should be a last ditch effort. There is no reason why our C/S rate should be 30+%.
    This is exactly how I feel about it. It does effect all of us like PP said. Increased costs, worse outcomes for babies (asthma and the like), but it also undermines future women having vaginal births because OBs will push for it, like they have in the past.

    I had the most picture perfect, glorious scheduled c-section last time because DD1 was breech. I would still never get on board with an elective c-section for myself or as a general rule for others.
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  • The minute my pregnancy test turned positive, the first thought I had was "shit this means another csection." Imagine my surprise though when at my first ob appointment both the nurse practitioner and the mfm said there's no reason I can't try to have a vba2c. I personally had a hell of a time with my two csections. Both times the incision opened up and got infected and the surgery left me with bladder issues as well. I totally get that csections save lives but I cannot wrap my head around the women who think a csection is the easy way out for their first birth. There was nothing easy about it either time and I have serious anxiety about the prospect of a third csection, although the hospital and MFM I have this time is a huge improvement from my first two births.
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  • I think women should be able to have whatever birth they want.  You want to give birth in a tub at home, go for it.  You want an elective c-section, have it.  
  • I had a c/s with DD and, while I had a very easy time with it, I wish I would have had a vaginal birth. But, I didn't progress and DD's heart rate dropped so we had to do the c/s

    Several of my friends had elective c-sections and I personally cannot get on board with it either. I kinda wonder about their doctors too. I was late with DD and my OBs were so hesitant to induce me till like 10 days late bc induction leads to c/section much more often (which is exactly what ended up happening with me anyway). But i respect them for wanting to give my body time to at least go into labor and hopefully deliver vaginally.
  • petdocd said:
    I have an 11cm cyst on my left ovary that has continued to grow throughout this pregnancy. I would be lying if I said that the thought of a scheduled csection has not crossed my mind. It would be nice to only have to go through one surgery, and not a vaginal birth with an additional surgery down the line.
    However, I completely agree that csections increase morbidity and mortality for both mother and child. Even though I perform at least one csection every month (and OHEs daily) the idea of a major surgery is still very scary to me. Hopefully my cyst doesn't grow to a point that a laproscopic approach is not feasible after Sawyer is born. 
    FX you can deal with your cyst laparoscopically!
    I once scrubbed in on a laparoscopic ovarian cyst that was huge. It was awesome because all the surgeon did was take a big long needle and poke it while I drew back syringe after syringe of fluid until it was just a big empty sac. He then cauterized a hole in it so  it wouldn't re-fill and that was it. Just three little port sites (may have been only two, can't remember) and no more cyst. So much better than a section.

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  • mmgkms said:
    ... I mean, it's didn't tickle, but it wasn't the worst pain in the world. ....
    LOL  :D

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  • petdocd said:
    I have an 11cm cyst on my left ovary that has continued to grow throughout this pregnancy. I would be lying if I said that the thought of a scheduled csection has not crossed my mind. It would be nice to only have to go through one surgery, and not a vaginal birth with an additional surgery down the line.
    However, I completely agree that csections increase morbidity and mortality for both mother and child. Even though I perform at least one csection every month (and OHEs daily) the idea of a major surgery is still very scary to me. Hopefully my cyst doesn't grow to a point that a laproscopic approach is not feasible after Sawyer is born. 
    I agree, I'd rather avoid surgery if possible.
    If you do end up with a c/s, are they planning on taking care of the cyst at the same time?

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  • IMO, a purely elective c-section should never be an option. And if someone wants one, like to insure baby is born a certain day or something stupid like that, then I think insurance should have every right to refuse coverage of it. And i would seriously question a doctor willing to do it. Unless its medically necessary, then I do not agree with it at all.

    And I brought up insurance because to me it's not just about what a woman wants to do with her body. Going with the implant analogy, it would not be considered medically necessary (under most circumstances) and therefore not covered by insurance. So why would a medically unnecessary c section be covered?

    Also. I agree that the analogy to gastric bypass is terrible. Having weight loss surgery is most certainly not the easy way out. Often, it is simply the thing that finally gives people the motivation they need to get healthy. And to lose the weight, they still generally have to do all the same things like diet and exercise. But the surgery just make it a little easier to take it off faster and hopefully keep it off.
  • kimbo1216 said:

    IMO, a purely elective c-section should never be an option. And if someone wants one, like to insure baby is born a certain day or something stupid like that, then I think insurance should have every right to refuse coverage of it. And i would seriously question a doctor willing to do it. Unless its medically necessary, then I do not agree with it at all.

    And I brought up insurance because to me it's not just about what a woman wants to do with her body. Going with the implant analogy, it would not be considered medically necessary (under most circumstances) and therefore not covered by insurance. So why would a medically unnecessary c section be covered?

    Also. I agree that the analogy to gastric bypass is terrible. Having weight loss surgery is most certainly not the easy way out. Often, it is simply the thing that finally gives people the motivation they need to get healthy. And to lose the weight, they still generally have to do all the same things like diet and exercise. But the surgery just make it a little easier to take it off faster and hopefully keep it off.

    To play devils advocate since you brought up insurance. Why should insurance cover gastric bypass? If they have to lose a certain amount of weight to get the surgery and are capable of that but the surgery "just makes it a little easier" then why should that be covered?

       

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  • edited August 2013
    allymp13 said:
    To play devils advocate since you brought up insurance. Why should insurance cover gastric bypass? If they have to lose a certain amount of weight to get the surgery and are capable of that but the surgery "just makes it a little easier" then why should that be covered?
    The diet that they put you on is pretty much what gets the people to lose the weight. If I remember correctly, we were told we needed to lose 6-10lbs or so. It was more so the fact that if you followed the strict, pre-op diet they gave you, there was no way you wouldn't lose at least a few pounds because you're basically living on protein powder.There are people with various medical issues (that don't necessarily stem from their obesity) that make losing weight extremely difficult, if not "impossible".

    I have TriCare and the hoops you have to jump through are insane. The funny part is that even after you go through the meetings, the medical/psych evals, the diet, you can still be declined coverage for the surgery. So no it's definitely not as easy as a lot of the ladies on this thread seem to think it is.

    I have 2 degenerative conditions that I was born with (bilateral hip dysplasia and mitral valve prolapse) as well as being diagnosed with osteoarthritis at 12 years old. I also have hypothyroidism and chronic fatigue syndrome. When my cardiologist first reviewed my chart, he told me that it would basically be impossible for me to lose weight on my own with diet and exercise. I barely met the bariatric surgery weight requirement at the time, but he and my endocrinologist agreed that it was my best chance. Unfortunately, due to my severe depression, I failed the psych eval.
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  • allymp13 said:
    IMO, a purely elective c-section should never be an option. And if someone wants one, like to insure baby is born a certain day or something stupid like that, then I think insurance should have every right to refuse coverage of it. And i would seriously question a doctor willing to do it. Unless its medically necessary, then I do not agree with it at all. And I brought up insurance because to me it's not just about what a woman wants to do with her body. Going with the implant analogy, it would not be considered medically necessary (under most circumstances) and therefore not covered by insurance. So why would a medically unnecessary c section be covered? Also. I agree that the analogy to gastric bypass is terrible. Having weight loss surgery is most certainly not the easy way out. Often, it is simply the thing that finally gives people the motivation they need to get healthy. And to lose the weight, they still generally have to do all the same things like diet and exercise. But the surgery just make it a little easier to take it off faster and hopefully keep it off.
    To play devils advocate since you brought up insurance. Why should insurance cover gastric bypass? If they have to lose a certain amount of weight to get the surgery and are capable of that but the surgery "just makes it a little easier" then why should that be covered?
    @allmp13: Because paying for the surgery is cheaper than paying for medication and sequelae of chronic diseases.

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  • Amjoy25 said:


    cdhaslag said:

    Amjoy25 said:



    Honestly, I liken it to people who would choose to have gastric bypass when they haven't tried true diet and exercise. Sure, the one route requires a lot of work on your part, a lot of discipline and self control. Turning to surgery to "fix" you or make something "easier" or less work is do crazy to me. Surgery can have life threatening complications that are avoidable! Why would you willingly opt for that before even trying another way?! Our bodies are very strong and capable of more than our brains realize. Let them do what they are meant to do!

    I work for a bariatric fellow, and it is protocol that patients lose a certain percentage of their weight prior to being allowed to have a gastric bypass. It's not as easy as you have made it seem. Yes, gastric bypass helps them lose weight, but its main purpose is to make people healthier. These people do not want to be models, they just want to be able to walk without a medical device, ride a bike, play with their kids/grandkids, rid themselves of hypertension, diabetes, decrease the incidence of certain cancers. They also go through rigorous physiological evaluations to ensure they will keep the weight off. It's deft NOT the easy way out.

    Now, I can get behind you if you say you liken it to women getting breast implants. That's an unnecessary surgery just for vanity. ::puts on flame suit::
    Just out of curiosity do you think it's unneccesary if the person has a deformity? I have implants because my breasts were 2 cup sizes different. I didn't get porn star boobs or anything crazy lol just enough to make a matching set!

    No. Of course there are exceptable reasons IMO. Breast cancer/mastectomies, lifts after baby, and deformities...it's the chicks that are like "I want a DD, because I'm a B cup". Nope. Be happy with what your mama gave you, that you have healthy breasts, and work those B's in cute little tank tops/strapless tops.

    I guess I should say I worked for a plastic surgeon, and I've seen my share of crazy.



    Just as there are valid reasons for plastic surgery, I agree there are valid reasons for gastric bypass. I, however, have known multiple people who have had gastric bypass and not changed any of their behaviors and gained all the weight back plus a few. They may have had it done before there were as many requirements in place, I'm not sure. It has been at least 10 years for one of them, I know.
  • Honestly, I liken it to people who would choose to have gastric bypass when they haven't tried true diet and exercise. Sure, the one route requires a lot of work on your part, a lot of discipline and self control. Turning to surgery to "fix" you or make something "easier" or less work is do crazy to me. Surgery can have life threatening complications that are avoidable! Why would you willingly opt for that before even trying another way?! Our bodies are very strong and capable of more than our brains realize. Let them do what they are meant to do!
    While I realize gastric bypass isn't the original topic here, I do feel it necessary to point out that most GB patients, like myself, are required to demonstrate multiple failed attempts at long-term weight loss (while under doctor supervision), as well as show medical necessity for the surgery as evidenced by two or more chronic co-occurring medical conditions (e.g., diabetes, cardiovascular disease, etc.). I do agree with you that electing for a c-section is incredibly risky and it's good to know it's occurring less often. That said, an elective c-section might be thought of as the "easy way" or less work, I can assure you that is most definitely not the case with GB surgery. I struggled with my weight for 20 years before I had the surgery and while it's the best thing I've ever done for myself, it definitely comes with its risks and took me years to research it fully and then decide was right for me. I lost over 170 lbs. and six years later, I still have to diet EVERY DAY to maintain that loss, take supplements to ensure my body and my baby get enough vitamins and minerals, and advocate and support those who are contemplating a similar route to try to end their struggle with morbid obesity.

    The comment about why it should be covered by insurance, which my surgery was, is a no-brainer for anyone who works in healthcare. To others, it might not be as obvious. Typical GB surgery runs about $25,000/person which is far less than 5-10 years of healthcare to treat hypertension, diabetes, chronic pain (related substance use disorders that can result), mental illness...the list goes on and on.

    I get where PP was coming from, but the elective boob-job analogy is far more relevant/appropriate here.

    Sorry if this sounds all soap-boxy, totally not my intention!
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  • tmccord21 said:


    Amjoy25 said:

    Now, I can get behind you if you say you liken it to women getting breast implants. That's an unnecessary surgery just for vanity. ::puts on flame suit::

    Fake boobs are stupid. That is all.

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    As a 5'4 175 pound woman with a pre-surgery bra size of 40 AA, my fake boobs that now fit my body are FABULOUS :) Worth every dime.

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  • Amjoy25 said:


    cdhaslag said:

    Amjoy25 said:



    Honestly, I liken it to people who would choose to have gastric bypass when they haven't tried true diet and exercise. Sure, the one route requires a lot of work on your part, a lot of discipline and self control. Turning to surgery to "fix" you or make something "easier" or less work is do crazy to me. Surgery can have life threatening complications that are avoidable! Why would you willingly opt for that before even trying another way?! Our bodies are very strong and capable of more than our brains realize. Let them do what they are meant to do!

    I work for a bariatric fellow, and it is protocol that patients lose a certain percentage of their weight prior to being allowed to have a gastric bypass. It's not as easy as you have made it seem. Yes, gastric bypass helps them lose weight, but its main purpose is to make people healthier. These people do not want to be models, they just want to be able to walk without a medical device, ride a bike, play with their kids/grandkids, rid themselves of hypertension, diabetes, decrease the incidence of certain cancers. They also go through rigorous physiological evaluations to ensure they will keep the weight off. It's deft NOT the easy way out.

    Now, I can get behind you if you say you liken it to women getting breast implants. That's an unnecessary surgery just for vanity. ::puts on flame suit::
    Just out of curiosity do you think it's unneccesary if the person has a deformity? I have implants because my breasts were 2 cup sizes different. I didn't get porn star boobs or anything crazy lol just enough to make a matching set!

    No. Of course there are exceptable reasons IMO. Breast cancer/mastectomies, lifts after baby, and deformities...it's the chicks that are like "I want a DD, because I'm a B cup". Nope. Be happy with what your mama gave you, that you have healthy breasts, and work those B's in cute little tank tops/strapless tops.

    I guess I should say I worked for a plastic surgeon, and I've seen my share of crazy.


    My mama didnt give me anything! I am 30 weeks pregnant and still not even an A cup. i am totally getting implants after I'm done with having kids just so I can fit into bras/ shirts ect... And also to feel more like a woman. I'm so flat chested its ridiculous. Victoria's Secret doesn't even have a bra for me to fit into. But, I only plan on getting a B cup. It's not for vanity reasons at all. I just want to feel like a woman and not a teenage boy.

  • Ehh I support plastic surgery...why should I care what other people do to make themselves feel better...I've gotten a rhinoplasty when I was 18 and it was the best decision. I would probably get other things done like restalyn etc if I could afford it but alas I can't. But I don't know if I'd compare elective c section to this....,
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  • For me, I have no choice. I would love to be able to have a vaginal birth (or at least given the choice to have one). If I wasn't required to have a c section (for my safety and baby's safety due to damaged uterine wall from a large fibroid removal surgery), I think I would choose vaginal birth. I think women should have the right to choose how they want to give birth (assuming there aren't life threatening risks associated with one or the other).
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  • I think Csections are over used in the US and Dr. should not be so willing to do unnecessary Csections. IMHO this includes repeat Csections where one  is not really needed. I noticed that OB's blow the risks of a VBAC all out of proportion. They make it sound like you have a 50% chance of a rupture. Yet if you do your research, it is no where near that and it is not as bad for a healthy woman with no previous complications and ample healing time between pregnancies. I have fought for a Vbac for my 2nd and 3rd kids. I could get anyone to take me on as long as it was a home birth, but to a previous hemorrhage, I wished to be in a hospital or birth center. Now I am stuck. Even my hard head understands after so many csections, a vbac at this point is not a good idea.

    More women need to do the research and not just depend on the OB to know what's best and go with it.
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    DD3 - Csection Scheduled November 29th
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  • I think women should be able to have whatever birth they want.  You want to give birth in a tub at home, go for it.  You want an elective c-section, have it.  
    Agreed.  If I am paying the bill and choosing the doctor, I want options.  Unfortunately, this time, I am doing neither, so my decision has been made for me and probably always will be.  I'll have my lady bits fixed after I'm done bearing my kiddos.
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