C-section experiences and justification letter...

J

jaetee

Registered User
Does anyone have experience with having a C-section in HK, especially at Adventist or Canossa? If so what did you think of the experience?

Also....for those who had to get a medical report/justification of C-section for insurance purposes, did your doctor just hand write a letter??


Thanks so much in advance for replies and advice. :)
 
Had a C at the Adventist and it was fine, but it must depend on your dr and the anaesthetist. Mine was medically necessary, although no insurance so no letter needed. You may get some useful replies on that point, but on the operation itself, it seems people have so many different experiences.
 
kashismum said:
Had a C at the Adventist and it was fine, but it must depend on your dr and the anaesthetist. Mine was medically necessary, although no insurance so no letter needed. You may get some useful replies on that point, but on the operation itself, it seems people have so many different experiences.
Click to expand...

Thanks Kashismum. Could you share your experience there - what was the pre-and post- surgery time? Were the nurses supportive of breastfeeding right away? Mine is medically necessary as well, and I am nervous since I never thought I would be in this situation so dont have much information. :(

Thanks so much.
 
i won't tell you of my horror story of a c-section the first time round, not at a private hospital. it was so bad that i talked to the high risk drs at QMH when i was only 20 weeks along to tell them of my concerns.

it has been decided that i will have another c-section, 2 years + one day after my first one. but the anesthitist MUST use a different anesthesia for me as the epidural was NOT sufficient...

the first time round, i was wheeled into the O.R. at 2:58 pm, they took their time giving me an epidural because my BP was so high, it would have been dangerous to give it to me normally. that was ready at 3:30pm. my son was delivered at 3:54 pm and i was wheeled out of the O.R. at 4:30pm. i was in the recovery room, so they could moniter my BP until almost 7:45 pm. the epi had worn off, but the anesthitist couldn't check on me as he was called into another emergency c-section just as he was on his way to me.

be ware that you might get the "shakes" afterward. it's a way for your body to deal with the shock of everything. when my hubby was finally allowed to see me, i had just started. it's like getting a violent case of the shivers.... you should have seen the terror in his eyes!! i was trying to calm him down through my chattering teeth, telling him it was ok... he had no idea what to do or how to help and instinctually he started rubbing my feet and lower legs very slowly and rythmically... it was the best thing he could have done. but there's no way if he'd asked me what he coudl do would i have known to say, rub my legs....

good luck! you must be quickly approach delivery.... when are you due again?
 
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Hi, I had a c-section at the adventist 4 years ago. I chose to have it and mine was not medically necessary. No letters were needed. I just didn't want to go through the labour pains.. Within 10mins my son was out.. everything went on very smoothly except for the shivers i had.. The midwives there are very supportive of breastfeeding, in fact sometimes too persistent!!
Overall I enjoyed it and decided to have another c-section 2 years ago!!
 
Mine was plain sailing. Epidural a bit difficult due to severe swelling - not painful but just took a bit longer than expected. I was lying on my side at that point.

Then, once it's taken and they set up a screen so you can't see 'down there', the doc moves in and makes an incision. I was a bit nervous and asked the anaesthetist to give me a running commentary, which he did. It helped as You hear some strange noises at times. He even took photos!

It was all very quick and painless. My hubby was with me the whole time and went up to the ward with the baby while I was being stitched up. Unfortunately, I was left outside the OR for 15 mins or so waiting for an orderly, so I complained and asked to go up immediately to see my baby and start breastfeeding. I've posted my comments on the Adventist's bf support elsewhere - not great in my experience. Seek advice from LLL before you deliver. A C-section should in no way diminish your success in bf; just start as soon as you can.

I was on bed rest for 24 hours and up the next day (a bit sore). The following day I was as good as new and I was at Disneyland with my baby 2 weeks post-birth!

My scar is now barely visible and I look back on the delivery as very easy. Now worrying about labour and a 'normal' birth!

Hope this helps - if you want to PM me for any specifics, feel free.

Good luck.
 
Thanks for the replies, it is really helpful to hear other people's experiences on this matter.
 
In my experience with caesareans there is a lot more pain after the birth. However the medical staff are now very good at managing this pain and the drugs they give you really seem to work very well.

The first day I felt very weak and extremely tired. Even if you haven’t been in labour first I think the operation is a big shock to your body and thus takes a lot out of you.

The second day I was up and about but I found it difficult to move about. It wasn’t so much that it was painful just difficult. I didn’t realise that I used my stomach muscles so much but almost every movement you need them.

By the third day I was beginning to feel much better and was more comfortable sitting in the arm chair and breastfeeding than in the bed. (I just couldn’t seem to get comfortable sitting up in the bed.) So I only used the bed when I started to feel tired again and then I asked the midwives to help me feed lying down.

I found that it was easy to think that I was getting better but then suddenly I’d be really tired again. It was a bit like having jet lag – where the tiredness just suddenly strikes you and there is little you can do about it.

I found that I was still tired even a couple of weeks after the birth. I don’t think I could have managed a trip to Disneyland at two weeks but I could mange a restaurant meal with my husband (the baby slept through it in the sling). But this meal was at lunchtime because by the evening I was too tired to think about going out. By three weeks I felt much better.

Best wishes,
Barb
 
I had a great c-section experience in a private hospital in HK- well as great an experience as surgery can be!
I was terrified beforehand, mainly about the spinal tap not working and being able to feel whatever the Doctor was doing! However my anaethetist was great and reasssured me the whole time. I remember it all being very quick.
They brought my baby to me as soon as he had been wiped clean and checked by the pedietrician and the midwife helped me start breastfeeding in the operating theatre, well she helped put my baby to my breast.
They then took the baby upstairs with my husband to be weighed etc. I followed once the Doctor had finished.
As soon as I got upstairs the nurse helped me again with breastfeeding.
The next day I had no pain ( I took whatever painkillers I was offerred) and was made to go to the toilet and have a shower, which was very uncomfortable...but by the next day I was up and about, walking to the nursery etc. And by the third day was like normal.
 
Thanks everyone, I really appreciate you sharing your experiences, it is helping to calm my anxiety a bit. May I ask a couple of questions:

1) Are all the anaesthesia (spinal tap, epidural) and painkillers afterwards okay to take in conjunction with breastfeeding?

2) For those with insurance, what type of documentation did your doctor write-up - I want to make sure that since it is medically necessary, we submit the right information to get coverage.

Thanks so so much again - I really appreciate your help. :)
 
see becky...that was my problem, the epi DIDN'T work...it was awful...

the other thing is...not to be too disgusting... but the first poop after a c-section is terrifying!

also, it hurts to laugh, to push(poop etc), to sneeze, to cough....

i was up and about the next day, but only with EXTREMELY strong painkillers. about a week later, i developed a haematoma...a blod clot just below, about 1 inch, the incision. the clot then got disgusting and again, i won't go into details.

the best advice is...do WHATEVER the doctors tell you. DO NOT over-exert yourself when you start to feel normal. it takes AT LEAST 6 weeks before you can do much more than carry your baby.

there's no problem with BF, but it took my milk about 3-4 days to come in. until that point i felt like i was always bf with nothing but TINY amounts of colostrum. i would literally have him on the breast for over an hour. then 10 minutes later, he'd by crying for more. i supplemented with formula from the beginning and there was never any problem. i really enjoyed BF and never encountered any problems with it after the first day. i had to quit when he was 6 months because of meds that i had to go on. the last month, he was pretty much exclusively bf as i was in canada and found it so much easier than when i was here and trying to work.
 
Oh my g_d, cara I can't believe it didn't work!!! How terrifying!

Yes first poop is horrendous!

I was given tablet painkillers and for the first 2 days injections to ward off any pain- they really worked! I was breastfeeding and the hospital I was at really encourages breastfeeding so I assumed the painkillers were ok; my doctor also knew I was breatsfeeding. I had no problems with breastfeeding or milk supply etc.

Sorry don't know about documentation as mine was an emergency c-section!
 
yep, pretty horrendous...but like i said, earlier, when you compare it to the joy of finally seeing the little one and knowing that they are safe and healthy, it all pales in comparison...i'm doing it agian 2 years (almost exactly later)...
 
Drugs and breastfeeding

All the drugs that you will be given during birth are compatible for breastfeeding.

In fact, almost all drugs are compatible with breastfeeding. If you are ever worried please contact me at [email protected]. I have a copy of the book Medications and Mothers’ Milk by Thomas W. Hale Ph.D. This book is considered the authority of drug use and breastfeeding.

The information is often quite technical but I’m happy to photocopy the relevant pages so that you can share the information with your doctor (who will be able to understand all the medical jargon even if we can’t!)

Best wishes,
SARAH
 
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