Thursday, March 9, 2017

Are you having a C-section?

The though of having a C-section can be very scary, but not if you are WELL PREPARED! If your first C-section was an emergent C-section after a failed trial of labor, your planned section will be a much different and hopefully MORE PLEASANT experience.

We use SPINALS for C-sections.

What is an SPINAL? It is ONE SHOT (!!)  into your back and the local anesthetic is injected directly into the subdural space. To get a spinal, you're in sitting position and your back is cleaned. The numbing medication feels like getting the flu shot at your doctors office. The spinal med is injected and within 5 seconds, your legs get warm, tingly and numb. You won't be able to move your legs for couple of hours.

The risk vs benefits of a spinal are SOOO LOW. The risks involved are the same as with Epidural (see previous post). The drop in blood pressure is more dramatic with spinal because onset is so much faster. With the drop in blood pressure, you may experience nausea and vomiting but it is easily treated. The risk of a high spinal, where your diaphragm and respiratory muscles are weakened, is also higher with spinal than epidural. As long as you have supplemental oxygen and your pulse oximeter is reading normal, you are fine!!

LASTLY, I always advise my friends to watch one C-section video on youtube. Once you have your spinal and you are comfortable, the operating room team will allow dad to come inside (must wear disposable scrubs, hat and mask!) to sit next to you.
If you go into the operating room knowing what to see and expect, you will be less nervous. Don't worry, you will not allowed to look over the "blue drapes" to watch the actual C-section!

GOOD LUCK!

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