pregnancy & maternal heart condition - need a Cesarean?Thread
Sep 20, 2010 10:10 PM
Hello, Henci, I had an inquiry for doula care. The mom to be has a congenital heart abnormality and has been told she may need a Cesarean section as opposed to laboring. She is being monitored in her pregnancy and her aorta is enlarged now at 26 weeks.
Sep 24, 2010 04:13 AM
My area of expertise is in best practices for women free of medical complications, so I don't have any research to recommend. The best I can suggest is for your client to find an ob with a commitment to vaginal birth (overall c/sec rate 15% or less, promotes VBAC) and get his or her opinion based on this mom's particular condition and its severity. If a pro vaginal birth ob recommends planned c/sec, then she can trust the ob's judgment. If a cesarean is recommended, the benefits vs. harms of awaiting spontaneous labor onset should be part of the discussion. Since a cesarean seems likely, the International Cesarean Awareness Network website has a section on planning a family centered cesarean that you and your client may find helpful.
All Times America/New_York
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