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Old 12-21-2013, 05:26 AM   #1
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I'm torn. And due very soon. Just met with my OB and he's torn on what to do as well. I have both bladder and rectal prolapses from having DS (stuck and I pushed a long time but he eventually came out). It's bad enough that when I go #2 I have to be careful because my bladder will start to protrude down there from even light pushing. I DO NOT want to have reconstructive surgery for the prolapses - so many issues and problems there. So basically I'm trying to avoid giving birth to my bladder and rectum along with the baby, and I have two options. I can have a vaginal birth and try birthing the baby down till he's right there and then pushing - which may not work especially if he gets stuck the same way ds did - I also have narrow hips and ds was a big baby. OR I have the option of a scheduled c section. My ob of course is hoping for a successful vaginal birth because there's less pain for me (if it works) and chance for complications is less (other than the prolapse issue) - but he admits he's not sure the best solution because everyone's body reacts differently. Also second babies are supposed to be easier, but not always and I think this baby is going to be bigger too. There's just no way to tell the future unfortunately.

Anywho... what the heck would you do? I'm really scared of having a c section, but I'm also really scared my bladder's going to be hanging out of my vagina if I have to push him out and I'll be forced into a slew of reconstructive surgery I definitely don't want. I'm just so confused on what to do. I have a hard time taking a poo without things coming out down there - so the prospect of pushing a baby out is terrifying. But so is a c section...

If it makes any difference too we live in ND so the weather is unpredictable and it's a smaller hospital about an hours drive in good weather... if we get stuck in a blizzard god knows how long it could take to get there. Dh also works all over the state up to several hours away from the house each day which is nerve wracking because I have no one else here to take me to the hospital either if I go in to labor suddenly...

I kinda feel like if I wasn't a crunchy mom I'd just say c section, but years of encouraging natural birth makes me feel like I'm doomed to die if I get a c section.

***this is also our last baby.

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Old 12-21-2013, 05:34 AM   #2
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Sorry you're going through this! I think if I were in your position, I'd go for the c-section. They scare me too, but with the prolapse issues being sooo unpredictable, it sounds like the much safer option. Good luck with whatever you decide!
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Old 12-21-2013, 05:42 AM   #3
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Re: Vaginal birth or c section. WWYD?

((hugs)). I totally get what you are saying on that last sentence! I was a homebirther, had a severe shoulder dystocia (lifelong injury to baby and 3 year long injury to me), and the thought of having a c-section with my other children gave me anxiety attacks, but the thought of not having a c-section and ending up with a dead baby (ds1 was able to be brought back) gave me anxiety attacks too. It was like lose-lose when it came to delivering the baby.
I ended up having c-sections (totally best for my babies as they just got bigger and were 7x more at risk of getting stuck) and it's been okay. Healthy baby/healthy mama. I healed from my first c-section well (no scar tissue issues), there was things I wished I'd known for immediate post-partum (like walk, walk, walk, etc), but I healed completely after that c/s.

I will tell you, c-sections are totally different than vaginal births, but they can be just as special too! The post-partum part is hard, but if you are able to have help for a couple weeks, that makes it easier.

I am so sorry to hear of your bladder issues... If you had a c-section would they be able to help fix that while you were open? When I had my 4th baby, they were able to get scar tissue off my bladder that was causing me a lot of pain and resew it up (they nicked it) and also fix my umbilical hernia... I asked if they could do a boob job while they were at it, but they said, "no". So maybe they can help fix some things, but not others???

I don't know what I'd do if I were in your place... I'd lean toward a c-section (reconstructive surgery sounds a lot more complicated than a c-section surgery). That is just me though (and it also helps that I've btdt now).

I'd ask the doctor about reconstructive surgery vs. c-section surgery... the different challenges (like length of time you aren't allowed to lift, etc)... maybe that'd give you more insight.
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Old 12-21-2013, 06:04 AM   #4
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I think that I would check to be sure that reconstructive surgery is NOT necessary now. It sounds like just with you minimal straining efforts your prolapse becomes very obvious, so I would *think* that there would be a great possibility that you WILL need surgery for that down the road. But if it can be held off on, would that be better? Or can they repair anything while they do the c/section? My recovery w/my csection was MUCH more difficult- so I would definitely line up as much help as possible, but if they can do everything at once while you already have a recovery period, I would go for that.
I was all about natural birth with my first. I labored 16 hours & pushed for 4. Even had them try to manually (internally!) turn him withOUT drugs. O_0 OMG. He was stubborn an I did what was best for my exhausted self an him and chose to have a csection. You do what you feel is appropriate for you, it doesn't mean you cannot advocate natural births still- it gives you more wisdom on the topic because you'll be able to speak to both (should you choose that route). Good luck!
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Old 12-21-2013, 07:08 AM   #5
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I wouldn't be able to have any reconstruction at the same time as the c section. My ob doesn't do actual reconstruction - I'd have to go to a specialist for it. They also don't like doing it yet on someone my age (23) because a lot of ladies change their mind and want more kids later, and giving birth after reconstruction is really really bad. So it's something I'd have later in life if I can't manage it unless it gets drastically worse. I've gone to a physical therapist for it, and I think I can get it better (not fixed - but better) once baby is out, I lose weight, and get in shape. I have a lot of extra pounds right now and of course a baby being in there doesn't help either. My physical therapist said she felt I was a really good candidate for therapy, so that has me hopeful. She just explained I have to see where I am after the birth and go from there. Also depends on if I breastfeed too because the hormones your body gives off when breastfeeding actually weaken you pelvic floor. (While you breastfeed, once they wean it gets better.) So I have a lot to figure out. But I definitely want to try physical therapy before any reconstructive surgeries first. The surgeries they do - vaginal mesh, bladder slings, etc. are pretty notorious for failing. As in the mesh eroding through the vaginal wall and causing further surgeries, sexual dysfunction, and constant pain.

ETA: Hubby will be getting two weeks paid vacation when I have the baby. It's also slow season for his work so he'll probably be home a bit more often afterwards. I'm a sahm so no work to deal with - so healing shouldn't be too insanely horrible I hope.
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Old 12-21-2013, 07:22 AM   #6
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I'd go for the c/s. My first two were born by c/s, last by VBA2C and honestly IME the recovery was just as hard from the vaginal birth....I had 2nd degree tears but recovered very easily from my c/s. The weather conditions and length of drive would close the deal for me. The biggest reason I wanted the VBAC is we want a large family, and I didn't want to be doing 5+ abdominal surgeries. But my recovery wasn't quicker, I hope next time it is.
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Old 12-21-2013, 07:44 AM   #7
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Re: Vaginal birth or c section. WWYD?

You might talk to a doula or midwife about birthing positions, even with small hips there are ways of making sure babe gets in an optimal position to exit, and that might help you other issues.
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Old 12-21-2013, 08:21 AM   #8
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Originally Posted by Tris View Post
You might talk to a doula or midwife about birthing positions, even with small hips there are ways of making sure babe gets in an optimal position to exit, and that might help you other issues.
I did see midwives in FL before we moved but they didn't know too much either. America seems to be pretty "fix it as it falls out" versus proactive against prolapse.
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Old 12-21-2013, 09:13 AM   #9
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Could you try for a vaginal birth with an emergency c/s as a back up if it is not moving along and you feel like you have to push too much?

Although I think I would go with a scheduled c section. The recovery from a scheduled section is much easier than one in which you've labored and then had surgery. Plus with everything else going on, it would be easier to line everything up. You could always go for a vbac with any other births after you've worked with the physical therapists. I wouldn't want to mess with whatever structure I have left and end up having reconstructive surgery that makes getting pregnant again even harder or more dangerous.
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Old 12-21-2013, 10:07 AM   #10
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I would schedule a c-section for 42-weeks but then go in for a c-section if I went in to labor earlier.
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