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Doctor insights on: Previous Childbirth By C Section

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Will I be able to have a natural childbirth if I had to have a c-section last time?

Will I be able to have a natural childbirth if I had to have a c-section last time?

Depends: Vbac (vaginal birth after c-sec) depends on many factors. Type of incision, reason for c-section, no contraindications for tol (trial of labor) such as previa, malposition, etc. But most important, the facility needs to be able to do emergent c-sections in case of the rare (1/100) but catastrophic risk of uterine rupture. Make sure you have 24/7 anesthesia & surgery teams. Have a safe delivery. ...Read more

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How can a cystocele be prevented with childbirth? Having a c section?

How can a cystocele be prevented with childbirth? Having a c section?

Less likely.: Pregnancy is a risk factor for pelvic prolapse and incontinence. Most specifically vaginal delivery is a risk factor for these problems. Women who have a c-section versus vaginal delivery are less likely to have a cystocele or other forms of prolapse. There are a lot of pros and cons to this decision. I would recommend discussing these with your doctor to help guide your decision. ...Read more

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40yo endo, pcos, ulcerative c. childbirth via c-section, 2 surgeries to remove endo from rectus muscle. Many meds over 15y. Hysterectomy pro and con?

40yo endo, pcos, ulcerative c. childbirth via c-section, 2 surgeries to remove endo from rectus muscle. Many meds over 15y.  Hysterectomy pro and con?

Complicated Surgery: Your history of surgeries makes me worry that another surgery for you might be difficult if you have a physical exam that shows a uterus that's fairly stuck in the pelvis. If you haven't tried medical methods of care for endometriosis, I would do that first. Consider continuous pills, Depo, Lupron, (leuprolide) etc. ...Read more

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Can I refuse a c-section?

Can I refuse a c-section?

Yes: You have unlimited negative right (ie the right to refuse any treatment.) if you are feeling the need to refuse a cesarean, make sure you understand why someone is recommending one. You may be refusing something that would be in your or your infants best interest. Many things can be done to reduce the likelihood of needing a cesarean, but some cesareans will be necessary despite all measures. ...Read more

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Can I demand a c-section?

Can I demand a c-section?

Yes: As long as you understands all the risks associated with a cs and your ob/gyn is willing to perform it, you can ask for it and most physicians will comply. ...Read more

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Can I ask for a c-section?

Can I ask for a c-section?

Yes: You can ask, but if your exam shows your pelvis to be adequate for vaginal delivery, your provider should kindly refuse your request. The risk to both you and baby are increased in c-section, and they should be reserved for medical reasons only. ...Read more

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