C-sections

The talk...

I am scheduled for Friday  @530 am for a RCS, and of course the nerves are setting in.  My doctor decided to take a vacation in my 39th week, so I met with her replacement this Monday.  She is a doctor from out of town so I don't have a lot of info on her, she was a little gruff, but straight forward, and went over all the possible situations.  I thought I was okay after the apt, but maybe I was just putting on a brave face since my 3yr daughter was with us.  I brought up casually with my husband as we don't get much privacy with our daughter. "Hey, would you like to talk about what could happen if things don't go as planned?"  He knew I was referring to if something bad were to happen during surgery. My husband is very supportive and wouldn't voice his fears until well after, but said his priority is always me.  I am really scared this time, even more than before probably because I have had months to think about it. I guess I feel unsettled because we have been working with one doctor and then all of a sudden my date is moved and I am talking to someone else.  The new doctor was saying things like," I am going to do whatever it takes to get this "kid" out, and I might have to make a vertical incision on the side of your horizontal cut if I can't get the "kid" out.  There is  a chance that somethings may go wrong like I will have to perform a hysterectomy in this situation, etc.  talked about bowel and bladder injury, etc." She also was going on and on about how dangerous VBAC is,  when that was my plan up until Feb with my doctor, and then casually lists all these crazy things that may happen during surgery, that she wouldn't be able to talk to me about while she is doing them trying to save my life. 

So...after all that bla bla bla.  My question is, Have any of you discussed with your husband or partner, what you or he might do in the situation that you don't make it through surgery?  It may be a totally morbid question, but my worries are getting the best of me. 
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Re: The talk...

  • Do you have a will/living will? If not, I highly recommend doing both ASAP. Print one off the internet, write it out, or whatever- just do SOMETHING. This was very important to our parents prior to me having my first and I'm thankful they pushed us to have this conversation. My dad died when I was 3. DHs mom died when he was 15. Our parents lived through those choices and understand the difficulty. My FIL gave us the program to do ours on the computer and just going thru the questions together really helped me consider things I hadn't before. Have the talk and get it done. It's strangely liberating after.

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  • Thank you.  We don't have a living will, but we both have life insurance.  I will get on it. 
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  • My husband and I had the talk a couple of years ago about life support and organ donation.  When the decision was made that I would have c-section I told my husband to let me die to save the baby and how to get in touch with my father's family to inform them of my death.  My father is dead and my mother doesn't have contact with them so they would need notified.  I was absolutely convinced I would die on that table.  That is the reason that if we have another child I am changing doctors and hospitals so I can attempt a VBAC.  
  • As an RN I suggest all people have a Living Will/Power of Attorney. It makes your loved ones life easier in case something happens. Not just in surgery, but in life. You are more like to get hit by a car and be in a coma than you are to have a significant situation in surgery. 
    Don't make your family argue and debate this decision for you, it gives them a lot of guilt.

    And just talking about it does not count, it needs to be an official paper. Each state has their own requirements. 

    As for your Dr saying if XYZ happens, we can do this. She/he LEGALLY has to go over that. That is part of 'informed consent". It is unethical for her/him to just have you sign it, they have to verbalize it. However, her tone/attitude/word usage (kid) could be different. But she has to talk about the other stuff. Does that stuff happen, very very rarely (thank God). 
    A nurse shoved a clipboard with a consent form on it in front of me.  Everyone was way more concerned with the fact that the Anesthesiologist allowed me to keep my bra on when she placed the epidural than with my giving informed consent.  There were phone calls about the bra and people scurrying up and down the hall to deal with the bra situation.  
  • This post reminds me that my husband and I definitely need to write our wills/living wills. The only thing we have talked about is that if anything happens to me that I do not him to take our daughter away from my family (in Louisiana) where we live and go back to his family (in Ohio). He agreed and said that he likely wouldn't want to go back home, but I definitely want it in writing. I want her raised around my family either their vales - definitely not around my MIL for MANY reasons. 
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  • mysticl said:
    As an RN I suggest all people have a Living Will/Power of Attorney. It makes your loved ones life easier in case something happens. Not just in surgery, but in life. You are more like to get hit by a car and be in a coma than you are to have a significant situation in surgery. 
    Don't make your family argue and debate this decision for you, it gives them a lot of guilt.

    And just talking about it does not count, it needs to be an official paper. Each state has their own requirements. 

    As for your Dr saying if XYZ happens, we can do this. She/he LEGALLY has to go over that. That is part of 'informed consent". It is unethical for her/him to just have you sign it, they have to verbalize it. However, her tone/attitude/word usage (kid) could be different. But she has to talk about the other stuff. Does that stuff happen, very very rarely (thank God). 
    A nurse shoved a clipboard with a consent form on it in front of me.  Everyone was way more concerned with the fact that the Anesthesiologist allowed me to keep my bra on when she placed the epidural than with my giving informed consent.  There were phone calls about the bra and people scurrying up and down the hall to deal with the bra situation.  
    I am assuming that this was for a Stat C/S? 
    When a scheduled one is done, the Dr does it in their office before hand and has to go over this will you. However an emergent one/Stat one, is treated slightly different. 
    As for your bra, two things. You personal clothes can increase a risk of infection (minor but still there), and some laundry soaps hold static. Which increases the risk for a spark/fire.
    If there was any metal in it, the Bovi can seriously burn you. 
    Well the surgical team was at home and had to be called into the hospital.  So no it wasn't stat.  The OB told whoever made the phone calls to tell them it was "urgent".  My CS was for failure to progress AKA failure to wait.  

    I understand why I couldn't wear the bra.  It was just that everyone acted like it was the end of the world that I was wearing it and that it was the worst thing that ever happened and they couldn't believe I was wearing one and it had to be discussed by everyone and the whole nursing team was figuring out what to do….instead of you know just removing it.  The nurse who removed it was very frustrated because people kept interrupting her to tell/ask her about the bra instead of just letting her remove it.  
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