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tinselfoil hat

Has anyone had a c section through a public hospital for mental health issues?

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tinselfoil hat

As the title states, has anyone had a caesarean through a public hospital for mental health reasons and wouldn’t mind sharing their experiences of how they asked for this? I had a traumatic birth with DD and have requested a caesarean through RBWH in Brisbane. The midwives said I will need to speak to the obstetrician about this request which I was surprised about because I figured it would be a straight out ‘no’.  What is the best way to justify my request? 
thank you 

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xxyzed

I didn't have one but it was something the obstetrician asked if I wanted for my second birth in a public hospital. I had a traumatic first birth and mental health issues throughout both pregnancies. I asked how likely I was to have the same problems with the birth again and they thought it was just bad luck so I asked to birth normally. I had the exact same issues with the second birth so they were wrong. I think if you just tell them why you want the C section they can give you some informed advice but in my experience me wanting one for mental health reasons would have been enough.

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Soontobegran

I can only speak from the place I am familiar with and elective C/S for psychological reasons have really been a thing for quite a long time. Whether it be a previous traumatic delivery or another mental illness issue then it is so valid. 

Lots of good luck.

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tinselfoil hat

Thank you @xxyzed and @Soontobegran 

ETA sorry to hear you had difficulties the second time around too xxyzed

Edited by tinselfoil hat
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blueskies12

Yes, i have had one in a public hospital. My first was a traumatic birth and I asked for an elective caesar for my second and they said yes straight away, no questions asked. It was a great birth.

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tinselfoil hat

That is amazing @blueskies12!

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RichardParker

In my experience, if you’ve had a traumatic birth or complications in the first pregnancy, they’re more than happy to opt for a CS for the second, even in the public system.  

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lucky 2

They will want to know what your concerns are and talk them through.

They have a duty to provide you with individualised care, they need to give you all of your options, risks and benefits, so you can make an informed consent.

I hope you next birth is a good experience for you. x

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Di-NO-ZO

Not exactly the same scenario but with my 2nd it was an elective C/S at a public hospital and I flat out told everyone that it would have to be under a GA. My first was an emergency C/S and was fairly traumatic for me.  When it was time for #2 I had both mental health and physical reasons for a repeat C/S and mental health reasons why I could not cope being awake during surgery.

Being public and not seeing the same people, I did have to explain myself every time but other than the first time the explanation only needed to be brief, and in the most part everyone was really supportive.   They did of course have to talk about options and risks and strongly recommended an appointment with an anaesthesiologist  a few weeks before the C/S which I did.  Turns out the irritating  woman was the only one to push back, but she hardly gave me any information regarding risks or other options just decided to diagnose my MH issues and tell me to get treatment for that diagnosis 🙄

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IamtheMumma

It shouldn't be a problem. You do need to see the OBs to be consented and, because its surgery, they do need to explain the risks to you. However, I think its a formality rather than a no. 

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lazycritter

Yes, my third child,  2Nd CS.  

 

I had severe antenatal depression.  the public hospital had me with the same supporting midwife the whole way through.  

I needed that sense of control desperately. They were really good about it.  

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Wonderstruck

I went privately but are you engaged with any mental health professionals either through the hospital or other services? It might help to have them on board/have them to support it.

I had a traumatic first birth with my first which ended in emergency c-section. Everyone who saw me before and during my second pregnancy were of the view that a planned c-section was better for my mental health and less likely to end in complications. My OB, GP etc were all supportive which helped. I also engaged with Gidget House (not sure of QLD equivalent) and the psych was supportive of my choice and was helping me Work through my concerns/trauma. 

Unfortunately I engaged with the psych help a little late in the pregnancy (34 weeks )and my bub turned up early and I needed an emergency c-section again and while my mental health struggled physically I was ok. 

I would definately make sure you've got some supports in place and make your concerns known.

Good luck. 

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tinselfoil hat

Thank you everyone. You have given me a lot of hope. I worry that ‘traumatic’ is in the eye of the beholder and I will get some helpful person telling me I shouldn’t be traumatised. Anyway it sounds like that’s unlikely so that’s good. 
 

@Wonderstruck thank you for your information and suggestion. I have been referred to the hospital mental health team. I feel my depression and anxiety are pretty under control atm (I’m on medication for it) but hopefully any assistance is good assistance and might help me avoid the post birth anguish I went through last time. 
 

thanks again everyone!

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lazycritter

Actually,  just in case, even though the overall experience was very good there were a couple bumps. There was a bit of a struggle in the beginning.  I was told to go through the specialist organisation the Raphael Centre which deals with natal depression.  but to start with they were fixated on the post natal depression and keep asking me and telling me it was too long since my last child 1.5 years to get into the Raphael centre.  I took A couple of goes to get someone to see beyond that. 

The Raphael centre provided counselling for both of us and wrote to the gp to refer me to a psychiatrist. They were invaluable. 

 

Another thing,  I did have to meet with a different  obstetrician at stages through the pregnancy.  The midwife supported me at every appointment.  I did get questioned why I wanted a CS and also why I wanted a tubal ligation (like they hadn't read my file) which I didn't appreciate but they weren't persistent. 

 

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tinselfoil hat

Thanks @lazycritter. I appreciate the extra information!

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lazycritter

@tinselfoil hat

 

Sending you big hugs and I trust and hope you get the outcome you need. 

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