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Earlier Caesarean for Mums Health


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#1 RubyEmerald

Posted 23 June 2018 - 05:45 PM

Hi everyone,

I know not to ask for medical advice but would be interested to see if others had a caesarean brought forward due to their own ill health.

I posted previously that I had kidney stones a couple of weeks ago. Anyway - I ended up with emergency surgery to place stents in both ureters as the stones are blocking my kidneys. One week after delivery I need to have another surgery to remove the stents and blast the stones (they can't do while pregnant).

I am effectively on bed rest, I can barely walk, am on daily pain killers, the stents are awful and effect my urination etc. The Urologist said it's all normal unfortunately. Every day is torture.

My obstetrician is on leave at the moment (public system) I have an appointment in 1 week. I have a RCS booked for 39 weeks but I'm wondering how likely it is he will say to bring it forward to 38 or 37 weeks. In my emergency surgery to place the stents, I actually went into threatened preterm labour for 2 days, so bub has had the steroids for lungs. I'm currently 35 weeks pregnant.

I don't mean to ask for medical advice as such, just wondered if other ladies had ever had their CS brought forward or in a similar position or perhaps someone in the obstetrics industry would have an idea of what my obstetrician might say.

I'm feeling so alone in this, sorry if this isn't appropriate to post. Thanks 😊

#2 Jenflea

Posted 23 June 2018 - 05:59 PM

Can you ring the hospital to talk to another OB?

#3 RubyEmerald

Posted 23 June 2018 - 06:10 PM

View PostJenflea, on 23 June 2018 - 05:59 PM, said:

Can you ring the hospital to talk to another OB?

I don't know, I've been seeing the same obstetrician but he's on leave til my appointment. It will mean going into the hospital as well, my husband is away and I'd have to organise care for my son. Maybe I should call them on Monday and see if they can fit me in earlier. But I wanted to see the same obstetrician as I've seen my whole pregnancy.

#4 RubyEmerald

Posted 23 June 2018 - 06:13 PM

Or maybe I should just go to maternity to get checked over and talk to an obstetrician there?

#5 Weavile

Posted 23 June 2018 - 06:20 PM

Unfortunately it will depend.

I begged for an early c-section when I was pregnant with DD and they refused to schedule an earlier than 39 weeks. Different health issues and no surgery, but I was admitted to hospital a month before they had scheduled it for safety reasons, and was basically on full bed rest (only up for toileting, under supervision). They still would not budge.

Luckily for me DD decided she wanted to come a bit early, so was born around a fortnight earlier than scheduled.

Good luck, and hopefully you'll have an understanding Ob. 39 weeks is best for baby, but I know no one would discuss the impact of my meds vs waiting. It was an amazingly stressful time.

Edited by Mimikyu, 23 June 2018 - 06:20 PM.


#6 RubyEmerald

Posted 23 June 2018 - 06:22 PM

Thanks Mimikyu xx

#7 Clementinerose

Posted 23 June 2018 - 06:30 PM

I was told recently by an obstetrician  they were happy to induce from 38 weeks, no medical reason. This was private

#8 HolierThanCow

Posted 23 June 2018 - 06:36 PM

I had to argue to push mine back from 38+2 to 39+5 on the public system (I'd had two previous babies who were very overdue and no signs of being 'overcooked', to the point with my 2nd a midwife refused to believe she was 41+4 and insisted I must have had my dates wrong!)

Anything over 38wks is pretty standard here - which state are you in? I know it differs.

#9 RubyEmerald

Posted 23 June 2018 - 06:43 PM

View PostHolierThanCow, on 23 June 2018 - 06:36 PM, said:

I had to argue to push mine back from 38+2 to 39+5 on the public system (I'd had two previous babies who were very overdue and no signs of being 'overcooked', to the point with my 2nd a midwife refused to believe she was 41+4 and insisted I must have had my dates wrong!)

Anything over 38wks is pretty standard here - which state are you in? I know it differs.

Thanks, I'm in Victoria

#10 HolierThanCow

Posted 23 June 2018 - 06:55 PM

View PostRubyEmerald, on 23 June 2018 - 06:43 PM, said:

Thanks, I'm in Victoria

My SIL had her 3rd at just over 37wks in Victoria (private system) due to an MS diagnosis that required treatment ASAP. I think it was booked early on.

#11 Soontobegran

Posted 23 June 2018 - 07:14 PM

There is probably more likelihood that you would have it moved forward in the private system as unfortunately there is some hesitation to deliver baby before 39 weeks unless maternal or foetal health is impacted by delaying it.

Personally I think the pain and misery of renal calculi would have me lending an ear if I was the obstetrician so I would definitely have a chat at your next appointment in a week's time. I don't think there is any point in seeing someone earlier to be honest.....they are still likely to stick to the decision your obstetrician made unless your condition has deteriorated.

Good luck.....unfortunately at the moment you'd be considered 'stable' so no urgency but that does not mean it is not just miserable for you.

Lots of luck, I feel for you......time goes so slowly.


efs

Edited by Soontobegran, 24 June 2018 - 09:57 AM.


#12 jewel2

Posted 23 June 2018 - 07:30 PM

I found the public system here rubbish for moving C Section earlier. Mine would not budge even after hearing my previous deliveries had all been before 39 weeks for medical reasons (overseas).

Lots of stress for me as I knew I would not last until 39 weeks. In the end my baby came early and a race to the hospital for my c-section.

Good Luck, hopefully you have a more understanding hospital.

#13 Soontobegran

Posted 23 June 2018 - 07:47 PM

View Postjewel2, on 23 June 2018 - 07:30 PM, said:

I found the public system here rubbish for moving C Section earlier. Mine would not budge even after hearing my previous deliveries had all been before 39 weeks for medical reasons (overseas).

Lots of stress for me as I knew I would not last until 39 weeks. In the end my baby came early and a race to the hospital for my c-section.

Good Luck, hopefully you have a more understanding hospital.


It is not really a rubbish reason that C/S are generally not scheduled before 39 weeks. Babies tend to do better if they are not delivered before 39 weeks.....the 39 weeks has not become the norm to cause angst for mum.
The hospital is not at fault......it is obstetric best practice unless the risk of not being delivered outweighs the risk of delivery and that is for mum or baby. I do not think there is too much benefit from delaying delivery after 39 weeks though.

I am all for a case by case evaluation and some leeway shown for psychological and social reasons........but still there has to be guidelines.

#14 Mands09

Posted 23 June 2018 - 07:52 PM

Mine was bought forward to 37w0d as I suddenly developed preeclampsia.

I hope yours gets moved forward as another 4 weeks sounds awful.  Good luck.

#15 22Fruitmincepies

Posted 23 June 2018 - 08:04 PM

I had my DS at 38 weeks by RCS, but he was measuring over 100%ile. I’d had PE previous pregnancy and OB felt there was no reason to wait an extra week. I feel it was the right call, he was a big baby, strong and healthy. This was in the private system though.

#16 Kiwi Bicycle

Posted 23 June 2018 - 08:43 PM

My private OB allowed me an elective CS at 38 weeks. Because of a medical condition I wasn't to go into natural labour and push.

#17 SuperMombie3

Posted 23 June 2018 - 08:47 PM

I had DS2 at 38+3 by RCS.  Mental health reasons and extreme pain, which I just couldn't take any longe.  The obstetrician spoke to me about my reasons & the risks, asked me if I understood the increased risk & accepted them, I said I did and he booked me in for 38+3.  Public hospital in the ACT.  I think it just really depends on what OB you get if you're in the public system.

#18 panda eyes

Posted 23 June 2018 - 08:55 PM

I recently had an induction at 37+1 due to a history of two precipitous labours at 38 weeks and to help co-ordinate the timing of postnatal care for pnd. This was a public hospital and to my surprise they were 100% on board with making it happen.

He was my third baby and the first two had been normal deliveries of decent sized babies so perhaps that was a contributor. I don't know if early caesar vs vaginal delivery makes a difference as far as the baby's health is concerned. But it won't hurt for you to ask.

#19 RubyEmerald

Posted 24 June 2018 - 06:34 AM

Thank you so much everyone for your responses. It's helped with not feeling so alone. I think I'm just going to have to push on this week and at my obstetrician appointment discuss his thoughts on possibly bringing my date forward a little bit. I'm at breaking point 😞

#20 Crombek

Posted 24 June 2018 - 07:35 AM

Oh god you poor thing. I had kidney stones at 28 & 36 weeks last pregnancy & narrowly avoided a stent both times - passed them as I was fasting for surgery. The second time I was in tears begging my private ob for a c-section. It’s truly horrendous & I feel so sorry for you.

In your position I would be on the phone every day. Forcefully. Crying or getting angry if you need to. And then turning up in person if I could. Lots of people are induced at 38 weeks, it’s not ideal but it isn’t dangerous.

#21 RubyEmerald

Posted 24 June 2018 - 08:07 AM

View PostCrombek, on 24 June 2018 - 07:35 AM, said:

Oh god you poor thing. I had kidney stones at 28 & 36 weeks last pregnancy & narrowly avoided a stent both times - passed them as I was fasting for surgery. The second time I was in tears begging my private ob for a c-section. It’s truly horrendous & I feel so sorry for you.

In your position I would be on the phone every day. Forcefully. Crying or getting angry if you need to. And then turning up in person if I could. Lots of people are induced at 38 weeks, it’s not ideal but it isn’t dangerous.

Thanks Crombek. I wouldn't wish stents on my worst enemy they are even worse than the stones themselves 😢😢 I have a stone on each side (so unlucky - urologist said he's never seen it before in a pregnant woman) so I guess having two stents is even worse than one. I'll definitely be crying at my obstetrician appointment and most likely begging for a 37 week CS. I know it's not best for baby but I feel like I'm living in hell. 😢😢

#22 Crombek

Posted 24 June 2018 - 08:23 AM

What pain relief are you on? While mine were passing the only effective thing was morphine, I basically just slept through the pain. I cannot imagine having to be at home without the nurses to assist. Mine passed from the left kidney but when scanned both kidneys were full of flecks. The good news is that after I gave birth things seem to have rebalanced & most of the calcium has disappeared on its own, fingers crossed it is the same for you.

Feel free to PM me if you need to whinge with someone

#23 WaitForMe

Posted 24 June 2018 - 08:50 AM

I would hold out for a week to see your own OB, and then be REALLY blunt about how hard you are finding it.

Sounds horrible OP, I really feel for you. Try and concentrate on getting to this next appointment rather than the end goal.

#24 RubyEmerald

Posted 24 June 2018 - 09:08 AM

View PostCrombek, on 24 June 2018 - 08:23 AM, said:

What pain relief are you on? While mine were passing the only effective thing was morphine, I basically just slept through the pain. I cannot imagine having to be at home without the nurses to assist. Mine passed from the left kidney but when scanned both kidneys were full of flecks. The good news is that after I gave birth things seem to have rebalanced & most of the calcium has disappeared on its own, fingers crossed it is the same for you.

Feel free to PM me if you need to whinge with someone

Hi Crombek,

Endone mostly. I've finished my panadeine forte, Buscopan and Panadol that I was also suggested don't do a thing. I'm running out of endone but I can't bear the thought of going to the GP for another script, I have my toddler with me and my husband is away for work. Endone helps me to sleep for an hour or so but it makes me feel really sick, but ondansetron doesn't help. I can't feel my stones anymore it's the stents. Every time baby moves it hurts, I get painful bladder spasms and aches and urinating is a nightmare, I have to bite down on my hand or a towel. I am crying and vocalising alot. Way too TMI but I'm at the end of my tolerance almost.

Thanks for understanding 😘

#25 RubyEmerald

Posted 24 June 2018 - 09:10 AM

View PostWaitForMe, on 24 June 2018 - 08:50 AM, said:

I would hold out for a week to see your own OB, and then be REALLY blunt about how hard you are finding it.

Sounds horrible OP, I really feel for you. Try and concentrate on getting to this next appointment rather than the end goal.

Thanks this is good advice. He's also the Director of Obstetrics at my hospital so I'm hoping that means he'll be more understanding. He's been really good for my pregnancy so that's why I wasn't keen on seeing anyone else. Just a pity he's on leave for another week!




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