Maternal-assisted Caesareans
Hi everyone, I know that there are always going to be personal and medical reasons why some of us choose to have an elective caesarean as I am one of those people. And although I am hoping for a VBAC next time around I wanted to find out what I could do to make my birthing experience better next time should I end up needing another caesarean - as my CS with my DD was under a general anaesthetic, which resulted in breastfeeding problems and bonding issues and PND.
I have found out about maternal-assisted caesareans and I just wanted to share this option with you all as I know that not many people know about it. Basically once the OB delivers the head and shoulders out of the incision the mother can reach down and pull bub onto her chest. And aside from bub being taken away brieftly for any medical checks, the mother gets to have skin on skin contact with her baby whilst being stitched up and whilst in recovery.
I have dissussed this option with my OB and should I need another caesar my OB is happy to let me have a maternal-assisted caesarean.
I am all too aware though that many hospitals are still very old school when it comes to allowing mums that precious bonding time whilst in theatre and in recovery.
It has been proven that having that initial time with baby decreases the chances of breastfeeding problems and PND. So if you do have an elective caesarean be sure to discuss your options with your care provider so you can have a positive caesarean experience. Even if the thought of pulling your baby onto your chest doesn't appeal, I think we should all have the right to have that instant prescious skin to skin contact with our babies.
Just thought I would share this with you all and I'd love to hear your thoughts :)
This is a great story about a maternal-assisted caesarean by a woman from the gold coast. Sorry Kelly if there is a problem with having this link here, Just delete the reference to it.
http://www.birthrites.org/OliverBS.html
Any advice for others who are aiming for a MAC/S?
Hi Charli'sMumma & also to MamaDuke
Congrats to both of you on being able to convince your obs to agree to this type of C/S.
Do either of you have any advice or info that you think might be helpful in convincing an Obs to agree to this type of C/S?
I soon to have my 25 week appointment with my obs and will be raising the topic with him then. I am pregnant with my third child, and for medical reasons will be having an elective caesar. I am hoping for a MAC/S as my last experience of an emergency caesar was quite distressing.
Is there anything you recommend that I do (or don't) say in trying to get him to see things my way?
I have a different obs this time, as my previous one has moved. To complicate matters further, it is most likely that the new obs will be on leave around the time of the baby's birth, so yet another obs will probably end up delivering my baby.
I barely know either of these men (haven't even met the 2nd one), and I have yet to develop any real rapport with them. So I am assuming that I will have a VERY difficult time convincing them to allow me to have a 'different' type of caesar.
Any relevant information you could provide would be GREATLY appreciated.
Thanks, Nicole
Mumma to DS (born sleeping Apr 2005) and DD (born June 2006)
We did it too! Another successful MAC/S
Sorry for the long post. I just wanted to update everyone on the surprise early edition to our little family!
At 35 weeks 4 days, I woke up at 3am with niggling stomach cramps. It felt like Braxton Hicks only a bit stronger and more regular. I tried to ignore it but it wouldn't go away. By 6am I realised that I was gripping the bed-head and focussing on my breathing as each contraction hit... time to take this seriously! So off we all headed off to the hospital, toddler still in her PJs and with no brekkie in her belly.
The only thing they could do at the hospital was just wait and see. If the contractions tapered off then it would be just a false alarm. If they got stronger then obviously it would be the real thing. So I ended up labouring all day. By late afternoon it became apparent that the baby wanted out NOW.
A caesar was hastily arranged for that evening (due to my previous medical complications, another vaginal birth was not advisable). I hadn't yet had a chance to discuss my wishes for a "Maternally Assisted Caesarean" with any of the hospital staff, as the birth was still meant to be more than a month away. Everyone in the operating theatre was on a STEEP learning curve as I explained to them how I hoped things would run. Thankfully they were all really receptive and worked together to improvise a way to make it work.
7.20 pm My "Maternally Assisted Caesar"...
My arms were scrubbed down with a sterilising solution, then a sterile gown was placed on me. The body section was cut off the gown so that I could have skin-to-skin contact with my baby. Then sterile gloves were placed over my hands. (They didn't have any long gloves available in the theatre, thats why they had to improvise the "gown-arms & short-gloves" solution.) There was no screen placed in front of me - I was able to see everything as it happened. The obstetrician made his incisions, and used forceps to deliver the baby's head. She let out her first cry as her face hit the air. Then he told me it was time for me to birth my baby. I brought my hands down and grasped her tiny body. I lifted her out of my belly, out into the world and onto my bare chest. It was AMAZING. No-one else had been able to see whether the baby was a boy or a girl, as I had placed her straight onto my chest. They all kept asking but I kept it my little secret for a few minutes before I told anyone :) The paediatrician allowed her to stay on my chest for ages while they stitched me up. It was such an amazing, wonderful way to birth my child. I am still buzzing from the experience.
My little girl is now 3 weeks old. She came home from the Special Care Nursery a week ago and is breastfeeding beautifully! Despite giving me a big shock coming so early, everything has turned out wonderfully!
(I have some photos but cant for the life of me work out how to include them in this post... I'll blame that one on sleep deprivation)
P.S.
My baby was born in a private hospital in Geelong, Victoria. I was pleasantly surprised how little resistance I faced when I proposed the idea to my Obs at 25 weeks. A HUGE thankyou to all the women who have gone before me in having a MAC/S. I believe the info you provided was pivotal in convincing my Obs that this was a reasonable request. I would be happy to share more specific details with other women wanting to do something similar if you contact me directly.