Last time, I, from my first prenatal appointment on, indicated that I wanted to deliver by prelabour elective c-section. Prospectively, I could not have known what would happen. It is not my fault, nor is it my daughter's. In hindsight there are things I might have done differently, but it is only with the help of hindsight that I know that these are important things...things that might have made a difference for me in my case.
#1. I would have/should have insisted on using my Expected Due Date (EDD). My expected due date was July 13, 2010. I had been keeping track of my cycles and had used ovulation prediction strips the month I got pregnant. My cycle is short, I knew when I ovulated. My doctor decided to base my EDD on my last menstrual period, and set the due date at July 17, 2010. I chose the date for the csection as soon as I could (July 9,2010). If my due date had been used, perhaps I could have chosen a date as soon as July 6, 2010.
#2. I would have asked for a referral or referred myself to a psychologist. This is not because I believe I was mentally unhealthy during my pregnancy, but rather, that perhaps having a psychologist give a prognosis on the impact a vaginal delivery would have on me, might have made the c-section more likely to happen. One of my reasons for wanting it was control, to eliminate uncertainty....there is some research that indicates that this may predispose a woman to problems if things do not unfold as planned.
#3. I would have insisted on a specific date/time, a 'hard appointment' for surgery. When My ObGyn said I would be an 'add to slate', the implications of that to me were unknown. I just thought it meant that I would know the day of delivery but not necessarily the time of delivery. I had no idea that it meant that my chosen method of delivery would be unlikely to materialize. My doctor certainly didn't tell me that it made the csection less likely to happen.
#4. If I could not have #3, I would have chosen a hospital with DOBA so that in the event that I went into labour while waiting, there would be a good chance an anesthesiologist would be available and that I'd still be able to get a urgent c-section and effective pain relief. I had the mistaken belief that a major tertiary hospital in BC would have the resources needed when needed. This may or may not have been the case.
#5. I would have done more research before deciding on a maternity care provider(s). My Dr.'s had excellent ratings and I was given no reason to think that they would not be supportive of my request. However, given it all to do again, I would have chosen different doctors...
#6. There's a good chance I would have gone elsewheres to have baby number 1.
Hindsight is great, it doesn't change the past but it improves the chance that I won't be forced to repeat it.