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elective caesarean section deliveryFrom: K.Tice (anonymous@obgyn.net)Mon, 12 May 1997 01:11:50 -0500 (CDT)
I had a caesarean section (lower uterine horizontal incision) for my first delivery due to no medical condition other than the fact the baby became stuck at the last minute after a 15 hour labour. I feel certain the fact that I panicked, lost control, and lay flat on my back, unable to listen to medical advice was the cause of the c-section, even though my OB assured me this was not the case. I have been told that I can have a Vaginal birth with my second pregnancy (baby due Sept 1), but would prefer an elective c-section. Could you please advise under the circumstances (good health, no prior complications during or after my first pregnancy or during my second pregnancy to date) which would be of higher maternal/fetal risk between a vaginal birth and a c-section? I am also concerned that an unecessary elective c-section will result in respiratory difficulties for my baby? You probably think it is unusual to want a caesarean, so I will tell you my reason, in the hope I will get professional/reliable advice in return. It took me less than a week to recover from a c-section and it did not effect me or my child at all. I have a lot more to learn before I settle on this decision, but based on my experience and current knowledge, I would be inclined to feel that a caesarean will be easier to recover from than a vaginal delivery especially considering the risk of episiotomy, forceps/vacuum extraction with a vaginal delivery. I have been told by many a woman that physically you do not have the same feelings/sexual pleasure after having an episiotomy. I do not know wether this is true or not, but if it is I would prefer the small scar on my tummy to loosing any physical feeling. Obstetricians do not seem to consider this concern to be important - I guess because it's not their body. In general I want what is the least painful, least risky method of delivery. If you can assure me that you recover fully from an episiotomy, I would consider a vaginal birth under epidural anaesthesia, if this is not the case I need to know what the REAL risks are opting for a c-section. The obstetrician I am seeing this time round is a different obstetrician (unfortunately) from the one who delivered my first baby. He does not discuss things with me, and has told me I will be having a caesarean without having seen my previous records (baring in mind they have been mailed to him three times now, and each time they conveniently have not turned up). I am not happy with him, and if it weren't for the simple fact that I am considering a c-section this time around I would not continue to see him. The fact is my health is excellent, and I have had no problems at all, but I am still concerned that this decision has been made out of convenience for the doctor. He is renound for his high caesarean delivery rate (partly due to the fact that he is an infertility specialist also), and is always in a big rush at anti-natal visits. I have accepted his attitude and will continue seeing him, unless something changes for me prior to the birth. But I will be educating myself as best I can so I make the right decision for myself and my child- not what's best for him! If you could provide the email addresses for other specialists that could offer advice I would be very grateful. Awaiting your Advice,
-- K.Tice
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