Time to read up c-section info

jsaffer01 · May 2014

So I just got back from the doctors, I'm 39w2d and absolutely making no progressing. The baby is still really high up there, my cervix is still extremely hard and I'm not dilating. I'm having contractions but they aren't doing anything. So my doctor was talking to me about my plan, I have an ultrasound scheduled for Thurdsay to determine how big the baby is and how much fluid I have. And then from there we'll most likely pick a date for the CS. She said she doesn't want to induce me because she honestly thinks it's really not going to help much. And why put my body and baby through all that, when it's not going to amount anything.

So I'll be reading up on what to expect during a c-section and what recovery is like. I'm a little bummed about this, but mainly because I now have to request more time off of work which means I without a paycheck that much longer.

whitneymarie003 · May 2014

I'm in the same situation. My cervix is refusing to do anything, and my doctor said I'm not a good candidate for an induction. I'm really bummed as a FTM, I was hoping I'd avoid a CS at all costs. I'm sorry you're going through this! At the end of the day as long as the babes get here safely that's all that matters.

Xath · May 2014

Wrote this a few weeks ago; hope it helps.

https://forums.thebump.com/discussion/12321039/anecdotal-cesarean-advice

mmks · May 2014

Please also do some reading about whether the CS will really be needed. Seems like lots of times, even though you wouldn't expect it, the drs are wrong. Ultrasounds are notoriously off on predicting the weight of the baby. Just bc you aren't dilated at all doesn't mean that you won't at some point in the next few weeks. Many OBs and CNMs do not consider you 'over due' until you pass 42 weeks.
Of course you must do what is best for yourself and baby and not take unnecessary risks, but please educate yourself too! This is a great website to search for info.
https://evidencebasedbirth.com/

Ok, I'll step off my soapbox now!

bazingaa · May 2014

I think it's really smart to read up on it now since it's on the table as a possibility, but agree with @mmks that you may have option to wait. You could see how things go with the ultrasound, see how you're feeling, and take it from there. Don't stress. Baby will make its entrance one way or another

jsaffer01 · May 2014

Thank you for all the advice!!! I will make sure I read up on all my options. However nothing is definite until after the results of the ultrasound on Thursday. But my doctor told me from the start of the pregnancy that she wouldn't let me go past 41wks. But we will see what happens on Thursday!!

I don't mind having a CS if I need one, I'm just upset that I would have to take additional time off of work for healing, and that's more time without a paycheck. And I will be stressing about finances. But I'm a firm believer in things have their way of working themselves out. So again we'll wait and see what the plan is for next week.

haylo33 · May 2014

Did they mention trying a prostaglandin to ripen your cervix? I'm looking at a possible induction and they want to try the med first. I'm 1cm dilated and 50% effaced which to me, basically meant my cervix isn't anywhere ready but I still have a week until they would think about an induction. To me, it would be worth trying to have a vaginal birth to avoid a c section

jsaffer01 · May 2014

No she didn't mention anything, nor did I think to ask in that moment. But the fact the baby is still so high up, and not in position. And when she did a cervical check today, I felt like her hand was going to pop out of my mouth..

I'm not too worried about things, baby will make it's way out somehow one of these days. As much as I would prefer a vaginal birth being a FTM I want to experience what it's all about, but if that's not the way it's going to happen I won't be too disappointed.

CopperPoppy · May 2014

Actually I remember reading Gertie's post and I found it to be mostly true of my experience as well. I've only had one and as a FTM my experience limited. Hope it goes well for you.

Soupy84 · May 2014

@‌JSaffer01

This sounds exactly like the news I got this past Tuesday from my OB. They will not let me go further than 8 days past my EDD.

Only difference is I am fighting to be induced before they schedule me for a CS. I don't want to be induced, but I hate the idea of a CS even more. I will be getting Cervadil next Friday (at 6 days past my EDD) in hopes to avoid a CS. OB made it pretty clear that he thinks I will need a CS despite the attempted induction and included his thoughts on my prenatal paperwork to "not hesitate".

Good luck with reading up. As a precaution, I will be cramming as well!

I have one more appt next week. Here is to hoping my body does what it needs to do before next Friday!

Jlokuta0308 · May 2014

Just an FYI, I had a c section may 5th, haven't needed pain meds, been up moving around a lot and staying active (in a healthy way... Folding clothes caring for baby..etc...) they will release me back to work at the same amount of time as a vaginal delivery (6 weeks). If you have an office type job or something where very heavy lifting isn't require you get the same time frame! It's no where near as horrible as you'll read. Just be relaxed and you'll be fine!

sthomas1222 · May 2014

I really really hate seeing "they won't LET me". ACOG says 42 weeks. It's your body and your baby. If you don't want a c/s then say no. If you're fine with it, that's one thing. But I just hate seeing those words. I'd ask my OB/MW why they aren't following ACOG's guidelines and then ask for a BPP or whatever they want to do to let me go to 42 weeks.

pistolpackinmomma · May 2014

sthomas1222 said:

I really really hate seeing "they won't LET me". ACOG says 42 weeks. It's your body and your baby. If you don't want a c/s then say no. If you're fine with it, that's one thing. But I just hate seeing those words. I'd ask my OB/MW why they aren't following ACOG's guidelines and then ask for a BPP or whatever they want to do to let me go to 42 weeks.

While yes, it is your body and you have every right to say nope and go against their advice, they also have the right to drop you as a patient. I've had people tell me the same about my dr not letting me go past 39 weeks before scheduling a RCS (which is scheduled but still hoping for a VBAC) but really my options are limited. The only other practice in town is even more anti-VBAC and the level of stupid that comes out of there kills me. I love my dr and even though we don't necessarily agree on the length of time I should be allowed before doing a RCS, I still feel he is the better option for me and the pros outweigh the cons. It's not always so simple as telling the dr that you don't want to do it their way.

sthomas1222 · May 2014

pistolpackinmomma said:

sthomas1222 said:

I really really hate seeing "they won't LET me". ACOG says 42 weeks. It's your body and your baby. If you don't want a c/s then say no. If you're fine with it, that's one thing. But I just hate seeing those words. I'd ask my OB/MW why they aren't following ACOG's guidelines and then ask for a BPP or whatever they want to do to let me go to 42 weeks.

While yes, it is your body and you have every right to say nope and go against their advice, they also have the right to drop you as a patient. I've had people tell me the same about my dr not letting me go past 39 weeks before scheduling a RCS (which is scheduled but still hoping for a VBAC) but really my options are limited. The only other practice in town is even more anti-VBAC and the level of stupid that comes out of there kills me. I love my dr and even though we don't necessarily agree on the length of time I should be allowed before doing a RCS, I still feel he is the better option for me and the pros outweigh the cons. It's not always so simple as telling the dr that you don't want to do it their way.

I get there's a lot at play, especially with VBACs. But a lot of times compromise can be reached. And many times just saying no I don't consent is enough. While it does happens that a provider will drop you it's not common. At that point it's a matter of what are your choices if any. The hospital I'm at will deliver breech but you have to say "that is what I'm doing & no I will not do a c/s." And be firm & confident. But in this particular scenario I'd really push the ob to find out why he's not following ACOG's guidelines. It just makes me wonder what other guidelines they may be choosing to not follow or be aware of.

mmks · May 2014

*Steps back on the soap box*
I'd totally be printing all bazillion pages of this:
https://www.acog.org/Resources_And_Publications/Obstetric_Care_Consensus_Series/Safe_Prevention_of_the_Primary_Cesarean_Delivery
and bringing it with me to my OB's office if I were you.
Keep in mind that a c/s will impact your future births and even how many children you're able to have.

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