Okay OB nurses All about a cesearean?

  1. I was just told at my last check up that I will have to have a c-section . I have had three vaginal births , with no drugs . I am terrrified of getting spinal anesthesia and the whole c-section . My midwives explination was too brief for me . Any advice ? What I need to know ? How long does it take ? The only knowledge I have is that from nursing school .And since I now work in LTC it really isn't much . Any words of wisdom greatly appreciated!
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  2. 31 Comments

  3. by   kmchugh
    Couple of quick questions:

    Why do you have to have a c-section?

    What about the spinal (or epidural) anesthetic frightens you so much?

    My hope is to allay your fears, particularly where the anesthetic is concerned.

    Kevin McHugh, CRNA
  4. by   Marie_LPN, RN
    This is a FAQ sheet from childbirth.org about C-sections


    http://www.childbirth.org/section/CSFAQ.html#pro
    Last edit by Marie_LPN, RN on Jan 16, '05
  5. by   xmaxiex
    have to have a c-section because I have monsters that pose as babies ! LOL
    My last child was delivered natural 11lbs4ozs and she suffered erbs palsy . I also hemmorahged and needed blood transfusions. My other children were around the 10lb mark and strangely I did not have gestational DM . I am apprehensive due to the location (spine) of needle! I have heard horror stories of complications after spinals , who knows if they are true ?
  6. by   Marie_LPN, RN
    Good grief, 10 pounds, coming out of THERE. And no drugs? OOOOOOOOOOOW!
  7. by   Spidey's mom
    I had a cesarean 3 1/2 year ago after 3 normal vag births.

    The epidural did NOT hurt - it was heaven. No post-op problems either.

    During the surgery, which was an emergency, I was only fearful that my son was born quickly and healthy. I felt no pain, nothing. It was easy on me. When I saw him and heard him cry I was so relieved and happy.

    I will say that the anesthesiologist warned me that when the docs started to put me back together (he mentioned a particular part but I can't remember) I might feel nauseous. I did not feel that way at the time. About 5 minutes later I did. He gave me something for the nausea and I was better.

    The bad thing was I did get hemabate and one side effect of that is fecal incontinence . . and that did happen to me in recovery and I was numb and didn't realize it - my nurse was so wonderful. I even sent a thank you to the hospital mentioning her in particular.

    The recovery was tougher than the vag deliveries. I never realized how much you use your stomach - even clearing your throat uses abd muscles. I had great nurses again who helped me breastfeed - everything turned out great.

    Ask for anti-gas meds . . . .once your bowels started rumbling it hurts. Simethicone was a Godsend, along with the pain meds.

    Really, a healthy child was the goal. Everything else pales in comparison. And really and truly the epidural does not hurt.

    Good luck.

    steph
  8. by   Spidey's mom
    Quote from xmaxiex
    have to have a c-section because I have monsters that pose as babies ! LOL
    My last child was delivered natural 11lbs4ozs and she suffered erbs palsy . I also hemmorahged and needed blood transfusions. My other children were around the 10lb mark and strangely I did not have gestational DM . I am apprehensive due to the location (spine) of needle! I have heard horror stories of complications after spinals , who knows if they are true ?
    I have a good friend who is a CRNA and the horror stories are NOT true.

    Helps us out here Kevin.

    steph
  9. by   Marie_LPN, RN
    Quite honestly, i've been in SEVERAL C-sections even though i just started in the O.R. in June, and i have never seen a bad result from spinals.

    Our anesthesiologists have a group office, and they have at least two of the docs in the office, to do consults. My suggestion is to make an appointment to speak with one of the anesthesia docs. And until your appt. comes around, keep a notebook and add your questions to it and take that paper with you so that you won't forget to ask a question.
  10. by   xmaxiex
    Thanks Marie ! And yes it did hurt . When I walked in for my first OB appt the midwife took one look at me and said , "I cannot believe you had the bravery to get pregnant again !" lol . Bravery or stupidity , I ask myself ?
  11. by   xmaxiex
    Ohh gee thanks steph , fecal incontinence ? Just when I thought I had all my worries together and labeled leave it to another nurse to casually mention something like fecal incintinence !!!! Now I really can't wait ! Just kidding it helps to hear it from those that know , the textbook answers they give you to your questions don't seem to be helpful . You guys and gals are the greatest !
    Marie, How long from start to finish do these things usually take ?
    Steph , how far ahead of your due date do they schedule it?

    P.S. If you ever see a thread on here in the summer about fecal incontinence stories You know from where they came !!!!!!! :imbar
  12. by   Marie_LPN, RN
    Ohh gee thanks steph , fecal incontinence ? Just when I thought I had all my worries together and labeled leave it to another nurse to casually mention something like fecal incintinence !!!!
    This happens with any procedure. Just remember, though, this is something that the staff has seen before, and nothing to be embarrased about (which is why we have a 10 inch stack of washclothes in the room).

    Marie, How long from start to finish do these things usually take ?
    The spinal i've seen take 15 minutes at the longest. C section 30 minutes-1 hour.
  13. by   JaneyW
    You will get there about two hours early. They will ask you a million questions, start your IV and shave you (usually a closed leg shave), and probably get a dose of Bicitra to neutralize your stomach acid. You will need a foley catheter--ask to get it after they give you the spinal! The spinal takes about 10 to 15 minutes and then they need to prep you, etc.

    It is about 15 minutes from cut to baby out. You will get to see the baby. After the baby is out, it takes a lot longer to sew you back up--maybe a half hour or so. Some places recover their own C/S on the OB unit--ours sends the pts down to the recovery room for a couple of hours before they get to their postpartum room. TAKE YOUR PAIN MEDS!!! Make sure you get simethicone for the gas and walk walk walk as soon as you can. Good Luck!
  14. by   nurse_wannabe
    Quote from xmaxiex
    Ohh gee thanks steph , fecal incontinence ?
    :chuckle

    I know how you feel! I am due in June and will be having my 2nd C-section.

    As far as the fecal incontinence goes, for my 1st one I received a cleansing enema before the surgery. I'm sure it depends on your doctor's/midwife's preference, but that might be something you may want to check into. I would much rather have an enema than make a mess on the operating table! :imbar

    The other recommendation I would make to you is to stay awake during the procedure. The first time, I opted to get "knocked out," (I'm still a student, ok? LOL). Waking up after surgery totally disoriented, in horrific pain, and scared to death was by far the worst part of the entire ordeal, and that includes all the pain afterward.

    BUT, the morphine drip that followed was nice. :roll

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