Obesity and Delivery Options
Natural vs Caesar... recovery?
, Nov 17 2012 10:23 AM
17 replies to this topic
Posted 17 November 2012 - 10:23 AM
I'm really not coping with the whole idea of delivery. I am fearful of labour as I know I'm not 'fit' and also worried about having an episiotomy/stitches.
I'm currently 31 weeks pregnant and 148kg! I've put on 12 kg so far and am worried I'll be more than 150kg by the time our little one arrives.
My Obs has said if my bub continues to grow big (was 3 weeks ahead at last scan) then we'll have to consider a C-section. That worries me too... I've never had major surgery and am nervous about the pain afterwards and the recovery period. Also, I'm so huge, my tummy hangs down over my pubic bone , so I would think that would make surgery and recovery difficult...
Anyway, I guess I just need to share my fears and hope that there's someone out there that can relate to my situation.
Posted 17 November 2012 - 08:52 PM
I'm in a similar situation to you, not quite as heavy but feeling it... I've had a really easy pregnancy but am also worried about delivery and options. Our baby is measuring big which also concerns me. I'm not sure which would be the easiest and safest option... my obs will do an elective c if I request it... just so unsure.
Hopefully someone with some experience will reply. This is my first so I really don't know what to expect either!
Posted 18 November 2012 - 03:27 PM
There is a good resource available through this blog: http://wellroundedmama.blogspot.com.au/
I would also STRONGLY advise you to get in touch with a womens health physiotherapist who can give you information about strengthening your body to prepare for labour.
Posted 18 November 2012 - 03:49 PM
I'll pm you ladies with my experience if you like?
Posted 18 November 2012 - 03:54 PM
Yes please Mara!
Posted 18 November 2012 - 07:55 PM
I weighed a whopping 160kgs at the end of my pregnancy and DD was 4.26kg at birth. I ended up with an emergency c-section after having pre-eclampsia and not progressing in labour past 3cms after 10 hours.
For me, healing was good. I made sure I got up and moved as soon as I was allowed. I listened carefully to the physio and did exactly what she said. I took pain killers as directed, and made sure I took them on time, never allowing the pain to actually kick in. As for the wound, I used a maternity pad over the top (so there was some padding between where my tummy overhung and where the wound was). I did this for the first 2 weeks or so. The surgeon cut in the groove where the overhang starts, rather than lower for those patients who don't have the apron of skin. My wound healed well. I was good for driving within 4 weeks.
Posted 18 November 2012 - 08:12 PM
Oh wow! Thanks for that Kez... I imagine my situation could be similar to yours. Did you have a general or epidural? I've heard it can be hard for them to do the epidural on larger ladies... I've only got 9 weeks or less to go and am working myself into a bit of a state about it all!
Posted 18 November 2012 - 08:13 PM
I was about 140kgs for the births of both of my babies - for both labours I had just gas and air. I was induced for both after my waters broke but labour didn't start (both times!). Once labour finally started the first was about 12 hours and the second was slightly less. First baby was 9lbs 1oz over 2 weeks early and the second 7lbs 11oz a week early.
First baby had a head circumference off the chart and was born after episiotomy and ventouse. Second baby had a slight tear that I chose not to have stitched (would only have needed one).
Honestly all births are different and it is impossible to predict how you will go! I was petrified of needing a caesar and in reality if I hadn't been in a public hospital under midwife care I probably would have ended up with one.
I do remember how scared I was of something going wrong but everything turned out fine and I am sure it will be the same for you. The one thing I would advise (hopefully this doesn't sound too condescending) is to try and stay as active as possible leading up to the birth as fitness and stamina definitely helped me.
Posted 19 November 2012 - 07:51 PM
I would get a second opinion. i got to about 140kg at the end of 4 pregnancy. My Obs recommended not having c-sections because of the higher risk due to weight. i had 3 natural then 1 c-section. After the natural, well 2 were induced, i was home within 24hrs and the pain was gone. after the c-section i was in hospital for 5 days and the pain was bad for weeks. Having had the two, I would choose natural 100% unless I had no chose. My babies all measured big too, up to 10 weeks bigger. If you choose c-section you can get wound padding in a big roll from chemist, just put it over the wound to help prevent infection. Good luck with you decision.
Posted 19 November 2012 - 08:04 PM
I had an epidural - no issues for the anesthetist getting it in
Posted 24 November 2012 - 09:29 PM
It's all so scary... only 8 weeks to go...if he stays put that long! He's currently measuring 35 weeks... 3 weeks ahead!
Posted 24 November 2012 - 09:44 PM
I was 135kg with DD1, and went into labour naturally. 22 hours later, I was pushing but she wasn't coming out, so I had a c/s. I had an epidural during labour, and no issues at all with that. she was 4.5 kg. It took a while to recover, but I had a post atrium haemorrhage on day 9 which they put down to an internal infection. Looking back, I really felt like crap, but I assumed it was normal... It s major surgery, after all!
With DD2, I had an elective, and oh my gosh, I couldn't believe the difference! It was amazing! I felt really good, got up and walking as soon as I was able (that was my biggest mistake the first time, not leaving my room until I went home). The only problematic thing was that the anesthetist had trouble getting a spinal in. He tried for 30 minutes, then tried an epidural. I was 5 minutes away from having a general, but luckily he got it in. That was the only problem though.
Good luck, it'll all be okay on the day!
Edited by Shadowess, 24 November 2012 - 09:46 PM.
Posted 24 November 2012 - 10:00 PM
I had a c section. My bub was breach and then ended up being footling breach so was deemed a emergency. It did take the anethesist (sp) 3 goes to get my epi in but wasnt that bad. Afterwards I used a pad over the wound for 2 weeks and they give you a stretchy belly bandage thing that helped alot. You will very likely have to have blood thinning injections twice daily for 6 days after the birth this is to stop blood clotting. I was up 24 hrs later and just on panadol when I left the hospital after 6 days. I then lost 23 kgs in 3 weeks after delivery. I was eating as normal for me but breastfeeding and it just fell off. By the time my daughter was 8 wks old I had lost 41kgs. Try not to stress and listen to your instincts hun, go with what you feel is the best birth option for you and your bub. Goodluck.
Posted 24 November 2012 - 10:01 PM
I was about 110 kg when I gave birth to DD. I think I gained roughly 12kg through the pregnancy. I had a natural birth and it all went to plan. The only time I felt my weight was a problem was when they wanted to monitor me in labour as I had meconium in my waters. They wanted to put a strap on but it kept coming off because of my belly overhang so were going to put a clip on DDs head instead but she was born before they got the chance.
I wasn't overweight when I had DS. I gained weight after my pregnancy because of PND and other issues. The pregnancy with DS was a lot easier but the labour was so much better second time round even though I was 30kg heavier.
They were both very similar weights too. Obly 40g difference.
DS Sept 08
DD Dec 10
Edited by I*Love*Christmas, 24 November 2012 - 10:11 PM.
Posted 25 November 2012 - 12:16 AM
I was around 112kg with both my pregnancies when giving birth. I had an emergency caeser with the first and an elective with the second.
With my recent delivery (9 weeks ago) the anaethetist used an ultrasound machine ti help with the placement of the spinal. Was really no hassle at all. I also have quite a large apron and both times my scars healed exceptionally well.
For this caeser I took the pain pills on the schedule they suggested rather then when I felt pain (which really was minimal and never higher then about 5 on a scale from 1-10) I also aired the wound by lying down and leftring the apron up for 10 minutes a few times a day. I also wore those black full panties and a maternity pad ti help keep the area dry.
Posted 10 December 2012 - 01:53 PM
I have been wondering about all this.
I currently weigh 120 kgs and am pregnant with #4. I wasn't this big when I had my others (youngest is 8) so I've been worried about my fitness in labour and if I'd need a c-section.
My doctor has put in a request for me to see an anathetistis at 24 weeks to solely discuss the risks even though ideally I'd like a natural delivery. They do this 'just in case' things change. Apparently this is routine for anyone with a BMI over 40.
Posted 10 December 2012 - 02:29 PM
I've weighed around 120-125kgs for all 3 of my births and all were vaginal, no complications. I had an epidural for DS1, nothing for DS2 and gas for the twins.
Posted 10 December 2012 - 02:39 PM
I was 120kg when DD1 was born (emergency cesarean) and 135kg when DD2 was born (repeat cesarean)
The only trouble I had was the spinal for DD2 took forever, but this was because a trainee was doing it! As soon as the head anaesthetist came in, it only took him two tries and all of 3 minutes!
Having kids is the best motivation to lose the weight though! I'm now at 103kg, and getting smaller by the week!
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