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Tubal ligation straight after c-section
14 replies to this topic
Posted 25 April 2012 - 09:09 PM
Im currently pregnant with twins and after 2 emergency c-sections I will be having a scheduled c-section this time and Im also having my tubes tied so I dont have another surprise pregnancy like this one was, just wondering if anyone has had this done? and what the recovery was like I am expecting the worst as it will be my third section
Posted 25 April 2012 - 09:14 PM
Hi, I had this done in feb this year...my second c section....had tubes tied and something done to get rid of excess tummy flab ( not quite a tummy tuck...forget what it was called...) anyway recovery exactly the same as with first c section...those extra procedures made no impact on pain levels or recovery....all the best!
Posted 25 April 2012 - 09:15 PM
Recovery from the tubal ligation done during a c/s won't be any harder than recovery from the c/section without a tubal ligation. Has your doctor explained that having your tubes tied during a caesar has a higher rate of failure than if you have them tied at another time? Just something you should consider.
Posted 25 April 2012 - 09:16 PM
I had mine done post birth but not post C/S.
It is actually not recommended to have a TL at the time of your C/S due to the increased failure rate but I am sure your Obstetrician will have a chat about that.
I have looked after women who've had it done and it has not complicated the recovery at all. They noticed no extra pain or symptoms.
Posted 25 April 2012 - 09:17 PM
...just read your post ubermum...my OB never explained that to me....? A bit remiss of him.....
Posted 25 April 2012 - 09:27 PM
My ob was actually going to suggest I have it done before I asked for one as my uterus is a bit of a mess anyway with my two previous c-section scars and one of the placentas is right next too it, and if it grows into the scar I could end up having a partial or full hysterectomy, and also the lower segment of my uterus is really thin so might not need it but just curious about other ppls experiences.
Posted 25 April 2012 - 09:41 PM
I've just had tubal after the birth 2 weeks ago of our 3rd child. I recover really really well from c-sections. Our DD was born Thursday at 230pm and I was discharged from hospital early Saturday morning. By Sunday we were out grocery shopping. Its been similar with the other 2 (although was forced to stay for 6 days with first child as she couldn't suck and lost a fair bit of weight). I do have to say this time I had a bit more discomfort on the sides and at least 2 midwifes said independendly that there may be more discomfort due to the tubal. I was never on any pain relief higher than panadol and was off that by day 4 so I think overall the level of extra discomfort is only minimal if at all.
Posted 25 April 2012 - 09:45 PM
I had mine done at my fourth c section- I think the recovery got easier every time. No extra pain at all. Good luck, do your research and do what's right for you.
Posted 25 April 2012 - 09:49 PM
I had my tubal ligation done 3 months after having my baby as they wouldn't do it after my caesarean. It failed though and I was pregnant 3 months later. I then had my second tubal ligation with the next caesarean. The recovery was no different to having the caesarean. Two things to keep in mind - google "post tubal ligation syndrome" and make sure they are actually cutting and burning the tubes not just clamping. My first one was just clamping and it has a high failure rate.
Posted 25 April 2012 - 11:39 PM
I had a tubal ligation in January at the same time as my caesar and although recovery was easy, I regret having it done.
I wasn't told of the possible failure rate. I wasn't told that my periods afterwards would be drastically heavier and more painful. I was pushed into it as I have had four caesars and they didn't want me to have another. I was told that it would make no difference to my life except for being unable to conceive.
Every month now, I have two days when I do not move from my spot a few metres from the toilet. I haemorrhage to the point where my irons drops so low I feel dizzy whilst sitting still. I have never had anything but reasonably light periods before hand and they were always over within 5 days. Now, I bleed for 10 days and it is ridiculously heavy for 5 of those days.
If I had have known, I would have asked to have an alternate form of contraception.
Posted 25 April 2012 - 11:49 PM
I had mine done Feb last year (cut and cauterised), no problems, recovery has been basically the same for all 4 of my c/s.
Eta: no change in AF.
Edited by gizboo, 25 April 2012 - 11:50 PM.
Posted 25 April 2012 - 11:58 PM
My OB offered me a TL when I was having my 3rd C/S and never told me about the risk factors ether. I asked her about higher failure rate when done with a C/S and Tubal Ligation Syndrome but she just dismissed it and said that there are no risk. I didn't believe her and chose not to have a TL. Lot easier and less risky for DH to get the snip.
There are OBs who will not do a TL at the same time as a C/S because of the higher failure rate. And there are lots of woman who have terrible side affects after their TL.
A friend of mine suffers with excessive bleeding and can bleed for up to 24 days each month. She also has depression and was never depressed prior to the TL. She really regrets having it done.
Read up on the risk.
Posted 25 April 2012 - 11:58 PM
My OB was very clear that the failure rate was too high for him to recommend it at the time of c/s.
He then went into the pros and cons of TL vs vasectomy and timing - this included waiting till highest risk of SIDS had passed (ie would we try again if something happened to this baby) and what if I died and my husband wanted to remarry (would wife #2 want more kids)
My OB is very thorough!
Posted 25 April 2012 - 11:59 PM
I had it done last year during the C/S of DD2. My recovery was pretty much the same as my 2 previous C/S.
I regret having mine done, due to my cycle being completely messed up now. ( was 28 day cycle, 4 days of lightish bleeding, Now it can be between 22 and 29 day cycles and 3-5 days of heavy bleeding and horrid cramping)
Interestingly, I also wasn't warned of the high failure rate when tubal ligation is done during C-section.
Posted 18 May 2012 - 09:57 PM
Really ineresting replys. I'm having my 4th CS in 2 weeks and planning TL at the same time as pregnancy doesn't agree with me health wise. My Ob hasn't mentioned anything about failure rates or possible problems with periods post TL. He is a boy though, lol.
Thinking I"ll be asking a few questions on Monday when I see him.
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