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Electing a csec..I wanted a vbac :( lovinthem04 Due June 26 (boy); 19 kids; Fort Leonard Wood, Missouri 1999 posts
2nd Feb '13

So I am currently 19 weeks pregnant with baby #5 (#4 that made it this far). I was told at the appt yesterday that I had that I needed to speak with the ob who does surgery about possible doing my partial hysterectomy at the same time as doing a csec if I was choosing to do one. I had an emergency csec for my last birth, and two vaginal ones before that. I was wanting to try a vbac with this one, but with my health history and labor history, I don't think it's something to attempt. I was warned that it's rare at this hospital that they would do both things at once because of the risks involved. My next appt is March 8th, and my husband should be back from Afghanistan then to be at the appt with me. I need to be able to make my decision by then, and I wanted to ask if anyone on here has had a csec and partial hysterectomy all at once. What was your experience like? Were there any complications? How long was recovery? And most importantly to me, did it affect breast feeding?

Carter, Gianna, Blake & S Due April 25; 3 kids; Lakeland, Florida 10997 posts
2nd Feb '13

During my first c section they also removed my left tube and ovary at the same time...also went on to have baby #3 & 28 weeks w #4

Summerfrost 51 kids; Massachusetts 6862 posts
2nd Feb '13

At the hospital I vbaced, i needed to have a bikini line incision (not the emergency c-section incision -- vertical). If you have a regular c-section scar, I'd do a little shopping around for an ob who is willing to do it. I had to deliver with my high risk dr, but that wasn't a big deal since i was seeing her primarily anyway.



Not sure about the partial hysterectomy with a vbac. I would assume that would mean that you'd need to go get operated on anyway . It might be easier to just get it done at once.



I had one successful vbac and one failed vbac. My incision is now an L shaped incision so no more vbac'ing for me. It also increase my chance of rupture during my next pregnancy if i end up getting pregnant again.

lolajessup 3 kids; 1 angel baby; Beaverton, Michigan 44076 posts
2nd Feb '13

Like by partial hysterextomy you mean your uterus? I almost needed that and they isn't say anything about it being harder. It's probably asker cause they're already in there. Then you'd only need one surgery instead of two. I don't think it'd affect Bfing cause if you have your ovaries it won't affect hormones I don't think.

lovinthem04 Due June 26 (boy); 19 kids; Fort Leonard Wood, Missouri 1999 posts
2nd Feb '13
Quoting Summerfrost:" At the hospital I vbaced, i needed to have a bikini line incision (not the emergency c-section incision ... [snip!] ... so no more vbac'ing for me. It also increase my chance of rupture during my next pregnancy if i end up getting pregnant again. "


I don't have the option to shop around for a Dr..I really want to attempt a vbac, but my body has never gone into labor, and this hospital won't induce you after you have had a csec, so chances are that I will have to have a csec anyway :( I feel trapped

lovinthem04 Due June 26 (boy); 19 kids; Fort Leonard Wood, Missouri 1999 posts
2nd Feb '13
Quoting lolajessup:" Like by partial hysterextomy you mean your uterus? I almost needed that and they isn't say anything about ... [snip!] ... surgery instead of two. I don't think it'd affect Bfing cause if you have your ovaries it won't affect hormones I don't think."

My midwife said that because of the blood vessels that run through your uterus when you are pregnant, you run the risk of hemorrhaging with the removal of the uterus. And with breast feeding, I am worried about the 6 hours in between seeing him from birth til after recovery and not being able to feed him and him getting formula (if the nurses give it to him)

Fatty McRunnerPants 2 kids; 4 angel babies; Clearlake, California 59390 posts
2nd Feb '13

Most doctors will NOT do a hysterectomy w/ csection electively. The risks are far too high for bleeding out. I had to have a full hysterectomy after my daughter was born, I knew I needed one before I even got pregnant with her and discussed this with my doctor. I was going to have a repeate csection with her anyway and wanted it all done in one pop. My doctor said absoloutly not. They only do hysterectomies as a last resort during childbirth because the blood vessels are super big at that point in time. My doctor said he's only done 3 in his 20 year career during a csection as a life saving measure for the mother. One mother died, the other two had to have blood transfusions because they lost so much blood.



Hysterectomy doesn't effect breastfeeding whatsoever. The gland that secretes the hormone for lactation is in your head, not in your uterus or ovaries.

lovinthem04 Due June 26 (boy); 19 kids; Fort Leonard Wood, Missouri 1999 posts
2nd Feb '13
Quoting Fatty McRunnerPants:" Most doctors will NOT do a hysterectomy w/ csection electively. The risks are far too high for bleeding ... [snip!] ... breastfeeding whatsoever. The gland that secretes the hormone for lactation is in your head, not in your uterus or ovaries."


I know that about breast feeding. I am worried about the time in between, not actually breast feeding. Also about the meds after for pain and crossing into the milk. But the rest of what you put is what I am afraid of :(

Fatty McRunnerPants 2 kids; 4 angel babies; Clearlake, California 59390 posts
2nd Feb '13
Quoting lovinthem04:" I know that about breast feeding. I am worried about the time in between, not actually breast feeding. ... [snip!] ... feeding. Also about the meds after for pain and crossing into the milk. But the rest of what you put is what I am afraid of :("



Well honestly I don't think it's going to be a big deal on the breastfeeding front. With my daughter she was preemie, I had a csection and I didn't get to start pumpint until like 9 hours later, she didn't latch until she was a week old. You'll be fine. Just make sure they don't give the baby formula during that period of time when you're down. You'll also be fine on the pain med front. So little of what you take in crosses over. I was on several pain medications for my csection and hysterectomy after my daughter was born. She's fine.



For me I ended up having a full hyster 6 weeks after my csection, I breastfed for 18 months after... it really wasn't a big deal. A little harder to get started but still successful.

eKnuckles Due February 13; Florida 3473 posts
2nd Feb '13

<blockquote><b>Quoting lovinthem04:</b>" I know that about breast feeding. I am worried about the time in between, not actually breast feeding. ... [snip!] ... feeding. Also about the meds after for pain and crossing into the milk. But the rest of what you put is what I am afraid of :("</blockquote>




Can you just wait until you go into labor? If you are like 3 weeks over due and still havent gone into labor then have a c-section?

Summerfrost 51 kids; Massachusetts 6862 posts
2nd Feb '13
Quoting lovinthem04:" I don't have the option to shop around for a Dr..I really want to attempt a vbac, but my body has never ... [snip!] ... hospital won't induce you after you have had a csec, so chances are that I will have to have a csec anyway :( I feel trapped"


I was induced with my vbac, but she had to do it differently than a normal induction. It was a 3 day process. I was 2 to 3 cm's dilated to start. The first night i was given a very very low dose of pitocin. Enough to make me slightly uncomfortable, but i could sleep through it.



The second day, they cranked it up a bit so that I was a little more uncomfortable, but not enough to need any pain meds. That night they stopped it completely to let my body rest.



The next morning, they broke my water and cranked up the pitocin. I delivered within 3 hours of that. It was fast and easy. I did get an epidural because that's what the insurance company required just in case. It never had time to kick in though.



My situation is a little complicated, but I was induced 4 times too. The first time, the induction was probably not necessary since I was already contracting, but they wanted him out quickly because of an infection. (Preterm ... 23 weeker.. He didn't make it). I've never officially gone into labor on my own, although i was close to labor the first and last time.

lovinthem04 Due June 26 (boy); 19 kids; Fort Leonard Wood, Missouri 1999 posts
2nd Feb '13
Quoting eKnuckles:" <blockquote><b>Quoting lovinthem04:</b>" I know that about breast feeding. I am worried ... [snip!] ... you just wait until you go into labor? If you are like 3 weeks over due and still havent gone into labor then have a c-section?"


I wish..they don't let me go over due, or even to my due date cause I always have UGR. So I can either hope I go into labor by 38 weeks (when I am normally induced) which has never happened, or jut elect a csec right off the bat. I went to almost 42 weeks with my daughter (she was my first born) and still had to be completely induced with no signs of labor. That was when we found out all the problems I had, and continue to with each pregnancy.

lovinthem04 Due June 26 (boy); 19 kids; Fort Leonard Wood, Missouri 1999 posts
2nd Feb '13
Quoting Summerfrost:" I was induced with my vbac, but she had to do it differently than a normal induction. It was a 3 day ... [snip!] ... He didn't make it). I've never officially gone into labor on my own, although i was close to labor the first and last time. "

This is a military hospital, so they won't do it. And there is no changing their minds haha

pitbullprincess Due June 24 (girl); 65 kids; Fayetteville, North Carolina 1295 posts
2nd Feb '13
Quoting lovinthem04:" So I am currently 19 weeks pregnant with baby #5 (#4 that made it this far). I was told at the appt yesterday ... [snip!] ... experience like? Were there any complications? How long was recovery? And most importantly to me, did it affect breast feeding?"



I am doing this as well tho for a bit of a different reason and my baby is trying to come early will probably be here within the month sadly I am trying to hold her in longer tho so if I go before you I will let you know it goes for me :)

lolajessup 3 kids; 1 angel baby; Beaverton, Michigan 44076 posts
2nd Feb '13

Why won't they let you see her for 6 hrs?!?! Unless it's emergency and she had to go to nicu. Mine was supposed to go straight to nicu but they let her stay with me in recovery and nurse and even let her lay on my chest child thibutrl noshed sewing me up in the OR. but she ended up having low blood sugar so the nicu came and got her. Then I pumped when I got to my room immediately. When I got to go up and see her she was able to nurse. She had an ng tube and we bought donor milk for her to get to supplement for her sugar problems after she nursed. When my milk came in and was able to regulate her sugar levels they let her come off the ng tube and come home. I made it clear she was NOT to get a bottle or formula. She had donor milk there for her already for them to use. And I asked them to use an ng tube instead of a bottle.