Panic Attacks During C-Section

Specialties Ob/Gyn

Published

How often do patients panic on the c-section table? How do you calm them down if they are panicking prior to surgery?

Specializes in LDRP.

I haven't had many actually panic. They get anxious, and a lot of them cry. I usually hold their hand and explain everything we are doing. I reassure them that we will make sure they are completely numb so they won't feel any cutting, but warn them about the pulling and pressure. I introduce them to the NICU staff and baby nurse and tell them their baby will be in good hands. Sometimes anesthesia will give them a little something in their IV to calm them down.

Long Term Care Columnist / Guide

VivaLasViejas, ASN, RN

22 Articles; 9,987 Posts

Specializes in LTC, assisted living, med-surg, psych.

I freaked out during my last C-section, over 26 years ago. They had given me the spinal and when they tilted the head of the table down, the anesthesia went up to my shoulders and I couldn't feel myself breathing. The OR nurses kept telling me it was OK, I was breathing properly and my Sa02 was 99%, but I was panicking and even felt like I couldn't talk. It was horrible. I think the anesthesiologist finally gave me something to mellow me out because I did calm down somewhat, and then of course the baby was born and that was exciting, plus by that time some of the anesthesia had worn off and I could feel my chest rising and falling again. But if I ever have to have another abdominal procedure again, I'm going to ask for a general because that experience was so frightening. Either that, or they're going to have to pump me full of Versed!

allnurses Guide

NurseCard, ADN

2,847 Posts

Specializes in Med/Surge, Psych, LTC, Home Health.

During my last C section, I began feeling like an elephant was sitting on my

chest because the anesthesia guy was giving me too much. He slowed it down

a bit and I felt better. After that I felt NOTHING. I didn't even feel the pressure

down there.

With my first, I definitely felt all of the pressure, the doctor digging and

tugging. It was considered an emergency C section.

Specializes in Med-surg, school nursing..

During my second (of three) c-section right after my spinal I got the worst headache of my life. My head literally felt like it was going to explode. I looked at my doctor and calmly said "something is wrong, help me." I will never forget the look she had. One of "holy crap". She grabbed one arm and the anesthesiologist grabbed the other and they were checking for a pulse. I said "I can tell you what it is because I can see it in my eyeballs!" It was then that I began screaming because my head hurt sooo so bad. My husband was in there with me but my mother was still outside the OR. I remember hearing my doctor telling the OR staff that she was scrubbing in and to call the other doctor who was assisting and tell her to hurry up. She ended up getting baby out before the other doctor arrived.

It wasn't until after I found out that my blood pressure was 220/120 and my heart rate was 20. Worst experience of my life.

My first section was scary, simply because it was my first and the "pulling and pressure" was a hell of a lot more than that.

My last section was amazing. No vomiting (I vomited throughout both previous c-sections), very little pressure or pulling felt.

So I would say panicking happens. But I would also say that every c-section is different. One person might have felt no pulling or pressure and the next person might feel like their insides are being ripped apart.

countrynurse09

37 Posts

Specializes in ltc dd/mr.

I just had my first baby on 11/26. I DID panic! My baby was traverse and my water broke at home at 37 weeks, so automatic section. Worst experience of my life! I was very nervous going in and had asked for anything for anxiety...no dice. I was given a spinal and was numb, but it still HURT! Not the cutting, but just pain. I guess it was what they were calling "pressure"? Then during the surgery I began vomiting. My BP dropped to 94/48. Immediately after they took my son out, and I heard him cry, as they were stuffing everything back in, I began having a full blown panic attack.I hurt, I felt like I couldn't breathe (although they assured me I was), and I continued to retch. I thought I was going to die. I looked up at the anesthesiologist and begged him to help me. He asked, "what do you want me to do?" Really?! The surgeon who was still working on me, suggested the anesthesiologist give me some Ketamine. Finally, I was given 10mg morphine in my IV, which did help to calm me. I was humiliated, but I really couldn't help it. My birth experience was totally ruined. No magical bonding for me and my baby. I was so wrapped up in my own symptoms, I couldn't focus on him at all. It's only been 7 weeks ago, so I'm still feeling really disappointed and guilty in myself for my bad reaction, lol. I wish I had been able to deliver lady partslly.

flowerpowerntx

76 Posts

I freaked out during my last C-section, over 26 years ago. They had given me the spinal and when they tilted the head of the table down, the anesthesia went up to my shoulders and I couldn't feel myself breathing. The OR nurses kept telling me it was OK, I was breathing properly and my Sa02 was 99%, but I was panicking and even felt like I couldn't talk. It was horrible. I think the anesthesiologist finally gave me something to mellow me out because I did calm down somewhat, and then of course the baby was born and that was exciting, plus by that time some of the anesthesia had worn off and I could feel my chest rising and falling again. But if I ever have to have another abdominal procedure again, I'm going to ask for a general because that experience was so frightening. Either that, or they're going to have to pump me full of Versed!

The same thing happened to me as well. I couldn't breathe and felt super anxious. I told the anesthesiologist that I felt like I was going to die. He said that he gave me something to adjust my blood pressure and that feeling went away.

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