C-Section operations are not all the same

[Peg]

A while ago on BB i posted a thread asking if a particular method of c-section was used in australia and was told that it most likely was. I also called a hospital and the midwife confirmed the method, but wasnt sure if any of the obs at her hospital performed it.

Well I spoke to my Ob about this particular method this week and he didnt really know what i was talking about. After i explained it he said he would be happy to do it for me. But if i didnt ask him, i would not get the operation I want. So I just thought i'd post some info about different methods used in c-sections because i believe that we should have the choice of what sort of operation we would prefer...especially for elective c-sect.

The most common incision made is the LOW TRANSVERSE INCISION otherwise known as the Bikini Cut. This is a low risk incision and allows most women to attempt a VBAC with little risk of ruptures.

Most obs use this in normal circumstances but what they dont use is one particular method of making the cut. The muscles in your stomach do not have to be cut; they can be pulled apart....its important to know that this is possible because if the muscles are pulled apart rather then cut, the recovery is easier, there is less blood loss and less pain. The pull apart method is called the 'MISGAV LADACH' method but not all australian obs use this method. Its used overseas a lot with really good results and has become the prefered method of cut.

Study into the benefits of the Misgav Ladach technique 2004

The CLASSICAL INCISION made vertically, its what was performed decades ago as the norm. Today its only used in complicated situations such as placenta previa, emergencies, or babies with abnormalities.

The most rare of the cuts is the LOWER SEGMENT VERTICAL INCISION. This is only used if there are problems with the uterus that would not allow another type of incision to be made.

Knowledge is power!

[Lulu]

Fantastic information!

[1MOREPLZ]

wow very interesteing

[Mother Goose]

interesting. out of curiosity - who is your Ob? Just so I can say "so and so does it" when I go back for another bubba!

[Peg]

interesting. out of curiosity - who is your Ob? Just so I can say "so and so does it" when I go back for another bubba!

i've just begun to see Jan Naidoo from the sunshine hospital.

He came very highly recommended and has a lot of experience and a lovely man. I was surprised though when he said he doesnt do the misgav method...he said he cuts the muscle to get to the uterus

thankfully he said he'll do it the way i've requested though...thats the benefits of going private. I just wish i had of known about it years ago. The method came about only about 10 years ago, so its still fairly new and australia usually is behind the rest of the world in many areas.

[Miss E]

Great info Peg. FWIW my OB didn't cut my stomach muscles, he pulled them apart as per the method you described. I guess is just the way he does it because I'd never heard of the method and didn't ask before hand. If anyone would like his details PM me because I found him fantastic!