Elective CS following Emerg CS
Printed From: OHbaby!
Category: Support
Forum Name: C-Section Support
Forum Description: Had a caesarian section? Planning an elective caesar? Or a VBAC? Or want to know about recovering from a c-section? Talk to other mums who have had c-section deliveries here.
URL: https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=7127
Printed Date: 05 July 2025 at 10:45am
Software Version: Web Wiz Forums 12.05 - http://www.webwizforums.com
Topic: Elective CS following Emerg CS
Posted By: Two Blondinis
Subject: Elective CS following Emerg CS
Date Posted: 30 April 2007 at 8:05pm
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me again...
DH and I are keen to TTC #2 in January but I *REALLY* don't want a VBAC, we've thought long and hard about this and it is not a decision we have made lightly. Can anyone give us the ins and outs of arranging this? What is different to normal pre-natal care? Do you have to go to a private OBs? Can the MW/OBs say no to ECS? ------------- http://lilypie.com"> 
 
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Replies:
Posted By: Peace
Date Posted: 30 April 2007 at 8:08pm
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You can just arrange it through your midwife. It shouldn't be a problem if you have valid fears. A warning though, they will try to talk you into the VBAC and it is technically what is best.
I want a e c/s for my next baby as well and wont be put off at all. ------------- DD1 May 2006 DD2 March 2011 DD3 August 2012 |
Posted By: Two Blondinis
Date Posted: 30 April 2007 at 8:11pm
I remember my MW saying to me that I'd "probably" need another CS as it was my body that stopped not just the fact that Caitlin was posterior, head on an angle and had the cord wrapped twice around her head! Yep - she REALLY didn't want to come out that way  ------------- http://lilypie.com">
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Posted By: Peace
Date Posted: 30 April 2007 at 8:25pm
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Should be no problem then... did your M/W give you your pregnancy notes? Maybe there might be a recommendation or something in there. ------------- DD1 May 2006 DD2 March 2011 DD3 August 2012 |
Posted By: nictoddie
Date Posted: 30 April 2007 at 8:36pm
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I have had two c-sections first emergency and second was meant to be elective but ended up being emerg as my waters broke at 24 weeks, then again at 28 weeks and I bleed at 30 weeks and they decided that was it and get her out, I am gonna have no 3 had a m/c in feb and will start trying again this month and will be elective c this time , am using the same midwife so she knows my history and does not have a problem with it. My recovery from no 2 was heaps easier and quicker as I did not labour with her like my son for 12 1/2 hours with and hour of pushing, very stressful experience I certainly would not like to repeat and They found I had a lip in my pelvis so no vaginal births for me. I also had to get up and going as I had a precious wee girl in the neo unit that I wanted to spend time with my only fear at the moment is that I would have another premmie which would be very stressful,so heres hoping, my gp said chances are slim as every pregnancy is new and different. ------------- 
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Posted By: Two Blondinis
Date Posted: 30 April 2007 at 8:41pm
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I had thr cervical lip that wouldn't retract over her head too.
Sara, I have the yellow My pregnancy book. I don't think she mentioned anything in that though and it's certainly not in my Plunket book ------------- http://lilypie.com">
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Posted By: EllenMumof2
Date Posted: 30 April 2007 at 8:46pm
i have had 2 ceasers 1st one was a emergency and kalem got stuck and his heart beat stoped  and 2nd was a elective as i will never go though what i did with kalem ever again and this one is elective to my midwife was fine about it and i will see a OB from the hosptial at 32 weeks for a date etc and thats all i have to do it was the same with maddy to.-------------  
 
Kalem 6! |
Posted By: Two Blondinis
Date Posted: 30 April 2007 at 8:48pm
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did you get the MW you wanted? or di you have to find another?
I've emailed my MW and asked her out right where she stood on the matter as I'd really love to have her during our next pregnancy ------------- http://lilypie.com">
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Posted By: busymum
Date Posted: 30 April 2007 at 9:21pm
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Hi Toni, I think what is usual is that you go with a mw and she refers you - regardless of what your choice might be - to an Ob at around the 26-28 week mark. You go chat to him/her about what you want to do and he/she gives you the pros and cons and statistics on it, and then you make a decision and often that Ob will do the c/s.
I didn't have a second c/s but the Ob I saw was very supportive and I didn't feel pressured into having a VBAC by anyone, it was my own decision. I have a gf who had the same mw as me, she had an Ec/s the second time (after failing to progress, I think #1 got stuck) and had no problems, her second c/s went just as planned. -------------  |
Posted By: EllenMumof2
Date Posted: 30 April 2007 at 9:25pm
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I had a awful midwife with Kalem but i lived in a small town at that stage and wasyoung and didn't really have a choice. With maddy i was older and wiser and told my midwife on my booking visit that i was having a elective ceaser and she was fine about it and im haveing same midwife this time to. -------------
Kalem 6! |
Posted By: Paws
Date Posted: 30 April 2007 at 10:14pm
With the hospital OB did you pay for that service or not? ------------- http://lilypie.com"> 
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EllenMumof2 wrote:Posted By: EllenMumof2
Date Posted: 30 April 2007 at 10:30pm
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no nothing we are in wanganui so not sure about other places in NZ -------------
Kalem 6! |
Posted By: Two Blondinis
Date Posted: 01 May 2007 at 8:37am
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does anyone know how/where you can get this info? ------------- http://lilypie.com">
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Posted By: Peace
Date Posted: 01 May 2007 at 8:44am
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Emailing your m/w is your best bet or even talking about your options to the Dr who performed your c/s. ------------- DD1 May 2006 DD2 March 2011 DD3 August 2012 |
Posted By: Guests
Date Posted: 01 May 2007 at 11:10am
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Wow I feel like I have missed out....but thought I would jump in here anyway. Anyway I am now in 2 minds, will I elect for a C/S or will I try for a VBAC
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Posted By: Two Blondinis
Date Posted: 01 May 2007 at 12:10pm
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I might find an Obs in the yellow pages and just ask them. ------------- http://lilypie.com">
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Posted By: busymum
Date Posted: 01 May 2007 at 12:11pm
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Amy it would pay for you to talk things over with your mw next time and she should be able to give you a good idea of whether you are likely to have the same trouble again or it was a oncer. ------------- |
Posted By: Guests
Date Posted: 01 May 2007 at 12:27pm
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Thank you, it will make sense to do that (wish I had thought of that) I suppose that will make my mind up for me then. At this stage my next time there will be NO midwife. I the moment I am happy to save the $ and pay for an OB due to my previous experience, unless a MW comes along and just blows me away.
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Posted By: Sarah Beth
Date Posted: 01 May 2007 at 12:49pm
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I am like you amy, would love a VBAC, but don't want the same experience I had with this one so if the ending will be the same I would prefer an elective but how will I know... ------------- "> 
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Posted By: shelly
Date Posted: 01 May 2007 at 12:55pm
| I had an Emergency C-section with my son and now I am 29 weeks pregs with my daughter and have booked in my Elective C section for the first week in July - I dont have much faith in midwifes so I am going through a specialist right from day one and have been seeing him since 10 weeks and he will do my elective. My first child was breech and very much squashed and now at 29 weeks she also is extended breech and low lying placenta and of course I am a little older than most mothers so specialist care it is. The cost is not huge as the care is so high.. |
Posted By: Two Blondinis
Date Posted: 01 May 2007 at 1:29pm
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so you have to pay even though the reason is medical not "just because you want a CS"? ------------- http://lilypie.com">
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Posted By: Peace
Date Posted: 01 May 2007 at 1:37pm
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You have to pay for an OBGYN if you are not specially recommended by your GP, that is between $3500-4000 depending on who you see. You shouldn't have to pay for a ECS though... that sounds dodgy! Child birth is free in NZ (Hurry up and have kids before that little fact changes!). ------------- DD1 May 2006 DD2 March 2011 DD3 August 2012 |
Posted By: EllenMumof2
Date Posted: 01 May 2007 at 2:15pm
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no i have to pay nothing for my ECS and and nothing for my OBGYN as my midwife made the arrangements -------------
Kalem 6! |
Posted By: shelly
Date Posted: 01 May 2007 at 2:16pm
| No I dont have to pay for the elective c as such - what I am paying for is the specialist care through the pregnancy - so if I had not gone to the specialist and then found out what I found out now then the c section would be free but of course you get the doctor on duty at the time. SO the difference is that I know who is going to do it and have had his care right through. I did not have to pay for this but it was my choice, he scans me each time I see him and any scares which I have had 2 in the last few months he looks after me which is great. |
Posted By: Peace
Date Posted: 01 May 2007 at 2:25pm
Sorry, I missed out MW as well  The price was for care under an OB if you just go straight to them without referral.------------- DD1 May 2006 DD2 March 2011 DD3 August 2012 |
Posted By: Glow
Date Posted: 01 May 2007 at 3:20pm
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I must admit i am still in 2 minds about Elective or VBAC. I have a really great m/w- who i had with Brae, i love her to pieces and feel she would support me 100% in whatever choice i made.
I was sent to a specialist for a scan at 28wks to check waters etc as i had a leaking scare. Had a chat with the specialist(same lady who delivered Brae lol) And felt she was leaning me toward an elective; if i dont get babe anterior. Something to do with my tilted pelvis?? Anyway we will see... still planned VBAC etc and will be back to see her when i am a 35-36wks to finalise everything. Its a strange kinda feeling  ------------- Mummy of Two Boys B: 2004 K: 2007 |
Posted By: shelly
Date Posted: 01 May 2007 at 3:51pm
| Yes you are right Peace I am not paying for the ECS as if delivering normally the specialist price is the same |
Posted By: Maya
Date Posted: 01 May 2007 at 7:55pm
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I spoke to my wonderful midwife this afternoon and she said.... (in Auckland at least)
Midwives don't get paid if you have an elective c-sect, so they may be reluctant to take someone on who is planning an elective c-sect, altho she said if they have cared for you in a previous pregnancy they might do it. If you elect to go public you will more than likely be 'encouraged' to trial labour as there is a big shift atm towards reducing the c-section rate. If you have a private specialist (ie. you pay) it's likely you'll find one willing to do an elective, after all they're getting paid for it. She did say tho that 'trial labour' is quite subjective - if you attempt a labour and then elect for a c-sect even very early on it still counts as a non-elective so the midwife gets paid. She also said that issues like big babies and awkward presentation can be a huge factor in one delivery and not at all in another. And that in the case of a big baby they might look at induction pre-dates, or on your due date, although after a c-sect they are reluctant to induce at all which really means a rock and a hard place. We are currently negotiating with an obstetrician to join our panel of experts so hold onto all your curly questions coz with a bit of luck we'll have someone for you to throw them at really soon!  ------------- Maya Grace (28/02/03)
 (02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)
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Posted By: EllenMumof2
Date Posted: 01 May 2007 at 8:23pm
far out i wonder if my midwife gets paid for my EC?? she is great i hope so -------------
Kalem 6! |
Posted By: Maya
Date Posted: 01 May 2007 at 8:25pm
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I know, I was shocked to hear that! Coz even if you do have an elective c-sect, your midwife still does all the prenatal and postnatal care, and if you have an emergency c-sect she gets paid, it's kind of discriminatory IMO. And I think it leaves the way for midwives to push women towards VBAC when it may not be in their best interests. ------------- Maya Grace (28/02/03)
(02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)
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Posted By: Millie1976
Date Posted: 01 May 2007 at 8:59pm
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I also spoke with my m/w today as I am wondering what to do when we try for number 2 as I had an elective with my first due to breech presentation. She said the same things to me as what your m/w did Emma so if I do decide that I want go for an elective c-section then I won't go through a m/w but probably a specialist or through the hospital. ------------- Sebastien 2 years old Olivier 3 3/4 years old |
Posted By: busymum
Date Posted: 01 May 2007 at 9:44pm
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Glow it will be interesting to see what happens. If you have a tilted pelvis then your baby will probably remain Anterior, in which case they will be keen for you to have a c/s because you have two "odds" against you IYGWIM (it was a route I almost took with my breech 2nd, but she flipped in time). ------------- |
Posted By: Two Blondinis
Date Posted: 02 May 2007 at 8:56am
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**sits quietly seething at the people who make these decisions**
I know I'm aaaagggessss away from even TTC #2, but I feel like I'm being "made" to try a VBAC just so I can keep my excellent MW 
------------- http://lilypie.com">
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Posted By: Peace
Date Posted: 02 May 2007 at 10:36am
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I have to point out that yes they don't get paid for delivery but they still get paid for your pre and post natal care. I honestly think if your midwife is that lovely then she wont mind making a pay cut to accommodate you. ------------- DD1 May 2006 DD2 March 2011 DD3 August 2012 |
Posted By: Two Blondinis
Date Posted: 02 May 2007 at 10:55am
yes, but as she is THAT lovely I don't know if I would want to ask her to do that for me 
ARGH!!!! lol Anyways, I might even find an OBs who is even nicer! *fingers crossed* I just feel that I NEED to sort this all out before I set my heart on having another baby and I feel that strongly about not wanting to go through what we went through again. I wonder if I would be able to have a consultation with an OBs before we TTC to sort out the EC/S vss VBAC? I guess I could as I would be paying for it. ------------- http://lilypie.com">
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Posted By: Peace
Date Posted: 02 May 2007 at 11:05am
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Have you asked the m/w in question what she thinks? ------------- DD1 May 2006 DD2 March 2011 DD3 August 2012 |
Posted By: Guests
Date Posted: 02 May 2007 at 11:24am
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Toni ask her and see what she says, ther is no harm in trying. I am lucky as my MW was terrible and just don't need to go down that track. Mine problem is VBAC or elect C/S....? |
Posted By: Maya
Date Posted: 02 May 2007 at 12:47pm
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I can recommend a couple of local OB's if you like Toni. ------------- Maya Grace (28/02/03)
(02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)
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Posted By: SMoody
Date Posted: 02 May 2007 at 12:48pm
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Seems you girls are struggling exactly with what I am. One decision is made for me already I am going elective next time. Too much risk in my history for a VBAC. Now to get them to agree to knock me out totally or else must go for a back XRAy before i fall pregnant so they can bloody well see what they are doing.
Urgh. Decisions, decisions. ------------- http://lilypie.com"> 
http://lilypie.com"> 
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Posted By: luna
Date Posted: 02 May 2007 at 12:58pm
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So Emma .. did I read that right in your post .. that they don't like to induce second time round if you've had a C/S previously?
------------- Selina http://lilypie.com"> 
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Posted By: Two Blondinis
Date Posted: 02 May 2007 at 1:04pm
Yes please! I've emailed my old MW so just have to wait for her to get back to me. Shirena, whats the story with the dilema over the General and the back x-ray? Can't you have an Epi? (if too personal just tell me to shut up ) ------------- http://lilypie.com">
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Posted By: Guests
Date Posted: 02 May 2007 at 2:30pm
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Toni you will have to let me know how you get on.....you can do all the resarch and we can both benefit LOL
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Posted By: Two Blondinis
Date Posted: 02 May 2007 at 3:12pm
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Cheeky!
That better be damn good cake on Saturday ------------- http://lilypie.com">
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Posted By: Guests
Date Posted: 02 May 2007 at 3:19pm
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LOL I might even be extra good and make my special mayo chocolate cake just for you! |
Posted By: SMoody
Date Posted: 02 May 2007 at 5:23pm
Naah not personal at all. I have spina bifida occulta. I told them in hospital in SA about that when they booked me in but didnt believe me when they looked at my back as it was a closed back at birth. Anyway they tried to put the spinal in and it hurted like hell and I actually swore at the guy. He tried 6 times at 2 different places and an hour later they decided that it is impossible without an x-ray to see what they are doing. Hubby off course was waiting outside totally freaked out thinking something went wrong as he is waiting to be there for the opp. They decided to just knock me out and that they will do that next time around or do an back x-ray before I fall pregnant so they have a better guidance. Of the whole cesear experience that was the worst. My back is still hurting. So really want to avoid that because next time I might just kick the poor oke.
BTW the guy was great. He never had to do a spinal twice in his life and had done spina bifida patients before. Guess I am special. ------------- http://lilypie.com">
http://lilypie.com">
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Posted By: Two Blondinis
Date Posted: 02 May 2007 at 8:34pm
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I think my "Anaest" (I can't spell it so won't even try) guy was the nicest man ever (other than DH of course) was talking me through the whole epi and was holding my hand when my MW was out of the room and the OB was explaining the CS.
I think he realised that I was petrified! I honestly thought I was about to loose my baby ------------- http://lilypie.com">
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Posted By: SMoody
Date Posted: 03 May 2007 at 8:15am
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Aaah sorry man. I would have lost it if it wasnt for my Gynae. I had tears running down my face of being in so much pain so they decided to try one more time and she was talking to me the whole time while they tried again.
When they said that is it sorry honey we are going to knock you out I was just really relieved. Hubby came in when I was already under and they apparently took great care of him as well. They did ask me if he was a fainter (yip a big one). They didnt put a screen up as my BP started rising more due to the drama beforehand. But they got a chair for him facing the aneathatist and the guy chatted to him the whole time. I absolutely loved my team. Hell I wish they can be over here for me. ------------- http://lilypie.com">
http://lilypie.com">
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Posted By: EllenMumof2
Date Posted: 03 May 2007 at 9:48am
far out your lucky aaron had to leave when i was put under for maddy and so did mum when i had kalem in palmy  -------------
Kalem 6! |
Posted By: Guests
Date Posted: 03 May 2007 at 10:57am
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Wow that is scarey for you to go through. I didn't think they did that anymore. I was stitched in as my mum had 2 misscarriages before me (1 nearly full term) so as soon as she went into labour they put her under to unstitch her and then woke her up to go through the labour to have me.....the things us women do to have children. I think to myself sometimes can I really do it again, then my son smiles or giggles and I just melt and think YEAH! |
Posted By: Two Blondinis
Date Posted: 03 May 2007 at 1:29pm
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I agree Amy - even after the horrid time I had to get Caitlin, she is so fantastic I WOULD do it all again in a heartbeat.
BUT.... I choose not to have to (if that makes any sense) ------------- http://lilypie.com">
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Posted By: Maya
Date Posted: 03 May 2007 at 8:06pm
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Amy, my mum had incompetent cervix too. Her babies just kept coming earlier and earlier until with baby bro her waters broke at 27 weeks and she had 12 weeks in hospital flat on her back. After he was born the doctors *suggested* that she maybe shouldn't have any more. ------------- Maya Grace (28/02/03)
(02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)
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Posted By: Peace
Date Posted: 03 May 2007 at 8:59pm
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My friend has incompetent cervix, in Feb this year she lost her 2nd baby in 7 months. The first was a miracle conception after IVF (21wkr) the other was a TER (17wkr). She is such a lovely girl and so deserves kids! ------------- DD1 May 2006 DD2 March 2011 DD3 August 2012 |