Reply to Unpopular opinion - elective c-sections

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote] You can choose to spend an extra night in the hospital but most women don't. [/quote]
Is it really only one extra night? It’s been a while but I recall it was two days for vaginal and 5 days for a c-section.[/quote]

Legally insurance companies cant restrict payment/coverage for less than 48 hours for vaginal or 96 for csection.

Regardless womens healthcare is always underwhelming. You can stay for 4 days but theres no one to help you get out of bed or bring the baby to you etc unless you have family or friends staying with you. From my understanding only the women are considered the patient of the nurse not women plus baby and the ratios for post-op for any other surgery are way less than with postpartum moms. Nurses can correct me if I am wrong.

My DH was at Hopkins at had nurses constantly at his bedside, checking in, helping him, etc with no surgery. Post op csection after 2 days labor....it was deserted and wild wild west. You get poked and stabbed and massaged but thats about it.

[/quote]
https://pubmed.ncbi.nlm.nih.gov/23576473/
This.

I avoided C-Section because it’s contraindicated for my medical history other than a life or death emergency.  But if I knew how absolutely appalling postpartum care is, I would have been even more adamant. In what other possible universe is a patient responsible for the feeding and toileting of another patient hours or minutes after surgery/birth???

I will never ever forget being in tears waiting for the nurses to come to bring me to the bathroom after I fainted the first time unaccompanied and they put me on a fall warning (had they read the chart I would have been on the fall warning to begin with…). The idea that I’d have been waiting that long pushing a button for a post-surgical complication gives me chills.[/quote]

Yes to all this. It's truly insane that c section patients don't really get any care or instructions -- what other surgical patient would have that treatment?

I needed a scar revision surgery after my second c section (to disconnect an adhesion to my abdominal muscles) and the pre and post op care I 
received for that was so far beyond what happened after my c sections. One week of bed rest, compression garments, massage, 6 weeks until I could exercise, silicone tape , etc etc. The post op instructions were 13 pages long, and this was a one -hour long out patient procedure (that fixed my c section shelf, btw). If anyone gave my guidance after my c section, I missed it.

C sections are a rational choice for some people. But post partum care in this country is horrible.[/quote]
That's not the worst of it. There is an  ultrasound that would risk stratify rupture risk in labor for VBAC that obstetrics studiously ignores the existence of, probably because it would out obstetricians who are crappy surgeons

I think there are literally 10,000s if not 100,000s of women who have symptomatic C section isthmoceles or uterine infertility who's symptoms are being ignored (mine were) or who are spending $10,000s on fertility treatments futilely [/quote]

Can you provide more info on this because I'm actually waffling between a vbac and an elective C-section. Essentially I have my c-section scheduled but the agreement right now is that if I go into labor prior to that then I'm going to TOLAC. 
If there's another test I should be looking into to help make that decision I would love to know about it. 
[/quote]
https://pubmed.ncbi.nlm.nih.gov/23576473/
https://pubmed.ncbi.nlm.nih.gov/23576473/
https://pubmed.ncbi.nlm.nih.gov/23576473/[/quote]
P.S. I had to pitch a fit in a biophysical profile clinic to get this measured, even though I had concerning earlier ultrasounds. Expect them to give you 500,000 excuses why you don't need this measured. [/quote]

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