Are we parents yet?

The Clements’ IVF Journey

How will I give birth? March 25, 2009

Filed under: Delivery thoughts,Pregnancy — Aria @ 10:04 pm

Edit: PLEASE read how I actually gave birth here: http://talesoftheclementsfamily.blogspot.com/2009/12/birth-summary.html I listened to my body and had a homebirth instead!!

Since I was 14, it’s been a planned c-section being what I’d have to have. I don’t have a large intestine anymore, thanks to an extremely severe case, as in it couldn’t have been worse, of ulcerative colitis (yes, it’s the Wiki, but the articles on this topic are very good), and my small intestine has a j-pouch held together by stables. The pushing COULD cause rupturing or other damage. My IDEAL birth would be a water birth at home. That’s not happening.

However some more recent studies are showing that having a j-pouch and a vaginal delivery might not carry as high of risks as previously thought. Some specialists still prefer a c-section to protect the j-pouch. There is certainly a bit of increased risk for a vaginal delivery over a c-section.

I can’t decide just now whether I’d attempt a vaginal. I would contact my original surgeon, the absolutely amazing Dr. Karen Deveney. That woman is concentrated brilliance and kindness, and when she’d check on me each and every day after surgery, she’d come into my room and sit down and it felt more like a visit, like she was concerned about my mental well-being with what I was going through rather than just was I going to live. A doctor’s bedside manner is incredibly important, and I can’t rave enough about hers and how caring and concerned she was, and she never showed any frustration with me when I was scared or would cry. Just thinking about how wonderful she is brings tears to my eyes. A year or so after she finished treating me, my dad went to her with a problem with extreme pain every now and then that he’d had for over a decade and no other doctor could figure out. One ex-ray was all she needed to spot the problem, and she got my dad in for surgery right away and he was fine until he died (not from anything intestinal.

I know I went off on a tangent with this, but truly, Dr. Deveney is just incredibly amazing, and if anyone ever has to go through this, believe me, she is worth traveling for. Go to Portland, Oregon, and see her. Move if you have to. I swear, SHE IS WORTH IT.

Back on topic.

I would need more information on how it can affect short-term and long-term pouch-function, the input of my doctors here (excellent doctors at Stanford), as well as information from Dr. Deveney.

I hope a vaginal delivery will end up safe for me, but if I have to have a c-section, I will. Hell if I know why ANYONE would have an ELECTIVE c-section. Sure, the pain of delivery is less, but it’s several weeks of painful recovery afterward.

This is really something I won’t be able to decide just now, but you can bet I’m thinking about it and agonizing about it.

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11 Responses to “How will I give birth?”

  1. mseuphrates Says:

    You know you’ve got me as a resource any way you need me, lady. 🙂 Both as a veteran of 4 c-sections and doula (and c-section support is just as important IMHO). 🙂

  2. materix01 Says:

    My mother had a c section with me because my head would not turn the right way…
    Not to mention you get a scar on your tummy… >.<

  3. pickleboot Says:

    i had one each way. z came out sunny side up and vaginal, rei was a crash c-section. the only thing about the c-section that was odd and i was not ready for was no feeling in my stomach for about a year pp. honestly, that and not getting milk in as quickly as i did with zane. but- that probably had a lot to do with the trauma involved. i would go the safest route, to be honest. in doula training the thing our trainer stressed was a birth is a birth and no matter how a baby gets here, as long as the baby is healthy and happy, that is what matters. some may not agree with that, but keep it in mind.

  4. […] Go here to see the original: How will I give birth? « Are we parents yet? […]

  5. 365jesus Says:

    Right before they took Sam early (obviously I was forbidden to have a vaginal birth), everyone told me their c-section recovery stories….I don’t know if I was just particularly resilient or what, but it SO wasn’t a big deal. I was walking that night, (with pain, i won’t lie), and was off my vicodin within a week.

    The women I interacted with who had vaginal births were WAY more miserable, waddling and crabby as all get out.

    All this to say that if you have to have a c-section, you will be relieved to know it isn’t nearly as bad as you may think! 🙂

  6. jweaver75 Says:

    Just my own c-section story…
    We tried to conceive for 10+ years and finally adopted embryos. I wanted to have a natural birth. Had planned it in my head for many years. However, my dd decided to position herself bottom down (Frank breach). After at least an hour of trying to turn her, something I DON’T recommend going through, they sent me home. Next morning I was wheeled in for a C-section b/c my water broke at home. I won’t say it was fun but it is definitely do-able. I took 3 pain pills in the hospital b/c they asked me to and probably 2 after leaving the hospital. The pain was tolerable. The healing time is much better than a vaginal delivery. And 20 months later I still can’t feel much around the incision site. Ultimately, it didn’t matter! We now have a beautiful and healthy daughter!!

  7. Aria Says:

    Euphie, I may take you up on that. Be prepared for a barrage of questions soon. 🙂

    The rest of you, I’ll post a question in my next post.

  8. pinnythewu Says:

    Oh my god! I only just got a chance to check your blog now, YOU’RE PREGNANT! Congratulations! I’m so happy for you, you’re going to do fine. Now its time to eat well, do gentle exercise and be pampered.

  9. psychohist Says:

    There are some indications that vaginal delivery is a little bit better for the child, especially if one can manage without pain relievers, but it’s not nearly as big a deal as, say, breast feeding. Elizabeth did go with vaginal, but in your situation, I think I’d be very careful.

  10. Aria Says:

    Which is why I have always wanted a vaginal delivery. I’ll probably ultimately end up with a c-section.

  11. […] “Since I was 14, it’s been a planned c-section being what I’d have to have. I don’t have a large intestine anymore, thanks to an extremely severe case, as in it couldn’t have been worse, of ulcerative colitis (yes, it’s the Wiki, but the articles on this topic are very good), and my small intestine has a j-pouch held together by stables. The pushing COULD cause rupturing or other damage. My IDEAL birth would be a water birth at home. That’s not happening. However some more recent studies are showing that having a j-pouch and a vaginal delivery might not carry as high of risks as previously thought. Some specialists still prefer a c-section to protect the j-pouch. There is certainly a bit of increased risk for a vaginal delivery over a c-section.” Are We Parents Yet? The Clements’ IVF Journey […]


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