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Birth Announcement and Question 
27th-Jan-2014 04:25 pm
Iron Man!
Hello All,
I have not had to post much this pregnancy, but I am happy to announce that Logan Cain Boots R (we did two middle names with both our children since my husband and myself both have two middle names as well) was born via c-section on January 15th. Everything went really well, but as this was a repeat I was much more nervous than I was with my first c-section. With my first I only knew the day before it happened that I was going to have a c-section. This time I knew the date about a month in advance, which was a bit nerve wracking! But the surgery went off without a hitch and it is wonderful to have my baby boy here. My daughter loves him too. She just turned 3 on the 26th so they are about 3 year apart exactly!
I have one question though, well maybe not question but asking for advice. When my doctor was opening me up, she asked me if this was only my second c-section. I replied that it was and then she asked if I was in labor at all. I told her that I was having some mild cramps but nothing major. She then tells the others around her that it looked like my uterus was in labor for a while now and that my uterus lining was "very very very thin." She informed me that she was going to reinforce the stitches. After the baby was out and she started the close, the doctor told me that we should think very hard about ever wanting to have more children. Or if I ever moved to a new doctor, ensure that I tell them how thin she said the lining was.
Has anyone been told they had thin lining before? I know someone that had it and they ended up having their uterus rupture and they almost died. My husband is now very against having anymore children even though we wanted one more someday. I am just looking for some stories from anyone who has been in this situation before.

Thanks All!
27th-Jan-2014 09:48 pm (UTC)
I don't know, but get a second opinion. I haven't heard of being in labor for awhile being related at all to one's uterus being "thin" so that part is confusing to me. With something as major as whether or not to have another child biologically, yeah, definitely get more doctors' opinions.

28th-Jan-2014 03:15 am (UTC)
Is it possible to get another opinion without cutting her open to look? I honestly was not aware this was possible...
28th-Jan-2014 08:37 am (UTC)
It's certainly possible to get another opinion on if this (the unusual thinned uterine lining due to unnoticed mild cramping etc.) is even possible. Also, the surgery report should tell the next doctor some details about what was done and any special findings. The other OB could also call the OB who did the surgery and ask for details (colleagues sometimes get more information than patients, sadly).

Also, an abdominal plus vaginal ultrasound well after the postpartum period might be useful to determine the thickness and evenness of the uterus and the old plus new scar/suture. As far as I know it's normal that the uterus thins out a certain amount, since it stretches wildly and well, you can feel and see the kicks through the belly. Maybe the doctor meant that the area of the old scar was thinned and contained more fibrous tissue than expected (after all scars are not muscle but connective tissue, the worse the previous job, the larger the weak scar area might turn out to be), but if she really did her job well the new suture should have created a new "fix". It's really a mysterious quote and with too many bad OBs around, I would certainly get a second opinion. There have been stories of OBs who talk bullshit because they don't personally approve of people having more than XY children (although this is really just a very wild guess since I don't know OP nor the OB).
Lastly, there is also MRTs and CTs to view the exact state of the tissue (thickness, type, inflammation yes/no), but those would be very expensive and possibly over the top. But it's possible. :P

Edited at 2014-01-28 11:46 am (UTC)
31st-Jan-2014 11:29 pm (UTC)
Thanks for all that info! I am hoping that at the six week appointment that the doctor I see will let me know some more information. It was a pretty crazy moment to get into this kind of talk.
31st-Jan-2014 06:15 pm (UTC)
I love that your OB had a serious medical conversation regarding your future while you were in surgery. Didn't she think that she might want to wait until you were able to ask some questions or something? wtf.
31st-Jan-2014 07:32 pm (UTC)
Ah well, I don't find that too bad since the spinal anesthesia doesn't influence your consciousness, and while it's unusual for doctors to actually talk to the patients, it's not the most unheard thing to have small talk during surgery in local anesthesia (usually the anesthetists chat to relax the patients, though). It can be calming to be informed that now the stitches will be done etc. ... my dentist often gives short heads ups when he does something so I know where he is or how long it will take.

However, I definitely agree that there should have been a separate talk later on. While small talk can be polite and nice during surgery, it's certainly not the ideal situation to have serious conversations. After all, it's the birth of a child and not just a suture on an ankle (e.g. after removal of a nail or plate)! She really could have left the worrying comments for later, but I guess the doctor didn't even notice that she said a bit too much at the wring time.
31st-Jan-2014 08:31 pm (UTC)
Well that's what I mean. I understand that technically you are conscious and capable of conversation, it's already a pretty high stress situation and you as a patient and mother of a newborn have likely got a lot on your mind other than how many more kids you will have. I know I wouldn't be able to process much in terms of serious talk from a doctor in that moment, let alone ask informed questions.
31st-Jan-2014 11:28 pm (UTC)
I will agree that it was odd timing especially since I react really poorly to anesthesia that I basically had almost a panic attack when my BP dropped. I was not really in the right state of mind, luckily my husband was in the room. When she visited me the next day, I had to prompt her and find out what she meant by all of it and she basically just restated what she said while I was on the table. Obviously, I do not want to harm myself or another child, I am just unsure what the percent of risk is to have another or if there are methods to strengthen the lining. I have my post op at the six week mark, maybe she will tell me then. It just caught me all off guard especially when she mentioned that my uterus could have ruptured.
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