CS And Ligation Question

Having a c section just to get your tubes tied "at the same time" is absolutely ridiculous! And completely unnecessary.

I had my tubes tied 2 1/2 years ago. These days they do not need to cut your stomach open. I only have two tiny scars. One is in my belly button. The other one is in my Pubic area.

I gave birth naturally, then 6 weeks later (I think) I had the Tubal Ligation done. I was in and out within like 2 hours, and was perfectly functional pretty quick.

Whether or not your husband wants to get a vasectomy is his choice. Just as what form of birth control you want to use is yours. I've heard so many women demand that their husbands be the ones who should go through with it because it's "easier" and she has already done all the work giving birth. But honestly tubals are really quick and easy now.

I chose to have my tubes tied because *I* am done having children. What if I got divorced or my husband died? I wanted to be sure that *I* couldn't get pregnant again.

Don't be scared to take charge of your life. :)

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ETA:
Do NOT get Essure! It has horrible reviews and problems. A friend of mine got them a year before I had my Tubal done. I was thinking about going with Essure until she told me all the trouble she was having. She just recently had them removed.

You cannot have a c-section just so you can have a tubal ligation. It's terrible medical practice and no doctor will do it. It's major surgery, with anesthesia. If it should happen for other reasons because of birth difficulties or fetal distress, then it becomes the better option. Usually having a tubal ligation at the same time does not add to the recovery time but you will be off your feet, unable to lift things or drive, and on pain meds for the c-section itself.

You should only do this if you are absolutely sure that, no matter what, you two never ever want any more children. Do not, under any circumstances, listen to anyone who says, "Oh you can always have it reversed." THAT is a nightmare operation and frequently unsuccessful. Sterilization is forever.

A vasectomy is a very minor procedure because it's virtually all external. Your husband needs to get educated. If he's laughing at the idea, he is woefully misinformed and just a bit disrespectful of you. A tubal ligation by itself (not connected with c-section) does not involve "opening up the stomach" - it's a 1 inch incision with a laparoscope, closed with a couple of stitches. But it's still more invasive than a vasectomy and has a somewhat higher complication rate.

Get some really really good education about sterilization procedures for men and women - and get them from the doctors who do them routinely, not from the internet. I worked in a medical facility and accompanied many women through tubal ligations and many men through vasectomies, and I counseled many couples on contraceptive options to assess whether the potential side effects of various methods were likely for them given medical history, life style, age, etc.

If this isn't the right time to make that decision, then defer it until you are both ready. But for you husband to just assume you will do everything and he gets a pass is not an informed choice.

Good luck!

Wait you are talking about asking for a C section just to get a tubal done at the same time? Are you nuts? You want to opt for major surgery just to avoid out patient surgery! Well this explains why you think it is a great idea to take a toddler into the delivery room, you are out of touch with reality.

I have never heard of anyone having a tubal after a vaginal delivery. I have had a couple friends have it done the next day while in the hospital so they can recover from both so they can get back to work at the end of their leave.

Do you really want to complicate your recovery? I had an uneventful, unmedicated birth and still felt like I'd been hit by a truck a few days later.

Why would your husband 'laugh it out' about having a vasectomy? I mean, it's got far less recovery time than a tubal and far less complications.

Sounds like you both need to look at actual health information about complications and recovery times instead of you taking the brunt of it because he doesn't want to man up.

I had a 'normal' (vaginal) delivery with my first, and recovery was fairly easy. I has a C-section with my son (medically necessary) and the recovery was horrible. It was really the worst experience of my life, trying to recover from major surgery with a newborn. I was up and walking, living life normally within a few weeks after my first, it literally took months after my son was born to feel normal again.

Add to that the immense guilt I felt because I couldn't properly care for my new baby or my daughter, and I would never, never, never recommend an elective c-section. If you have a tubal at the same time that's yet another recovery added into the mix.

If it were me and my husband wouldn't discuss other options, I would focus on having a healthy delivery for now and revisit what to do about birth control after baby is here.

Any ethical doctor will not do a c-section for a non-medical reason. There is far, FAR less risk doing a tubal via laparascopy (tiny incisions) versus opening up the abdominal cavity for a c-section unnecessarily.
I had one c-section and I would never want another- the anesthesia did not work all the way, I'll leave it at that. My second was a VBAC, it is night and day. Don't go looking for an unethical doctor who will let you opt for a non-medical c-section. That procedure is for medical emergencies, not convenience.

I had tubal done with my cs with my son. I had no additional recovery time. If you don't need a cs though, don't get one. They can do it the day after delivery while you are still in the hospital. It is no longer "cutting your stomach open". It is now usually done with laparoscopic surgery with just tiny cuts. A friend had this done about 5 yrs ago and she went home the day after, which would have been the normal day after birth. The cuts hurt a little but she didn't have anything different than her first 2 kids.

I would not get Essure. There was a recent study that found it is not as effective and some women can have problems.

I had a tubal ligation in my early 30's NOT connected to a delivery, and it was undramatic, untraumatic, and much easier than I expected. At the same time, I also had some exploratory surgery for adhesions and a cyst on my ovary, so there was some down time for me, but even so, my recovery was smooth. Most women go home immediately, and are back to normal activity (minus heavy lifting) within a day or three of ligation. I went home the next day even with more extensive surgery.

Some women do have aftereffects, often just from the gas they pump into the abdomen so the surgeon can navigate easily, which then occasionally redistributes as the body clears it out. I had a friend who had weird shoulder pains as the gas pressed up against her diaphragm. But it was brief, a day or so, and then she was fine.

There are so many reasons not to choose CS. It's fine when necessary, and my daughter had to have a CS when she made no progress during labor. But it is surgery, carries the risks and cost of surgery, and slows down recovery time significantly, which is hard enough with a new baby, but more difficult when you have an older child to care for.

Congrats on your pregnancy! I haven't had either procedure but for friends who have done it, it was because they needed a c-section anyway. For them, the procedure was simple and they report that their recovery from the c-section and tubal was the same as it was for their prior c-sections. However, more than one friend feels that hormonally, she is not the same post-tubal as she was before and that she wouldn't have done it if she knew that.

I would strongly urge you to not even consider asking for a c-section if this is the only reason to do it. There are so many risks with c-sections that you should avoid one unless medically necessary, and the recovery from that is usually much harder and longer than it is for a vaginal delivery. Plus you'd be in the hospital longer...would you really want to be away from your older child longer than you need to be?

Is there any reason for your husband not to have a vasectomy? It's a simple outpatient procedure for him just a small incision done right in his doctor's office. A tubal is a much bigger procedure, c-section or not, and carries the risks of more serious side effects. You're going through the trouble of birthing your kids, can he take one for the team and get snipped?

I know that this isn't exactly what you asked, but hopefully it's food for thought. I wish you a happy and healthy pregnancy!

Neither of these "surgeries" are big deals anymore. Honestly.

I had a normal vaginal birth with my first, and a section (after attempted vaginal) with my second. Honestly, the c-section recovery was fine, and I was in the hospital for 1 extra day. You will up be and mobile, because you have to be. Period. This bit where people say it's 6 weeks... you will be up and moving around again by the time you leave the hospital. It's not like you're stuck in bed recovering. And you CAN hold/lift your newborn.

So I personally really don't see the big deal. And if you opt for both together, you're just knocking them out at the same time. There is no extra recovery from the tubal. That is nothing, procedure wise, and your body will recover at the same time it heals the C section incision.

I had to have an unplanned c-section with my daughter, and the recovery was not pleasant. It was actually pretty horrible. If you are able to give birth naturally, please go that route. Don't undergo ligation if you don't have to. Have your husband get a vasectomy. It's less invasive and recovery time is quicker. Why should you have do all the hardwork?? You had to push out two babies and go through almost 10 months of pregnancy with each child, which are not easy. Now it's your husband's turn.

Let hubby get a vasectomy!! it the the least men can do after we push PEOPLE out of super small holes.

A friend had her tubes tide and there was no surgery. They inserted a little tube and did everything without any big cut. I'd have a normal birth and deal with all the other stuff later.

I'm still trying to wrap my head around the "laugh it out" comment. A CS delivery AND recovery is highly dangerous. I've had two myself (second not by choice). One nurse explained "CS are the bloodiest of all the surgeries" and there are a lot of complications. You will forever have the "shelf" where your stomach muscles were severed. No amount of crunches will fix it- more surgery is required to get rid of it. Doctors make money off surgeries. In this instance, they'll cs the baby and litigate while they're in there. And they'll bill you and your insurance for two different surgeries.
My advice? Natural birth and have HIM get a vas. For crying out loud, he won't feel a thing- it's not like they chop his balls off.

I didn't read all the replies. But I had a vaginal delivery with both of mine and had a tubal ligation a little over 24hrs after the birth of my youngest. It was still during the same hospital stay. I had a spinal, so I was not under general anesthesia. I did not require additional sedation meds, but they were offered if I was anxious. She went in through a small incision made at the bottom of my belly button. I was able to go home the same day. As for pain, I took Percocet for a couple of days alternating with motrin. Then just motrin mostly for the next week or so. The incision pain lasted longer than the rest of the surgical pain. It wasn't so bad. She did tell me that immediate post delivery tubals have a slightly higher failure rate than those that are done once everything is back in its place after babies. My husband wasn't wanting a vasectomy either, but for health reasons we (me, husband, and OB) decided it would be best if I was the one with the permanent birth control. Good luck!

Consider having Essure done instead. They insert a spring like device into each tube. It's coated with a medication that promotes cell growth. As it takes effect the tube becomes blocked with your own tissue.

The doc goes in and shoots dye through the tubes to test the plug is completely closed. It's a good procedure and it's permanent.

You go to the doc's and the procedure is done in a few minutes. My friend that had it done got up feeling fine. Her husband took her to eat Sushi then they drove home. She had some mild cramping for a couple of hours but that is all, seriously all. She went back in a few weeks and did the dye test and her tubes are both completely clogged and sealed.

And this is a woman who went to bed for at least one day per month with cramps. With the cramps she had that day she didn't even lay down, she milked the animals and did the farm chores the same day she did the procedure.

I'm with 'Elliebird's Mom'.

Our first was a vaginal delivery. Our second was a cs. I told hubby if our 3rd was a cs, I would get my tubes tied. Our third was a VBAC. I will not go in for a tubal--

CS are no joke. I honestly don't know why anyone would 'opt' for one?!?!