Question abotu c section/ epidural

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I had an emergency C-section. Early on in the induction we started losing his heartbeat. They did a spinal.


Was the decrease in heart rate due to the induction?


Yes! 100%

But these crazy DCUMmers will try to fight you if you educate them on that. They'd rather prefer to believe their baby would have died without their EmErGeNcY c section.

Also true- if it's an actual emergency they will knock you out with general anesthesia. Otherwise, it's just an unplanned cesarean.


why did your induction cause a decrease in heart rate?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:They will either give you a spinal or they will give you general anesthesia. They will not operate on you unanesthetized if that is your worry?


They sometimes cut without anesthesia. I’ve seen it happen.


DS was in a bad situation and I was told if I couldn't deliver him vaginally in 10 minutes, I would have an emergency C-section with no epidural or anesthesia. The emergency was that the baby had to be out of my body ASAP. I would survive without pain meds, he would not survive a minute longer. Luckily I was able to push him out. Still shocked and scared at the possibility of the different outcome. No one prepared me for that as a possibility.


what the hell? if youve got an IV why cant they knock you out? This is so scary.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:They will either give you a spinal or they will give you general anesthesia. They will not operate on you unanesthetized if that is your worry?


They sometimes cut without anesthesia. I’ve seen it happen.


DS was in a bad situation and I was told if I couldn't deliver him vaginally in 10 minutes, I would have an emergency C-section with no epidural or anesthesia. The emergency was that the baby had to be out of my body ASAP. I would survive without pain meds, he would not survive a minute longer. Luckily I was able to push him out. Still shocked and scared at the possibility of the different outcome. No one prepared me for that as a possibility.


If they had time to give you an additional 10 minutes, they had time to put you under.


Ugh yeah WTH. You either misunderstood or that is the craziest set of options to give someone. ASAP is not 10 minutes. Thats plenty of time to do an epidural and certainly to do general. The midwife practice I used at a hospital said they could get baby out in about 2 minutes including administering general.


yea what kind of shit is this.
Anonymous
Anonymous wrote:
Anonymous wrote:one of the very few memories I have from my emergency c-section was the anesthesiologist repeatedly asking me if I could feel him touching my side. . . they will not cut into you until they know you can't feel it or are knocked out.


Not true in an emergency.


Stop trying to scare people. No one is cutting women open in an L&D room with no anesthesia. That's a recipe for malpractice.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I had an emergency C-section. Early on in the induction we started losing his heartbeat. They did a spinal.


Was the decrease in heart rate due to the induction?


Cord was wrapped around him. They expect the heart rate to go down when you're having a contraction and then go back up, and his didn't recover. We were only an hour into the induction and I was 0 cm dilated and wasn't feeling any contractions yet. The scariest part was that the doctor was very calm about telling me he wanted to do a c-section etc. and then what felt like 15 OR nurses came bursting into the room to take me to the OR. It was terrifying.


10 -29% of babies present with nuchal cords at birth. There is no reason whatsoever to c-section bases on nuchal cord. I delivered 2 large babies with nuchal x3 vaginally with no drugs.

This is a great example of fear-based maternal medicine, though.


But babies do die from nuchal cords. Mine did (much earlier in pregnancy, not during labor). And if you are an OB who’s had it happen, you are going to be super cautious. Because possibly unnecessary cs is better than whoops should’ve had a cs stillbirth.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I had an emergency C-section. Early on in the induction we started losing his heartbeat. They did a spinal.


Was the decrease in heart rate due to the induction?


Cord was wrapped around him. They expect the heart rate to go down when you're having a contraction and then go back up, and his didn't recover. We were only an hour into the induction and I was 0 cm dilated and wasn't feeling any contractions yet. The scariest part was that the doctor was very calm about telling me he wanted to do a c-section etc. and then what felt like 15 OR nurses came bursting into the room to take me to the OR. It was terrifying.


10 -29% of babies present with nuchal cords at birth. There is no reason whatsoever to c-section bases on nuchal cord. I delivered 2 large babies with nuchal x3 vaginally with no drugs.

This is a great example of fear-based maternal medicine, though.


But babies do die from nuchal cords. Mine did (much earlier in pregnancy, not during labor). And if you are an OB who’s had it happen, you are going to be super cautious. Because possibly unnecessary cs is better than whoops should’ve had a cs stillbirth.


I agree this is probably true, but the problem is it lowers the standard of care for women. My OB having a patient with a complication before me is not a risk factor in my delivery. And OBs are not likely saying “you have no increased risk factors but I am pushing a surgical birth because of my own insurance/discomfort” because no patient would be comfortable having decisions made for them on that basis.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I had an emergency C-section. Early on in the induction we started losing his heartbeat. They did a spinal.


Was the decrease in heart rate due to the induction?


Cord was wrapped around him. They expect the heart rate to go down when you're having a contraction and then go back up, and his didn't recover. We were only an hour into the induction and I was 0 cm dilated and wasn't feeling any contractions yet. The scariest part was that the doctor was very calm about telling me he wanted to do a c-section etc. and then what felt like 15 OR nurses came bursting into the room to take me to the OR. It was terrifying.


10 -29% of babies present with nuchal cords at birth. There is no reason whatsoever to c-section bases on nuchal cord. I delivered 2 large babies with nuchal x3 vaginally with no drugs.

This is a great example of fear-based maternal medicine, though.


But babies do die from nuchal cords. Mine did (much earlier in pregnancy, not during labor). And if you are an OB who’s had it happen, you are going to be super cautious. Because possibly unnecessary cs is better than whoops should’ve had a cs stillbirth.


I agree this is probably true, but the problem is it lowers the standard of care for women. My OB having a patient with a complication before me is not a risk factor in my delivery. And OBs are not likely saying “you have no increased risk factors but I am pushing a surgical birth because of my own insurance/discomfort” because no patient would be comfortable having decisions made for them on that basis.


Hogwash. A possibly unnecessary C section will always be a million times better than a possibly dead baby. If given the choice, most people would rather focus on maximizing risk to themselves and minimizing risks to their baby and moving forward with the C-section—a safe and wonderful surgery we are lucky to have. You do realize the chainsaw was invented to cut the pubic bones of women when babies were stuck inside, right? And that early obstetric tools were basically just devices to dismember an infant so that the mother’s life could be saved? Mother Nature is a cruel when it comes to mothers and babies and you forget this at your own peril.
Anonymous
This is absolute BS.
If you can feel the cut, they will put you under general.
Even in an emergency they do a check with an instrument to see if you are numb. If you aren’t it is general.
OBGYNs can also do a cesarean under local anesthesia.

Additionally, no one gets a cesarean in the labor room unless your are in the ICU and too unstable to move or the mother has coded.

Each labor and delivery has multiple ORs.
If the labor and delivery OR is full, you would go to the main OR.

Prior Labor and Delivery RN

Don’t be afraid.

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I had an emergency C-section. Early on in the induction we started losing his heartbeat. They did a spinal.


Was the decrease in heart rate due to the induction?


Cord was wrapped around him. They expect the heart rate to go down when you're having a contraction and then go back up, and his didn't recover. We were only an hour into the induction and I was 0 cm dilated and wasn't feeling any contractions yet. The scariest part was that the doctor was very calm about telling me he wanted to do a c-section etc. and then what felt like 15 OR nurses came bursting into the room to take me to the OR. It was terrifying.


10 -29% of babies present with nuchal cords at birth. There is no reason whatsoever to c-section bases on nuchal cord. I delivered 2 large babies with nuchal x3 vaginally with no drugs.

This is a great example of fear-based maternal medicine, though.


But babies do die from nuchal cords. Mine did (much earlier in pregnancy, not during labor). And if you are an OB who’s had it happen, you are going to be super cautious. Because possibly unnecessary cs is better than whoops should’ve had a cs stillbirth.


I agree this is probably true, but the problem is it lowers the standard of care for women. My OB having a patient with a complication before me is not a risk factor in my delivery. And OBs are not likely saying “you have no increased risk factors but I am pushing a surgical birth because of my own insurance/discomfort” because no patient would be comfortable having decisions made for them on that basis.


Hogwash. A possibly unnecessary C section will always be a million times better than a possibly dead baby. If given the choice, most people would rather focus on maximizing risk to themselves and minimizing risks to their baby and moving forward with the C-section—a safe and wonderful surgery we are lucky to have. You do realize the chainsaw was invented to cut the pubic bones of women when babies were stuck inside, right? And that early obstetric tools were basically just devices to dismember an infant so that the mother’s life could be saved? Mother Nature is a cruel when it comes to mothers and babies and you forget this at your own peril.


Where did anyone say otherwise? My point is the possibility of a dead baby is in no way impacted by whether the person delivering him or her has recently had a bad outcome of delivery. Think about it in terms of any other field of medicine— would you want a really conservative orthopedic surgeon to suggest amputating a leg because a recent patient of his developed sepsis of the leg?

This is one of the things VHC is trying to control for by doing an AAR for every unplanned c-section.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I had emergency, not planned or unplanned due to rupture.

One minute they were looking at the monitor the next I was waking up after my c/s.

They knocked me out via IV, intubated and cut. It took all of a few second and happened in the labor room not OR.

If you had an "emergency c/s" in OR or with a spinal it was an unplanned one.


So happy you and the baby survived. This is why I want to give birth in a hospital.


if caught in a hospital high chance of surviving. I talked to my dr all about it yesterday. They know how to quikcly handle these things.


So glad you and baby are ok pp. my mom was a L&D nurse, and she said the quickest she’d seen a mother go into distress to having baby out was under a minute. She said no epi, and they cut her navel to pubic bone right there in the labor room. It really traumatized me into almost not having kids. She said this mother had had many stillbirths, and she was just so happy to have a live baby. Shock must’ve kept her going. I would never do a honebirtj because of this. Too much to lose.


Don’t let this scare you. This is a third hand horror story that is almost certainly fiction. Like the stories my dad used to tell from the war. They are not going to cut you open without anesthesia.

Stop telling people that, for heaven’s sake.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:They will either give you a spinal or they will give you general anesthesia. They will not operate on you unanesthetized if that is your worry?


They sometimes cut without anesthesia. I’ve seen it happen.


DS was in a bad situation and I was told if I couldn't deliver him vaginally in 10 minutes, I would have an emergency C-section with no epidural or anesthesia. The emergency was that the baby had to be out of my body ASAP. I would survive without pain meds, he would not survive a minute longer. Luckily I was able to push him out. Still shocked and scared at the possibility of the different outcome. No one prepared me for that as a possibility.


what the hell? if youve got an IV why cant they knock you out? This is so scary.


The problem with all of these stories is that in the heat of the moment, folks are probably misunderstanding what the doctors or nurses are telling them. And then they are repeating it. Or the nurses are saying things as a threat to try to motivate the laboring mom to push harder, which is a shitty thing to do, but some people are shitty. That doesn’t mean if you hadn’t gotten the baby out within 10 minutes they REALLY would have cut you open without anesthesia.
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