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Well, some of you know about how my pregnancy was and how horribly my doctor treated after I started having pre-term labor problems. He was very dismissive and acted as if I was just over reacting. Well, instead of continuing on with him I decided to find a new doctor. This time I have a female doctor and the whole office is all female staff. I went to see her for my yearly exam yesterday. She sat with me for around 40 minutes talking to me about everything. We talked about my pregnancy and the labor and delivery and when we were thinking about ttc again.
In case you don't remember, my baby girl was 9 lbs and 21 inches at 37 weeks 6 days. Also, her shoulders came out at the same time instead of one after the other, which gave me a fourth degree tear. When I told her this she became very concerned and said that this can sometimes cause shoulder dystocia in babies and is not something to be taken lightly. She told me with that taken into consideration and how big my baby was that I might want to consider scheduling a c-section next time. She isn't forcing me to do this but wants me to know that she thinks it would be a good option after how rough my delivery and recovery was.

This kinda scares me, especially since we will probably start ttc in december or january again. I was just wondering what you guys thought about what she said-especially those of you who have had a c-section. Of course Ingi better respond to. LOL! During our talk, I also told her I believed that I was farther along than they though with Brina. I felt movement at 13 weeks supposedly, started getting BH at 17 weeks, late ultrasounds showed her further along, and was measuring about 3-4 cm bigger consistently at the end. She did say that it was very well possible since the ultrasounds are just an average measurement.
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replied June 5th, 2008
Extremely eHealthy
I think you should do whatever you feel is best for you. I don't personally see anything wrong with going ahead with a second vaginal birth. Every single one is different so it does not mean that this *will* happen again. There could be many different factors as to why this happened but I don't know any of the details so this is basically me rambling. . .
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replied June 5th, 2008
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if u feel more comfortable with this new doctor and believe she's giving it true. then mib you shood think about the c-secton. could you imagine going threw another preg like the last one?
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replied June 5th, 2008
Especially eHealthy
Every pregnancy is different and you might have a 7 pound baby. I think that should be something to consider only at the end of pregnancy after you've been given all the information. It isn't something to worry about 6-7 months before conceiving. I know it is worrisome - and it is often hard not to think 'what if'. But the same can be said for the best possible outcome.

What if everything goes perfectly and all this time and energy was wasted on worrying?

While birthing a child is a major life changing event any way you deliver, do what you think is going to be best for you at the time. I don't think it would be prudent to make that decision at this time.

I hope your next birth is the one you want.
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replied June 5th, 2008
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I really just wanted to see what you guys thought of what the doctor said. I had already thought about the weight of the baby being different and all that. I'm not really worried at this point though, just wondering. It as on my mind so I thought I'd ask. I made it through the last delivery and so did Brina. She made it through better than I did. Thanks for your input though guys! I'll keep you updated when we start ttc again.
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replied June 5th, 2008
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monkeygirl22 wrote:
I really just wanted to see what you guys thought of what the doctor said. I had already thought about the weight of the baby being different and all that. I'm not really worried at this point though, just wondering. It as on my mind so I thought I'd ask. I made it through the last delivery and so did Brina. She made it through better than I did. Thanks for your input though guys! I'll keep you updated when we start ttc again.


I find it interesting that she'd push for a c-section, to be honest. That is a major surgery that has its own set of complications. You wouldn't be able to drive, you couldn't take care (lift) Brina, you'll need more time to heal, more time in the hospital, etc.

I had a cut and a tear so bad when I had my son that I could not sit for 2 weeks. Then, due to my doctor's stupidity (and that nurse at the hospital!), my episiotomy was infected because the stitches had come out. I do understand your fears and concerns.
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replied June 5th, 2008
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I'm sorry your pregnancy & birth was so rough.

After I gave birth to Jenny the doctors told me I'd automatically be offered a caesarian next time because I suffered a third degree tear. Personally I would really miss the experience of labour & birth, & I think I can do things to avoid tearing so badly again this time (it happened because I pushed too hard & fast), so when they suggest a c-section I'm going to say no.

Ingi's right, you can't make this decision yet. Just remember that every pregnancy is different & just because Brina was big doesn't mean your next child will be too.
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replied June 5th, 2008
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IMO, avoid a c-section if you can. A natural delivery (at least the girls I've talked to) the only thing that hurts is your who-ha. While a cesarean (in my experience) everything from your who-ha to your ribs hurt so bad you can't sit up with out it burning. There was a point in the hospital I couldn't stop screaming it hurt so bad. (Inhale, OW!, inhale, OWW!!, etc.) I was pretty much bed ridden for a week, my hubby had to help me in and out of bed, along with walking.

Unfortunately, the chances of having another big baby are pretty high. But of course there's a chance the next one could be smaller. And now that you are paying attention to your cycle, it's likely you'll be on time with the baby (it's 20wks grown when you say it's 20wks). Don't jump on the c-section when you get pregnant, see what happens and of course try for a late ultrasound to see how big it is.
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replied June 5th, 2008
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Lilly Ivy wrote:
There was a point in the hospital I couldn't stop screaming it hurt so bad. (Inhale, OW!, inhale, OWW!!, etc.)


were your nurses not keeping up on your pain meds? you shouldn't have been feeling much of anything while in the hospital.

Quote:
I was pretty much bed ridden for a week, my hubby had to help me in and out of bed, along with walking.


that's because you didn't move enough. the key to having a quick recovery is getting up and walking. the longer you stay bedridden, the harder the recovery.

now if stef does decide to go with a c-section, at least she'll know in advance. a planned c-section is much different than an emergency. i've had both and i was up and around about 10 hours after my planned section. i was in and out of bed and walking all over my room during my entire hospital stay. i was feeling pretty darn good when i got home.

i don't really understand why the doctor is talking c-sections so early though. i don't think a 9 lb baby is so big you should automatically think c-section. it's a little above average but plenty of women (yourself included!) can do that vaginally. as for the shoulder dystocia, what are the odds that the next baby's shoulders will come out at the same time? that sounds like it has more to do with how brina was positioned as she came down the birth canal, but i don't know much about it.

i'd try to avoid a c-section if it's not necessary.

let us know when you start ttc!
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replied June 5th, 2008
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Thanks guys! I just wanted to know what everyone though about what the doctor said. I think like most doctors they want to avoid difficult deliveries. I'm pretty sure I'm just gonna try for a vaginal delivery again and see what happen. I can't wait to start ttc again but am so nervous at the same time. Somewhere around december or january you see a post about this.
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replied June 6th, 2008
Extremely eHealthy
I think the doctor is being a little rash about the whole c-section thing. Instead she should be trying to work with you in preventing your next baby from being born the same way. From the research and readings I have done tearing can be avoided especially after your 1st baby. You could not tear at all if you:

1. Excersise your perinuem and pc muscles
2. Push and stop pushing when your body tells you to
3. Try soaking your perineum in a tub or with hot compresses during labor and birth

I think a lot of women tear because they are told when and how to push instead of allowing time in between contractions and time to push naturally. The docs are saying ok push, rest, push, rest. What if you arent even having a contraction when you are pushing. That forces your body to do something it might not be ready for. I dont know. I am preg with my 1st so who am I to say.

I just think that your chances of tearing that bad again are probably smaller than you think. And if your baby tears you it could be very minor.
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replied June 6th, 2008
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Bridget wrote:
Lilly Ivy wrote:
There was a point in the hospital I couldn't stop screaming it hurt so bad. (Inhale, OW!, inhale, OWW!!, etc.)


were your nurses not keeping up on your pain meds? you shouldn't have been feeling much of anything while in the hospital.

Quote:
I was pretty much bed ridden for a week, my hubby had to help me in and out of bed, along with walking.


that's because you didn't move enough. the key to having a quick recovery is getting up and walking. the longer you stay bedridden, the harder the recovery.

now if stef does decide to go with a c-section, at least she'll know in advance. a planned c-section is much different than an emergency. i've had both and i was up and around about 10 hours after my planned section. i was in and out of bed and walking all over my room during my entire hospital stay. i was feeling pretty darn good when i got home.

i don't really understand why the doctor is talking c-sections so early though. i don't think a 9 lb baby is so big you should automatically think c-section. it's a little above average but plenty of women (yourself included!) can do that vaginally. as for the shoulder dystocia, what are the odds that the next baby's shoulders will come out at the same time? that sounds like it has more to do with how brina was positioned as she came down the birth canal, but i don't know much about it.

i'd try to avoid a c-section if it's not necessary.

let us know when you start ttc!


I went from a morphine drip to Tylenol pills. They gave me 2 every six hours, and it seems they wore off after 30 minutes...

My mom had both too, (emergency first, two planned after) and she said that planned ones were easier to recover from, but I still think it's because she'd already been through it, she knew what to expect. I'm just a wimp when it comes to pain, especially when I can milk it. it's been almost two months, and I'm still having slight pains in my abdomen and incision.
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replied June 7th, 2008
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Rosie H wrote:
I think the doctor is being a little rash about the whole c-section thing. Instead she should be trying to work with you in preventing your next baby from being born the same way. From the research and readings I have done tearing can be avoided especially after your 1st baby. You could not tear at all if you:

1. Excersise your perinuem and pc muscles
2. Push and stop pushing when your body tells you to
3. Try soaking your perineum in a tub or with hot compresses during labor and birth

I think a lot of women tear because they are told when and how to push instead of allowing time in between contractions and time to push naturally. The docs are saying ok push, rest, push, rest. What if you arent even having a contraction when you are pushing. That forces your body to do something it might not be ready for. I dont know. I am preg with my 1st so who am I to say.

I just think that your chances of tearing that bad again are probably smaller than you think. And if your baby tears you it could be very minor.


One good thing my other doctor did do was allowing me to decide when to push. He told me to wait for my contractions to build up and then if I felt the need to push then go ahead. He never once told me to push. He did let me know what was going on down there though. I had a really hard time pushing. I was just really worn out and weak.
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