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Showing posts with label Pregnancy 2. Show all posts
Showing posts with label Pregnancy 2. Show all posts

Monday, December 10, 2007

The debate settled unfavorably

On whether this delivery should be a ceasarian or normal. The repository online seems to suggest that it is possible to have a normal delivery if it is after 18 months of a previous c-section (called VBAC, Vaginal Birth After C-section), and that the risk of uterine rupture(the previous C-section scar tearing) is very small (around 8 in 1000). But, the doctor I consult is totally against VBAC, says there is a high possibility of uterine tear and she cites a case wherein she was operating on a patient and another patient with a uterine tear was waiting for an OT. None was available and an emergency c-section had to be performed in the minor OT. Cases like these, I am sure are not common, but, they do occur.
On one hand, I do believe what she says when she mentions how traumatic it is for the surgeon, an emergency operation and a risk to the mother and baby. On the other, is this worth forgoing a normal pregnancy and going in for a major operation without even giving it a trial, just because there is a .0something% risk of complications? Left to me, I would like to go the normal way, but the doc here is even refusing to consider it since my delivery is within 3 years of the previous one. What are the options left to me now? With an understanding doctor who would stand by me through the labour, closely monitoring signs of any complications, I could I believe go through a normal delivery. But I would go in for it only if I have complete belief that the doctor feels as strongly as me the need to have it all normal this time. For me, it is more of a challenge..after the severe complications of the previous delivery, it was my challenge to my self to have everything normal (though nothing is in my hands except my attitude...and my attitude was one of complete normalcy. When the last time I spent almost the entire day in bed, this time, I spent it in office, cooking, taking care of kachi and kautu and the house, when the last time I traveled just once a month for the check ups, this time I made 5 inter state trips two of which were road trips). Of course, if there is substantial risk of complications, I am not the one to shrug it aside and be stubborn about the normal delivery just to prove a point to my self, but then, if it is possible, I would have loved to have it my way.
As of now, it is kind of too late to search another Gynec, and I do not want to get into an argument with her when she might be the one ending up holding the knife over my stomach. So, the date is being fixed, and the players are getting prepared for an operation anytime after Jan 5. Hands crossed, everyone?

Edited to add: A question raised by gettingtherenow was what was the complications that brought on the first C-section. Actually, there was nothing other than that a bacterial infection caused the OS to open, after which I had an OS stitching done (this was in the 28th week). I was bedridden in the hospital for a month after which labour pains started (33rd week) and they performed the C-section cause the babies were breech. Considering all that, this time, its just a single, and so far, touch wood, I have had no problems, shouldn't it be possible to get it all normal? If so, we need to either convince the doc. or search another one. I shall keep you all informed!