Yesterday I had my first 2-week appointment for Carter. I am measuring fine and the heartbeat was nice and strong.
The doctor (I typically see a different one each time as I have to meet with each of the 8 docs) said so this is your 10-pounder (patting Logan on the head). Yep! Then he proceeded to say 'Are you SURE you don't want to schedule a c-section'??? Out of all the doctors he seems to be the pushiest about it...the others have asked me if I've made a decision and every time I say the same thing....I would like a growth ultrasound to determine how big he will be. So seeing as how this doctor was a little opinionated I thought I would pick him brain with 20 questions to see what he'd say as I do want to hear all opinions. Here is what I learned:
- if I schedule a c-section the pain and discomfort will apparently be less than if I have to have another emergency c-section. I guess it is because my body will not have gone through so much rigamarol.
- if I have a VBAC (vaginal birth after c-section) the recovery time is less than that of a c-section (regardless if it is schedule or emergency)
- if I have a VBAC I will not have to stay in the hospital as long
- if I schedule a c-section the experience will be much different than that of an emergency section as the doctors will not be as concerned about the baby losing fluid or being in distress...there will be no rushing down the hallway...no rushing to get the baby out - it will be a calmer experience and I will have Carter in my hands at a guaranteed time.
- if I schedule a c-section I can do it as early as one week prior to my due date, which puts Carter arriving Jan. 28
- I asked if I can schedule an induction and he said 'no' (I thought maybe if I could induce him to come out early, he'd weigh less than going to 40 weeks or beyond). They do not do inductions on previous scars. He said if I went naturally on my own, that is one thing, but the medical professionals will not make that happen.
- one of my concerns with having another c-section is that going forward that is pretty much all I'll be able to do. He said with having 1 section, the risk of the inner scar rupturing is 1% (that one percent has very high risks associated with it). That percentage will increase will each following section, however there are not enough studies to show how high the percentage is as there are not many women that do a VBAC after 2 or more c-sections.
- I asked how many c-sections a person can have (as John and I want more than a couple of children if we can). He said that 3 is normal, 4 is definitely doable, he has done 5, but it is a bit more rare. I told him of a gal I'd recently met that is having her 6th c-section and he thought that was way too much. He then voiced his opinion about large families and I was able to clearly tell that he thought 6 kids was way too much anyway. John and I don't know how big we want our family to be, but we are both in agreement that we would like more than 2 if possible.
- I asked when a growth ultrasound could be performed. He said between 36-38 weeks, as close to the due date as possible. He said that they are not 100% though. They can give us percentages as to how big they 'think' he will be...but he has had circumstances where they thought the baby would be 7 pounds and it was 9 pounds...or thought they would have a 9.5 pounder and it was 8.5 pounds. So apparently they can try to estimate as best as they can, but it is not exact so we need to take it with a grain of salt. In all honesty, as Logan measured in my belly perfectly up until the very end, it is so hard to tell how fast he grew...was it gradual or did he shoot up in the last couple of weeks?
I think that pretty much sums up our conversation. In the end we kind of decided that at my next appointment I will most likely schedule my c-section, if anything as a 'just in case'. Apparently as it gets closer, time in the O.R. can be harder to schedule. So for now my thinking is that I will schedule the c-section and see what happens. If I go into labor beforehand, then I can give VBAC a try. If I do not go into labor on my own, perhaps there is a bigger reason and c-sections are meant to be for me. I will continue to mull this over as I really do want to try a VBAC, but if I am 'afraid' that Carter is huge or his head too is crooked in the canal, then I don't want my mind to play games with me while trying to push. I know that other people have delivered big babies so I know it is not impossible...it is just that I did really give it my all with Logan and it just didn't happen for me.
My next appointment is the Tuesday after Christmas and is with the doctor that was with me the entire time of my delivery with Logan. She is very sweet and I look forward to hearing her opinion as I don't think she will be as pushy, but informative (not that this doctor was not informative, I just wonder if anything he said was a bit biased towards section).
If you have thoughts about it, please leave a comment...I enjoy reading them and weighing my options with others thoughts in mind. John is very much for a c-section, but is at least saying he is understanding that it is my body and he will support me with whatever I decide.