I am 29yrs old, my baby is healthy so far and my placenta is in a good spot.
I have to have a caesarean because I have had Lap surgery to remove fibroids. I am attending a private hospital and was told by my OB at 10 weeks this is what WILL happen
I don't want to. Does every woman who has lap surgery HAVE to have a c-section.
I am feeling more and more ripped off everyday. I was told that because I have "scaring" that this is the best option.
How do I deal with this, how do I get my OB on my side I want to try this naturally, what are the chances of my uterus rupturing?????
Okay I have no idea on the medical aspects in any professional capacity but I think he is just being a twat and trying to make a bit more dosh. I thought lap surgery was keyhole - even still it would be much smaller scarring than a C/S and women have VBAC's - the chance of rupture is less than 1% I think...
It sounds like he has been drilling it into you from day dot so you would never really question it... I'd be getting a second opinion, but I'm going googling to satisfy my curiosity and so I can feel angry for your situation without being ignorant, IYKWIM.
My baby was conceived via IVF and my lap surgery (key hole) was performed my the top surgeon in Perth. When I went back to my FS after conception and between visits with my OB they were just as surprised as I was about the c-section.
I am usually a smart/intelligent woman - but call it baby brain I didn't question it to the full extent I usually would, maybe it was just the excitement of pregnancy.
I feel a bit bullied into this.
I need to gather hard facts and put my foot down on this one. It's my body after all.
I would get some more opinions. Perhaps a good question to ask would be 'what will happen if I don't'? If it becomes obvious that one of your carers is using scare tactics when it's not necessary, I'd be switching to be cared for by someone who is honest with you.
I'd be switching carers too. I now think like this... if this person is MY CAREr, they are supposed to CARE about ME. Not them and their schedule, golf game or how much more money they can make from me. Anyone showing any not-caring attitudes will be hearing loud and... actually, given that I'm the only person I trust to actually care for me, they won't be hearing as they won't be there. But the principle is sound.
Oh wow, you really are being given a bum steer. If possible scarring from fibroids (assuming that he means the internal scars from where the fibroids were removed and not the actual lap surgery) rules out a vaginal birth, then the pregnancy itself shouldn't happen kwim? Any issue the scarring may cause will be tested by the pregnancy, not the birth. I would be running away from that ob as fast as you can and don't go back.
I had lap surgery and was pg 6 mths later and never was I told that a c/s HAD to be done.
ETA - we posted at the same time. This will affect any future births you may have too, so it is something that you really need to think long and hard about and if you have your FS questioning it too then that would be enough for me to get a new ob.
Thats exactly what I thought Trillian- If my baby can be in there kicking and pushing why can't I give birth naturally.
He is referring to the scaring itself that is on my uterus. Luckily I have about 50 pictures of my insides being operated, which I will be taking to him.
I am 21 weeks, whats the chances of my finding and OB, plus we have already paid our OB fees aswell. *why* does my brain insist on working AFTER we having made these big decisions and payments!
Just had to add my 2c worth....i know nothing about what lap surgery would do in relation to birth, but i do know that if you dont want this to happen its your OBs job to try and find other possibilities for you, not scare you in to doing it his way.
I say c section should be a last resort if it has to be done for your/your babies saftey...how can your OB know that is the case for you at 10weeks pregnant....I smell a rat...and i think its you OB
Well done you for questioning it and i hope you manage to find the OB who will work with you to get you the birth you want and deserve!!! Good luck!!!
While I've no medical background, I reckon that's got to be a load of crap. As you say ... does every woman who's had a lap have a c/s? And what about all those who VBAC without any probs ... While I had two great experiences with a good Ob (she was prepared to let me deliver naturally despite a very low-lying placenta), like in any profession, you get your idiots.
I definitely agree that you should get another opinion. Not sure how easy it would be for you to change obs, but you could also go down the path of having a delivery in the public system. Sorry, but to me this just illustrates how horribly medicalised and clinical the birthing of some babies has become.
Why do you need a c/s if everything is fine with you and your bub? Obviously a different story if there is a health/medical issue - c/s are obviously a necessary and life-saving op. If you're not sure what to do re: staying/leaving your Ob, maybe get your Ob to explain in exact detail why he believes a c/s is necessary - debate him on it, argue with him black and blue if you have to. Be sure he's advising it for a valid reason. Ask him why won't he at least let you TRY to have a natural birth ... and just as importantly, support you 100pc to do it.
Good luck with things - it can be hard enough being pg, let alone having a "clinical" Obstetrician who messes with your head.
ETA - I took a while writing this (I'd only seen your original post at the time I responded) - sounds like you've decided to go on a fact finding mission ... again, good luck and all the best.
Last edited by AndiE; January 6th, 2010 at 10:17 PM.
Try and do some research on Obs that are supportive of VBACs where you live, they are more likely to be on your side.
Approach them and tell them your story including the part about your current Ob telling you that you must have a c/s and that you aren't comfortable with that decision. Even though it can be hard to get on to their books initially, they often have 'spots' for higher-risk patients which you could probably squeeze in to because of the situation. Doesn't hurt to ask.
I had lap surgery and I've had 2 VB's after the lap, 18 months between births and no one ever said anything about lap surgery being a reason for needing a c-section. I would get another opinion. Don't be bullied into it.
If it is the insurance fees you mean I am pretty sure that you get a full refund if you pull out before 36wks (I remember my OB telling me something about if I changed provider or if my pregnancy did not progress past a certain number of weeks than I get the money back.
I guess you could always try pushing the buck with him - I think the thing we forget is that they are suppose to be servicing us, they are the care provider, service provider. We put our lives in their hands (I suppose) but when it comes down to it we pay them for their service and therefore just like everyone else we can tell them what to do.
My OB and I came to heads over a few things in my birth plan and I am not a confrontationalist but we negociated until I was happy and I did end up having an awesome birth. I say either switch or go in and say I'm not having a c-sec unless he can provide written proof (as in studies or literature) that your scarring is more likely to rupture than a c-sec scar and what the actual percentage is.
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