Doctor insights on:
How Soon After A Csection Are You Fertile Again
Space deliveries: It is always a good idea to space cesarean deliveries 18 months apart or more, to reduce the risk of uterine scar separation with contractions. Use birth control regularly through the first year after your child is born so that you avoid accidental pregnancy in this time frame. ...Read more
Potentially: The anus is an exit not an entrance, and so I discourage my patients from partaking. Besides the risk of infection including std's, you risk damage to the sphincter mechanism that can not be repaired, leaving you with variable incontinence. Not worth the risk! If you insist on having anal sex, I would discuss with your OB gyn doctor before attempting. ...Read more
Lawyers....: Many patients are perfect candidates for vbac (vaginal birth after c-section). However, many hospitals require immediately available access to c-section including anesthesia, surgeon, or team, & pediatrician. The logistics and liability for bad outcome (uterine rupture) although approx 1% is high enough to not want to encourage or support vbacs. The requirements are too difficult & costly. Sorry. ...Read more
Depends: It depends on a number of factors which mode of delivery to choose after a previous c/section. First and foremost, the reason for the first c/section needs to be taken into account. Next, is the hospital equipped to allow for a safe VBAC. This is a question that needs to be discussed with your obstetrician. If you have your prenatal care in a "staff clinic", ask to talk to the attending physician. ...Read more
Please ask your OB: Your OB knows u and how the surgery went and should have already told you that before you went home form the hospital, usually u can have the post partum lochia for 3-5 weeks but it should get less and lighter as time goes on and should be done by the 6 weeks post partum exam, if the bleeding is not getting less or if it is increasing please call your OB as u will need to be checked. ...Read more
Keep it dry: You shouldn't have to do much. One of the best things to do to help a cesarean scar heal well is to keep the area dry. That doesn't mean you can't shower, but pat the area dry with a towel. And if you have a belly that hangs over the scar, consider blowing a hair dryer on cool against your skin to keep the skin from getting too moist. ...Read more
Yes, but concerns: Vaginal birth after C-section = vbac, is often medically possible. After a c-section, the uterus has a scar from healing, that is the major concern. Even though the scar may not look bad before the uterus stretches, as your uterus expands for the growing fetus, the scarred area may become thin, with higher risk of tearing during contractions. Some hospitals decide that the legal risks are too high. ...Read more
Depends on you: A vbac carries the risk of uterine rupture, which is very serious. Many people, however, do have successful vbacs. Some hospitals or doctors do not have the insurance to do vbacs, so check with them. If you have had a successful vaginal delivery, the chances of vbac success are great. You will need to talk to your doc about all of the risks and benefits of attempted vbac in your own situation. ...Read more
Yes, but: As a pregnant woman some states grant someone your age some leeway in making decisions concerning your OB care. You should discuss this with your OB. Whether for convenience, timing, or because you do not desire to go through labor, no physician is required to do a surgery they feel is not appropriate. Find out ahead of time what your choices are, you do not want to argue this when labor starts. ...Read more
Yes: Discuss your fear with your surgeon/ physician/ nursing staff. Education also helps to reduce fear. Some level of anxiety is normal. If you become acutely fearful - Breath in slowly & deeply through your nostrils. Fill your lungs with air (but not to the point of discomfort). Hold for a count of five then slowly begin to exhale through an open mouth. Repeat at least 12 times, longer if you need to ...Read more
I'd hold off a bit: Once you are discharged home, it is your choice as to what shoes to wear; however, wearing heels within the month after c-section is a little risky in light of recouping from the incision and the uncertain stability due to the ligamentous laxity in your joints following the delivery. Not to mention, you may not fit the heels you used to wear prior to the pregnancy. ...Read more
Better to wait: Carbonated beverages have a tendency to increase gas/bloating in the belly. Most people recovering from surgery, especially abdominal surgery, are better off waiting to consume these beverages while the intestines regain normal function. Gas/bloating in this case will worsen pain/discomfort. More information about your case in a consult may help better guide a personalized timeline. ...Read more
Pains: The back can be from being in one position for a stretch of time on the operating table, and causing a strain on the muscles. The chest may be referred rom the C-section abd area? All gueses. Usually a mild medication like an nsaid may be helpful, but thi sneeds to be discussed with your OB-Surgeon to assure all is well with no interactions and that you get a definitve diagnosis of your pains. ...Read more
Only if incompetent.: Us courts have allowed c-sections against maternal wishes in cases of mentally incompetent mother - rare reports. In general, patient autonomy (after informed consent) is very well respected in the us and your care team will try to convince you to make the right choice, rather than "forcing" you. In an emergency, trust your doctor to recommend the most commonly performed life-saving surgery! ...Read more
C- section is not a cause for colonoscopy. There is likely something else in your history that concerned your doctor.
Speak with the doctor that recommended the colonoscopy as for the indication.
More than likely, there is something concerning, but they don't want to do it while you are still pregnant. ...Read more
Talk about it: There were probably many reasons that you chose this direction. You sound like you are second guessing your choice at this point. Review the reasons for your decision. Your OB agreed, apparently. Who questioned your choice and why? These are the issues which you can talk about with a neutral person. In the meantime, put your energy into getting to know your baby. ...Read more
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