October 2015 Moms

please help me

I'm the biggest supporter of breastfeeding. I just found out that I am diabetic and my doctor is looking into c section for me due to baby's size. Totally not my birth plan :(

I feel so heartbroken
I'm scared that by having a c section I won't be able to breast feed? That I'd be so drugged or tired and they'll introduce a bottle to baby. I really want skin to skin bonding time with baby..

How is recovery after c section? I don't wanna loose the special bond with my first born :(

Since it will be a big baby can I ask to get induced so he's not as big and attempt a vaginal?

Thank you for those who respond

Re: please help me

  • Is your doctor suggesting caesarean because he thinks your baby will be too big for you to birth? Also, do you have gestational diabetes or the more serious typeI/II? Just needed some more info :)
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  • Thank you for responding. Yes, doctor feels baby will be too big for me to deliver. The doctors concern is the baby will have fat shoulders. It's gestational diabetes.
  • I didn't have a c section, but both of my babies were offered bottles at the hospital and exclusively breastfed after that. My first had fluid in her lungs and we weren't able to even have skin to skin right away, she was rushed away to clear up the fluid and was fed a bottle then. My second, they said her blood sugar was low so we gave her a bottle. So, try not to freak out. I had no problems with my babies breastfeeding. I know what books and other literature says, but my main focus would be a healthy delivery.
  • This may depend on your hospital's policies after a c-section, make sure you ask ahead of time. Ours has a "baby-friendly" designation and even with a c section they put baby on your chest right away if there are no compilations.

    Did you tell your doctor about your concerns?
  • I had a c section with my second child due to him being breech. Honestly I was so happy that I was having a planned delivery. Planned c sections are often so much safer and easier to recover from than emergency c sections (like if your child's shoulders do get stuck after trying to birth him vaginally). Recovery wasn't so bad at all. I happen to have a reaction to the meds and was vomiting right after but they still gave me my son to nurse him. I believe if you make your wishes known that you want to nurse him right after they should honor that. You should be fine! Good luck!
  • I don't see why you couldnt at least of the option of inducing a few's weeks early when he is not as big, rather than jumping to a c-section.
  • I would let your wishes be known and they will tell you what is possible or not. I had been asked prior to our first csection if I planned to breastfeed so they waited for me to get to recovery so I could try.
  • I had an emergency c-section with I first due to pre-eclampsia and went on to breastfeed for 22 months. He had to be given formula immediately after birth due to low blood sugar, but after that we were able to attempt breastfeeding. At the time, I wasn't even aware that skin-to-skin while I was being sewn up could even be an option.

    My recovery was much easier than I expected, and while every recovery is different, I wouldn't anticipate being incapacitated to the point that you won't be able to breastfeed and bond with baby. You may not even need strong painkillers - I got by just fine with Tylenol and Advil and didn't use very much of my Percocet prescription. You should be fine to lounge in bed and nurse, which is most of what you'd do during the first couple weeks anyway.

    I agree a planned c-section is much less stressful than an emergency. I'd talk with your doctor beforehand about your preferences (ie skin-to-skin the first hour, etc). And know that even if you need to give a little formula while in the hospital, you can still go on to breastfeed successfully.

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  • ljburrelliljburrelli member
    edited August 2015
    I labored for 37 hours with my son and after 4 hours of pushing I had a c-section.  I was exhausted but it was different...like the adrenaline of being a new momma kicks in.  My son had skin to skin with both hubby and I.  I let them know my plan to nurse (doctor, nurses, etc) and he was brought to me right in recovery and latched on like a champ.  I went on to breastfeed him for 17 months.

    I have a planned c-section for little miss and plan on skin to skin again and breastfeeding right away. 

    I forgot to add my recovery went really well.  I thought it would be worse.  I will say as soon as you feel up to it get up and move.  Even if it's just a short walk it helps you to feel better sooner.
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  • Oh goodness. I'm getting a panic attack just reading some of these responses. What your dr told you is the biggest load of crap. Yes. I said it. Bring on the "you're not a dr how dare you give her medical advice" comments. I have seen a 4'11" woman birth an 11lb baby. She also had GD. Your OBs inherent mistrust of your pelvis' ability to make room for baby (as your body intends) is not a medical opinion based in science. It's a very serious, very scary reality in the medical world called DEFENSIVE MEDICINE. Google it. Please please please do some serious research before agreeing to major abdominal surgery that will affect you and your baby for the rest of your lives. C sections are taken waaayyyyyy too lightly in this country and it's absolutely disgusting. There is NO such thing as a baby that's "too big" to birth vaginally (as long as you're not trying to birth on your back with your legs up). That's about as ridiculous as a dr telling you that you need surgery and an enema because your body made poop that is too big for you to pass on your own.

    I'm not saying any of this for shock value, but I see absolutely no reason why you have to choose between the infamously dangerous Pitocin or surgically removing your baby from you. Neither are necessary in your case and you should arm yourself with information so that you can have exactly the birth you want on your own terms :)
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  • I would ask your doctor or maternity center at your hospital. The hospital I delivered at (via C-section!) supports skin-on-skin for everyone if it's possible. I had an epidural for delivery, so I would have been able to opt for skin-on-skin right after birth IF he wouldn't have gone to the NICU. The only time they said it's impossible to do skin-on-skin is if you have to have general anesthesia for the C-section or if the child has to be taken to the NICU immediately. I still got to talk to him and kiss the top of his head before he was sent to his room.
    If your child is delivered early (by your own choice or not) you may not be allowed to try to breastfeed anyway. Our hospital does not attempt to breastfeed any child born before 34 weeks until they reach that age- my son was born at 32 weeks, so at 2-3 weeks old they will allow him to go to breast. Until then, he is fed via feeding tube.
    My C-section recovery was not too bad. I was able to get up (with help) within 4 hours of being out of the OR. It's a quick process if it's not an emergency. After two weeks, I'm pretty much back to normal. Having a C-section is not the end of the world.

    Please be flexible with your plan and talk to your doctors. I think it's safe to say that there aren't a lot of us who get to follow our original plan to the letter.
  • My sister in law had an emergency c-section, and was still able to have skin on skin contact immediately after, and successfully breastfed her son for a year! She also was out of the hospital within 48 hours, was not groggy or anything after surgery, and was pushing her son in the stroller on walks 4 days after she delivered!! :)

    It's scary to think about, but it does not have to be so bad!! And I'm sure a planned c-section would give you the opportunity to make requests such as breastfeeding right away, skin on skin contact, etc, provided there is not emergent situation not allowing that to happen.

    Praying for an easy delivery, healthy baby, and a quick recovery for you and baby!!
  • I was able to breastfeed after my c-section.

    Recovery after a c-section varies person to person. For me, it was painful but I had a smooth recovery. Just needed a little help getting around for the first couple days and after that I just took everything slowly.

    Make your requests known to your doctor.
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  • Adding: have you been on a tour of your hospital yet? They made sure to cover all of the procedures for both vaginal and c-section delivery, including possibilities for baby's care after c-section. I think this may help ease many of your fears about breastfeeding and contact after surgery. Even though I'm not planning or at risk for going that route, I found it helpful and comforting to know what the possibilities are in the event of a change of plans. 
  • This is my opinion from personal experience of being induced (40 + 6 I think).
    1. Don't ever ask to be induced. Worst idea ever, especially early. Let baby cook as long as possible.
    2. I ended up with a csection was very adament about breastfeeding and insisted on it right after my surgery. I was able to successfully breastfeed within 45 minutes of my surgery. Drugs and all. We breastfed for 16 months and never had formula once.
    3. Make it clear to your ob, nurses, so, that you do not want your child to be given formula. Period. You are your advocate. Fight for it unless there is an absolute medical necessity for intervention.

    A csection does not ruin your shot at breastfeeding whatsoever
  • I had an emergency c-section after being induced my doctor previously however was a total moron. Besides that yes recovery takes a little longer and your stay at the hospital is a little longer but think of it this way, the longer you are there the more access you have to their resources which can be awesomely helpful. Do not induce. I would never recommend that to anyone. For my second we have a planned c-section and I plan to breast feed but am coming prepared with a pump just in case she doesn't latch (my first didn't). I'm pretty good either way. I have learned with this pregnancy that being flexible is good because nothing ever goes as planned.
  • I had an emergency/last minute c-section @ 39 wks due to DS being breech (we went in to attempt a version to turn him, they discovered my fluids were scary low, so we went ahead with a CS). They didn't use full anesthesia, so I was awake for the procedure. After they sewed me up, they handed him to me and we did skin to skin, and I fed him for the first time. It was great, no issues. I would confirm the protocol with your doc and make sure they are on the same page as you. Best of luck to you, I hope your experience is as smooth as mine was!
  • I would ask for a second opinion. My sister had gestational diabetes with all 4 of her girls and pre-eclampsia with the first. She gained a lot of weight and while some of the doctors were convinced she was going to have very big babies, all of my nieces were under 7lbs.

    The first was emergency C-section around 37 weeks and when she went in with chest pain the hospital said "we think you just have a really big baby inside of you, but we'll send you to the (other baby wing) just to be sure" at which point she found out she was pre-e and delivered a healthy ~4lb baby girl

    The twins came early as well and were ~3.5lbs each

    The youngest, full term, was a standard 6lb baby. none of them were huge. I think you owe yourself a second opinion at the very least.


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  • My aunt had gestational diabetes.  My cousin was born unmedicated, vaginally and weighed in at 9.9 lbs.  I think of course you should listen to your doctor, you don't want to risk anything but you can still have skin to skin and breastfeed even if you have a c-section.  I hope you get the birthing experience that you want.
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  • I had a csection with my daughter nearly 6 years ago. It was NOT my plan, but ended up being a potential lifesaver for her (cord wrapped around neck and shoulders). We did not do skin to skin and I had a terrible time coming out of anesthesia. My nursing team was well aware of my desire to breastfeed. My anesthesia traveled and ended up numbing me from the chin down. When I went to recovery (it took forever due to my body not wanting to come out of the anesthesia) we attempted BF with no prior attempts to administer formula. I still couldn't move my arms, so the nurse and my husband used pillows to prop me and the baby up and held her to my breast. She latched right on no problems. We BF for 19 months. It is possible, just be sure to discuss with your doctor a head of time.
  • Definetly talk to your doctor about this more. Yes any kind of diabetes puts you at higher risk for a bigger baby and also higher risk or a c-section but plenty of babies are born to diabetic women normal size and vaginally. I would not matter what insist that he let you try and then if you aren't able to give birth vaginally have a c-section. Also, talk to the hospital before, there are ways to get your baby formula without a bottle if you are unable to breast free right away.
  • Ive had 2 csections (2004 and 2009) and while they closed me up they cleaned/examined the baby and by the time I'm done, the baby was waiting for me in my recovery room with my husband and the lactation consultant. Easy peasy.
  • I had a csection with my daughter nearly 6 years ago. It was NOT my plan, but ended up being a potential lifesaver for her (cord wrapped around neck and shoulders). We did not do skin to skin and I had a terrible time coming out of anesthesia. My nursing team was well aware of my desire to breastfeed. My anesthesia traveled and ended up numbing me from the chin down. When I went to recovery (it took forever due to my body not wanting to come out of the anesthesia) we attempted BF with no prior attempts to administer formula. I still couldn't move my arms, so the nurse and my husband used pillows to prop me and the baby up and held her to my breast. She latched right on no problems. We BF for 19 months. It is possible, just be sure to discuss with your doctor a head of time.
    I have a very similar story, and reaction to the meds. I was in labor for 18 hours, on pitocin, unable to get out of bed, before I finally begged for an epidural, and me and DD had a bad reaction to it. We were rushed into an emergency c-section. Whatever meds they gave me on the operating table made me extremely woozy, and I couldn't move from the shoulders down.

    While my hospitals standard practice was to take the baby away to the nursery to be cleaned up, tested, etc. I threw a huge fit, and they brought her to me in recovery, the propped me up on pillows, and the nurse helped me get DD to latch, and then I was able to sleep maybe an hour or two (she was born at 4 am).

    We exclusively breast fed for nearly 16 months, she never took a bottle, or had latch issues.

    I'm having a planned c-section this time around, and hoping to be a little more clear headed with my doctors & anesthesiologist regarding the meds I'd like, so I don't react the same way again.
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  • edited August 2015

    Some women's pelvises and vaginas are just too small. I know someone who is 5"11 and built big - even carried big - and had to have a C-section because her 10lb. baby was not going to fit naturally. It's dangerous to tell women this doesn't happen. It's also dangerous to assume that C-sections are always wrong.

     

    Edit--- not sure why this looks like I am quoting myself. Sigh...



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