Opt for C-Section for Tubal ligation

Muscatmommyof4 · June 2016

Is anyone planning on tying their tubes after this pregnancy? I am and yesterday while at the ER the Doctor asked me if I was going to plan a C-Section so I could get my tubes tied at the same time. I didn't know that was an option since I have had all my kids vaginally but I'm considering it now due to my last labor only being 45min and traumatic I'm just scared of the recovery. For the moms that have had a c-section is the recovery very long? I have an appt with my OB on 7/1 and yes I will be talking to her more I'm just looking for any advice/experiences. Sorry for it being so long a ramble sometimes...

leighry · June 2016

I have a lot of friends who have had a great experience with "scheduled" sections but I don't know that I've heard an OBGYN will allow you to have a section if not warranted. Has your husband considered a vasectomy?? I had an unplanned (not emergent) section with my 2nd... after laboring for almost 24 hours and being 9cm dilated.. they told me they had to section me because of an elevated heart rate in the baby. If I wasn't so exhausted maybe I would have said "I'm 9cm just let me push" ... I had a horrible recovery. But there were multiple factors that contributed to that. All you can do is make the best informed decision you can! My 3rd was a vbac and I'm hoping for another vbac this time. If I have to have another section I'll be getting my tubes tied too.. otherwise my husband is getting snipped. So much less invasive and is a weekend recovery of icing his balls.... makes more sense than unnecessarily having major surgery.

Greencows4812 · June 2016

I had a planned but emergency csection. My second was breech but I started contracting at 36 weeks so I stayed in hospital overnight, by morning my water was about to break so I was taken to surgery right then. My first was vaginal. My recovery was harder but okay. I definitely prefer vaginal, to the point im traveling an hour so I can vbac. I had a 17 month at home and I found following the csection rules to be hard. I wasn't suppose to lift anything heavier than baby but my son needed to be lifted into his car seat, crib and high chair. I was constantly moving to keep up with both kids and the house and I wasn't fully healed by my 6 week appointment. Nursing at night was especially hard because I had to continue sitting up and it was hard and uncomfortable.

angelz429 · June 2016

Remember how hard caring for a newborn is? Imagine recovering from a major surgery at the same time. It's not fun nor ideal. I wouldn't recommend it to anyone for whom it's not medically necessary, however that is between each person and their doctors.

fiscally3 · June 2016

I've had two planned c-sections and one emergency. Honestly I haven't had a bad recovery from any of them, and have had friends with bad vaginial births with just as much recovery time. If you go for it, get up and walk as soon as you can, follow the restrictions they give you, and make sure DH is around to help the first two weeks (just like you may ask for anyway.) Take your pain meds as needed, but don't try to rush your self off them. Ecen if you don't feel you need it, stay at the hospital as long as you can(don't rush home), when else will you have a whole staff to take care of you and the baby? Also find out if you can, who is the best surgeon at your practice, it makes a huge difference (my second recovery was fine, but the 1st & 3rd were better, 3rd was the best.

I plan on getting a tubal ligation with this c-section, 4 kids in less than six years, we just don't see a fifth child in the foreseeable future (we're just running low and resources and 4-5 c-sections is the most my doctor likes to do.) It's been hard to decide we are done, but logically I think it's the best choice.

Muscatmommyof4 · June 2016

leighry said:

I have a lot of friends who have had a great experience with "scheduled" sections but I don't know that I've heard an OBGYN will allow you to have a section if not warranted. Has your husband considered a vasectomy?? I had an unplanned (not emergent) section with my 2nd... after laboring for almost 24 hours and being 9cm dilated.. they told me they had to section me because of an elevated heart rate in the baby. If I wasn't so exhausted maybe I would have said "I'm 9cm just let me push" ... I had a horrible recovery. But there were multiple factors that contributed to that. All you can do is make the best informed decision you can! My 3rd was a vbac and I'm hoping for another vbac this time. If I have to have another section I'll be getting my tubes tied too.. otherwise my husband is getting snipped. So much less invasive and is a weekend recovery of icing his balls.... makes more sense than unnecessarily having major surgery.

My husband and I have gone back and forth he says he will get it done but he is very scared of needles and being put under I've had 6 surgeries and need one or two more.. My fear with leaving it up to him is that it won't get done and we will have baby #5 and my body can't take that I'm barely able to handle this pregnancy. All that being said my Drs are willing to do things for me that they wouldn't normally do like performing a csection to give me peace of mind I'm just thinking I get 2 things done at once instead of giving birth then having my tubes tied a day or two later. Thank you I'm just going to keep researching until I see my Dr.

Muscatmommyof4 · June 2016

Greencows4812 said:

I had a planned but emergency csection. My second was breech but I started contracting at 36 weeks so I stayed in hospital overnight, by morning my water was about to break so I was taken to surgery right then. My first was vaginal. My recovery was harder but okay. I definitely prefer vaginal, to the point im traveling an hour so I can vbac. I had a 17 month at home and I found following the csection rules to be hard. I wasn't suppose to lift anything heavier than baby but my son needed to be lifted into his car seat, crib and high chair. I was constantly moving to keep up with both kids and the house and I wasn't fully healed by my 6 week appointment. Nursing at night was especially hard because I had to continue sitting up and it was hard and uncomfortable.

Thank you these are the types of situations I'm trying to consider! I can see how hard a csection could be with a toddler to be honest if my kids weren't 10,8&5 I probably wouldn't consider it at all.

Muscatmommyof4 · June 2016

fiscally3 said:

I've had two planned c-sections and one emergency. Honestly I haven't had a bad recovery from any of them, and have had friends with bad vaginial births with just as much recovery time. If you go for it, get up and walk as soon as you can, follow the restrictions they give you, and make sure DH is around to help the first two weeks (just like you may ask for anyway.) Take your pain meds as needed, but don't try to rush your self off them. Ecen if you don't feel you need it, stay at the hospital as long as you can(don't rush home), when else will you have a whole staff to take care of you and the baby? Also find out if you can, who is the best surgeon at your practice, it makes a huge difference (my second recovery was fine, but the 1st & 3rd were better, 3rd was the best.

I plan on getting a tubal ligation with this c-section, 4 kids in less than six years, we just don't see a fifth child in the foreseeable future (we're just running low and resources and 4-5 c-sections is the most my doctor likes to do.) It's been hard to decide we are done, but logically I think it's the best choice.

Thank you! My last delivery was very traumatic and extremely fast so it scares me that I'm not going to make it to a hospital in time and that my husband won't be there. I feel like a scheduled csection would be the best option for me so I can deliver and have the procedure done plus know my husband will be there. I have Kaiser so I will go to member services so they can tell me which Dr has the best reviews. Where I live they don't like to do more then 3 csections and encourage the mom get her tubes tied with the 3rd. And yes it's sad to think that DH and I will never experience this again but its necessary, physically for me and financially for our family. My doctors were ready to do it with my last baby but DH wasn't ready and I'm thankful I waited but it's time. Good luck to you that's a lot 4 kids under 6yrs I could not handle that mentally I'm very thankful for my gap.

fiscally3 · June 2016

Muscatmommyof4 said:

Greencows4812 said:

I had a planned but emergency csection. My second was breech but I started contracting at 36 weeks so I stayed in hospital overnight, by morning my water was about to break so I was taken to surgery right then. My first was vaginal. My recovery was harder but okay. I definitely prefer vaginal, to the point im traveling an hour so I can vbac. I had a 17 month at home and I found following the csection rules to be hard. I wasn't suppose to lift anything heavier than baby but my son needed to be lifted into his car seat, crib and high chair. I was constantly moving to keep up with both kids and the house and I wasn't fully healed by my 6 week appointment. Nursing at night was especially hard because I had to continue sitting up and it was hard and uncomfortable.

Thank you these are the types of situations I'm trying to consider! I can see how hard a csection could be with a toddler to be honest if my kids weren't 10,8&5 I probably wouldn't consider it at all.

This being said, if you know you are having a c-section, there are things you can do ahead of time to prep your kids to avoid the lifting. Mine are 14m, 2, and 4. With each kid we've worked on going up and down stairs, climbing in and out of car seats, etc, so I don't have to worry about harming myself, as well as getting the older ones to help with things (my oldest can now help the second get his shoes off, and unbuckled from his carseat. I can see how this can be challenging with an unplanned section. Having a planned c-section with no contractions, etc, its just not as bad of a recovery, and I've had friends with VBACs or bad tearing struggle just as much. Just wanted to let other know, who have little ones who are close in age.

Muscatmommyof4 · June 2016

fiscally3 said:

Muscatmommyof4 said:

Greencows4812 said:

I had a planned but emergency csection. My second was breech but I started contracting at 36 weeks so I stayed in hospital overnight, by morning my water was about to break so I was taken to surgery right then. My first was vaginal. My recovery was harder but okay. I definitely prefer vaginal, to the point im traveling an hour so I can vbac. I had a 17 month at home and I found following the csection rules to be hard. I wasn't suppose to lift anything heavier than baby but my son needed to be lifted into his car seat, crib and high chair. I was constantly moving to keep up with both kids and the house and I wasn't fully healed by my 6 week appointment. Nursing at night was especially hard because I had to continue sitting up and it was hard and uncomfortable.

Thank you these are the types of situations I'm trying to consider! I can see how hard a csection could be with a toddler to be honest if my kids weren't 10,8&5 I probably wouldn't consider it at all.

This being said, if you know you are having a c-section, there are things you can do ahead of time to prep your kids to avoid the lifting. Mine are 14m, 2, and 4. With each kid we've worked on going up and down stairs, climbing in and out of car seats, etc, so I don't have to worry about harming myself, as well as getting the older ones to help with things (my oldest can now help the second get his shoes off, and unbuckled from his carseat. I can see how this can be challenging with an unplanned section. Having a planned c-section with no contractions, etc, its just not as bad of a recovery, and I've had friends with VBACs or bad tearing struggle just as much. Just wanted to let other know, who have little ones who are close in age.

Thank you. I'm going to talk to my Dr more about the benefits vs the risks for me. I just want to be prepared to eliminate unnecessary stress.

Chcaggie1 · June 2016

I had a csect with my first and the recovery was not bad. Granted my husband was a HUGE help. I've been debating on rcs or vbac only b/c I have a toddler (21 mo when baby #2 arrives) at home. A part of me feels like a vbac recovery will be slightly quicker so I should go that route to be able to be more helpful around the house. But hubby keeps reminding me that from his perspective I recovered really quickly last time and that a csect is fine with him. I appreciate his input b/c in addition to my son I'm concerned about my husband if I have a rsc. He has to take up my slack. My mom and sister (who is a nurse) are encouraging me to go rcs as well. They feel that a vaginal birth recovery isn't that big of a difference than a csect. This coming from my mom that has had two vaginal deliveries (25 years ago) and my sister who is a nurse.

Honestly, I think if my kids were your kid's ages I would go with the csect and not think twice. It truly isn't as bad as a lot of people let on. (of course there are exceptional situations that end up really badly but I dont think thats the majority) I think delivery is a big deal no matter how you get the baby out!

MrsMaryK2016 · June 2016

Muscatmommyof4 said:

leighry said:

I have a lot of friends who have had a great experience with "scheduled" sections but I don't know that I've heard an OBGYN will allow you to have a section if not warranted. Has your husband considered a vasectomy?? I had an unplanned (not emergent) section with my 2nd... after laboring for almost 24 hours and being 9cm dilated.. they told me they had to section me because of an elevated heart rate in the baby. If I wasn't so exhausted maybe I would have said "I'm 9cm just let me push" ... I had a horrible recovery. But there were multiple factors that contributed to that. All you can do is make the best informed decision you can! My 3rd was a vbac and I'm hoping for another vbac this time. If I have to have another section I'll be getting my tubes tied too.. otherwise my husband is getting snipped. So much less invasive and is a weekend recovery of icing his balls.... makes more sense than unnecessarily having major surgery.

My husband and I have gone back and forth he says he will get it done but he is very scared of needles and being put under I've had 6 surgeries and need one or two more.. My fear with leaving it up to him is that it won't get done and we will have baby #5 and my body can't take that I'm barely able to handle this pregnancy. All that being said my Drs are willing to do things for me that they wouldn't normally do like performing a csection to give me peace of mind I'm just thinking I get 2 things done at once instead of giving birth then having my tubes tied a day or two later. Thank you I'm just going to keep researching until I see my Dr.

I'm sorry but your husband is being extremely selfish if the reason he won't have a minimally invasive procedure is because he's "afraid of needles". The fact that he'd rather you have an elective c-section, major surgery when you've already had serious surgeries before makes me incredibly angry on your behalf. He needs to suck it up and do this for you and if he doesn't then I would refuse to have sex with him. End of story.

And if he's really that "afraid" (this makes me roll my eyes every time I type it), he needs to talk to the doctor and they can usually help him with some kind of sedation or valium or something. I'm sure doctors see this kind of fear all the time and can help him be more relaxed.

Muscatmommyof4 · June 2016

@Chcaggie1 Thank you I don't think any of my Drs would suggest a csection if they thought it would put my body through more stress.

Muscatmommyof4 · June 2016

As for @MrsMaryK2016 you have no idea why he is the way he is it's not just a I'm scared at all and if he had it his way I wouldn't be getting my tubes tied either. I appreciate you being upset for me but there's no reason to be. I'm the one who wants the procedure its not him telling me to get it done so he doesn't have too! And as for holding out with sex till he gets a vasectomy I need sex more then he does I would be punishing myself which I'm not going to do. I didn't make this thread to debate me getting my tubes tied, it's a decision that I made before getting pregnant that I wanted to do for myself regardless if I deliver vaginally or via csection. It was brought to my attention that I could ask for a scheduled csection due to my history and wanting my tubes tied to eliminate me giving birth and then having to go under a day or 2 later for a procedure.

RaeJ004 · June 2016

Muscatmommyof4 said:

As for @MrsMaryK2016 you have no idea why he is the way he is it's not just a I'm scared at all and if he had it his way I wouldn't be getting my tubes tied either. I appreciate you being upset for me but there's no reason to be. I'm the one who wants the procedure its not him telling me to get it done so he doesn't have too! And as for holding out with sex till he gets a vasectomy I need sex more then he does I would be punishing myself which I'm not going to do. I didn't make this thread to debate me getting my tubes tied, it's a decision that I made before getting pregnant that I wanted to do for myself regardless if I deliver vaginally or via csection. It was brought to my attention that I could ask for a scheduled csection due to my history and wanting my tubes tied to eliminate me giving birth and then having to go under a day or 2 later for a procedure.

Soooo you need to calm yourself. You straight up said he is afraid of needles and if you left it to him it wouldn't get done and you would have baby #5. With just the information given it makes your DH look like he's being very selfish. I had the exact feelings as @MrsMaryK2016 while reading your post.

MrsMaryK2016 · June 2016

@Muscatmommyof4 Listen, it's your body and obviously your decision so you do you. But it's one thing to have your tubes tied while you're in for an emergency or scheduled c-section that is recommended by your doctor. It's a whole other ball game to have an optional surgery just for the convenience of your husband. That's all I'm saying. Your original posts said you didn't want any more kids and that your husband wasn't going to get the vasectomy because he was too scared of needles. I was reacting to that information that you provided.

Muscatmommyof4 · June 2016

Anyways if anyone else has experience with having both a csection and a vaginal delivery please post your pros and cons for each. Thank you

hollowway · June 2016

A tubal ligation can either be done laparoscopicly or with a minilaporotomy, so can be minimally invasive. There's also a new permanent sterilization method called "fallopian tube occlusion" which is a nonsurgical permanent contraception procedure and can be performed in your doctor's office with local anesthesia. With the Essure system, your OB goes through your cervix and places tiny spring-like coils called micro inserts into the opening of your fallopian tubes. There is no incision. Within three months, the inserts cause your body to form a tissue barrier that prevents sperm from reaching the egg. You obviously need to use other birth control in those 3 months and have a follow-up with your OB to ensure your tubes are blocked.... but this is what I'll be looking into. It's even less invasive than a vasectomy.

fiscally3 · June 2016

MaMaBear1323 said:

A tubal ligation can either be done laparoscopicly or with a minilaporotomy, so can be minimally invasive. There's also a new permanent sterilization method called "fallopian tube occlusion" which is a nonsurgical permanent contraception procedure and can be performed in your doctor's office with local anesthesia. With the Essure system, your OB goes through your cervix and places tiny spring-like coils called micro inserts into the opening of your fallopian tubes. There is no incision. Within three months, the inserts cause your body to form a tissue barrier that prevents sperm from reaching the egg. You obviously need to use other birth control in those 3 months and have a follow-up with your OB to ensure your tubes are blocked.... but this is what I'll be looking into. It's even less invasive than a vasectomy.

I know all birth control methods are not a 100%, but I do know people who have gotten pregnant with Ensure years afterwards. This is why I am personally leaning more towards a tubal ligation, since it will be a miracle if the removed chunks of tubes grow back (besides already having a RCS.)

TheBorg7of9 · June 2016

I have heard lots of terrible things about the essure procedure. That the springs can migrate and cause terrible pain.

Muscatmommyof4 · June 2016

@MaMaBear1323 I appreciate the suggestion about the essure I actually have talked to my DR about this prior to getting pregnant and had an appt set up to get it done because I thought it was the safest and less invasive way until I researched it there are so many horror stories and lawsuits against essure that I'm suprised it's still being offered! Needless to say I ended up not getting it done (obviously) and had already talked to my dr about tubal ligation it was just a matter of when. I see my dr next week so we are going to talk more about it.

TinyAlligator · June 2016

Ok. I'm doing everything possible to avoid another c-section. While I'm ever so grateful that I have modern medicine that prevented a still birth... I am shooting for a vbac because guess what, c section recovery blows. I had an uncomplicated one but the major abdominal surgery and having to deal with all that wasn't pleasant. My bff just had a vbac and she also had an uncomplicated c/s first go, and said hands down vaginal birth was far better on her body and recovery. So I'm going to echo what everyone said above. Sure, if you need a c/s go ahead and get that taken care of while the doc is in there stitching you up. If no, please don't choose a c/s for no reason.

kms456 · June 2016

I had an emergency C section and recovery BLOWS. I couldn't bend down to pick LO up out of a bouncer until around 3 weeks PP. I had to have help getting in and out of bed. No complications post sx, but yeah it sucked. The scar still sucks and I had numbness in that general area for months. All of my gf's who have had a CS first and then go on to VBAC swear up and down how much easier it is. I'm definitely going the VBAC route.

Muscatmommyof4 · June 2016

@TinyAlligator and @kms456 thank you for sharing your experiences. I have appt with my ob on Friday so we will be going over the best option for me is..

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