QuestionHi,
I am 42 years old, had a Cesarian section last year, and
I'm pregnant once more (end of 37th week#.
1# Could I have normal delivery or is it better to have
Cesarian section #regarding my age as well as previous Cesarian section in just 14 months ago#?
2) In my first delivery, I was over-sensitive to the anesthetics
used during Cesarian section, and I experienced seizure #shaking too much).Can other anesthetics such as opiums alleviate this problem #either in normal delivery or in Cesarian section)?
Thanks much for your response,
Maria
AnswerHello Maria,
Congratulations on your pregnancy.
Without knowing more about your past c-section, such as the reason, the type of incision and how the incision was sutured, it's impossible to say with any certainty which is best or safest in your circumstances. However, in almost all cases, a vaginal birth after cesarean section is a safe option. Your age should not be a factor in the decision but the recency of your last c-section could be an issue, depending upon the beliefs of the individual doctors in your area.
My best recommendation if you're interested in a VBAC would be to discuss this option with your care provider as soon as possible, since you've so very little time left. Some providers are not comfortable with VBAC even though the research supports it as a safe option. Contacting your local chapter of ICAN, the International Cesarean Awareness Network, ican-online.org, is also a good resource in finding out more about supportive providers and hospitals in your area.
Shaking during childbirth can be a normal reaction to the hormones of birth itself, not necessarily because of anesthesia. Many women who give birth naturally with no drugs will experience it as well. A seizure is also very different from just shaking as it occurs due to rapid unusual electrical activity in the brain. Anesthesia could trigger a seizure, but it's not clear from your message which scenario actually happened.
But, yes, if you actually experienced an anesthesia-induced seizure, then there are other anesthetics that can be used. The specific drugs used are at the discretion of the anesthesiologist, so if you opt for a repeat c-section, you can schedule a consultation in advance with an anesthesiologist to go over your concerns and discuss alternate anesthesia options.
If the shaking was due to normal hormones of pregnancy, then no, different drugs will not alleviate it. Asking to be covered with warm blankets after the birth can help to lessen it, though.
Best,
Catherine
