Friday, August 26, 2011

To have a Csection or not....

For those of you who don't normally follow my blog, I've been writing a series from my children's births. I finished Matthew's this month, but haven't had a chance to do Rachael's yet. But that would give everyone alot of insight if I had.
I will try to explain in a nutshell why we are choosing a scheduled C section this time.
Rachael was born at home with difficulty. She had
shoulder dystocia. Which is a medical emergency as the cord is getting compressed in the canal, even after the head is out. So the midwife worked fast and thanks to her many years of expertise and deliveries she was successful with the maneuvers she used. Bottom line she truly was 'stuck'.
She was purple from chest up and white from chest down, from lack of oxygen, and needed to be resuscitated. (the link I posted above has good information on that)
I had gestational diabetes with her , as I did with most all my babies, and that predisposes you to shoulder dystocia. Babies who mother's have
gestational diabetes are grown in utero with wider shoulders. Again I have that condition but am requiring insulin this time. I take NPH at bedtime, because it is long acting and covers me all night as my fasting sugars were too high in the AM. I am able to control my blood sugar for meals, although I work at it. But my body was doing its own thing while I slept. So being on insulin and having gestational diabetes puts you in another risk category.
Once you have shoulder dystocia you are more likely to have it again...
Rachael and Matthew were both over 9 lbs. which adds to the difficulty, as my pelvis is small.
However Breanna was 8.3 and had a fractured clavicle at birth. That tells that OB that even with a 'smaller' baby I still have difficulty with shoulders.
After Mike and realized I was no longer a good candidate for home birth, we choose a hospital birth and a new OB. Almost from the very beginning they were recommending a C-section, due to my history.
It took a LONG time for my brain to wrap around that concept!! I went back and forth, and couldn't make a decision... Then one night when Mike and I were out on a date, I said "We have to decide...What do you think? Here are my thoughts , the pros and cons again..."etc...
Then He said something that gave me such peace.
"Why are we even talking about this again? We need to have the C section."
And that was it. Simple. My husband, the father of my children, and head of our household had decided. As it should be.
We know there are risks involved, as with any major surgery, but feel this is the safest for the baby. More risk for mom, but safer than the alternatives for baby: nerve palsy, fetal hypoxia, cerebral palsy, or fetal death.
Please pray for us over the next month, as this will be a big adjustment on our family...
I won't be 'bouncing up' like I normally to take care of the other children, and we start home school up again in a couple weeks too. (which I thankfully can supervise from my recliner with baby in my arms)
Thanks for all your prayers and concerns!

2 comments:

  1. Bev, You have made such a good decision! I know how hard it can be to feel like you need to explain such intimate choices. Medical intervention is necessary sometimes. Good for you for knowing when to take it. Blessings!! Rita Harris Proctor.

    ReplyDelete
  2. Thankful for the wisdom you both had to make that decision. Rachael's birth was a miracle and blessing you both survived ok. I believe God is directing your path to avoid another near disaster. You will bounce back quickly--you are strong and determined (did you get that from your mother?). You and Mike made the "right" decision, in my opinion. Love, mom

    ReplyDelete