|
Nazish: Is it safe to weight train 4 months after a c-section?
Dana and Maureen: Yes! And we wholeheartedly recommend you start with the workout in our book -- it was designed by a trainer who is a pre- and post-partum fitness specialist who has also had two c-sections herself.
Sara: I had an emergency c-section 21 months ago. The scar is low into my pubic hair, and I have a really hard time with ingrown hairs in my scar. They get pretty bad with infected raised up red bumps on my scar. How can I stop this from happening?
Dana and Maureen: Ouch. I haven't heard of this happening before but it sounds very painful. Have you considered electrolysis to have the problem hairs removed? I know it can be expensive but it sounds like this is more than a nuisance for you!
Annette: I am 23 weeks pregnant with my second child. My first is 2 years old. I had a c-section due to labor not progressing and baby's heart rate was up and down. He's very healthy. But my concern is I work in a Nursing Home lifting constantly and bending and walking on the hard floors. A co-worker said she had uterine rupture at 7 1/2 months pregnant while working and I wondered if this would be a concern? I do have a doctor's excuse for no lifting over 20 lbs but it's about impossible to avoid at my job. Just wanted to hear your thoughts on this.
Dana and Maureen: I would certainly follow your doctor's advice and not do any heavy lifting -- uterine rupture is always a possibility in a pregnancy after a c-section (or other uterine surgery). The more strain you put on your body, the higher your risk. Please take care of yourself -- a uterine rupture can be very dangerous for you and your baby!
Angel: I had an emergency c-section with my son back in January 1999. I am diabetic and he came three weeks early. I dilated completely but could not deliver him because he was a 10 lb baby. I lost a lot of blood and had to have a transfusion after my c-section and had a rough recovery. My question is will the recovery be as bad with a planned c-section as it was with my first?
Dana and Maureen: It certainly shouldn't... with a scheduled delivery, you won't go through any labor so you won't be as tired. You doctor should be watching your baby's size closely so that the baby can be delivered at a safe point in your pregnancy, but before you go into labor. I don't know all the risks associated with diabetes, but I'm sure your doctor is very aware of your health challenges. This time there won't be the element of surprise, either, so your recovery should be easier. Good luck.
Jackie: What are the risks at 42 after having three children (first c-section, second vbac, third c-section) as far as the placenta attaching itself to the c-section scars?
Dana and Maureen: Do you mean in the event of a future pregnancy? Unless you become pregnant again, this won't be an issue. But you're right, there is the risk of placental problems with future pregnancies. You should discuss your concerns with your physician -- the circumstances of your delivery, and the types of incisions that you had, will help him/her discuss your potential risks.
Gaby: Hi, Mrs. Connolly and Mrs. Sullivan! I am currently pregnant with #3 and had two previous c-sections. I am a little hesitant with the third, only because the scar still feels numb and in some spots feels uncomfortable. I did not heal well with the last one, but it may be because I was way to active with my toddler and newborn (no outside help). Could you give me any advice on how to encourage healing?
Dana and Maureen: Hi, Gaby. Without knowing how long you waited before pregnancies #2 and #3, it's hard to say how long you can expect to feel numbness. I (Dana) also just had my third cesarean four months ago and my incision site is still quite numb, and even a bit swollen. My second and third pregnancies were nearly four years apart. You already found out what most moms do: it's harder to get fit and recover from a pregnancy and cesarean birth if you already have a child to care for. To encourage healing after your next birth, I would reiterate the advice that the nurses we interviewed for our book gave us: rest, say "yes" to all offers of help--such as meals, play dates, laundry, errands--and so on. For at least six weeks, do virtually nothing but take care of yourself and your newborn. Your other two kids will survive a few months of "house arrest!" We also consulted an exercise expert who created a fantastic workout for our book, she even includes some breathing and stretching exercises that you can do while you're still in the hospital! Then, once you've had your doctor's okay, you can move on to some more challenging aerobic and strength-training work, which you can do from home.
Gaby: Ever since my second c-section, I've had muscle spasms just above my rib cage when I weight lift, or restrain a pet at work. Any suggestions?
Dana: Hmmm, since we're not physicians, we're reluctant to offer a "diagnosis" but you may have some scar tissue from your cesareans that is the source of the irritation. Please tell your doctor about your concerns so he/she can rule out anything serious. And if you're pregnant, you shouldn't be doing any "heavy" lifting, so please be careful. The last thing you need is to injure your back!
Kia: I had an emergency c-section with my first child, born in 2000. I am 75% sure that we'll be scheduling a c-section with this pregnancy. My question is this: I had general anesthesia for the delivery but I have clear and painful memories of having someone laying on my stomach in what I was later told were attempts to force contractions and help my uterus to return to it's normal size. They call it "massaging" but I remember it being incredibly painful and brutal even. The pain of that far surpassed the pain of contractions and even the recovery after delivery. It even woke me up from the anesthesia every time she did it.
No one's ever been able to tell me if that was normal or if I maybe had something going on that required a more hands-on physical intervention. I haven't ever spoken to anyone that had a similar experience and I never see it when watching others have c-sections on TV. Was this a normal part of a c-section and should I expect that again?
Dana: We haven't heard of that, either, Kia! However, both of us can remember the "tugging" sensation that we felt when the doctors were ready to take our babies out. I even felt like I was going to be lifted right off the table when my daughter was being delivered four months ago; that was my third cesarean. However, I don't remember the tugging sensation at all during my first cesarean, which, like yours, was an emergency that required a general anesthesia. Perhaps your anesthesia wasn't quite strong enough and that tugging to get the baby out is what you recall? Finally, after a woman has given birth, whether vaginally or by c-section, the nurses will massage the uterus which does help return it to its normal size (but this is a very gradual process that happens over the course of many weeks) and they will recommend that you do this after you leave the hospital.
Susan Michelle: Hi ladies. I have two children (3 and 19 mos.). I had an emergency c-section with the first and a repeat c-section with the second. We will be starting to try for our third baby this month. I am eating healthy and walking daily but I was wondering if there are specific exercises that I can do to help better prepare by body for my third c-section? Thank you.
Dana: Yes! Strengthen your core. If you have the opportunity to do Pilates, we highly recommend it. Pilates is a very abdominal and lower-back focused type of exercise. I did it during my third pregnancy and it kept my back healthy and I can see that my tummy is getting flatter faster than it did after my other two c-sections. Most gyms now offer some type of Pilates class, and there are lots of videos out there. If you can't do Pilates, or don't care for it, you should concentrate on doing a variety of abdominal and lower back strength-training moves, that will help you strengthen your mid-section. You're very smart to be thinking about getting in shape before your pregnancy because that will make the whole experience so much more pleasant for you. And, of course, it will mean you have less work to do after your baby is born! I would also recommend that you look at the exercise chapter we included in our book, "The ultimate post- c-section workout" is a comprehensive exercise program (you can begin after six weeks, with your doc's approval) that we hired a terrific fitness expert to design for us. She even had two c-sections herself, so she's been there! Good luck, Susan Michelle.
Robbie: I have not been able to get my stomach back to normal after my c-section. What can I do. I seem to have this pudge always sticking out. It is also flabby and nothing seems to make it go away.
Dana: Robbie, we include a post-c-section workout in our book that focuses on core strength. We also know from personal experience that Pilates, which is a very core-intensive form of exercise is a great way to strengthen muscles. If you're eating sensibly and getting regular cardio exercise, you are doing two great things for your body.
As for your pudgy stomach, you need to keep your own body type/genetics
in mind: some women just seem to store more fat in their mid-sections
no matter how much they exercise or how thin they are.
Chris:
I don't have any questions myself, but I'm thinking of buying
your book as a gift for my sister who will be having a C-Section
in October. Tell us more about your book. Thank you for coming
to StorkNet.
Dana:
Chris, your sister will be so grateful to you. We wrote this book
because we found that the typical childbirth education class,
and even the most popular pregnancy books, barely cover birth
by cesarean. We were both so sure that we'd have vaginal births
that we didn't really know what to expect from a cesarean. Our
book covers everything from the most common reasons that women
have cesareans, to a step by step look at the surgery, to tips
on breastfeeding and two chapters on "getting your body back."
There is also a chapter on future pregnancies and the vaginal-birth-after-cesarean
debate that she will want to read if this is her first pregnancy.
You/she can read excerpts on www.csectionguide.com
Jill:
What is the earliest I can begin trying to conceive another child
after a c-section? I had my first child at 40 and want to have
one more child right away, but want to know when it is safe. I
had no difficulty whatsoever with my c-section or the healing.
Dana:
Hi, Jill. In our book we included a mention of a study that suggests
waiting nine months between pregnancies (so conceiving when baby
is at least nine months old) is a good idea. It takes at least
six months for the surgical scars to heal so you'll reduce your
risk of a uterine rupture, which is rare, but very dangerous,
if you give yourself adequate time to heal. Good luck!
Rick:
My wife is having a c-section on the strong advice of her doctors
due to medical reasons. She had planned on a homebirth, with tub,
family around, and well, you know. She's very disappointed and
depressed. This is the worst news she could have gotten, she said.
I don't know how to help her. Help! Rick.
Dana:
Rick, buy her our book! Seriously, your wife sounds like she had
anticipated the kind of birth I did. My husband and I did our
labor education class with midwives and the only reason I didn't
deliver at the midwife center in my town was that my insurance
wouldn't pay for it. So I went to the hospital expecting -- planning!
-- on a drug-free birth only to have an emergency cesarean. I
had a rare situation occur when my son aspirated meconium during
labor. He was born via emergency cesarean and in cardio-respiratory
failure. It was a fluke, I know, but had we been laboring anywhere
but the hospital, he would have died. (not to be dramatic, but
it's the truth.) He ultimately spent a month in the neonatal intensive
care unit but is now a healthy seven-year-old. I've since had
two more cesareans, though both were scheduled, and the lesson
I learned is that the only outcome that is important is a healthy
baby.
Still, I know
how your wife feels, it's a sense of no control and fear of the
unknown. It is usually the healthy and confident woman who desires
a completely natural birth so I understand her frustrations. I
hope she has a doctor she trusts because from my own experiences,
and the experience of writing this book, I feel that most OBs
do have a woman's and baby's best interests at heart. And, because
of the recovery involved, and risk of surgical infection, the
doctors won't recommend a cesarean unless there is a compelling
reason.
In our book
you will find explanations for some of the reasons cesareans are
recommended, plus very helpful info on breastfeeding, healing
at the hospital and at home, and the emotional healing some woman
face. There is also a chapter devoted to you -- dad -- that addresses
concerns you might have. For now, your job is to encourage her
and make sure she knows that by putting your baby's health first
you are both doing the "right" thing. Good luck!
Amanda:
I delivered triplets at almost 31 weeks (by c-section, of course)
11 1/2 years ago at age 31 and years of infertility treatment. Finally,
the second round of Pergonal was a success. (We had been married
12 years.) They had complications at first, but are all fine and
healthy now. We never expected to get pregnant on our own especially
at almost 43 and 45!! We are excited and go for an ultrasound
today to find out how far along I am. I had the vertical kind of
c-section (thought one triplet might be in distress and that was fastest
way). What extra complications can I expect with my age and the
fact it is a second section? Also, I hate the way my stomach
dips in in the middle now. Is there anything that can be done
differently this time to minimize that? I am assuming I will get
another vertical - or should the second one be a horizontal, if
possible?? We are not telling anyone until risk of miscarriage is past
due to my age and the fact we own a business in a small town and
would be hard to tell people about a miscarriage for months until everyone
knew. I plan to buy your book as soon as the risk is past. I wish
I had had it the first time!! You are SO right about there not
being any in-depth info on the subject (even from the doctor)! I almost
jumped for joy when I found out about your book!! Hopefully all
will go well and I will be pouring over your book soon!
Dana:
Congratulations! You will be one busy lady! First, we want to
remind StorkNet readers that we are not medical professionals,
we are journalists who have had five c-sections between us. The
reason we wrote this book was because we were frustrated by the
lack of resources out there for women like us -- and you!
So, we are reluctant to "dispense" medical advice, and
urge you all to write down any questions/concerns you have and
bring that list to your physician so you can get all the information
that is due to you. During a rushed OB visit, it can be very difficult
to remember to bring up any concerns you have, but your doctor
owes you that time, so don't feel uncomfortable asking! That said,
your physician will determine whether or not you will have a repeat
vertical incision or a low transverse incision (because of your
vertical incision a vaginal birth is very unlikely). S/he may
be reluctant to do a low transverse incision this time since you
already have had the other type of incision; a new incision site
would increase the amount of scar tissue on your uterus and abdomen.
But again, you will have to discuss your options with your doctor.
As for your age, your recovery shouldn't be that much more
difficult from this delivery than it was for your first. In fact,
now that you'll only have one baby to care for, we suspect
it will be a breeze in comparison. Just remember to give your
body ample time to heal, that means taking it very slow for at
least six weeks. We also wish we had a magic answer for that post-Cesarean
"dip" but a lot of how your body heals is simply the
result of genetics, and your general health. Do you exercise regularly,
eat nutritiously? Those things will help reduce your body fat
which will in turn help keep you slim. You can also take a look
at the core-strengthening workout we include in our book. The
woman who designed the workout for us has had two c-sections herself,
so she knew exactly what kinds of exercises would be most effective
for reducing that annoying pooch. Best of luck with your pregnancy.
Sheryl:
Hi, I had a c-section with my first child and was wondering if I
should attempt to have a natural birth with my second pregnancy.
Is it safe?
Dana:
Without knowing exactly why you had that first c-section, it's
hard to say. The trend lately has been for repeat c-sections more
often than not. There are a number of reasons for this trend.
One reason is malpractice. Even though the risk of uterine rupture
is low, when it happens it can be life-threatening for both the
mother and the baby. Be sure to discuss the reasons that you desire
a vaginal birth with your physician, she may be willing to work
with you, depending on where your hospital is and what that hospital's
policies are. Finally, there has been a move lately for women
who wish to have a vaginal birth after Cesarean (VBAC), but whose
doctors won't deliver this way, to attempt to have their
babies at home. We would never, ever, recommend this! The risk
is simply to great for you and your baby, should something go
wrong.
Susan Michelle:
If I get pregnant, this will be my third child, third c-section. I was
under the impression that my husband and I were lucky to even
be able to try for a third child but I recently met someone who
has had four c-sections. I was curious if there was a general limit to
how many c-sections you can have? Why?
Dana:
I have a neighbor who has had five c-sections . . . and I've
had three myself, so, I know it's possible. My neighbor happens
to be a very fit and healthy woman and seems to have recovered
quite well from each one (though after number five she took measures
to prevent future pregnancies). Still, there may be medical reasons
that some woman shouldn't have repeated c-sections. You should
discuss your medical history and your desires with your physician. I'm sure s/he will help you decide if you should go
forward with your plans. Good luck!
Jessica:
I had an emergency C-section due to placenta previa with my daughter.
I was told my by OB that I could deliver vaginally with my next
child. I have heard horror stories about uterine rupture, etc.
with VBAC. What exactly are the statistics on this? Which do you feel is
more safe... a VBAC or a repeat C-Section? (FYI... I have a bikini
line horizontal incision.)
Dana:
As we mentioned earlier, there is a slight risk of uterine rupture
for women who attempt a "trial of labor" after a c-section.
And if the uterus does rupture it can be catastrophic for mother
and baby. That is one reason that more and more doctors are opting
for scheduled c-sections instead of allowing women to attempt
a vaginal birth after Cesarean (VBAC). You will need to discuss
the pros and cons of VBAC with your doctor. In the final chapter
of our book we include the criteria that the American College
of Obstetricians and Gynecologists currently recommend for women
wishing to deliver vaginally after a c-section. Reading that list
might help you decide which way to go.
Kynda:
I had my first child in the USA at the age of 31. It was a vaginal
birth. Labor lasted just five hours 13 minutes after my water
broke. Although I had an epidural, I thoroughly enjoyed the experience.
I had my second child in México at the age of 33. It was
also a vaginal birth. Labor lasted just 6 hours 20 minutes. I
had no epidural this time, and absolutely loved the experience!
I had my third
child in México at the age of 35 vía C-Section (with
an extremely low horizontal cut) as he was breech with the umbilical
cord wrapped around his neck. This was a very disappointing birthing
experience for me. Unfortunately, my son was born with several congenital organ defects and passed
away just 18 days after he was born.
My husband
and I are now thinking about baby #4. Besides the obvious and
psychological healing that must take place before we will be ready
to start trying to get pregnant again, we need to consider the
physical healing that needs to happen so that I can try for a
VBAC.
My OBGYN says
it would be way too dangerous to try before two years, but I'm
concerned about my age ... that would basically make me 37 conceiving
and 38 giving birth ~ definitely older than what I would like.
So what I'm wondering is if I continue to lose weight (I'm down
35 pounds from my last pre-conception weight already) and start
to exercise regularly, wouldn't it be possible to hope for a VBAC
in a shorter time frame? PLEASE give me any ideas or recommendations
that you might have.
Dana:
We are so sorry for your loss . . .losing a baby must surely
be one of the most difficult things to deal with. As for future
pregnancies and your desire for a VBAC, listen to your doctor.
S/he knows the details of your medical history best. Your doctor's
concerns probably relate to the length of time required for
your uterus to heal sufficiently to endure another pregnancy,
rather than what your weight is. During the course of researching
our book, we did find a study that concluded women who have
deliveries less than 18 months apart are at greater risk for
uterine rupture. The uterus takes time -- at least six months
-- to heal so you certainly don't want to increase your risk
of something going wrong by getting pregnant too soon. And just
FYI, the details of the study mentioned and other information
about VBAC are included in the last chapter of our book, "Future
Pregnancies."
Lulu:
Because of my small frame and a prior surgery I had to an artery
in my neck, my doctor has mentioned a C-section. He is highly
regarded in high-risk pregnancies and I chose him after suffering
two losses. (6 and 12 weeks.) However, I know of two cases where
he has knicked the baby during the procedure. Does this qualify
me to be alarmed?
Dana:
We're not sure what you mean by "knicked" the
baby, do you mean during a c-section delivery? Or with forceps
prior to a c-section? Also, were you given this information
firsthand, or is it hearsay? You should definitely state your
concerns to the doctor; you have every right to know about
his past performance. Also, you can find out from your state
medical board what your doctor's past record is, e.g. if
there have been any lawsuits against him, or if his license
has ever been suspended. But, if you feel at all uncomfortable
with this practitioner, we also urge you to listen to your instincts.
Your health and your baby's health are paramount.
Vonda:
I
have had two c-sections, with my last being eight months ago.
My doctor said if I decide to have another baby, I am fine as
far as scar tissue goes. How long do I need to wait in between
babies after a c-section?
Maureen:
After delivering by c-section, most doctors recommend waiting
9 months before becoming pregnant. That's because the incisions
that were made on your uterus and abdomen need time to heal
and strengthen before getting stretched out again! A stronger
scar means you reduce your chances of uterine rupture. While
this is a rare occurrence, it's a very serious and potentially
fatal condition for mother and baby.
Shelly:
After
having two cesarean births, I have a skin fold at my Incision
sight. It's kind of like my belly skin just flops right over
at the incision. Is there any way to get rid of this unpleasant
side-effect? I am overweight and have been losing weight, but
I'm afraid that losing the weight just won't get it done. Is
plastic surgery the only alternative to a firm tummy after a
cesarean?
Maureen:
Welcome to the club, Shelly! While researching the book,
we spoke to lots and lots of women who were bothered by the
very same thing. One of the moms we interviewed for the book
said people will ask her if she's bothered by her scar-but she
says she tells them she can't even notice the scar thanks to
the pouch of fat that hangs over it! Losing weight, especially
in the abdominal area, will most definitely help lessen the
appearance of the pouch. So keep at it.
In the meantime,
it's also really important that you find time to exercise. The
best way to tone this area is a two-part approach: First it's
essential to do some form of cardiovascular exercise at least
4 to 5 times per week for 30 minutes. This will increase your
metabolism and help burn away some of the bulge. Secondly, you
need to focus on some core-strengthening exercises (We devote
an entire chapter in the book to a core fitness routine, so
be sure to check it out) which include abdominal curls, lunges,
and squats. The good news is that spending 5 or 10 minutes on
this area four or five times per week is all it takes to see
a noticeable difference. As for plastic surgery, a tummy tuck
is most certainly an option. (Though not directly following
the surgery.) But you can save yourself some serious cash and
pain by giving the diet and exercise approach a real shot, first.
As for whether
you can combine a tummy tuck with a c-section surgery, one of
the obstetricians we interviewed for the book said that it just
isn't done because they're two separate surgeries that require
an obstetrician and a plastic surgeon.
Jeanne:
Hello, and thank you for coming to StorkNet. I'm scheduled to
have a c-section in September and just saw this interview. I'm
relieved to find someone who can talk to me about what's going
to happen. I will run out and get your book and in the meantime,
could you tell me if the book explains what to expect when I
get to the hospital, and then from there on out? I'm a bit uncertain
and I guess, even scared. What happens first? Thank you.
Maureen:
Hi, Jeanne. Actually, one of the main reasons for us writing
this book is so that women like you would have a resource to
look to upon discovering that a c-section birth was necessary.
Checking in to the hospital on the day of your scheduled surgery
can be kind of a surreal experience since you're not in labor,
but you know that in a matter of hours you'll have a brand-new
baby! After an admission's nurse checks you in and makes sure
all your paperwork is filled out, you change into a gown and
meet with an anesthesiologist who'll ask you a few questions
and go what to expect from the surgery. You're then taken by
wheelchair to the surgical operating area.
With my
second c-section, which was scheduled, I was dropped off with
my husband at the door leading into the OR area. I was then
told I could walk the rest of the way. Physically, I was fine
to walk since I hadn't received the spinal/epidural, but I can't
tell you how weird it was walking down the hallway looking for
the operating room that I'd deliver my baby in!
To help
allay some of your fears and concerns, there's a whole chapter
that walks you step-by-step through the entire c-section procedure.
The book goes into detail about the anesthesia and what to expect,
plus we cover everything to expect with healing both in the
hospital and with your home recovery. Good luck with your delivery
and be sure to let us know how everything goes!
Judy:
Hi, Ladies. Could you tell me how many days the normal hospital
stay is? And what is this based on? Also, what should I bring
to the hospital other than what's normally on a suggested list
for vaginal birth? Thank you ahead of time.
Maureen:
Hello, Judy. Thanks to the Newborns' and Mothers' Health Protection
Act, a law enacted in 1998, insurance companies must now cover
at least 96 hours of in-patient care following a Cesarean delivery.
However, most women don't stay this long, opting instead for
just 2 to 3 days of in-hospital recovery. But Dana and I agree
that you should really take the time that you're entitled to.
Getting the extra rest and 'round-the-clock nursing care can
really make a difference in your recovery. Like we say in the
book, once you're home, it can be hard to find someone-even
a devoted partner or loving mom-who will be there at all hours
to change the sheets, bring your pain meds, serve your three
meals a day!
Rachelle:
Hi Ladies, I am 32 years old with four children - a six-year-old,
four-year-old twins, and an eight-month-old baby, all born buy
c-section. After having my third c-section my doctor told me
that the lower section of my uterus was a little thin and if
I wanted to have any more children I should wait as least three
years. I had to use the fertility drug clomid to conceive my
babies as I have PCOS and don't ovulate on my own, so my fertility
is low and I am worried if I leave it too long to try for another
baby I wont be able to fall pregnant. I would like to try for
another baby sometime next year, but do you think I could risk
rupturing my uterus if I don't wait three years?
Dana
and Maureen: During the research for our book, we discovered
a study that suggests that women who had a c-section and then
got pregnant within nine months of that Cesarean birth had an
increased risk of uterine rupture. That means the pregnancies
should be spaced at least nine months apart. You may have some
health concerns that make it safer for you to wait even longer.
Please discuss your concerns with your physician.
Alaison:
I had an emergency caesarian with my first child in 2002. I
had no side affects and when I recommend C-section people think
I'm crazy. I'm now expecting my second baby due date December
19, 2004. My gynea has scheduled the c-section for December
12. My mum is set against this as she says when the baby is
ready to come and I go into labour then I should have the C
section done. Is having the c-section planned for two weeks
before due date a good thing for the baby?
Dana
and Maureen: Alaison, please discuss your concerns, and
your mother's, with your doctor. We learned during our
research that there are some benefits to waiting for labor to
begin--namely it can help the baby's lungs to experience
the onset of labor--but because of current liability issues,
some physicians are reluctant to wait for labor to begin naturally.
If you do wait to go into labor and something goes wrong,
you may end up having another emergency cesarean which is something
you definitely don't want to do if you have a scheduled
one instead. (We've both had both experiences and trust us,
the scheduled Cesarean is SO much easier, in every way, than
the emergency!)
Ann:
I am curious whether, in your research, you found it was a common
experience for women who, for whatever reason, went through
induced labor, ended up delivering by c-section? That was my
experience. I was induced and although I experienced strong
contractions, did not progress adequately. After 12 hours, my
baby was delivered by c-section. I simply cannot help but wonder
however if, had labor begun on its own (without medical induction)
I would have been able to deliver vaginally? I know everyone's
circumstances are going to be different, however I just wondered
if there was any link between induced labor and probably c-section
birth?
Dana
and Maureen: Hi, Ann. You will never know for sure. Yes,
there does appear to be a link (we cover this issue extensively
in our book). There is a theory that the drugs used to stimulate
labor "hyperstimulate" the uterus and can lead to
a cascade of events that ultimately make Cesarean necessary.
Of course there is also the possibility that your circumstances
would have been exactly the same if you had gone into labor
naturally.
Monique:
Hello. I just had my first child by unplanned c-section three
weeks ago. The c-section happened due to 22 hours of very unsuccessful
labor, plus I had developed pre-eclampsia during the labor and
had to be on magnesium sulfate. Plus my baby was nearly 10 pounds
despite being only three days past her due date. So my first
question is this: With these circumstances, are they likely
to want to schedule a c-section for any future pregnancies to
avoid the pre-eclampsia and difficult labor? Also, this recovery
has been pretty rough. Are future c-sections usually easier
to recover from than the first? If I'm able to avoid going on
the magnesium next time, would that make recovery easier? Thank
you!
Dana
and Maureen: Hi, Monique! You did it though and your
baby is healthy! Remember, we are not medical professionals
and so it is impossible to know what may be ahead for you. Some
women experience preeclampsia with one pregnancy but not with
the next. Some have it every time. One issue that you would
not have to face if you have a scheduled repeat c-section is
the utter exhaustion you surely felt after laboring for so long
and then having to have a Cesarean. You experienced the double-whammy.
If you do have another c-section and it's scheduled the whole
experience will be so much easier.
Nicola:
I am considering having a third child. My first two were delivered
by c-section. I don't feel physically ready to have another
c-section as I had lower back problems for some time after our
first child was born, and I am still suffering now, and our
second child is two. I have started pilates and body balance
classes. What else do you suggest?
Dana
and Maureen: We love Pilates! I did it through my third
pregnancy and afterward, and I am certain (this is Dana speaking)
that it saved my back and helped me get back into shape
after my third c-section. I would encourage you to continue
with Pilates, but don't forget to add some aerobic activity
into your program. I also found that while Pilates was a great
workout for my core, I still needed to do some strength-training
for my arms and legs. Good luck, Nicola.
Miranda:
I had a C-Section with my first child and I have a horizontal
incision. I want to have another C-Section with my current pregnancy.
The reason that I had one in the first place was because there
was hardly any fluid left in the sac and it was getting way
too dangerous for the baby. I went through 26 hours of labor
before they performed it. Do you think my doctor will let me
have another C-Section? I don't want to go through that ever
again!
Dana
and Maureen: Miranda, in the current medical climate, it
is likely that if you wish to have a repeat, your doctor will
agree. That's the trend these days.
Rita:
Hi
Maureen and Dana. Thank you for your replies so far. I'm enjoying
your interview. I wanted to know if you have anything to share
about bonding. Do you discuss this in your book? If so, I'm
on my way to the bookstore. This was my biggest concern and
problem after my birth last year. I wasn't able to hold my baby
right away and everything I had learned ahead of time was the
importance of holding and feeding my baby immediately after
birth. I was very disappointed. Thanks ahead of time. Rita L.
Dana
and Maureen: Oh, yes, we have something to say about bonding
in our book! We both felt so utterly let down after the emergency
c-section births of our first babies because we felt like we
missed out on those crucial early "bonding" minutes
and hours. We didn't get to breast feed right away, we
didn't get to hold our babies for many hours (actually,
in Dana's case, it was several days!) after their births.
However, we have since come to believe that some childbirth
educators put such a heavy emphasis on immediate bonding that
those of us who are unable to do so feel a deep sense of failure
that ultimately affects the early weeks of mothering. Rest assured
that we are both STILL bonding with our children, and the oldest
is now seven years! We feel that we will be bonding with our
children until the day they leave home. Please, please, don't
beat yourself about this. You will have plenty of opportunity
to make up for lost time. Good luck, Rita.
Kelly:
Hi there,
I am so pleased I checked this site today. I am scheduled for
a C in 11 days and I am very scared. My first son was born by
C in the UK almost six years ago. It was very traumatic and
distressing. I understand the level of care is higher here and
the hospital here is far nicer but still I am scared. I kind
of remember what to expect but wondered if you could recommend
a way to keep me from freaking out. I intend to buy your book
this weekend also! Thank you for your time.
Dana
and Maureen: It
sounds like your first c-section might have happened under "emergency"
circumstances, which is, as you learned, very distressing. You
don't know what's happening, you are worried about your baby,
and you probably didn't plan for this scenario! However, since
your second cesarean is scheduled, you will almost certainly
find the whole experience much less stressful. While we certainly
can't promise that it will be pain-free or pleasant, neither
should it be scary as your first one. For one thing, you won't
go into labor which means you won't be as exhausted as you were
following your first delivery. For another, you will walk into
the hospital and climb onto that delivery table on your own.
And you shouldn't require general anesthesia, so you will be
alert for the whole procedure. You probably will not get to
hold your baby for a couple of hours following delivery, but
you will get to see him/her right away and, if you request,
you should be able to try to breast feed him/her as well (this
sometimes depends on hospital policy, though, so if it's important
to you be sure to talk with your doctor). Good luck to you!
If you have the chance to read the book before your delivery
read the surgery chapter first since we walk you step by step
through the whole procedure so at least you have a good idea
of what to expect!
Christina:
How big is the scar going to be? Where? Is there anything I
can do before or after to help the scar heal properly without
problems? Thank you.
Dana
and Maureen: The scar is usually about four to six inches
long. We had a physical therapist recommend doing massage with
vitamin oil once you can stand the pressure. She swears it helps
the scar fade. The scar does fade even if you do nothing;
we like to think of our scars as badges of honor!
Dawn:
I had an emergency c-section six months ago. I was 31 weeks
pregnant with my first baby. She was breech and heart rate was
slowing down. My question is: How soon after the c-section can
you start to exercise the area is still tender and the incision
is still sort of bubble? I had the bikini cut incision.
Dana
and Maureen: Check out our workout! Even though you had
your c-section a few months ago, you will find the program we
include very helpful for getting your core strength back, and
helping you prepare for future pregnancies. Every woman's
body heals differently;some women find that little bubble
disappears completely, some find (like we do!) that they can
always feel the bump of scar tissue under the kin.
Kim: I had my second c-section five years ago and am
still struggling with the flabby belly. Is it too late to start
abdominal exercises? Also, we're toying with the idea of number
three. Should I wait until after the third C-section (due to
the reasons for the first two, a third is almost a certainty)
to get my tummy in shape? Thanks.
Dana
and Maureen: It's never to late! We have a great workout
in our book--we hired a trainer who has had two c-sections
herself to design it for us--and the more you do now,
the better you'll recover from the next one. Like we told
Dawn, some women find they always have that little pouch --
it's partly genetic. Still, you can do plenty to tighten
up that part of your body, doing the workout we include, plus
core-intensive exercises like those found in Pilates workouts.
Another key, of course, is losing fat. The less fat you have,
the smaller the tummy!
Nikki:
I am so happy to have someone besides my doctor to ask about
whether or not a VBAC is appropriate for my situation. Almost
three years ago, I had the utter joy of seeing my first son
being propped up over the surgical curtain with a look of complete
bewilderment on his face. Despite the drugs from the C-section,
I can remember this as clearly as day. Anyway, I had been diagnosed
with possible pre-eclampsia the previous day while at a checkup
at my OB-GYN. She sent me to the hospital to be induced. I had
normal, strong labor for twenty hours, was dilated to ten and
pushing for four hours. The nurses and my husband could see
my son's head, about a half inch diameter maybe, and everybody
said I was pushing really well, and in no time at all I would
push him out. Never happened. My doctor, who is a saint, came
in on her day off to see why I was not progressing anymore,
and when she tried to see if she could get forceps in to help,
she couldn't even get a finger past his head. She took me down
to surgery and performed the C-section all within five minutes
of walking in the door. I have no idea how long I would have
lain there if she had not come in to "assist" the
doctor who was on duty that night. She said she thought I had
an inward curve in my tailbone, and that was why she thought
he wouldn't fit. Unfortunately, because of insurance reasons,
I have had to since switch doctors. I am now in the sixth month
of my second pregnancy, and have asked him about a VBAC. He
is non-committal about it. He says it is my decision, and he
is "discouraged" from recommending a single course
of action. My husband thinks a C-section would be safer, I am
on the fence. I would like to have the experience of a vaginal
delivery, but in the end, I agree that the end result is what
is most important. I also think that maybe if I had not been
in labor for twenty four hours and exhausted right before the
surgery, I may have had a better experience and a shorter recovery
time. What is your advice? Thank you very much, Nicki
Dana
and Maureen: You should insist that your doctor have a very
frank discussion with you about why you had your first c-section
and what the options are for you this time. You may be a perfect
candidate for VBAC, or your doctor may decide it's safer
for you to have a repeat. One of us really, really wanted VBAC
with pregnancy #2 but when the baby wasn't thriving in
utero and needed to be born at 36 weeks, it wasn't even
an option. I (Dana) was disappointed at first, but totally agree
with you that "the end result" -- meaning a healthy
mom and a health baby -- is the most important.
Michelle:
I have had 3 prior c-sections and am pregnant with #4 and planning
a VBAC. I am concerned about my previous uterus scars and wonder
if pregnancy/maternity belts are used often to prevent those
scars from being pulled and stressed? I, like Kia, have also
had my stomach repeatedly "massaged" just after a
c-section. It is incredibly painful and I actually have fought
the nurses every time they attempt it. They say they are trying
to make sure your uterus is contracting and going back into
its proper place.
Dana and Maureen: Hi Michelle. It is highly unlikely
that your physician will let you try a VBAC after having had
three c-sections. Your uterus just isn't strong enough
due to the scar tissue from your previous deliveries and the
risk of rupture -- which could be life threatening to you
and your baby -- just isn't worth it. Also, don't
fight the nurses. They will do that uterine massage whether
your baby is born vaginally or by c-section. They're just
doing what they're supposed to do.
Elena:
Hello. I had my first c-section in 1999 and remember the rather
painful and uncomfortable six to eight week recovery. Since
then, I have been wanting to try for a VBAC for my second pregnancy.
I also want to have my tubes tied. My doctor suggests a second
c-section. Can you please tell me if it would just be easier
to go ahead with a second c-section, and have a tubal ligation
done at the same time? Thanks!
Dana
and Maureen: Yes, that is one benefit to a repeat. As long
as you sign a consent form ahead of time, your doctor can perform
the tubal ligation right after your baby is born.
Norah:
I am pregnant and am thinking of having a c-section. How long
does it take to heal, and are there medical complications after
the operation?
and...
Dana:
I'm 18 and this is my first baby. I would really like to have
a c-section. I just feel more comfortable. Do I have to have
a medical reason to have one, or is it all up to me.
Dana
and Maureen: Norah and Dana, unless you have some medical
conditions that necessitate a c-section, it's unlikely
you will be able to choose. If you're wondering what the
procedure involves, you should read "The Surgery"
chapter in our book. Remember that a Cesarean is major surgery
and it's not something we would ever recommend for the
sake of convenience or because you just don't want to have
labor. Recovery from a vaginal birth is typically much easier!
Melissa:
I
am currently pregnant with my fourth child and I am a little
scared about his baby. I have a nine year old whose delivery
was normal. Then I have a five year old who was a c-section,
then I have a one year old also done with a c-section. I am
worried about having this baby so soon after my one year old
due to the c-section and because I'm over weight. I am also
worried that my other c-section has not healed all the way.
Dana
and Maureen: Your doctor should be aware of your history
and will take whatever precautions are necessary. Since your
pregnancies are so close together, your doctor may opt to schedule
your c-section a week or two before your delivery so that you
don't risk going into labor, which in turn can increase
your risk of uterine rupture.
Bette:
How will breastfeeding be different with a C-section? I'm concerned
about this. Have any breastfeeding tips in your book? Thank
you.
Dana
and Maureen: We devote a whole chapter to breastfeeding
because, yes, you do face some different challenges with breastfeeding
after a c-section. But you can do it! During the first
few days you might find it hard to get comfortable because you
will be hurting, but you will get comfortable and your milk
will come in and you'll do it. You will find the breastfeeding
information so helpful that you'll be glad you bought the
book for that chapter alone. We worked with some wonderful lactation
consultants who gave terrific advice! Good luck to you!
Parvin:
I had a c-section nine months ago. My stomach isn't really
saggy, but right in the middle/lower area, above the bikini
line it dips in. I'm doing massage and exercise, but don't see
any results. Some people say it is fat and will go away - it
just takes time. Is that right?
Dana
and Maureen: Since you describe the belly dip as sitting
just above your bikini cut incision, chances are it's pulling
in because of the stitches and the way the skin in that area
has healed. There's not much you can do to get rid of the
dip, but getting rid of excess abdominal fat by cutting
calories and exercising may help to make this less noticeable.
Our book features an excellent core-strengthening workout that
is tailor-made for women who've delivered by c-section.
Check it out and let us know what you think! Good luck.
Kerry:
I had my first child five months ago by c-section and have just
found out that I am pregnant again. I can't believe it, it took
us 3 years to get pregnant for our daughter and this time it
has rather shocked me a bit. Mainly because I am very concerned
by the fact there is only 4.5 months between the c-section and
getting pregnant. I have read your comments to other peoples
questions about when it is safe to get pregnant but as I am
now pregnant what sort of things should I not be doing to decrease
the risk of a uterine rupture? How frequently does this occur?
Dana
and Maureen: Kerry... first of all, you shouldn't stress
about your pregnancy spacing. It sounds like this pregnancy
is well underway and worrying about "what ifs" will
only make your pregnancy less enjoyable and cause you stress
about something that you can't control. Your physician is undoubtedly
aware of your situation -- and will take the necessary precautions.
There is nothing you can do to prevent uterine rupture --
and it is a rare occurrence -- with the exception
of NOT attempting to "labor at home" in the event
that you hope for a VBAC. Your physician may even decide to
schedule your repeat c-section a little bit earlier (as in a
week or so) before your due date to reduce the chances that
you go into labor. As with any pregnancy, you need to listen
to your body, and communicate with your health care provider,
so that you can have the best possible outcome. Good luck!
Stephanie:
I'm expecting my third child, and this will be my third
c-section. I am 27 years old. I only waited 8 months to get
pregnant last time (accident - oops). I want to know how long
I'll have to wait to get back to the gym again.
Dana
and Maureen: As soon as your physician gives you approval
(which is generally around the six-weeks post delivery mark)
you should be able to get back to your normal routine --
but take it slow. Remember that it took nine months to grow
that baby, you need to be easy on yourself and not stress too
much about getting RIGHT back into shape. You can, however,
start doing breathing exercises and some easy stretches right
after you deliver. We had a fantastic pre- and post-natal fitness
instructor design a post c/s workout that you can begin the
very day you give birth (with breathing exercises). If you can,
check out that chapter, you will love it.
Shantelle:
Hi! I have had two vaginal deliveries, neither of which I was
able to push out successfully on my own so they were both suctioned
out. Also during my second delivery I tore all the muscles in
my stomach that run straight down in the middle. These muscles
are now useless and, as I was told by a specialist, will never
regain their use. In talking to my doctor she suggested almost
immediately for me to have a planned c-section. I am extremely
nervous about this and wonder if it is truly necessary. I
do also have a small hernia beside my belly button and a muscle
in my right side, close to the middle of my stomach generally
aches on a regular basis. Could you help me to answer these
questions, I would really appreciate it!
P.S. I will be at the book store tomorrow to buy your book
as I have been searching endlessly for info on this subject
on the net, and it is almost impossible to find.
Dana
and Maureen: I have never heard of permanently damaging
muscles the way you describe -- what kind of specialist told
you you'd never regain use? That sounds very strange to me.
Have you consulted with a physical therapist? You might find
that by doing the right kinds of abdominal exercises you can
regain some muscle strength. Maybe your doctor plans to repair
the hernia when she does the c-section? It's very hard for me
to know what to advise since I don't know your whole story!
Is the hernia the reason for your c-section?
(Shantelle, if you reply to this please identify this question
and let us know you are providing added information so that
we can direct our guests. Thanks - StorkNet)
Heather:
What is a healthier way to deliver for mom and baby -- vaginal
birth or c-section?
Dana
and Maureen: Heather, the risks for both baby and mother
are lower with a vaginal birth. If you have a c-section you
have had major surgery which requires significant recovery (while
you're caring for a newborn!).
Sherry:
Love the book! I was very excited to find something devoted
totally to c-sections. Here's my question: After I had an emergency
c-section, I had terrible pains, which I found out later to
be just gas pains. I was excited when you mentioned some remedies
in your book (liquid diet before a scheduled c-section, gas-x,
etc.). I mentioned this to my doctor (I'm 33 weeks pregnant
with my second baby - a c-section is scheduled for February
16), and he said that he hadn't found the liquid diet beforehand
to make a difference. I may still try it along with your other
suggestions (why not?), but I was wondering if you could share
some anecdotes about the "gas thing"?
Maureen:
Hi, Sherry. Following my first c-section, I also had awful gas
pains; they were so bad that I was compelled to get out
of bed only 6 or 7 hours after the surgery in the hopes that
movement and walking would relieve some of the pressure. (It
wasn't until the next morning that I actually started feeling
some relief.) When I became pregnant again I told my doctor
that the biggest fear I had about my c-section was experiencing
those awful gas pains! He recommended I try a semi-liquid diet
one to two days before the surgery and said that a lot of his
other patients noticed much less gas build-up afterwards. The
advice is based on anecdotal evidence and therefore the outcome
may vary from woman to woman. I tried it with my second surgery
and had a lot of success. We've had a lot of other women
tell us the same thing. Unless your doctor thinks there's
any reason that you shouldn't give it a go, I say why not
try it and see what happens? You should also read up on what
to eat--and not to eat--following the surgery. What
you choose to eat for the next few days afterwards can also
impact how much gas gets built up in the intestines. Good luck
to you and please let us know how it goes!
M:
Hello. I had c-section almost seven weeks now. I'd like to know
how long I should wait before having intercourse, also the regular
bleeding (period) had stopped four days prior my sixth week,
but after my exam until now I noticed little leak similar with
period end, sometimes just little spotting is this normal or
should I see my OBGYN? Thanks for your assistance.
Dana
and Maureen: Your
bleeding should stop any day now. As long it's getting lighter
in volume, rather than heavier, and doesn't have a foul odor,
it is normal post-partum bleeding. Most doctors will say it's
okay to have sex when the bleeding stops. If you're bleeding,
it means there is still some healing to be done in the uterus
(at the place where the placenta was attached) and you don't
want to introduce -- potentially -- bacteria into that area
while it's still healing.
Jenn:
I am seven weeks pregnant, and very concerned. Eleven years
ago I was in a car accident, six months pregnant. I ruptured
my uterus and needless to say, the baby did not survive. I had
a beautiful daughter six years ago, without any problems. My
doctor did a c-section at 36 weeks to prevent me going into
labor (as to not cause my uterus to possibly rupture again)
What are my odds of this pregnancy going just as good?
Dana and
Maureen: That is a terrible story. I am so, so sorry for
your loss. It sounds like your doctor is taking a defensive
position (not letting you go into labor) for very good reason.
I can only assume s/he will do the same thing this time. Remember,
we are not medical professionals, we are journalists, but my
advice would be to make sure that when you have ANY contractions
to check in with your doctor. Obviously uterine rupture is a
catastrophic event that you don't want to experience ever again.
Best of luck to you!
Jessica:
I am 38 weeks and my doctor says that I might have to have a
c-section because he said that my pelvis is narrow and the baby
hasn't dropped yet. Will there be a chance that I can have it
vaginally or should I take the option of scheduling the c-section?
What would be a good idea to do? Also, how long will it take
for a c-section to heal? Thank you.
Dana
and Maureen:
If I were you, I would try for the vaginal birth. I know that
sounds crazy since we have a book about c-sections, but the
bottom line is that the risks for both baby and mother are lower
with a vaginal birth and the recovery from a vaginal birth is
SO much easier than with a c-section. First of all, if you do
have a c-section you will probably be in the hospital for at
least three or four days. With a vaginal birth, you'll be home
after one day. Try to not let your knowledge about the size
of your baby and your pelvis freak you out -- there are LOTS
of small women who deliver big babies vaginally. Good luck.
Antoinette:
I had a c-section March 2003. Currently I am taking a pilates
course to try and strengthen but am concerned that it seems
to be taking so long to get back into physical shape and strength.
I still get little spasms in the area and numbness - how long
before everything is back to normal?
Dana
and Maureen: The reality is that you may never return to
your pre-pregnancy "normal" because pregnancy changes
your body. I'm not sure why you are having spasms. I'd ask your
doctor about that, but the numbness may persist for years (or
forever) because you did have some nerves cut when your baby
was delivered. Stick with the pilates! Even if your tummy is
never "normal" looking again, it will be strong, and
so will your back.
Susan
Michelle: Hi, ladies. I don't have any questions for you.
I just wanted to let you know that I bought your book even though
I've already had two c/s, and it's fantastic! I never thought
in a million years that I would have been one of the ladies
out of my birthing class that I would end up with an emergency
c/s. I wished I would have known about your book back then because
it would have helped me be better prepared. No one wants to
think about having a c/s but anyone working on a birthing plan
should read your book so that they have all the bases covered.
Besides, it's worth it just for the chapter on exercises.
Dana
and Maureen: Thank you for your kind words. We wrote the
book (and it just came out in summer 2004), because we had the
same experience you did -- I was the one who was sure she'd
have a drug-free birth and ended up with an emergency c-section.
I'm a health writer and was sure there must be some resource
out there that would help me figure out what this c-section
thing was all about -- but there wasn't. That lack of information
about what to expect and how to recover is what inspired us
to write this book. Regarding exercise, we love Debi, the lady
we hired to do that exercise chapter -- she is a pre and post
natal fitness instructor who has had two c-sections herself
so we couldn't ask for anything better than what she planned
for us. Thanks again and good luck! (We'd love it if you'd post
a review on Amazon or Barnes & Noble!)
Elizabeth:
Hi, Dana and Maureen! I gave birth to my second child in October
2003. I had 35 hours of back labor due to an overdue and overlarge
(9+lbs) posterior positioned baby. My epidural did not work
and I stalled at 5 cm for more than 6 hours. My hospital wouldn't
allow me to ask for and get a c-section, even despite all of
that, because we hadn't done two rounds of Pitocin, which they
required. After the second round of Pitocin, I did dilate fully
and give birth vaginally, but the psychological trauma of that
delivery haunts me. I am currently in treatment for Post-Traumatic
Stress Disorder. My husband and I would like to have another
child, but I absolutely refuse to have another vaginal delivery
after all of that. How can I bring up the topic of a planned
c-section with my doctor in such a way that she will understand
that I am not just "afraid of labor," but rather that
I have real reasons for wanting a c-section this time? Thanks.
Dana
and Maureen: I
think you should have a very frank discussion with your doctor.
S/he will either help you understand why you are a good candidate
for another VBAC, or agree that you are a candidate for a repeat
c-section. I know this sounds harsh but if you don't feel like
you can have a very honest discussion with your doctor, then
you might consider looking for another one. Pregnancy is such
a vulnerable time and you really need the support of the person
who is caring for you. You were obviously exhausted by the delivery
since you are still dealing with it. I hope you are able to
process that experience so that it doesn't affect your future
pregnancies. Best of luck to you.
lamia:
After my second c-section, it has been 18 months and I still
have pain at the site, some numbing and where my undies meet
the scar, it is very irritating. Is that normal?
Dana
and Maureen:
You may always feel some numbness since there was some nerve
"damage"
as a result of the surgery. But pain shouldn't be an issue at
this point. I would mention it to your doctor -- it may
be that the scar tissue is causing a problem.
Tara:
Hi, I'm currently trying to decide whether or not to have a
VBAC or repeat c-section and I'm having a tough time. Two years
ago I had my son by emergency c-section due to his heart rate not
getting back up easily after contractions. I was about 10 days
late and had been induced, first by gel, then oxytocin. I laboured
at home for about 14 hours with just the gel then went into
the hospital for the oxytocin, which is when they discovered
the decelerating heart rate (I never got past 2 cm dilated!).
My doctor gives me stats and facts, but won't give me an opinion
on the best way for this baby. She's open to either. I would
prefer a VBAC, but am scared I'd have to be induced again, in
which case I think I'd rather have a c-section. I can't help
thinking that I'd end up with another emerg c-section anyway.
I'm very torn over what to do.
Dana
and Maureen: Is there any way she'll let you go into labor
and try for a VBAC without the induction drugs? That's what
I (personally) would want to do. Only because the risk of a
c-section does go up slightly with use of these drugs. If your
doctor is supportive of VBAC then that would be my choice (again,
personal preference) only because the recovery will be easier,
especially with a toddler at home. When you say emergency, do
you mean you had to have a general anesthesia? If you have had
one c-section, I would certainly ask for the epidural --
don't labor at home if you can help it -- to be in place
as you labor so that if a c-section does become necessary, it
can be done quickly, but without the need for a general anesthesia?
Hope that helps!
Amy:
Dear Dana and Maureen, Thank you so much for your research.
I can't wait to buy your book. I am pregnant, due in September,
and will be having a 5th c-section. It is so reassuring to not
be alone and to read about other women who have had similar
experiences. My question for you is are there increased risks,
other than a long recovery, for multiple c-sections. Any extra
precautions I should take? Thanks for your time! Amy.
Dana
and Maureen: Hi, Amy. Because the uterus is being cut open
with each c-section, it also weakens with each successive surgery.
Scar tissue is simply not as strong as the original uterine
tissue. So the more c-sections you have the greater your chance
of having your uterus rupture during pregnancy. Uterine rupture
is a serious, life-threatening emergency that requires immediate
medical intervention to preserve the life of the mother and
baby. For women who've had one prior c-section with a low
transverse incision (also called the bikini cut), their risk
is about 1 percent. But after two or more c-sections, that number
goes up to about 3.9 percent, according to the American College
of Obstetricians and Gynecologists. While it is an increase,
it's also important to keep in mind that the overall risk
is still relatively low. Our best to you!
Sandra:
Hello, Maureen and Dana. Thank you for writing a book on such
an important topic. I think there is such a stigma about c-sections,
probably because so little is understood. As someone else wrote,
I also had no idea I'd end up with a c-section with the birth
of my son. I was all planned out for a wonderful, natural birth
with no intervention. I think the wisest thing any of us can
do is prepare for anything and that includes reading the latest
and greatest information we can find on c-sections. I highly
recommend reading your book. (I bought it last week.) I just
wanted to tell you thanks for following through on a project
like this that is so needed. I'm 13 weeks now and I am reading
your book cover to cover because I feel that I will be less
stressed and more positive the better prepared I am this time
around. I love the chapter on exercise, by the way. Sandy
Dana
and Maureen: Thanks for your kind words, Sandra! I (Dana)
also hoped for completely natural birth and ended up with an
emergency c-section, the first time. I was utterly unprepared
for ANY of it. Part of the reason for that is arrogance-- I
thought I could control my birth experience (ha!) but also because
in my birth class the instructor sort of glossed over the whole
c-section scenario. Anyway, that's why we wrote this book, and
we are so gratified that women like you are finding it helpful.
Good luck!
Wendy:
Will my c-section baby seem any different than a vaginally-delivered
baby when I see him?
Dana
and Maureen: Wendy, we devote a whole chapter to this issue
in our book! (and you can see a photo of my (Dana's) newborn
immediately post c-section on www.csectionguide.com
in the excerpt labeled "Your c-section baby"). Depending
on the type of anesthesia used during delivery, your baby may
be a bit sleepier than a baby delivered vaginally. Her/his head
will have a more round shape than the head of a vaginally born
baby. But other than that, your baby should look just like any
other newborn -- beautiful!
Chris: Do most c-section scars fade in time? Do they
ever fade completely?
Dana
and Maureen: The scars definitely fade with time, but whether
or not yours fades completely depends on your skin type and
how other scars heal. You might always have a little reminder
of your baby's delivery -- we like to think of ours as badges
of honor!
Cindy
L: Thank you both for writing this book. I just finished
reading it and can't express how much it helped me. I was told
three weeks ago that I'd need a C-section and I panicked. I
didn't sleep the first three nights and wondered how I'd get
through this. Now I feel armed and ready, and full of power!
I know what to look for, what to ask, and what to insist on.
It's even making my hubby feel more secure (knowing I'm informed).
If you have any further words of wisdom, please respond with
them. I will soak it up. Thanks again.
Cynthia
Dana
and Maureen: Thanks for your very kind words. It's so gratifying
to know that we are helping people! It sounds like you are relieved
and ready. Just be good to yourself, be patient with your body
while you heal and love that baby. Good luck!
Chandra:
Hi Maureen and Dana. I'm wondering if either of you had pressure
from friends to not have another C-section. Two of my friends
are urging me to try to have a VBAC and I'm scared to do it.
I hear pros and cons and good stories and bad stories and I
don't know what to believe. I'd love to have a vaginal birth
this next time. But I need to know what risks I'm taking. Will
your book help? Thank you for listening.
Dana
and Maureen: Yes, our book will help you evaluate the pros
and cons of both options. It's funny - and frustrating - because
of the reasons we wrote the book was that we felt, after
the fact, like we had to justify having had our C-sections,
even though the situations that necessitated them were beyond
our control. The bottom line is that you have to do what is
best for you and your baby, and not worry what anybody else
says. Don't be afraid to discuss your fears with your doctor,
either. S/he should be willing to help you decide which route
is best for you.
Lorna:
12 years ago I had a emergency C-Section with my first child,
due to him being 9.76lb, he was stuck and turned the wrong way.
Ten years later I had an elective C-Section for I was told the
baby looked very large once again, also my tail bone appeared
turned inwards. When my second child was born I was very disappointed
for he was only 7lbs and still to this day very tiny in size.
I am now pregnant with my third child, due to my second child
being so small, I am now hoping there could be chance that I
could give natural birth this time round, what are my chances?
Dana
and Maureen: There is certainly a possibility that you can
have a VBAC if you have a physician who is willing to work with
you. Please, please, please do not attempt to give birth at
home if you can't find a doctor to help you have a vaginal birth.
We know women who have done this and the risk is simply not
worth it. Because you have had two C-sections, you are at an
increase risk for a rupture, though the risk is small. Wishing
you the best for you and your baby.
Tim J:
My wife thinks she can do it all when she gets home. I'm thinking
that we will need some help because I will only have a week
off. My cooking stinks, and I turned laundry pink last time
around. We can easily get family (her sister and cousin offered)
help and I'm all for it.
Dana
and Maureen: Get help!! Seriously, say a grateful "yes"
to every offer that comes your way. (We have a chapter in our
book about healing at home, in which we make several suggestions
for how to make best use of offers of help.) If she is unwilling
to have people in the house, then ask your kind family and friends
to help you with cooking. Get out a calendar and any time someone
volunteers, say, "If you could bring dinner on Tuesday,
that would be great! Thank you." Maybe your Mom or sister,
or whoever, would be willing to come over and do a couple loads
of laundry in the afternoon while your wife and baby nap? You
are so lucky to have people offering to help, and your wife
might not realize just how much she'll appreciate that once
she's home. The only thing she should be doing for those first
few weeks are feeding the baby and resting. That will speed
her healing, and make her less grumpy and tired! Good luck.
Tiffany:
I had a c-section about eight months ago and I'm in the military
(National Guard) and I wanted to know when it would be safe
to take a physical fitness test. There's a part where I need
to do 54 situps in 2 minutes. I just don't know when my stomach
muscles will be strong enough again.
Dana
and Maureen: Technically, you can do it now. But if you
haven't been exercising, you will want to start slowly. Your
incisions should be healed by this point. How it's just a matter
of getting back into shape! If you have a chance, read the workout
chapters in our book. We have a fantastic core-strengthening
segment that was designed by a fitness expert who has had two
C-sections herself. I (Dana) had a C-section almost a year ago
- my third - and I can finally do 50 crunches at a time, although
I've never done them with a stopwatch! Good luck.
Cheryl
B.: I had a c-section nine months ago, but here is the weird
thing - the day after surgery I was walking around and doing
laps around the nursery floor! Two-three easy. The week after,
I could go upstairs! Everyone was yelling at me to take it easy,
that I should rest. I wanted to move around because I had just
gotten off of bed rest (for three months!) But I recovered extremely
quick. By the time my husband went to work two weeks later,
I did not need anyone to help me. I also had my gallbladder
removed one month later after my son was born, and the same
scenario happened. Why did this happen to me? Why did I recover
so fast? I was not able to exercise during the pregnancy. But
today I can get up out of bed using my abs! Will it happen again?
I plan to try to get pregnant within the next six months. I
do not look great - I have the classic flabby tummy, and am
still trying to lose it. If you have any exercises that will
work for where I am at please let me know! I already plan on
getting your book!
Dana
and Maureen: Your recovery doesn't sound exactly typical!
You must be very strong and healthy... It's much more usual
for women to feel a considerable amount of pain for at least
the first couple of days post-delivery. And there are a number
of reasons that physicians recommend taking it easy for a couple
of weeks afterward - namely that the last thing you want to
do is open your incision. But, you made it past that, obviously.
As for what's ahead, I would certainly advise you to at least
try to take it easy after your next delivery. Who knows you
might not even have a c/s next time around. And you will be
caring for a toddler (which adds a whole new element to recovery!).
You will find a great workout in our book. And it's certainly
not too late. The exercises are designed to start *gradually*
right after delivery, but the exercises can be done both to
help you regain strength in your core and to prepare for future
pregnancies.
Liz:
Hi ladies, I have had two c-sections (the first was an emergency
and the second a repeat). The doctor told me that because of
my first c-section, my bladder is high. He said that to avoid
a cut in the bladder, I should have a vertical incision instead
of another bikini cut. I have read conflicting information on
the recovery and safety of both. Have you ever heard of this
problem, and what advice could you give me? Thanks, Liz
Dana
and Maureen: We haven't, but as you already know, the potential
problems with a vertical (or classical) incision are greater,
so most physicians prefer the bikini cut for that reason, unless
there are situations in which they must choose the vertical.
In some cases, the vertical is done in an emergency situation.
Be sure to discuss your concerns with your doctor. He/she should
be willing to discuss the pros and cons with you so that you
know what you are facing. Good luck.
Stephanie:
I had a very successful c-section 12 weeks ago (my first child).
I was up and walking a day after the c-section. Four weeks later,
with my doctor's approval, I started walking on my treadmill.
Six weeks later, I started lightly jogging on it. I recently
read somewhere that you should wait 8 weeks before starting
an exercise routine. Do you think I started too soon? Could
I have caused any harm to my incision or uterus? I felt no pain
during or after | 
