I wish you were my OB. I can't stand mine! He scheduled me for a C-section without even asking me. He likes them because it's less time consuming for him. I also see an MFM specialist and they said there is zero reason for me to have a C-section. At 36 weeks it's too late for me to switch OBs so now I have to fight him on it.
I learned on the Evidence Based Birth podcast that fetal Doppler is actually a more accurate way to monitoring fetal status during labor since the fetus can show ups & downs depending on what part of labor you are in. And with continuous monitoring, this often leads to increased intervention that is likely unnecessary. What are your thoughts on using the Doppler vs continuous monitoring?
My baby was in oblique position at 40 weeks and uterus mouth had opened upto 5 cm...doctor suggested caesarean as there can be a chance of cord prolapse
Hi Dr. Marta, my ultrasound shows my baby’s estimated weight is 3.67kg when I’m 36weeks and 6 days pregnant. I’m not sure if I should choose a vaginal birth or c-section. Would you please give me some advice? (I’m really against using forceps and vacuum. I’d rather go for a c-section if those has to be used during a vaginal birth. In addition. I want to avoid tearing as much as possible if it’s a vaginal birth.) thank you so much!
I have a question about C-sections --- why do mothers get SO LITTLE opioid pan medications after C-sections? I've had an appendectomy, which is a much less intense major surgery, & the pain was horrendous & recovery was difficult, & I was given pretty significant amounts of pain meds. But, with C-sections, you get some for the first day, & not anymore after that, right? I can't wrap my mind around how on Earth that makes sense with that big of an incision, & that much pain.
Because most medications get into milk supply during breastfeeding. So, the list of medicines that effectively relieve pain, do not get into milk, do not harm the baby is quite short. Even shorter when the mother is sensitive to certain medications.
I had a C-section that I didn't ask for, though I was given reason that the cord is in Baby's next twice so it's risky to push.What can you say about this?
I was offered to do an external rotation but i declined thinking i didnt want to distress or hurt my baby so i opted to do the csection. Having a rough recovery and wondering if i made the right decision. Also having a hard time dealing with having to have a c-section after 4 vaginal births.
So im19 weeks pregnant and likely to be having an elected c section under general anaesthetic due to have EDS and having incredibly fragile tissues. I would need a gental c section which means all the incisions have to done without to much pressure as it would cause my body to, not heal properly it has to be done with a lot of care in mind to minimise the damage done. I also need to have stitches without tenchen, thay have to be done in multiple layers and left in longer than normal or there is a high chance of the scar re opening. I'm not alowed clips/staples as thay cause to much truma to surroundings tissues and are extremely likely to reject. The reason for the general anaesthetic is because I am immune to local anaesthetic and it's well documented that epidurals can numb the skin bit when the incision is made those with EDS scream out because they felt everything. Sadly I have experienced this myself and I'm not at all willing to go through it again. But I badly what my baby to have all there cord blood before we are separated that is the only thing in my birth plan that I badly what becuse if he had EDS the iron stores and other benifits. I feel are ceusal to his health and well being. But I know as soon as they get him out thay will cut him straght from me because of the general anaesthetic. Also making sure that I dont have a c section with forceps as forceps if the baby have EDS can cause serious harm and in the worse cases even decapitation of the baby. I never understood why forceps would be needed during a c section, when a surgeon can gently reach in and get baby out? Please can you do a vidio that addresses those who are pregnant with EDS and the health risks to mum and baby and the birthing options available to women with such rare complex need becuse we dont get talked about enough. There isent enough medical staff aware of us and our potentially life threatening condition. As the more obgyns, obs, gyna and Anastasologys thay talk about us the more likely we are to receive the potentially life saving care we may need. I hate the fact its classed as rare but it's not really all that rare as you may think. There are 14 types I have HEDS and it's not just labour thats painful and hard to experience the whole pregnancy is because mucals struggle to hold the weight of the developing baby, still birth and miscarriage is very high so is early membrane rupture, and hemorrhage rates and everytime I see a doctor I have to educate them on my condition because they have only seen it In a medical text book. Please help get this more recognition. so we can get the help and care we need to have a health mum and baby at the end of it x
If you’re in a situation where it’s an “urgent” c section- not an outright emergency can you ask the doctors to rush and make it an emergency? I feel like I will panic if the baby is not tolerating labor well. Also do you have a vid on birth plans? What to include, etc.?
I would love for you to do a video on vback. I am currently 26 weeks pregnant with hopes to achieve a successful vback 🙂 there really isn't many videos or easily accessible information on vback as I feel should be. This is also a great video. Thanks!
I’ve had two c sections; an emergency and a planned (a year and a half later. It has been 7 years and we are planning our third. I am 32. Is a C-section the safest according to the latest research or is a VBAC recommended, typically? I had no complications with my second.
In your experience what’s the possibility of a C-section in my situation. I have a fibroid attached to the placenta. I’m 17weeks pregnant & fibroid was last measured at 2inches. Thank you
Oh no! That is a very horrible situation and I'm so sorry you're having that experience. To be honest, I am truly shocked that this situation exists in the U.S. but have heard this before (but only one time!). It shows how privileged some of us are geographically, I've never even met an OB who doesn't support TOLAC/VBAC or was unwilling to do them. Larger hospitals or academic hospitals are more likely to follow evidence based practices and support TOLAC. Try calling their L&D's and asking about providers who deliver there. Geographically, you may be in a situation where you have a to travel a bit.
@@dr.martaperez thank you! This is very helpful information. It is definitely encouraging to know that not all providers are as close minded as the ones in my area! Thank you again.
Hi! According to your experience is there a risk to give vaginal birth if the tale bone is bended inside with 70-80% angle? (got into an accident 2 years ago)
I was always curious as to the potential reasons my mother had a vertical incision when she had her C section with me (I wasn't premature). From the stories I've been told (they may not be 100 percent accurate), she became unconscious around the time of what sounded like a potential pre-eclampsia diagnosis (protein in her urine, and high blood pressure). And she was supposedly rushed to an emergency C section right after she "fainted". I should add this was in the 80's in Ukraine. Were vertical C section incisions done on a more frequent basis in the past? I also wonder about the potential of differing guidelines from country to country, as well as whether or not a C section is an emergency or not as contributing factors. Not expecting a definite answer, but just a curious viewer here!
There are two aspects to consider - was it vertical on SKIN or on UTERUS. Those things don't always correspond - someone can have a vertical skin incision but lot transverse uterine incision or a horizontal skin incision and vertical uterine incision. I was in the video referring to the uterine incision. I'm not sure the timing of past vs present made much of a difference in the uterine incision! But emergencies may be more likely to use a vertical skin incision. Hope that helps!
I’ve had two c sections.. my first was emergency because I had preeclampsia at 29 weeks.. I went back to the same ob with my second and had a planned csection because she refuses to do vbac. Now I’m on my 3rd baby and I’m so scared to have another csection.. My blood pressure kept going up and down and I’m just nervous about everything
Well you know they gotta change a lot of verbiage to cater to the woman who’ve become men or to those who don’t acknowledge or identify as the sex they were actually born as.
I am currently 21 weeks. Last week they found a complete placenta previa. At my 13 weeks appointment my placenta was firmly lateral left. I don’t understand why it would change so much. A cesarean delivery for me feels like life or death. After two natural deliveries, I feel like I would rather terminate than have a cesarean. I worry about acreeta in future pregnancies and the idea of needing a hysterectomy worries me. I don’t think I could live with that. What are the chances that my complete anterior previa will move? It’s covering the cervical os by 5 cm.
Its really backwards that you’re worried about your “future pregnancies” just from a c section but you’re willing to TERMINATE (your own words) your 21 WEEK BABY. That’s effed up. That’s extremely sad and selfish
@@danny55430 it actually was never there in the first place. I got a second opinion within one week of the first opinion and my placenta was 5 inches away from where the first doctor alleged it was. Doctors are not sonographers and can really make big mistakes. Her fatal mistake was not confirming with a vaginal ultrasound, which is the gold standard of diagnosis of PP. I went on to have a healthy baby boy with a completely unmedicated, blissful and painless vaginal delivery with the help of hypnobirthing.
You lost me at “pregnant person” and “fetus” ….like seriously… The fetus one I could let slide and have with other video but “pregnant person”? Get out of here. It’s pregnant WOMAN or use “Mom” stop removing women from this process.
I agree! Hello only women can get pregnant females!!!! don’t call us persons please I think we earned the title women! Don’t take that away from us 🤦🏻♀️
The original poster of this comment is clearly a transphobic bigot. I'm a cis woman but have many trans friends in my community and decided to subscribe to Dr. Marta after hearing her gender inclusive language. There is no erasure of women because people who are not women get pregnant and give birth all the time. I've met some of them, they are my friends and I want them to be respected.
![[UNCUT] The Loyal Pin ปิ่นภักดิ์ EP.15 (3/4)](http://i.ytimg.com/vi/IVwR87OH0_A/mqdefault.jpg)
I love doctors like you who make educational videos like this. You explain everything great!
I wish you were my OB. I can't stand mine! He scheduled me for a C-section without even asking me. He likes them because it's less time consuming for him. I also see an MFM specialist and they said there is zero reason for me to have a C-section. At 36 weeks it's too late for me to switch OBs so now I have to fight him on it.
Fabulous balanced review Marta!
Thanks for this! Any more info on the actual procedure? Typically length of time, pain control, recovery, limitations following c-section?
I learned on the Evidence Based Birth podcast that fetal Doppler is actually a more accurate way to monitoring fetal status during labor since the fetus can show ups & downs depending on what part of labor you are in. And with continuous monitoring, this often leads to increased intervention that is likely unnecessary. What are your thoughts on using the Doppler vs continuous monitoring?
Yes please do a TOLAC/VBAC video it will help a lot of moms
Thank you for sharing your expertise in such an organized and easy to understand manner!!
I'm so glad it's helpful!
Is the cord around the baby's neck twice a reason for C-section?
10:36 some visual aid would hv definitely helped further to understand the topic😓
My baby was in oblique position at 40 weeks and uterus mouth had opened upto 5 cm...doctor suggested caesarean as there can be a chance of cord prolapse
Hi Dr. Marta, my ultrasound shows my baby’s estimated weight is 3.67kg when I’m 36weeks and 6 days pregnant. I’m not sure if I should choose a vaginal birth or c-section. Would you please give me some advice? (I’m really against using forceps and vacuum. I’d rather go for a c-section if those has to be used during a vaginal birth. In addition. I want to avoid tearing as much as possible if it’s a vaginal birth.) thank you so much!
I have a question about C-sections --- why do mothers get SO LITTLE opioid pan medications after C-sections? I've had an appendectomy, which is a much less intense major surgery, & the pain was horrendous & recovery was difficult, & I was given pretty significant amounts of pain meds. But, with C-sections, you get some for the first day, & not anymore after that, right? I can't wrap my mind around how on Earth that makes sense with that big of an incision, & that much pain.
Because most medications get into milk supply during breastfeeding. So, the list of medicines that effectively relieve pain, do not get into milk, do not harm the baby is quite short. Even shorter when the mother is sensitive to certain medications.
I had a C-section that I didn't ask for, though I was given reason that the cord is in Baby's next twice so it's risky to push.What can you say about this?
I was offered to do an external rotation but i declined thinking i didnt want to distress or hurt my baby so i opted to do the csection. Having a rough recovery and wondering if i made the right decision. Also having a hard time dealing with having to have a c-section after 4 vaginal births.
11 lb baby boy. Told I wouldn’t be able to pass him. In labor 6 hour before surgery. Followed by 3 more sections. Brutal
So im19 weeks pregnant and likely to be having an elected c section under general anaesthetic due to have EDS and having incredibly fragile tissues. I would need a gental c section which means all the incisions have to done without to much pressure as it would cause my body to, not heal properly it has to be done with a lot of care in mind to minimise the damage done. I also need to have stitches without tenchen, thay have to be done in multiple layers and left in longer than normal or there is a high chance of the scar re opening. I'm not alowed clips/staples as thay cause to much truma to surroundings tissues and are extremely likely to reject. The reason for the general anaesthetic is because I am immune to local anaesthetic and it's well documented that epidurals can numb the skin bit when the incision is made those with EDS scream out because they felt everything. Sadly I have experienced this myself and I'm not at all willing to go through it again. But I badly what my baby to have all there cord blood before we are separated that is the only thing in my birth plan that I badly what becuse if he had EDS the iron stores and other benifits. I feel are ceusal to his health and well being. But I know as soon as they get him out thay will cut him straght from me because of the general anaesthetic. Also making sure that I dont have a c section with forceps as forceps if the baby have EDS can cause serious harm and in the worse cases even decapitation of the baby. I never understood why forceps would be needed during a c section, when a surgeon can gently reach in and get baby out? Please can you do a vidio that addresses those who are pregnant with EDS and the health risks to mum and baby and the birthing options available to women with such rare complex need becuse we dont get talked about enough. There isent enough medical staff aware of us and our potentially life threatening condition. As the more obgyns, obs, gyna and Anastasologys thay talk about us the more likely we are to receive the potentially life saving care we may need. I hate the fact its classed as rare but it's not really all that rare as you may think. There are 14 types I have HEDS and it's not just labour thats painful and hard to experience the whole pregnancy is because mucals struggle to hold the weight of the developing baby, still birth and miscarriage is very high so is early membrane rupture, and hemorrhage rates and everytime I see a doctor I have to educate them on my condition because they have only seen it In a medical text book. Please help get this more recognition. so we can get the help and care we need to have a health mum and baby at the end of it x
You answered so many great questions here- thank you!
If you’re in a situation where it’s an “urgent” c section- not an outright emergency can you ask the doctors to rush and make it an emergency? I feel like I will panic if the baby is not tolerating labor well. Also do you have a vid on birth plans? What to include, etc.?
I would love for you to do a video on vback. I am currently 26 weeks pregnant with hopes to achieve a successful vback 🙂 there really isn't many videos or easily accessible information on vback as I feel should be.
This is also a great video. Thanks!
Will do! Until I get to that topic, I do have a highlight on it on my IG, lots of info there!
I’ve had two c sections; an emergency and a planned (a year and a half later. It has been 7 years and we are planning our third. I am 32. Is a C-section the safest according to the latest research or is a VBAC recommended, typically? I had no complications with my second.
In your experience what’s the possibility of a C-section in my situation. I have a fibroid attached to the placenta. I’m 17weeks pregnant & fibroid was last measured at 2inches. Thank you
Any tips on finding a VBAC friendly provider? No OBs in my area will even consider allowing TOLAC.
Oh no! That is a very horrible situation and I'm so sorry you're having that experience. To be honest, I am truly shocked that this situation exists in the U.S. but have heard this before (but only one time!). It shows how privileged some of us are geographically, I've never even met an OB who doesn't support TOLAC/VBAC or was unwilling to do them. Larger hospitals or academic hospitals are more likely to follow evidence based practices and support TOLAC. Try calling their L&D's and asking about providers who deliver there. Geographically, you may be in a situation where you have a to travel a bit.
@@dr.martaperez thank you! This is very helpful information. It is definitely encouraging to know that not all providers are as close minded as the ones in my area! Thank you again.
For multiple c sections do Doctors cut the same incison on the uterus? Is the same incison opened?
Hi! According to your experience is there a risk to give vaginal birth if the tale bone is bended inside with 70-80% angle? (got into an accident 2 years ago)
Pregnant person = mother
If anyone is wondering
I was always curious as to the potential reasons my mother had a vertical incision when she had her C section with me (I wasn't premature). From the stories I've been told (they may not be 100 percent accurate), she became unconscious around the time of what sounded like a potential pre-eclampsia diagnosis (protein in her urine, and high blood pressure). And she was supposedly rushed to an emergency C section right after she "fainted". I should add this was in the 80's in Ukraine. Were vertical C section incisions done on a more frequent basis in the past? I also wonder about the potential of differing guidelines from country to country, as well as whether or not a C section is an emergency or not as contributing factors. Not expecting a definite answer, but just a curious viewer here!
There are two aspects to consider - was it vertical on SKIN or on UTERUS. Those things don't always correspond - someone can have a vertical skin incision but lot transverse uterine incision or a horizontal skin incision and vertical uterine incision. I was in the video referring to the uterine incision. I'm not sure the timing of past vs present made much of a difference in the uterine incision! But emergencies may be more likely to use a vertical skin incision. Hope that helps!
Can I give birth naturally after two cesarean sections?
For emergent c sections, is it always with general anesthesia? Or is epidural fine.
If you already have an epidural and it works well numbing you enough than that’s all that’s needed in most cases!
I’ve had two c sections.. my first was emergency because I had preeclampsia at 29 weeks.. I went back to the same ob with my second and had a planned csection because she refuses to do vbac. Now I’m on my 3rd baby and I’m so scared to have another csection.. My blood pressure kept going up and down and I’m just nervous about everything
Ugh I’m sick of these types of videos that say pregnant person - it’s in incredibly insulting 🙄 woman or mother are the words you’re looking for.
what is a “pregnant person”?????
Well you know they gotta change a lot of verbiage to cater to the woman who’ve become men or to those who don’t acknowledge or identify as the sex they were actually born as.
I am currently 21 weeks. Last week they found a complete placenta previa. At my 13 weeks appointment my placenta was firmly lateral left. I don’t understand why it would change so much. A cesarean delivery for me feels like life or death. After two natural deliveries, I feel like I would rather terminate than have a cesarean. I worry about acreeta in future pregnancies and the idea of needing a hysterectomy worries me. I don’t think I could live with that. What are the chances that my complete anterior previa will move? It’s covering the cervical os by 5 cm.
This sounds like a tough situation, I hope my video at least helped educate you on C-sections. I hope you have some clarity with your doctor.
Its really backwards that you’re worried about your “future pregnancies” just from a c section but you’re willing to TERMINATE (your own words) your 21 WEEK BABY. That’s effed up. That’s extremely sad and selfish
Did it move?
@@danny55430 it actually was never there in the first place. I got a second opinion within one week of the first opinion and my placenta was 5 inches away from where the first doctor alleged it was.
Doctors are not sonographers and can really make big mistakes. Her fatal mistake was not confirming with a vaginal ultrasound, which is the gold standard of diagnosis of PP.
I went on to have a healthy baby boy with a completely unmedicated, blissful and painless vaginal delivery with the help of hypnobirthing.
You lost me at “pregnant person” and “fetus” ….like seriously… The fetus one I could let slide and have with other video but “pregnant person”? Get out of here. It’s pregnant WOMAN or use “Mom” stop removing women from this process.
I agree! Hello only women can get pregnant females!!!! don’t call us persons please I think we earned the title women! Don’t take that away from us 🤦🏻♀️
@Hijjackk Tracy Watch out your misogyny is showing…
@@hijjackktracy4802 Denial is typical.
@@hijjackktracy4802 Women are being killed? Or birthing persons? 🤔
The original poster of this comment is clearly a transphobic bigot. I'm a cis woman but have many trans friends in my community and decided to subscribe to Dr. Marta after hearing her gender inclusive language. There is no erasure of women because people who are not women get pregnant and give birth all the time. I've met some of them, they are my friends and I want them to be respected.
Test positive for covid-19? Female patient going have c-section.
Man I wish I lived where c section wasn't available
Can I give birth naturally after two cesarean sections?