I am a 29 year old mother of 2 who is expecting a third child in Oct. I want to have my tubes tied after this baby. Can anyone tell me if I should have the baby vaginally and then the surgery to get my tubes tied or should I ask the doctor to scedule a c-section and have my tubes tied during it. I hate the idea of enduring all the pain of labor and delivery and then having the surgery too. I figured it would be easier to have it all done at once. Any and all advice is welcome please. Thank you.
Vaginal delivery will be much safer for you and baby. C-section carries a whole bunch of risks including respiratory distress for baby, infection, blood clots, etc. Much safer to deliver vaginally then have a laparoscopic tubal- one to three tiny incision, much easier to recover from.
Consider having the Essure procedure. They insert a spring like object that is coated with a medicine on it that helps tissue to grow. It slides up the tube and starts growing a plug. The doc shoots dye up the tubes in a couple of months to make sure the plug is completely blocked. It is nearly pain free, just some mild cramps the first day or so, not as bad as monthly cramps. It is so safe since it's not an actual cutting skin, muscle, and tissue type of procedure.
They can tie tubes laproscopically... so you can have a regular birth and minor surgery. A cesarean just to get tubes tied is a MAJOR abdominal surgery which can have many lasting/permanent complications and higher risk of death and neonatal respiratory distress.
Your better off having the baby vaginally and scheduling the tubal later-they do it as in office procedure now.
I've had two c-sections and a tubal with my second, but given the choice I would have had both babies naturally and the tubal later.
I doubt the doctor will do a C-section upon request. I did tell my doctor that if for any reason I needed to be operated on, please also tie the tubes. Fortunately no surgery was necessary and about 9 months after giving birth I had an orthoscopic tubal occlusion - they no longer cut and tie the ends but sort of loop and twist the tubes and put a tight ring around it. They found that cutting the tubes could in some cases allow them to grow back, but the occlusion causes the crimped area to scar into one big blockage. The surgery was done with 2 tiny cuts - one in my belly button and one in the pubic hair line. It was outpatient and I was home the same afternoon. Not one bit of pain that I can recall. Be sure to also ask for a worst case scenario, since my husband had ultrasound treatment for a kidney stone and the "2 days rest with some ibuprofen" turned into 10 days in intensive care!
Talk to your Dr about Adiana or Essure. If you have any allergic reaction to Nickel, you can't do Essure, but Adiana you probably could.
My insurance covers either of these (as I understand that most insurances do) and it's every bit as permanent as a tubal, but without the incision... AND you can have your baby vaginal!!!!
: )
I have had 2 c-sections and one vaginal. C-sections suck. They are major surgery, having your tubes tied is not. I had my tubes tied with my last c-section and it made my recovery more painful. I vote, do it vaginally, and then go in for the out patient procedure, or have a long talk about hubby getting snipped. Much easier. :)
To know; a copper IUD (quite different from a hormone based iud) has the same failure rate as a tubal ligation, but doesn't have any of the side effects of a tubal (for decades male doctors said that the rage/mood swings, odor issues, constant pms'ing, lack of sex drive, fatigue, and a whole host of other "side effects" women who had tubals complained of were 'in their head' / 'just part of being a woman' / etc. Well, low and behold, all those symptoms disappear at menopause, and as more female OBs have come onto the scene the "imaginary" side effects of tubals are actually being studied, and preliminary results are showing that they are very real, and last until menopause or until a reversal is possible. Final results are several years coming, but it's something that women considering tubal ligations should be aware of.)
Have the baby vaginally and then schedule the tubal. Only do it with a c-section if your going to have a C-Section anyway. I've had 1 vaginal delivery, 4 C-Sections, a tubal ligation outpatient (after a C-Section because I wasn't ready) and reversed a tubal which is not outpatient. Trust me on this. C-Sections are major surgery and very hard to recover from. A tubal is a simple outpatient surgery and recovery is a week versus 6-week recovery from a C-Section. Good luck and congrats!!
Why should you have to be put through more pain? Make your hubby go get a vasectomy! We endure childbirth its the leas he could do!
i had my tubes tied after # 3. you can do it while your still in the hospital i believe. I had an emergency c-section so while my dr was in there she took care of it. good luck
I had 1 c section and 2 vaginal births after. I had my tubes tied after # 3. Personally, the recovery time from a c-section is much longer. I much preferred doing the tubal separately and not having the longer recovery time of a c section.
If you haven't had a c-section to this date, I would not recommend having one just to have the tubal. If it is how I have heard, you can have the procedure done through your belly button with little discomfort. I had three c-section and wouldn't have had it any other way, but once you are cut in that area I believe the nerves are affected and if you don't have to do so..I would recommend not being cut. If there is a need for a c-section otherwise, I had no problems and that is how my tubal was peformed.
