dilemma, need some advice please

So, I thought the doctor was going to induce me this past Monday-I wasnt dilated enough for him to break my water. I had a c-section 14yrs ago, so he told me at 37 weeks which will be tomorrow he could schedule an elective csection but I have to elect to have it. He would schedule it for Sunday morning, Unless I go in labor on my own. So, Monday he sent me home kind of disappointed because I was really hoping for a vaginal delivery.
By Friday morning, tomorrow at 9am CST I have to have my mind made up on what I want to do. Do I want to wait for them to come on their own, or elect to have a csection this Sunday. My girls are stubborn, very. So, Im not sure if I have faith in the fact that they will come on their own. By stubborn I mean, Im usually on the NST machine for almost 2 hrs because my girls or at least one of them wont be still, even when they are sleeping.

I wanted a vaginal, both babies are head down for Christ's sake, because it's less recovery time possibly. And with 2 babies, 2 flights of stairs in our townhome, moving to our first house in less than a month-havent packed yet, Im more afraid to have a csection. Im afraid because I need my BODY to function and Id rather it not be in the most extreme pain.
Now, let me let it be known, part of my fear is, I had my son at 16, was ok after about a month but I still busted my incision. And I was younger then. Im 30 now, the body doesnt work the same as it used to unfortunately. Plus, DH will be at work most of the time even after I come home--we need the money and he cant take alot of time off due to starting a new position at his company. SIGH... IF you ladies were me, would you wait for the babies to maybe come on their own or would you elect the csection? I need advice...

 

I don't think I understand. You don't want to wait until they're ready to come out on their own for health reasons? I had a c-section and there is no way I would be bending over packing boxes for moving.

 

I'm also confused. Why cant you wait a bit longer and then induce if that's what he was going to do originally? It sounds like you really want a vaginal.

 

Im sorry for the confusion, there's really no reason why I wouldnt wait another week for them to come on their own. Besides being unsure if it's really healthy for them to stay cooking past 38 weeks, the placenta looks really old and worn out on the ultrasound. I cant say that I would wait on them past 38 weeks, so another week.

I do really want a vaginal, but Im going to make a list of questions to ask my doctor, he's leaving the choice up to me it seems.
The only issue I see, is that Im beginning to swell extremely bad and at night, occasionally during the day my Blood pressure spikes, and I would hate for pre-e to set up so late in the game, and end up having an emergency csection. Ive had pretty much a problem free pregnancy.

Now, about the inducing/breaking my bag of water part-- My doctor wont induce me unless Im almost 3cm, Im barely 2 as of Monday and not completely effaced. It's too dangerous to induce me because of the previous csection I had, my uterus could rupture and some other serious health issues could come up that my doc doesnt want. Now, if nature takes its course and I go in labor on my own, that's totally different. But, he will not break my bag of water unless Im at least 3cm dilated.

I was typing earlier as I was thinking, and my thoughts werent organized, hopefully they're a little better now. DH says for me to go ahead with the csection this weekend and not worry about moving, that he'll do it. Just worry about healing, myself, and the girls. I'll have help, with my family and they've offered they're hands and trucks to travel up and help us move. Im going to talk to DH more about it this evening when he gets home and hopefully I'll have more clarification in my mind... Im just confused..

 

I'm so sorry you're having trouble. It's not the best of times to have to make the decision is it. Do what you feel is right in our gut and definitely ask the doc questions as you said! Good luck and :hug:s!

 

If it looks like the placenta is starting to deteriorate, i would probably grit my teeth and go for the csection. I am really set on a vaginal delivery as well, but i think when it comes down to it, you have to think of what is the best and healthiest decision for you and your lil ones. As far as the packing goes, vaginal or csection, you shouldnt be packing boxes either way. Good luck on your decision!

 

The only thing I'd say is don't assume the c/s recovery will be as hard as it was when you were 16. Yes, your body was young and resilient then--but it also wasn't fully mature. And there was a lot of stress around being such a young mother. And teenagers aren't the best at following doctors orders.
I only have one flight of stairs, but I had my c/s around 7am on Friday morning and was going up and down the stairs on Sunday. Of course everybody's body is different. I would do what the doctor thinks is best, I wouldn't want the doctor doing anything s/he was uncomfortable with or nervous about.

 

If you take it really, really easy the first few days after the csection, you will recover quicker than if you over do it. That being said, if I wanted a vaginal delivery, I would wait a few more days. Maybe schedule the csection for next Thursday. My water broke at 33 weeks b/c Ryan's placenta was dying. I'm not sure the specifics, but it would make me think that they will come out when their placentas are not good enough. Just my totally un-med school logic.

 

Can they give you cervidal or something to see if you can dilate more?

Watch if you go in tommorow youll be dilated more

 

i would say that if your doctor's comfortable with you waiting one more week to see if they'll come on their own, why not wait the extra week? maybe by then you'll at least be dilated 3 cm & can have your water broken. :hug: GL with your decision.

 

I would have the section, if it appears the placentas are getting old. I wouldn't want to risk their health. I had a section and my recovery wasn't that bad. I was in a wedding 2 weeks later.

 

I haven't read everybody's posts yet, but I'd walk like crazy if I were you! I'd try and get myself dialted to 3 cm... (yay, easier said than done I know, but I'd try anyway) I'm having a repeat c-section and am dreading it so much. I had a really tough time with the 1st one. And it takes 6 weeks recovery time.

 

I am sorry about your dilema but why you cannto be induce this sunday instead of c-section and see how it will go
If everything woudl be good you will ahve vaginal delivery otherwise you will end up with c-section anyway.

I will have repeated c-section because I had one 4 years ago and now with twins my OB doesn't allow me to try vaginaly he is afraid about rupture and etc...
but If I have your choice i would go with induction. and try vaginal. I read some mothers carry there babies until 39-40 weeks and were fine but if you are saying that placenta became older then I would want to deliver now.

 

Why did you have a c-section 14yrs ago? I think I'd just opt for the c-section on Sunday. Your babies will be just fine at 37 weeks, my OB and my sil's OB both said they won't let twins go past 38 weeks so sometime during the 37th week we'd be induced anyway.

Good luck w everything!

 

Well, my decision was made for me. Today, at my appt--babies werent very active, even after 2 boxes of juice, and a 20oz bottle of juice. My BP was 140/90, and for 3 days straight I havent felt well anyway. Swelling etc, so the Doc will be performing a csection this evening instead of Sunday. He allowed me to come home and get some things together, straighten up the house, but I have to check into the hospital by 2pm CST. Wish me luck ladies...

 

GOOD LUCK tonight :hug:
Looking forward to hearing how it all goes & seeing pictures of your little ones :wub:

 

OH GOOD LUCK!!! Will be thinking of you and your babies! :hug: