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Speaker 1: Hello everybody, and welcome to another episode of Katie's Crib.

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Speaker 1: Except today it's a super special episode because we are

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Speaker 1: not in my crib, you guys. We are actually in

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Speaker 1: a soup's fancy recording booth um with a bunch of

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Speaker 1: friends and we're gonna be talking about c sections today.

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Speaker 1: And you guys were literally like in a recording studio

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Speaker 1: that has like head cans on. These are called cans,

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Speaker 1: right yep, yeah, cans. You see how professionally I am, guys,

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Speaker 1: um So today in this episode, we wanted to uh

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Speaker 1: do a round table discussion, which is new for us.

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Speaker 1: It's we have three guests here today and in this

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Speaker 1: episode we're talking about c sections, which is a very big, emotional,

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Speaker 1: scary topic with a lot of different perspectives on it.

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Speaker 1: And I bet you guys out there have a lot

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Speaker 1: of questions. I know I definitely do. So, like I said,

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Speaker 1: we're gonna do this in a round table discussion sort

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Speaker 1: of way, and we have three guests. First, we have

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Speaker 1: Dr Laney Kumetz. Yea, Dr Laney Kumetz, you guys is

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Speaker 1: my ob. She has been for like a decade or more,

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Speaker 1: I don't even know. And um it's really nice to

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Speaker 1: see you up above my bottom half of my body.

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Speaker 1: Doctors lovely, she delivered, Albi. Next, we have my dear

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Speaker 1: dear friend Angelique Cabral Yeah. She um currently starts as

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Speaker 1: Colleen on CBS's Life in Pieces and Angelique has personal

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Speaker 1: experience with c sections. Will be getting to her. And last,

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Speaker 1: and definitely not least, is my dear dear friend Emily

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Speaker 1: Royfe and she is amazing and a wonderful stay at

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Speaker 1: home mom with the cutest daughter ever. Actually, we need

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Speaker 1: to get a play date together with Adelaide Tuesday and Albi.

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Speaker 1: I mean you guys like them? I like them? Um, Okay,

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Speaker 1: so we're going to jump into this because, like I said,

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Speaker 1: it's a very big topic. Um. First things first, let's

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Speaker 1: go over to Dr Kmetz and can you explain what

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Speaker 1: is a C section? How is it done? And walk

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Speaker 1: us through it briefly? Sure? So, a C section is

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Speaker 1: a surgical way of delivering a baby. Um. It's performed

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Speaker 1: in an operating room by an O, B, G. Y

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Speaker 1: N A surgeon And uh, the most common way is

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Speaker 1: cut in the lower part of the abdomen, just above

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Speaker 1: the pubic bone um, separating the layers to get down

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Speaker 1: to the uterus, making a cut in the uterus, and

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Speaker 1: delivering the baby through mommy's tummy. Wow, guys, it's like

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Speaker 1: an episode of Gray's Anatomy. It's unbelievable. Um, So, Angelique, Yeah,

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Speaker 1: let's go to you and let's talk about your experience

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Speaker 1: with um having a C section. Was this a decision

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Speaker 1: you made? How far in advance did you know? This

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Speaker 1: was a decision that I actually I did not have

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Speaker 1: a choice, and I had placenta previa, and we found

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Speaker 1: out about twenty eight weeks or five weeks, I can't

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Speaker 1: remember now, but it was far enough long that we

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Speaker 1: tried a couple for about a month to move my centa.

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Speaker 1: It basically means that the placenta is attached at the

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Speaker 1: cervix or near the cervics, so that the baby's head

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Speaker 1: cannot come out during labor, and if you try to labor,

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Speaker 1: the placenta basically comes out first and will bleed and

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Speaker 1: like you die, like the old das would die. Like

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Speaker 1: my doctor was like you would be dead, and like

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Speaker 1: that's what happened a lot. Like they didn't know that

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Speaker 1: the placenta was attached. You would try to labor and

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Speaker 1: then the placenta's out first and you bleed out. So

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Speaker 1: it's a very from what I understand, it's a very

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Speaker 1: like serious thing. And I did not have like a

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Speaker 1: super bad case of it, but it was enough of

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Speaker 1: an issue that they were like no. Like across the bard,

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Speaker 1: I went to four different doctors and they were all

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Speaker 1: like no. Because I really wanted to labor. I'm like

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Speaker 1: the opposite of you. I wanted to be in my

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Speaker 1: element and like be a woman, and I you are

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Speaker 1: a woman. I are a woman, a great mom. Thank

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Speaker 1: you very much. But I was devastated. And just to say,

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Speaker 1: remember we have another person in common, this chiropractory named

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Speaker 1: dtor Berlin, who works on pregnant women, and I remember

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Speaker 1: him saying something to you on the leak during your

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Speaker 1: process of changing your mental the way you phrased to

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Speaker 1: yourself that you were delivering your baby in it really

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Speaker 1: helped me. He really helped me with that. He he said,

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Speaker 1: you need to stop thinking of it as a problem

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Speaker 1: and think of it as a beautiful basically, to talk

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Speaker 1: to the baby and say, I'm going to be delivering

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Speaker 1: you through my tummy like I'm birthing. I'm birthing you,

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Speaker 1: but instead of through my vagina, I'm birthing you through

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Speaker 1: my tummy. And to come at it um. It made

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Speaker 1: me weep at the time because I was so emotional

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Speaker 1: and so vulnerable, and I was trying so hard to

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Speaker 1: move my placenta, which is an impossibility. It's not something

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Speaker 1: we have control over. Placenta previa is very dangerous, both

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Speaker 1: for mommies and for babies. And when once I heard that,

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Speaker 1: I was like, Okay, then it doesn't matter. So do

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Speaker 1: you find the same thing? Dr commits that if you've

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Speaker 1: had patients that have placenta previa and they may have

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Speaker 1: a sort of really emotional reaction to it, um, do

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Speaker 1: you find using the same sort of language is what

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Speaker 1: helps them get to an excited point that they're going

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Speaker 1: to be there. But baby is a little bit differ

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Speaker 1: when they're told that they're going to need a C

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Speaker 1: section for medical reasons UM, and that can happen well

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Speaker 1: in advance of pregnancy. It can happen in the early

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Speaker 1: parts of pregnancy. You may not find out until you're

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Speaker 1: in labor that you actually need to have a C section.

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Speaker 1: UM plus in a previow is something that is often

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Speaker 1: diagnosed well in advance, and um, so there's more time

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Speaker 1: to process and everybody's experience with processing that information is different.

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Speaker 1: And UM, I really think it does take a little

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Speaker 1: bit of soul searching. It is a disappointment. There's often

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Speaker 1: some grieving involved. Um, but getting to the point where

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Speaker 1: understanding that, um, you know, kids really don't care about

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Speaker 1: your plans. They unius and babies they just don't read

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Speaker 1: the birth plan. And um, this was the first of

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Speaker 1: I'm sure, what's going to be many many, many times

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Speaker 1: this kid just does not do what you want to do.

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Speaker 1: And it actually ended up being quite a blessing with

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Speaker 1: my I'm shooting I was shooting a TV show and

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Speaker 1: it was a blessing to know the exact time and

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Speaker 1: day because they could write up for me in that

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Speaker 1: very moment. And then my obi Dr Susan Morrison, said, well,

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Speaker 1: this is Adelaide taking care of you, and I was like, oh,

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Speaker 1: like for the first like, she's actually like the cryer people,

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Speaker 1: a big crier, which is onny of the things I

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Speaker 1: love about her. So that you anxious sweet about having

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Speaker 1: like a major surgery or did you feel completely like well,

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Speaker 1: we'll get to that, but I've never had surgery. I've

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Speaker 1: never been in a hospital, so I was like, I

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Speaker 1: got this. This is so easy. And the fucking C

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Speaker 1: section and the recovery was a nightmare, Like it was

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Speaker 1: the worst thing that's ever Like I've never felt pain

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Speaker 1: like that. I did not know how serious. When you're

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Speaker 1: talking about like how they cut through your tummy and

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Speaker 1: then they cut through uterus, I didn't. I literally thought

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Speaker 1: I'd be fine because I'm hardcore and I like work

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Speaker 1: out so hard to like meditate really hard, like nothing else.

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Speaker 1: Prayers you had playing while Adelaide was taken out of you.

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Speaker 1: Mantras did not help her healing process. Um, it was

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Speaker 1: common and we don't really think about it, but it's

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Speaker 1: ajor abdominal surgery. And it's not just major abdominal surgery.

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Speaker 1: It's major obdominal surgery and then taking care of a

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Speaker 1: newborn and trying to breastfeed and breastfeeding and the emotions

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Speaker 1: that are going through with that and hormonal drop off

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Speaker 1: and like that. My I was taking a shower this

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Speaker 1: morning and I still have that like I'm not a

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Speaker 1: skinny person anyway, and I was looking down like I

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Speaker 1: still have like that weird line where it like goes

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Speaker 1: in and like my vagina is still swollen six months later.

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Speaker 1: So it's like pretty gnarly. I know, I get it.

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Speaker 1: I get it. You guys, this will We'll get that.

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Speaker 1: So Emily, my dear, please explain that you electively chose

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Speaker 1: to have a C section, and what brought you to

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Speaker 1: that decision and and were you afraid was it an

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Speaker 1: easy choice for you? All of these I never went

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Speaker 1: when I found out I was pregnant. I never thought

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Speaker 1: I would have a vaginal birth. I just for some

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Speaker 1: I had a friend that had a pretty pretty traumatic

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Speaker 1: um delivery and she was laboring for two days and

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Speaker 1: then she had a C section and then was operated

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Speaker 1: ing from like a place of just complete, like ruined,

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Speaker 1: and I, you know, it's just exhausted, and and it

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Speaker 1: just always stuck out in my head and I'm a

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Speaker 1: very anxious person. You said that you were really scared

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Speaker 1: of vaginal birth too, and I just wanted to be

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Speaker 1: able to know know like what was going to happen,

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Speaker 1: how it was going to happen, and be able to

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Speaker 1: prepare myself for probably the last time I could ever

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Speaker 1: control something um. And so you know, my husband was

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Speaker 1: super supportive my OBI didn't question it and it so

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Speaker 1: you can. So when you went into your OBI like

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Speaker 1: very early on and you just said I'm having a

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Speaker 1: C section and that's that, and did she have any

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Speaker 1: sort of We talked about it for a second, but

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Speaker 1: she was just like, if that's your decision and you know,

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Speaker 1: that's what your family's choices and let's let's do it. Wow. Yeah,

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Speaker 1: it's very impressive. UM. So, Dr Kumetz, Um, what are

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Speaker 1: some of the things and expecting mom should do to

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Speaker 1: prepare or for a C section in the days leading

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Speaker 1: up to the procedure if they've if they know that

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Speaker 1: they're going to have that. I know sometimes there are

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Speaker 1: very last minute calls that are made, UM, but is

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Speaker 1: there anything you do to prepare yourself? Like, well, you

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Speaker 1: know there's going to be the emotional preparation. UM. I

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Speaker 1: think it's really important to talk with your doctor about

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Speaker 1: what is going to happen. UM. Really spend the time

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Speaker 1: so that you understand the process from the beginning of

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Speaker 1: what time you're supposed to arrive at the hospital, what's

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Speaker 1: the last time you should have anything to eat or

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Speaker 1: drink so that you have an empty stomach. That's why

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Speaker 1: I had it first thing in the morning, because I

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Speaker 1: do not do well without food. Ideally, if you if

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Speaker 1: you if you know you're having a C section, if

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Speaker 1: you can get it scheduled first thing in the morning,

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Speaker 1: that is the best case scenario. Not that you're really

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Speaker 1: gonna get any sleep the night before because of the nerves,

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Speaker 1: but it's still a little easier. UM. But knowing what

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Speaker 1: is going to happen, having a plan, UM, you know,

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Speaker 1: having your doctor talk you through what the recovery is

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Speaker 1: going to be. Like, how long you should anticipate staying

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Speaker 1: in the hospital, UM, talk to you about it. Probably

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Speaker 1: like three nights in the hospital for a C section.

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Speaker 1: Most insurance plans will cover three to four nights, and

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Speaker 1: that's pretty average for how long people stay. Guys, personal tip,

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Speaker 1: take those days because you get free nerds, you've got

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Speaker 1: you've got babysitters all up in that hospital, you know

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Speaker 1: what I mean, And you get home and you're like,

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Speaker 1: I loved it. I stayed the four nights. UM. Depending

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Speaker 1: on the hospital, the food can be not bad so

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Speaker 1: emily in cases of UM when a c section is

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Speaker 1: elected like it was in yours. Are there key questions

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Speaker 1: that women should ask their doctors before making the decision

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Speaker 1: to have a C section. Did you have questions for

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Speaker 1: your doctor? No, I mean we walked, we went through everything. Um.

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Speaker 1: I think it's understanding the recovery period, understanding what you're

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Speaker 1: going to be experiencing, you know, obviously being medicated during

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Speaker 1: the birth, being awake while someone's operating on you. It's intense,

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Speaker 1: it really is. But oh my gosh, questions to ask.

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Speaker 1: It's just getting you mentally mentality for battle. Did you

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Speaker 1: guys feel can can either of you guys speak on

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Speaker 1: while being awake? Having your stomach and uterus cut open

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Speaker 1: A lot of pressure and a lot of pulling, like

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Speaker 1: I felt tugging. And then I had a situation where

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Speaker 1: I had a um when they were sewing me back up.

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Speaker 1: I had um fibroids, which I know they're little and

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Speaker 1: that as they're like little cyst they're benign. I've had

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Speaker 1: them literally since I was eighteen. Their masses under benign. Okay,

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Speaker 1: thank you for that. That's the real thing. And they're

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Speaker 1: very common. They're very common, and they but one of

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Speaker 1: them was like in the way of the needle or something,

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Speaker 1: so they had to burn it off. So it took

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Speaker 1: about a half hour longer or twenty minutes longer to

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Speaker 1: sew me up, And I was like, what's what's happening?

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Speaker 1: And you're so drugged? But I remember being like, what's like,

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Speaker 1: I did you guys feel mentally drugged? Like as well,

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Speaker 1: like did you feel kind of foggy or high or fine? Um?

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Speaker 1: I felt fine when it was happening. I had a

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Speaker 1: non conventional play list. I had to Beyonce Kelly Clarkson. Yeah.

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Speaker 1: The whole situation was just like very much. I felt

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Speaker 1: like I was in an episode of The Mindy Project,

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Speaker 1: you know, like my doctor was a badass woman who

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Speaker 1: was like running her operating room in a way that

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Speaker 1: like I just felt like I'm bringing this girl into

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Speaker 1: this world and like, look at what it's just like

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Speaker 1: a really good like you feel great about it. I

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Speaker 1: felt great about your decision, You felt great about the

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Speaker 1: experience for you, I can do it again. And how

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Speaker 1: was the recovery for you? Um? Great? I mean we

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Speaker 1: had our house has a ton of stairs. I was

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Speaker 1: walking the day that we The day of operation isn't

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Speaker 1: dr commits. You're supposed to let me if I'm wrong,

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Speaker 1: But when you have a C section, you have to

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Speaker 1: get up and walk that day like a labor on

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Speaker 1: the hospital. Really any surgery, the sooner that you're up

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Speaker 1: in walking, the lower your risk of getting a blood

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Speaker 1: clot in your legs, The quicker your bowel function will return,

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Speaker 1: the quicker you start mobilizing extra fluid that you get

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Speaker 1: so the swelling resolves more quickly. Yeah, and how was

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Speaker 1: your recovery? We were talking about it a little bit,

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Speaker 1: but I mean I didn't I have stairs to that

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Speaker 1: were it was. That was tough. I had a lot

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Speaker 1: of swelling, So I don't know, but I didn't come

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Speaker 1: down for my swelling for almost two and a half weeks.

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Speaker 1: My legs were like this big. I can't remember that.

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Speaker 1: I couldn't fit into any of my shoes. Um. I

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Speaker 1: don't know if it was because of the burn on

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Speaker 1: my uterus with the fibroid or what it was, but

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Speaker 1: I had a really painful I would say two and

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Speaker 1: a half weeks, and then I had to go back

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Speaker 1: to work at three and a half weeks, and so

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Speaker 1: that was not not easy those first that first I

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Speaker 1: don't know, two weeks at work, I was like shuffling

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Speaker 1: and very swollen, just very big. Still. I also had

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Speaker 1: a c section, and yeah, I was hoping you were

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Speaker 1: going to say. I was hoping you were going to say,

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Speaker 1: I knew you laters have been through and I can

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Speaker 1: talk a little bit about tell me tell me the

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Speaker 1: other side of the table, just because that weird. You like,

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Speaker 1: know exactly what's happening while you're being cut and now

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Speaker 1: here comes scalpel f s whatever it was. It was

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Speaker 1: definitely interesting being on the other side of the table.

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Speaker 1: And it was to one or full colleagues, good friends

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Speaker 1: of mine, that we're operating on me. And um, I

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Speaker 1: think they were you know, whenever it's a friend or

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Speaker 1: a colleague, there's a little bit more anxiety going into it.

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Speaker 1: I mean, you you never want anything to go wrong

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Speaker 1: for anybody, but especially when it's somebody that you know

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Speaker 1: and respect well. And um, they were very professional and

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Speaker 1: it was you know, by the book and calling for

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Speaker 1: the instruments and and very formal. And then once my

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Speaker 1: daughter was out and we knew she was fine, they

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Speaker 1: almost forgot that it was me lying on the table

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Speaker 1: and they started chit chatting, you know, how are your kids,

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Speaker 1: what are you doing this weekend when vacation and you know,

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Speaker 1: it's it's interesting to me because I hear patients hear

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Speaker 1: about this and complain about it. And for me, I

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Speaker 1: found that so reassuring. I knew everything was going perfectly,

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Speaker 1: that it was so routine and so easy for them

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Speaker 1: they could talk about other things and have everything still

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Speaker 1: go just fine. So for me, it was incredibly reassuring

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Speaker 1: to hear my doctors, you know, chat about their kids.

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Speaker 1: And um, you know in advance that you were going

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Speaker 1: to have a C section or was it an emergency

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Speaker 1: last minute thing or so Um I suspected I was

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Speaker 1: going to end up having a C section. I also

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Speaker 1: have a big fibrid. That fibrid was actually in the

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Speaker 1: way of my daughter being able to come out naturally.

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Speaker 1: And um, she she was head down the whole pregnancy,

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Speaker 1: and then at thirty seven weeks decided to flip, so

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Speaker 1: she came out to she first and pooped all over

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Speaker 1: my doctors on the way. She pissed about the eviction

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Speaker 1: notice and let them know in the only way she could.

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Speaker 1: And uh, Um, I presumed I was having a C

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Speaker 1: section from the very beginning. Um. And uh, but interesting

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Speaker 1: being on the other side of it, And did you

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Speaker 1: go back to work? Um? I actually did? Uh? C

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Speaker 1: section on a colleague of mine two weeks after my

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Speaker 1: daughter was born. So your recovery was it was, it

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Speaker 1: was not easy. But um, I also, you know, thank goodness,

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Speaker 1: I'm in a position where I have the luxury of

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Speaker 1: having control over my schedule and um so I went

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Speaker 1: back to work really really minimal hours for the first

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Speaker 1: month when I went back, UM, and definitely had backup

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Speaker 1: arranged in case it was harder than I was expecting,

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Speaker 1: because that's certainly a possibility. Um. But it wasn't easy.

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Speaker 1: But the swelling was crazy. It was, But not everyone

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Speaker 1: has that. Emily, you didn't have, you would have remembered it.

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Speaker 1: If it is there a limit to how many C

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Speaker 1: sections a woman can have, there really isn't unless there

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Speaker 1: was a complication during her um, during her pregnancy, or

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Speaker 1: her c section that would really risk her life if

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Speaker 1: she were to get pregnant again. So it's not necessarily

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Speaker 1: the number of c sections, But in that scenario, it's

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Speaker 1: the number of pregnancies. For example, if somebody had a

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Speaker 1: uterine rupture, that woman should never get pregnant again because

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Speaker 1: her risk of uterin rupture, which is life threatening both

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Speaker 1: to her and baby, is ridiculously high. And unsafe. Um,

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Speaker 1: but I've I've done fifth c sections on women you know,

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Speaker 1: have five babies. I literally don't understand what's going on.

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Speaker 1: Like I I mean, so power to you, but like wow,

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Speaker 1: that is wow. Um, yeah, it's really impressive. Are you familiar?

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Speaker 1: I haven't. I don't know much about this. But with

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Speaker 1: this term gentle c sections, what what is that is

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Speaker 1: that different from a traditional C section? Is this just

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Speaker 1: a new trender fat or is this something that's actually

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Speaker 1: like something that people entertain and should entertain the idea

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00:17:20,640 --> 00:17:25,080
Speaker 1: of great question? Your opinion? Um, it is definitely becoming

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Speaker 1: more popular. Um. The c section. The surgery itself is unchanged.

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Speaker 1: Um for somebody that is requesting, you know, changes that

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Speaker 1: would make their C section experience, um a little better

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Speaker 1: for them. Um, it's not changing anything that I'm doing

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Speaker 1: as a surgeon. So it's more of like the I think,

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Speaker 1: the music and the attitude if you or not or

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Speaker 1: exactly it has a lot to do with how somebody

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Speaker 1: feels about about exactly the atmosphere. So um, it involves

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Speaker 1: you know, having the playlist that you want going on.

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Speaker 1: It involves, um, often having a clear drape so that

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Speaker 1: when the doctor's actually pulling the baby out. Mom can watch.

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Speaker 1: They have a clear drape, clear drape r field some

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Speaker 1: people and some people do. I don't know that I

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Speaker 1: would have wanted to watch. Um. I was surprised my

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Speaker 1: husband watched. I was expecting him not to want to watch,

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Speaker 1: and he was definitely curious, really crazy what goes on

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Speaker 1: in there, because I was also like, uh, in my

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Speaker 1: vaginal birth, I was like, I'm never looking down there ever, ever, ever, ever,

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Speaker 1: And I think I remember like in the last couple pushes,

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Speaker 1: Dr Komets, I think you said like, look down, here

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Speaker 1: he comes, and I definitely looked down and like he

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Speaker 1: was halfway out of my vaginal and I saw it.

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Speaker 1: And I definitely had the conversation that Adam wasn't going

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Speaker 1: to watch it, and he did. So things just go

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Speaker 1: crazy in there. So you choose in advance whether there's

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Speaker 1: a clear drape or not clear drape. They can also,

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Speaker 1: depending on the hospital and the staffing availability, they can

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Speaker 1: try to do skin to skin right away in the

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Speaker 1: operating room. Um. We did that. Yeah, Emily, did you

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Speaker 1: do that too? I didn't do it. Um. The issues

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Speaker 1: are the operating rooms are really cold, and babies cannot

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Speaker 1: maintain their heat really well. When they get moved to

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Speaker 1: the warmer they're actually under a heat or to make

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Speaker 1: sure they're warm because they come out wet and you know,

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Speaker 1: they're coming out from a nice, warm, cozy place into

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Speaker 1: a cold, wet place that's very bright and um, so

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Speaker 1: if you're going to do skin to skin, it's really

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Speaker 1: important that we are able to keep the baby warm enough. Also,

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Speaker 1: you know, this is major abdominal surgery and there are

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Speaker 1: lots of things that are happening during this process, and

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Speaker 1: moms can feel shaky, moms can feel anxious. Um, and

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Speaker 1: if she doesn't feel like she can colfortably hold the

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Speaker 1: baby safely. And again, you kind of have to keep

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Speaker 1: the baby at boob level and above because we're working

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Speaker 1: we're working below there, so there's kind of a limited space.

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Speaker 1: So you also need to have a nurse dedicated to

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Speaker 1: helping you with in the operating room if you're doing that. So, um,

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Speaker 1: you know, if staff is available to have one extra

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Speaker 1: nurse that's simply dead kidded to helping you with the baby,

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00:20:01,880 --> 00:20:05,320
Speaker 1: that is fantastic. That's not always available, got it? And

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Speaker 1: you guys do then, like Rebecca, help me with this

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00:20:08,520 --> 00:20:10,800
Speaker 1: that was cool, so in yours. So I guess both

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Speaker 1: of you kind of had I would say gentle c sections,

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00:20:14,600 --> 00:20:17,680
Speaker 1: and that you both had playlists. Um, you were asked

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Speaker 1: if you could do a clear draper non clear draper,

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Speaker 1: and League said you did have skinned skin. For those

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00:20:21,680 --> 00:20:23,359
Speaker 1: of you guys who don't know, skin to skin basically

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00:20:23,359 --> 00:20:26,200
Speaker 1: means like when the baby comes out instead of being

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Speaker 1: like kind of whisked away and tested on right away,

400
00:20:28,480 --> 00:20:31,280
Speaker 1: if everything is looking good normal in the baby's vitals

401
00:20:31,280 --> 00:20:34,440
Speaker 1: are all looking great. If I'm wrong, I don't, the

402
00:20:34,560 --> 00:20:37,600
Speaker 1: baby goes onto your naked chest and their naked body

403
00:20:37,600 --> 00:20:39,919
Speaker 1: and you have like a bonding time with them, and

404
00:20:39,960 --> 00:20:41,879
Speaker 1: it's called skinned skin, and it was Adam's favorite thing

405
00:20:41,920 --> 00:20:46,040
Speaker 1: the entire world. Um somedea being that mom's body temperature

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00:20:46,040 --> 00:20:48,880
Speaker 1: will help keep the baby warm even in a colder environment.

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Speaker 1: And also this baby is used to hearing mom's heartbeat.

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Speaker 1: It's been a constant um you know, sound that they've

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Speaker 1: been listening to for the previous nine months. So very

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00:20:58,560 --> 00:21:01,359
Speaker 1: theory wise, we can't really them because they don't remember

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Speaker 1: and can't tell us later. But the theory being that

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Speaker 1: if they put them right on your chest, that they're

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Speaker 1: going to hear that familiar sound. Got it? So on Angelique, um,

414
00:21:10,160 --> 00:21:15,000
Speaker 1: your gentle c sections. You also were allowed to bring

415
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Speaker 1: in your dula, right, So she came in, but not

416
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Speaker 1: during the cutting. It was like as soon as the

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Speaker 1: baby was out, she was waiting looking and came in.

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Speaker 1: And she had been in a bunch of C sections

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Speaker 1: at Cedars and she knew the anesthesiologists really well. So

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Speaker 1: that's why, because you find that having a duela during it,

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Speaker 1: like there are people who have a lot of duelas

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Speaker 1: during vaginal birds or if they're going to attempt to

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Speaker 1: do a vaginal birth without medical intervention or whatever it is.

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Speaker 1: Did you find that having a duela in a C

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Speaker 1: section was helpful to your process? Or um? I found

426
00:21:44,560 --> 00:21:48,919
Speaker 1: it extremely reassuring and comforting, especially because she didn't know

427
00:21:49,600 --> 00:21:52,560
Speaker 1: the staff essentially and sotin she'd done it so many times.

428
00:21:52,600 --> 00:21:56,159
Speaker 1: And even though I had heard my OBI explain what

429
00:21:56,200 --> 00:21:58,800
Speaker 1: was going to happen and like prepare me for all

430
00:21:58,840 --> 00:22:01,200
Speaker 1: the steps, Rebecca was there with us the whole time.

431
00:22:01,240 --> 00:22:03,439
Speaker 1: So she was like, come on, you sign in, we

432
00:22:03,600 --> 00:22:05,760
Speaker 1: sit here, then you go and wipe off your whole body.

433
00:22:05,800 --> 00:22:09,120
Speaker 1: She was rubbing my feet she like it was incredibly helpful.

434
00:22:09,200 --> 00:22:10,960
Speaker 1: I found it because I did not know how I

435
00:22:10,960 --> 00:22:12,679
Speaker 1: was going to feel, and I was quite anxious that,

436
00:22:13,320 --> 00:22:16,800
Speaker 1: oh my god, I'd be so scared and so um

437
00:22:16,800 --> 00:22:19,000
Speaker 1: Emily for you, UM, did you have a doula in

438
00:22:19,000 --> 00:22:21,000
Speaker 1: the room with it? Not, but you had your husband

439
00:22:21,000 --> 00:22:23,600
Speaker 1: in the room with you, and you went with the

440
00:22:23,680 --> 00:22:26,880
Speaker 1: non Everyone's choosing the non clear drape. I'm guessing because

441
00:22:26,880 --> 00:22:28,520
Speaker 1: it's major surgery and you don't know how you're going

442
00:22:28,600 --> 00:22:30,679
Speaker 1: to react to seeing I guess your own stomach. I

443
00:22:30,680 --> 00:22:34,640
Speaker 1: would say the patients that ask for the gentler approach, UM,

444
00:22:35,280 --> 00:22:37,680
Speaker 1: fifty will pick the clear drape. Um. There are other

445
00:22:37,680 --> 00:22:39,119
Speaker 1: things associated with it, you know, if your goal is

446
00:22:39,160 --> 00:22:40,760
Speaker 1: to try to do skin to skin right away, they

447
00:22:40,800 --> 00:22:43,640
Speaker 1: have the heart monitors that are on mom's chest, more

448
00:22:43,720 --> 00:22:46,879
Speaker 1: lateral so that there's room for the baby to beyond

449
00:22:46,960 --> 00:22:50,480
Speaker 1: mom's chest, and things like that. But I'd say about

450
00:22:50,480 --> 00:22:56,119
Speaker 1: fifty request the clear drape. UM. So Dr kumets, what

451
00:22:56,200 --> 00:22:58,199
Speaker 1: are some of the reasons What are some of the

452
00:22:58,200 --> 00:23:03,960
Speaker 1: reasons for an emergency section? Like, did I say that correctly? Emergency? Second? Yeah,

453
00:23:04,000 --> 00:23:06,000
Speaker 1: what would be some of the reasons that um that

454
00:23:06,040 --> 00:23:08,840
Speaker 1: women have to do that, and how do you give

455
00:23:08,880 --> 00:23:12,160
Speaker 1: them that information and how does one respond? I'm assuming

456
00:23:12,160 --> 00:23:16,800
Speaker 1: this sometimes happens very quickly. UM. Thankfully, those true true

457
00:23:16,880 --> 00:23:20,800
Speaker 1: quick emergencies are rare, but they do happen. UM. You know,

458
00:23:20,960 --> 00:23:23,520
Speaker 1: somebody with a known previa who went into labor will

459
00:23:23,520 --> 00:23:26,480
Speaker 1: probably start hemorrhaging pretty quickly, and that would be something

460
00:23:26,520 --> 00:23:30,560
Speaker 1: you would want to resolve quickly for them. Um. There

461
00:23:30,560 --> 00:23:33,440
Speaker 1: are situations where the water breaks and suddenly the baby's

462
00:23:33,560 --> 00:23:37,320
Speaker 1: umbilical cord comes out, and once the umbilical cord is

463
00:23:37,400 --> 00:23:41,440
Speaker 1: past the cervix um, it starts clamping down, so baby

464
00:23:41,520 --> 00:23:44,080
Speaker 1: is no longer getting oxygen and is one of those

465
00:23:45,080 --> 00:23:49,879
Speaker 1: true quick, very scary, life threatening emergency situations for baby.

466
00:23:50,320 --> 00:23:53,240
Speaker 1: Mom is usually okay in that scenario, that's you know,

467
00:23:53,400 --> 00:23:56,760
Speaker 1: babies in you know, imminent danger, and that is you

468
00:23:56,840 --> 00:23:59,080
Speaker 1: rush that mom to the operating room and you get

469
00:23:59,119 --> 00:24:01,040
Speaker 1: that kid out as fast as possible. And how fast

470
00:24:01,040 --> 00:24:03,119
Speaker 1: are we talking like in a situation like that, how

471
00:24:03,160 --> 00:24:05,280
Speaker 1: fast is that baby out of there? The goal is

472
00:24:05,320 --> 00:24:07,280
Speaker 1: to get the baby out in less than ten minutes

473
00:24:07,320 --> 00:24:10,639
Speaker 1: from when it's identified, so from you've identified it and

474
00:24:10,680 --> 00:24:12,879
Speaker 1: then the baby is out and breathing within ten minutes.

475
00:24:13,200 --> 00:24:17,520
Speaker 1: Oh my god. In that kind of emergency situation, an

476
00:24:17,520 --> 00:24:22,919
Speaker 1: experienced obee can go from skin to baby in seconds.

477
00:24:24,200 --> 00:24:26,600
Speaker 1: Oh that's my Guy'm sorry. I'm just dead white on

478
00:24:26,640 --> 00:24:28,359
Speaker 1: the phone right now. That's because I have goose bumps

479
00:24:28,440 --> 00:24:31,960
Speaker 1: and my milk just came in and I'm not that's

480
00:24:32,000 --> 00:24:36,320
Speaker 1: not the goal, but that's possible, you know. Other scenarios

481
00:24:36,359 --> 00:24:39,800
Speaker 1: would be something called a placental abruption, which is during labor,

482
00:24:39,840 --> 00:24:42,320
Speaker 1: the placena suddenly separates from the wall of the uterus,

483
00:24:42,359 --> 00:24:45,320
Speaker 1: and in that situation, both mom and baby are in danger.

484
00:24:45,359 --> 00:24:48,040
Speaker 1: There's typically a lot of bleeding signs of fetal distress

485
00:24:48,560 --> 00:24:53,000
Speaker 1: um leading to UH emergency in that scenario. Often, if

486
00:24:53,040 --> 00:24:56,960
Speaker 1: it's a labor situation um that wasn't known about in advance,

487
00:24:57,040 --> 00:25:01,520
Speaker 1: emergencies typically come up either because of fetal distress or bleeding. Right,

488
00:25:01,560 --> 00:25:04,440
Speaker 1: And that might that wouldn't be a situation where it's

489
00:25:04,480 --> 00:25:06,520
Speaker 1: so fast. That might be something where you've been laboring

490
00:25:06,560 --> 00:25:09,439
Speaker 1: for a while and things just are not progressing at all,

491
00:25:09,480 --> 00:25:12,919
Speaker 1: and you're exhausted, and the fetus is heart rate is

492
00:25:12,960 --> 00:25:15,480
Speaker 1: not at a happy place, and so then you start

493
00:25:15,520 --> 00:25:17,720
Speaker 1: to have conversations with this is looking like we're going

494
00:25:17,760 --> 00:25:20,840
Speaker 1: to have to maybe in a different way exactly. You know,

495
00:25:20,880 --> 00:25:23,280
Speaker 1: if if mom has been pushing for three hours and

496
00:25:23,320 --> 00:25:26,560
Speaker 1: the baby hasn't moved in the last hour, that's the

497
00:25:26,600 --> 00:25:29,679
Speaker 1: point where you start, at least you know, mentioning that

498
00:25:29,760 --> 00:25:33,040
Speaker 1: this is something that may be necessary. And you know,

499
00:25:33,160 --> 00:25:35,719
Speaker 1: obviously you're thinking about all the possible ways that you

500
00:25:35,760 --> 00:25:38,800
Speaker 1: can help accomplish a natural delivery, both for mom and baby.

501
00:25:38,840 --> 00:25:41,040
Speaker 1: But you know, as the doctor managing, I want to

502
00:25:41,080 --> 00:25:46,200
Speaker 1: start preparing for the possible need for surgery. Um. But yeah,

503
00:25:46,240 --> 00:25:49,720
Speaker 1: the majority of time when cesareans are done after labor

504
00:25:49,760 --> 00:25:53,080
Speaker 1: has started, it's usually because labor is failing in some

505
00:25:53,160 --> 00:25:55,760
Speaker 1: way or the baby is not tolerating labor for whatever reason.

506
00:25:55,960 --> 00:25:58,399
Speaker 1: Have you ever had someone can ask, of course, and

507
00:25:58,480 --> 00:26:01,959
Speaker 1: that's such a round table. Girls like I don't want

508
00:26:01,960 --> 00:26:04,119
Speaker 1: an epidural, Like give me a c section, but no

509
00:26:04,280 --> 00:26:07,240
Speaker 1: anesthesia because they're like trying to have a natural Has

510
00:26:07,280 --> 00:26:09,000
Speaker 1: that ever happened? Does that happen? Or would they not

511
00:26:09,080 --> 00:26:12,320
Speaker 1: let you do that? Well? I guess you know. Ultimately,

512
00:26:12,400 --> 00:26:15,360
Speaker 1: we can't do anything to anybody without their consent. That's

513
00:26:15,400 --> 00:26:17,199
Speaker 1: called the salt and battery and I really have no

514
00:26:17,240 --> 00:26:21,919
Speaker 1: interesting so. Um, you know, with anesthesia, it's it's a

515
00:26:21,960 --> 00:26:24,080
Speaker 1: personal preference. So I can do a natural delivery with

516
00:26:24,160 --> 00:26:26,800
Speaker 1: or without anesthesia. Um, it looks really painful. I've never

517
00:26:26,920 --> 00:26:29,240
Speaker 1: experienced it myself, but it looks really painful. I don't

518
00:26:29,240 --> 00:26:30,960
Speaker 1: know that i'd want to do it that way. Um,

519
00:26:31,000 --> 00:26:33,880
Speaker 1: but you know, respect whatever choices people have for their

520
00:26:33,920 --> 00:26:37,399
Speaker 1: birth experience. UM. I've never had anybody ask not to

521
00:26:37,440 --> 00:26:40,720
Speaker 1: have anesthesia. Typically in that scenario. Um, if they don't

522
00:26:40,760 --> 00:26:44,000
Speaker 1: have an epidural in place already and there isn't time

523
00:26:44,119 --> 00:26:48,960
Speaker 1: to place a spinal um, it's typically under general anesthesia. Ah. Oh,

524
00:26:49,119 --> 00:26:51,560
Speaker 1: so if it's if they're right right. So, if someone

525
00:26:51,680 --> 00:26:53,800
Speaker 1: was let's say in labor for a while and they

526
00:26:53,840 --> 00:26:55,480
Speaker 1: were not having an epidural, and now all of a

527
00:26:55,480 --> 00:26:58,520
Speaker 1: sudden you need a last minute emergency C section and

528
00:26:58,560 --> 00:27:01,280
Speaker 1: it's too late to get the epidural in spinally, then

529
00:27:01,320 --> 00:27:05,640
Speaker 1: you get general anesthesia. That's why they put you under

530
00:27:05,680 --> 00:27:07,919
Speaker 1: general anesthesia. They put a tube down your throat and

531
00:27:07,920 --> 00:27:11,840
Speaker 1: they breathe for you. Nope. Wait yeah, yeah, yeah, that's

532
00:27:11,840 --> 00:27:14,200
Speaker 1: like so that your whole thing is numb and you're

533
00:27:14,200 --> 00:27:17,439
Speaker 1: not a word out that you're out, So has have

534
00:27:17,480 --> 00:27:21,920
Speaker 1: you done that before? Many? Many times it's it's never.

535
00:27:22,200 --> 00:27:26,040
Speaker 1: It's never a great situation. And even for the anesthesiologist

536
00:27:26,160 --> 00:27:30,360
Speaker 1: because we anesthesia just hate doing general anesthesia on pregnant women.

537
00:27:30,359 --> 00:27:32,320
Speaker 1: Pregnant women tend to have more fluid on board, they

538
00:27:32,359 --> 00:27:35,760
Speaker 1: tend to be more swollen, it's harder to ventilate them,

539
00:27:36,000 --> 00:27:38,160
Speaker 1: um and understand how much they need or don't need.

540
00:27:38,200 --> 00:27:40,960
Speaker 1: I'm sure, yeah, it's it's and huge fluid changes that

541
00:27:41,000 --> 00:27:43,680
Speaker 1: they're having to manage, and um, you know, we try

542
00:27:43,720 --> 00:27:45,840
Speaker 1: to avoid general anesthesia with at all possible. If I

543
00:27:45,840 --> 00:27:48,000
Speaker 1: have a patient who is you know, been pushing for

544
00:27:48,080 --> 00:27:50,760
Speaker 1: two three hours, um, and it looks like we're heading

545
00:27:50,760 --> 00:27:53,399
Speaker 1: towards a C section, I will often recommend at that

546
00:27:53,440 --> 00:27:55,960
Speaker 1: point that they get an epidural so they don't have

547
00:27:56,040 --> 00:27:58,119
Speaker 1: to have we have it in case or if if

548
00:27:58,320 --> 00:28:00,680
Speaker 1: if mom's trying to go natural all and the baby

549
00:28:00,760 --> 00:28:04,000
Speaker 1: is really looking unhappy, then again I'll suggest that they

550
00:28:04,000 --> 00:28:06,679
Speaker 1: have the epidural placed so that we have it in

551
00:28:06,720 --> 00:28:08,480
Speaker 1: the event that we needed and hope that we don't

552
00:28:08,520 --> 00:28:12,119
Speaker 1: need it. Um. And when when she says like baby

553
00:28:12,200 --> 00:28:15,200
Speaker 1: being unhappy for you, guys to know. There's like monitors

554
00:28:15,240 --> 00:28:18,120
Speaker 1: all on your stomach that are just gauging the heart

555
00:28:18,200 --> 00:28:20,000
Speaker 1: rate of the baby, and so when there are major

556
00:28:20,080 --> 00:28:22,960
Speaker 1: drops or it stays low for too long, that's when

557
00:28:23,040 --> 00:28:25,200
Speaker 1: the baby's not happy. I remember during my C section

558
00:28:25,240 --> 00:28:27,840
Speaker 1: that I started to feel really nauseous, like during the

559
00:28:28,720 --> 00:28:32,240
Speaker 1: like I guess the cutting or something. And my mysologists

560
00:28:32,280 --> 00:28:34,840
Speaker 1: was like here like monitoring everything, and I was like,

561
00:28:34,880 --> 00:28:36,720
Speaker 1: I think I'm gonna be sick, and he like did

562
00:28:36,760 --> 00:28:40,000
Speaker 1: something and I was like, I'm better like that at

563
00:28:40,680 --> 00:28:44,479
Speaker 1: I was like so much better, it was. Dilogists are

564
00:28:44,680 --> 00:28:47,280
Speaker 1: so great. They're so good at their job. Emily, did

565
00:28:47,280 --> 00:28:50,920
Speaker 1: you feel nauseous at all? Not during the C section?

566
00:28:51,040 --> 00:28:54,120
Speaker 1: But I just remember feeling really cold and I shook it.

567
00:28:55,360 --> 00:28:58,320
Speaker 1: What is this? Did you both shake? So the shaking

568
00:28:58,400 --> 00:29:01,800
Speaker 1: is really normal. Shaking can happen even just an epidural

569
00:29:02,040 --> 00:29:03,840
Speaker 1: if you're not in a SA section right and after

570
00:29:03,880 --> 00:29:07,320
Speaker 1: a natural delivery, it's very common for women to shake

571
00:29:07,440 --> 00:29:10,160
Speaker 1: for you know, forty five minutes to an hour after

572
00:29:10,200 --> 00:29:12,800
Speaker 1: the placentic comes out, your body is going through such

573
00:29:12,960 --> 00:29:16,840
Speaker 1: huge hormone shifts and fluid shifts and um, you know,

574
00:29:16,880 --> 00:29:20,240
Speaker 1: in addition to the adrenaline and the anxiety, and now

575
00:29:20,280 --> 00:29:22,960
Speaker 1: you have this baby and everything seems to be going okay.

576
00:29:23,480 --> 00:29:27,000
Speaker 1: Very very common to shake for about forty violent shaking.

577
00:29:27,120 --> 00:29:29,800
Speaker 1: I did not have any shaking, but I was petrified

578
00:29:29,840 --> 00:29:31,560
Speaker 1: of it and I had been hearing about it and

579
00:29:31,600 --> 00:29:34,720
Speaker 1: I didn't I'm now remembering I didn't have shaking. I

580
00:29:34,760 --> 00:29:37,240
Speaker 1: was just cold, but I didn't have shaking because I

581
00:29:37,280 --> 00:29:41,080
Speaker 1: asked Rebecca and she said no, I had. I like

582
00:29:41,240 --> 00:29:44,760
Speaker 1: vomited after like yeah, like yeah, I was really nauseous.

583
00:29:44,800 --> 00:29:48,440
Speaker 1: After two. I had the shaking. But it started for

584
00:29:48,480 --> 00:29:50,520
Speaker 1: me really when I got to the recovery room and

585
00:29:50,680 --> 00:29:53,000
Speaker 1: I actually had difficulty holding my daughter for a few

586
00:29:53,040 --> 00:29:55,960
Speaker 1: minutes because I was I was shaking. Am I allowed

587
00:29:56,040 --> 00:29:59,719
Speaker 1: to do this? And it's a present because you were

588
00:29:59,720 --> 00:30:03,120
Speaker 1: shaking being so hard too and also holding Tuesday. Um,

589
00:30:03,160 --> 00:30:06,280
Speaker 1: can you guys tell me all about your partner's role

590
00:30:06,520 --> 00:30:12,360
Speaker 1: during the C section? Like were they above the cloth?

591
00:30:12,640 --> 00:30:15,440
Speaker 1: Like did they look? Did they were they scared about

592
00:30:15,480 --> 00:30:20,080
Speaker 1: surgery the cloth? Um, he did not look. We decided

593
00:30:20,080 --> 00:30:22,680
Speaker 1: that we weren't looking, and um, he was just there

594
00:30:22,720 --> 00:30:26,280
Speaker 1: to be supportive. That was Did he seem anxious as

595
00:30:26,320 --> 00:30:30,800
Speaker 1: well about like watching his watch your significant other go

596
00:30:30,880 --> 00:30:33,360
Speaker 1: through major surgery, right, No, he was calm, and I

597
00:30:33,400 --> 00:30:36,480
Speaker 1: mean we trusted the doctors that we trusted everybody in

598
00:30:36,520 --> 00:30:40,560
Speaker 1: the operating room, and we just were going going for

599
00:30:40,720 --> 00:30:44,560
Speaker 1: it and then did because the is the significant other,

600
00:30:45,520 --> 00:30:48,080
Speaker 1: not the baby. Also, after the baby comes out, like

601
00:30:48,120 --> 00:30:51,240
Speaker 1: how does that work? Often after a c section UM,

602
00:30:51,320 --> 00:30:53,960
Speaker 1: when the baby first gets delivered, they're taken over to

603
00:30:54,000 --> 00:30:56,440
Speaker 1: the warmer and want to make sure that they're warm.

604
00:30:56,480 --> 00:30:58,240
Speaker 1: They want to make sure they're breathing okay. Because babies

605
00:30:58,280 --> 00:31:01,320
Speaker 1: that are delivered via cessarean don't get the same squeeze

606
00:31:01,320 --> 00:31:03,800
Speaker 1: that babies get coming through a birth canal, so they

607
00:31:03,800 --> 00:31:06,000
Speaker 1: can often have a little bit of extra fluid within

608
00:31:06,040 --> 00:31:07,720
Speaker 1: their lungs. It takes them a little bit longer to

609
00:31:07,760 --> 00:31:11,200
Speaker 1: transition to breathing air rather than breathing through their umbilical cord.

610
00:31:11,520 --> 00:31:13,280
Speaker 1: So we want to make sure that the baby is

611
00:31:13,280 --> 00:31:17,040
Speaker 1: transitioning well and they're pinking up and they're breathing okay,

612
00:31:17,080 --> 00:31:20,200
Speaker 1: and that they look happy and healthy. Um, And that

613
00:31:20,240 --> 00:31:23,160
Speaker 1: process can take you know, anywhere from two minutes to

614
00:31:23,840 --> 00:31:25,719
Speaker 1: a lot longer than that if they're not doing okay.

615
00:31:26,520 --> 00:31:29,000
Speaker 1: But assuming that you're in that typical two minutes and

616
00:31:29,000 --> 00:31:31,120
Speaker 1: they're doing okay. They'll typically at that point wrap the

617
00:31:31,160 --> 00:31:33,040
Speaker 1: baby up and give the baby to dad to hold

618
00:31:33,200 --> 00:31:35,160
Speaker 1: to bring over to mom. Um. If you want to

619
00:31:35,160 --> 00:31:36,720
Speaker 1: try to do skin to skin or you know, some

620
00:31:36,760 --> 00:31:39,400
Speaker 1: cudle time, at that point, that's the appropriate time to

621
00:31:39,440 --> 00:31:44,320
Speaker 1: do it. Yeah. So he so Michael took the baby

622
00:31:44,360 --> 00:31:46,239
Speaker 1: from the warmer and then handed and hurt to you,

623
00:31:46,480 --> 00:31:50,400
Speaker 1: and Jason was um up by me the whole time.

624
00:31:50,880 --> 00:31:54,840
Speaker 1: He was really nervous. My husband not great in the hospital.

625
00:31:55,960 --> 00:32:00,600
Speaker 1: He was so clean and so sweet, but he didn't

626
00:32:00,600 --> 00:32:02,440
Speaker 1: really talk, but he was like looking at me in

627
00:32:02,480 --> 00:32:04,440
Speaker 1: the eyes the whole time. And then we had our

628
00:32:04,480 --> 00:32:06,240
Speaker 1: big camera and as soon as the baby was about

629
00:32:06,240 --> 00:32:09,400
Speaker 1: to come out, he did look over, and I was shocked,

630
00:32:09,480 --> 00:32:11,240
Speaker 1: and he looked over and he got all these amazing

631
00:32:11,240 --> 00:32:13,520
Speaker 1: pictures of her coming out of me, which was like,

632
00:32:13,560 --> 00:32:15,440
Speaker 1: I'm so glad now that he was brave enough to

633
00:32:15,440 --> 00:32:17,840
Speaker 1: do that. Um, and then he just started weeping and

634
00:32:17,880 --> 00:32:21,440
Speaker 1: he went um to the They went to the warmer

635
00:32:21,840 --> 00:32:24,280
Speaker 1: and she was only in there for like two seconds,

636
00:32:24,320 --> 00:32:27,600
Speaker 1: like very short, because she was like big and very

637
00:32:27,640 --> 00:32:30,120
Speaker 1: paink already and like crying the best and they didn't

638
00:32:30,160 --> 00:32:33,520
Speaker 1: wrap her. She just came. He brought her to me naked,

639
00:32:34,080 --> 00:32:36,320
Speaker 1: but then there was a blanket placed over us both.

640
00:32:36,440 --> 00:32:39,320
Speaker 1: But I was that okay. I mean, I guess it

641
00:32:39,360 --> 00:32:43,720
Speaker 1: was fine, but like she okay okay because Rebecca knew

642
00:32:43,760 --> 00:32:48,200
Speaker 1: that I really wanted that. So, um, we've also had

643
00:32:48,240 --> 00:32:52,040
Speaker 1: on this oh interesting. But I do remember this strange

644
00:32:52,120 --> 00:32:55,920
Speaker 1: feeling of like looking over, like what's happening, where's my baby?

645
00:32:56,160 --> 00:32:58,840
Speaker 1: Because there's this like two or minute gap of like

646
00:32:59,000 --> 00:33:02,200
Speaker 1: them coming up, they take her and before she's on me.

647
00:33:02,400 --> 00:33:04,360
Speaker 1: So like there was like it's a weird feeling to

648
00:33:04,480 --> 00:33:06,680
Speaker 1: not know what's going on because you can't move. I

649
00:33:06,720 --> 00:33:08,840
Speaker 1: couldn't move my arms. I just remember being like, did

650
00:33:08,840 --> 00:33:11,560
Speaker 1: all three of you stay in the hospital the three year?

651
00:33:11,680 --> 00:33:15,320
Speaker 1: Four nights? I know you said you did, Emily you

652
00:33:15,360 --> 00:33:18,320
Speaker 1: did three days and you did as well, and um,

653
00:33:18,400 --> 00:33:22,080
Speaker 1: we've already we've talked a lot about your um oh.

654
00:33:22,120 --> 00:33:23,760
Speaker 1: But one thing I do want to say that I

655
00:33:23,800 --> 00:33:26,120
Speaker 1: was told that did not happen is I was told

656
00:33:26,280 --> 00:33:29,200
Speaker 1: like they like put your arms out and like I

657
00:33:29,200 --> 00:33:32,560
Speaker 1: don't know, that didn't happen, Like I had my arms free.

658
00:33:33,240 --> 00:33:37,360
Speaker 1: Sometimes I think in some situations they strap your arms out,

659
00:33:37,640 --> 00:33:40,479
Speaker 1: and Rebecca had actually said that, like, usually it's like that,

660
00:33:40,520 --> 00:33:42,560
Speaker 1: but that was not the case. Did that happen with you?

661
00:33:42,720 --> 00:33:48,000
Speaker 1: I don't remember. I know, it's weird not not remembering

662
00:33:48,720 --> 00:33:51,360
Speaker 1: a lot of specifics. I think it's your brains tricking

663
00:33:51,440 --> 00:33:54,720
Speaker 1: way for you to make more children. So that's probably

664
00:33:55,120 --> 00:33:59,280
Speaker 1: hospital specific and becoming less common, especially when you have

665
00:33:59,320 --> 00:34:02,120
Speaker 1: an awake patient. When you're doing surgery on somebody who

666
00:34:02,200 --> 00:34:04,680
Speaker 1: is completely out, you want to make sure that their

667
00:34:04,800 --> 00:34:07,360
Speaker 1: arms aren't falling or getting pressed in a way that's

668
00:34:07,400 --> 00:34:10,120
Speaker 1: you know, potentially going to injure a nerve or um

669
00:34:10,280 --> 00:34:13,600
Speaker 1: cause a bruise. So we typically will strap people's arms

670
00:34:13,640 --> 00:34:15,960
Speaker 1: down when they're having surgery and they're asleep, but if

671
00:34:16,000 --> 00:34:18,160
Speaker 1: you're awake and having a C section and talking to us,

672
00:34:18,600 --> 00:34:22,280
Speaker 1: generally we don't so. Um. Again, this is the hospitals

673
00:34:22,280 --> 00:34:25,200
Speaker 1: I've worked at typically don't that. That may be different

674
00:34:25,200 --> 00:34:30,560
Speaker 1: in other places, but less common. Aul, Like you said,

675
00:34:30,680 --> 00:34:37,080
Speaker 1: we talked about your recovery, which seemed very bloated heavily.

676
00:34:37,120 --> 00:34:40,360
Speaker 1: You seem to have a great recovery time period, and

677
00:34:40,360 --> 00:34:42,359
Speaker 1: what about you, Dr Kumets, how is yours. You were

678
00:34:42,400 --> 00:34:45,720
Speaker 1: up and working too. I was UM, I was pretty swollen. UM.

679
00:34:45,760 --> 00:34:49,200
Speaker 1: You know something that that we have to remember is UM,

680
00:34:49,239 --> 00:34:52,200
Speaker 1: a woman's body actually increases her blood volume by about

681
00:34:52,239 --> 00:34:55,439
Speaker 1: thirty percent over the course of pregnancy. UM. And that's

682
00:34:55,440 --> 00:34:58,040
Speaker 1: really in preparation for the expected bleeding that you're going

683
00:34:58,080 --> 00:35:00,680
Speaker 1: to have afterwards. Whether it's a natural delivery a C section,

684
00:35:01,000 --> 00:35:03,239
Speaker 1: you're expected to lose some some blood at that point,

685
00:35:03,239 --> 00:35:05,000
Speaker 1: and you do have some bleeding afterwards, and the body

686
00:35:05,080 --> 00:35:07,840
Speaker 1: is amazing in that it prepares for that. But you

687
00:35:07,880 --> 00:35:11,040
Speaker 1: just take on a lot of extra fluid in that situation. UM.

688
00:35:11,080 --> 00:35:13,359
Speaker 1: And if you're having a C section, you do get

689
00:35:13,400 --> 00:35:15,800
Speaker 1: extra fluid to make sure that we're maintaining your blood

690
00:35:15,840 --> 00:35:18,320
Speaker 1: pressure okay. And you know that could be on the

691
00:35:18,440 --> 00:35:21,200
Speaker 1: order of two to three leaders through the ivy UM

692
00:35:21,239 --> 00:35:23,759
Speaker 1: over the course of that hour surgery or so. And

693
00:35:24,080 --> 00:35:25,880
Speaker 1: you know, if you were somebody that had been in

694
00:35:25,960 --> 00:35:29,440
Speaker 1: labor for twenty four hours plus, you know, prior to

695
00:35:29,520 --> 00:35:31,319
Speaker 1: ending up with a C section, you've gotten a whole

696
00:35:31,320 --> 00:35:34,240
Speaker 1: lot of fluid in that time frame. And UM, typically

697
00:35:34,280 --> 00:35:37,240
Speaker 1: a few days after the baby comes out, your body realizes, oh,

698
00:35:37,280 --> 00:35:39,400
Speaker 1: I'm okay, and I'm not pregnant anymore. I don't need

699
00:35:39,440 --> 00:35:41,279
Speaker 1: all this extra fluid in my blood vessels, and it

700
00:35:41,320 --> 00:35:43,319
Speaker 1: dumps it into the extra spaces in your body and

701
00:35:44,360 --> 00:35:47,919
Speaker 1: pulls it all into your feet. So um, by day six,

702
00:35:47,960 --> 00:35:49,279
Speaker 1: I didn't have a single pair of shoes I could

703
00:35:49,320 --> 00:35:51,400
Speaker 1: get my feet and I couldn't leave the house. I

704
00:35:51,440 --> 00:35:53,320
Speaker 1: could not get my feet into a single pair of shoes.

705
00:35:53,400 --> 00:35:58,280
Speaker 1: Do you vaginally bleed like for after you deliver vaginally?

706
00:35:58,360 --> 00:36:01,640
Speaker 1: You know, you're like in a diaper for anywhere from

707
00:36:01,880 --> 00:36:04,600
Speaker 1: one week, two weeks, four weeks. You know, it's like

708
00:36:04,680 --> 00:36:06,640
Speaker 1: having just like a heavy period for like a while

709
00:36:06,680 --> 00:36:10,680
Speaker 1: as your uterus is shedding all that stuff in there. Um.

710
00:36:10,760 --> 00:36:13,480
Speaker 1: Is it similar with c section? Often the bleeding is

711
00:36:13,520 --> 00:36:15,640
Speaker 1: a little bit less because we do clean the uterus

712
00:36:15,680 --> 00:36:18,040
Speaker 1: out a little bit at the time we removed the

713
00:36:18,040 --> 00:36:20,560
Speaker 1: placenta and we clean everything out, so often the bleeding

714
00:36:20,640 --> 00:36:22,960
Speaker 1: is less with the C section than with the natural delivery.

715
00:36:23,000 --> 00:36:25,160
Speaker 1: But normal bleeding is anywhere from two weeks to two months.

716
00:36:25,160 --> 00:36:27,560
Speaker 1: Did you guys have that? I had some Like I

717
00:36:27,560 --> 00:36:29,840
Speaker 1: didn't have light periods. It was like a period. I

718
00:36:29,920 --> 00:36:32,400
Speaker 1: just were like a pad for about two weeks and

719
00:36:32,520 --> 00:36:35,080
Speaker 1: did the same was pretty heavy actually, but and I

720
00:36:35,120 --> 00:36:38,480
Speaker 1: wasn't expecting that. I think I thought it would be

721
00:36:38,520 --> 00:36:39,800
Speaker 1: like a period and I was like, oh wow, I

722
00:36:39,880 --> 00:36:43,360
Speaker 1: am wearing cloth diapers right, Oh yeah, yeah, guys, the

723
00:36:43,440 --> 00:36:50,200
Speaker 1: closes are my favorite panties should be sold like at

724
00:36:50,239 --> 00:36:53,839
Speaker 1: the gap. Thanks so much. They're so comfortable. Here's another thing,

725
00:36:54,760 --> 00:36:56,879
Speaker 1: and this might be too personal and you totally don't

726
00:36:56,920 --> 00:37:00,279
Speaker 1: have to answer, but there's that I find that men

727
00:37:01,960 --> 00:37:04,680
Speaker 1: or even women like make jokes about, oh, I had

728
00:37:04,680 --> 00:37:06,640
Speaker 1: a c section, so my vagina is still that of

729
00:37:06,680 --> 00:37:09,440
Speaker 1: like a sixteen year old something that just got really weird.

730
00:37:09,640 --> 00:37:13,160
Speaker 1: But you get what I'm saying, Like, like is that true?

731
00:37:13,360 --> 00:37:16,640
Speaker 1: Like do you guys find post surgery and c section

732
00:37:16,719 --> 00:37:19,879
Speaker 1: that like your your vaginas are like totally like how

733
00:37:19,920 --> 00:37:21,880
Speaker 1: they were before you got pregnant or is everything kind

734
00:37:21,880 --> 00:37:25,160
Speaker 1: of changed anyway because you were pregnant. I mean, my

735
00:37:25,239 --> 00:37:28,920
Speaker 1: vagina is tight open, of course it's type, But I like,

736
00:37:29,000 --> 00:37:31,359
Speaker 1: does it feel the same. I mean, it's the same

737
00:37:31,400 --> 00:37:35,200
Speaker 1: to me, nothing changed. See that is that's great because

738
00:37:35,800 --> 00:37:39,160
Speaker 1: it does not guys not like I'm not I mean,

739
00:37:39,320 --> 00:37:41,359
Speaker 1: you know what I mean. It's just like when you

740
00:37:41,400 --> 00:37:44,360
Speaker 1: have intercourse for the first time, and hopefully maybe someday

741
00:37:44,360 --> 00:37:46,200
Speaker 1: we will do an episode about this. But when you

742
00:37:46,239 --> 00:37:49,480
Speaker 1: have intercourse after you've had vaginal birth, I mean, it's

743
00:37:49,520 --> 00:37:53,160
Speaker 1: it's intense, like it's it's a different situation, and I

744
00:37:53,239 --> 00:37:59,239
Speaker 1: have heard it goes back um to feeling great. So

745
00:37:59,400 --> 00:38:02,920
Speaker 1: I was curious about that for C section people. UM,

746
00:38:02,960 --> 00:38:07,040
Speaker 1: what are some important steps Dr Kumets that patients can

747
00:38:07,080 --> 00:38:12,800
Speaker 1: take to help with their recovery? Uh, also great question. UM.

748
00:38:12,840 --> 00:38:17,160
Speaker 1: I think starting out by having reasonable expectations for what

749
00:38:17,239 --> 00:38:19,359
Speaker 1: it's going to be like, understanding that you are going

750
00:38:19,360 --> 00:38:20,920
Speaker 1: to be in pain and you are going to need

751
00:38:20,960 --> 00:38:24,360
Speaker 1: help doing things. UM. Understanding that it is major abdominal

752
00:38:24,400 --> 00:38:28,279
Speaker 1: surgery and that does require recovery time. UM. Getting up

753
00:38:28,280 --> 00:38:31,520
Speaker 1: and walking right away is huge. Um. One of the

754
00:38:31,560 --> 00:38:33,480
Speaker 1: best things you can do is to get up, and

755
00:38:33,560 --> 00:38:35,600
Speaker 1: you know, even if it hurts, you know, getting out

756
00:38:35,600 --> 00:38:37,840
Speaker 1: of bed and walking the halls, it's going to mobilize

757
00:38:37,840 --> 00:38:40,680
Speaker 1: that fluid faster. It's gonna wake your bowels up. You know,

758
00:38:40,719 --> 00:38:43,200
Speaker 1: pregnant women tend to be constipated, and that doesn't just

759
00:38:43,239 --> 00:38:46,400
Speaker 1: resolve immediately upon delivery. And if you're taking pain medicine,

760
00:38:46,400 --> 00:38:50,960
Speaker 1: particularly narcotic pain medicine, which can be constipating. That is also,

761
00:38:51,120 --> 00:38:53,279
Speaker 1: you know, straining having a bowl movement is kind of

762
00:38:53,360 --> 00:38:56,799
Speaker 1: unpleasant when you have literally scared. I was too with

763
00:38:56,840 --> 00:38:59,640
Speaker 1: the vaginlu birth also was taking like that first poop,

764
00:38:59,680 --> 00:39:01,680
Speaker 1: You're like, I'm so scared right now, Like it was

765
00:39:01,760 --> 00:39:04,840
Speaker 1: so scary. Um, did you guys feel that way as well?

766
00:39:05,320 --> 00:39:10,759
Speaker 1: I mean, it wasn't great. It wasn't like it was

767
00:39:10,840 --> 00:39:13,840
Speaker 1: definitely scary, I think, but I went to the bathroom.

768
00:39:14,080 --> 00:39:17,080
Speaker 1: I think that day, like I'm I had. It was weird,

769
00:39:17,200 --> 00:39:20,120
Speaker 1: but it was very big nice. It was that good.

770
00:39:20,160 --> 00:39:22,080
Speaker 1: I feel like it was. I never I took a

771
00:39:22,080 --> 00:39:25,439
Speaker 1: picture of it and crazy, Sure that was great because

772
00:39:25,480 --> 00:39:27,359
Speaker 1: I feel like I was so scared, just because when

773
00:39:27,360 --> 00:39:29,120
Speaker 1: you've pushed a baby out and then you have to

774
00:39:29,120 --> 00:39:32,799
Speaker 1: post that I'm so scared that I'm going to just

775
00:39:32,840 --> 00:39:35,239
Speaker 1: blow everything out again? Right, And I remember being scared

776
00:39:35,280 --> 00:39:39,040
Speaker 1: I was going to hurt my stitches. Yeah, you won't

777
00:39:39,120 --> 00:39:42,200
Speaker 1: hurt your stitches, right, I can. I can assure you

778
00:39:42,239 --> 00:39:44,560
Speaker 1: that no one has ever popped stitches from streaming to

779
00:39:44,680 --> 00:39:49,160
Speaker 1: a movement. It will hurt, but you won't pop this. Okay, Um,

780
00:39:49,520 --> 00:39:53,520
Speaker 1: did so I know andrelague. You're still breastfeeding and Emily

781
00:39:53,640 --> 00:39:57,239
Speaker 1: breastfed for after her delivery. Did you guys find that

782
00:39:57,680 --> 00:40:01,319
Speaker 1: breastfeeding um it was more difficult because of having a

783
00:40:01,320 --> 00:40:06,040
Speaker 1: C section? Did you find it um? I didn't like,

784
00:40:06,080 --> 00:40:07,800
Speaker 1: did they teach you a certain way to hold the

785
00:40:07,800 --> 00:40:09,720
Speaker 1: baby after you have a C section? Because I imagine

786
00:40:09,719 --> 00:40:12,840
Speaker 1: with this scar that wasn't really near it. The babies

787
00:40:12,840 --> 00:40:15,080
Speaker 1: are so little, they're up here and like your scars

788
00:40:15,080 --> 00:40:16,440
Speaker 1: way down here. I mean you still got like a

789
00:40:16,440 --> 00:40:18,799
Speaker 1: little tummy when you're learning. But No, I didn't find

790
00:40:18,840 --> 00:40:23,400
Speaker 1: it hard hard. No, and you either really really clearly yeah,

791
00:40:23,560 --> 00:40:26,480
Speaker 1: and the way you went, Yeah, c sections really shouldn't

792
00:40:26,520 --> 00:40:30,960
Speaker 1: impact um breast breast milk production. That's that's a myth

793
00:40:31,000 --> 00:40:33,080
Speaker 1: that's out there that you get very concerned that they're

794
00:40:33,080 --> 00:40:35,439
Speaker 1: not going to be able to breastfeed or that they're

795
00:40:35,480 --> 00:40:37,880
Speaker 1: not going to make milk right away because they didn't labor.

796
00:40:38,040 --> 00:40:40,279
Speaker 1: That's not true. That's not true. My milk came in.

797
00:40:40,360 --> 00:40:42,319
Speaker 1: I remember it being like, oh, like that next day,

798
00:40:42,360 --> 00:40:44,479
Speaker 1: like it was right. Is that supposed to with within

799
00:40:44,640 --> 00:40:46,480
Speaker 1: the first three or four days, full milk should come

800
00:40:46,520 --> 00:40:49,319
Speaker 1: in And that's regardless of motive delivery. How does your

801
00:40:49,320 --> 00:40:51,760
Speaker 1: bear body just knows like that the baby's out whichever

802
00:40:51,800 --> 00:40:53,799
Speaker 1: way it got out, it's time for milk to come in.

803
00:40:54,160 --> 00:40:56,680
Speaker 1: Let's send us out and baby is latching and that's

804
00:40:56,760 --> 00:41:00,000
Speaker 1: the stimulation for your brain to make the oxytocin horn

805
00:41:00,000 --> 00:41:04,320
Speaker 1: known to trigger the milk production. It's amazing how you dozing,

806
00:41:04,360 --> 00:41:06,880
Speaker 1: It's amazing. I mean, how is this all even happening?

807
00:41:06,920 --> 00:41:11,239
Speaker 1: I don't understand. Um, how do you women all feel

808
00:41:11,239 --> 00:41:16,759
Speaker 1: about your c section scar? Like? Has anyone braved? You know?

809
00:41:17,080 --> 00:41:18,799
Speaker 1: I mean, look, I'm not braving. I mean I gave

810
00:41:18,840 --> 00:41:21,480
Speaker 1: up Aikin's like ten years ago, but like, you know, like,

811
00:41:21,560 --> 00:41:24,399
Speaker 1: how do you feel about having an incision scar there?

812
00:41:25,120 --> 00:41:28,000
Speaker 1: And you know, when you are looking at yourself the

813
00:41:28,080 --> 00:41:31,759
Speaker 1: mirror or when you go out in public in those

814
00:41:31,800 --> 00:41:38,240
Speaker 1: crop tops. No one's doing that right anymore. It's actually

815
00:41:38,280 --> 00:41:41,319
Speaker 1: really low And I didn't realize that. I Like, I

816
00:41:41,360 --> 00:41:43,279
Speaker 1: got the scar cream that you can put on it,

817
00:41:43,320 --> 00:41:46,120
Speaker 1: and I haven't used it because you don't see it

818
00:41:46,160 --> 00:41:49,160
Speaker 1: because it's right above the pubic bone. It's often, you know,

819
00:41:49,360 --> 00:41:51,640
Speaker 1: either right above or right at the top of the

820
00:41:51,640 --> 00:41:55,040
Speaker 1: pubic CareLine. It. So that was surprising to me too,

821
00:41:55,080 --> 00:41:58,400
Speaker 1: because you can't see it in any underwear. It's below you.

822
00:41:58,400 --> 00:41:59,880
Speaker 1: I don't care about the scar at all. I'm like

823
00:42:00,040 --> 00:42:01,520
Speaker 1: kind of proud of it because to me, it's like

824
00:42:01,600 --> 00:42:04,480
Speaker 1: my warrior. I like love it and it's small. What

825
00:42:04,520 --> 00:42:07,359
Speaker 1: I'm more concerned about is like the pooch. I'm like,

826
00:42:07,360 --> 00:42:11,200
Speaker 1: when does the like that to me? Because you've cut

827
00:42:11,200 --> 00:42:14,439
Speaker 1: through stomach muscle correct, So that's actually we don't cut

828
00:42:14,520 --> 00:42:17,799
Speaker 1: through I'm not a doctor. That's okay. There's there's a

829
00:42:17,840 --> 00:42:21,320
Speaker 1: separation um in the abdominal muscles, and we separate the

830
00:42:21,880 --> 00:42:25,560
Speaker 1: large abdominal muscles vertically, so the stitches that are inside

831
00:42:25,560 --> 00:42:28,239
Speaker 1: are actually in several different directions, in different layers. The

832
00:42:28,280 --> 00:42:31,200
Speaker 1: goal being to try to keep normal anatomy to the

833
00:42:31,239 --> 00:42:34,520
Speaker 1: extent possible, so we don't cut through the muscles. Um.

834
00:42:34,600 --> 00:42:39,000
Speaker 1: But surgical technique for repairing. Some doctors will put the

835
00:42:39,040 --> 00:42:42,759
Speaker 1: muscles back together. UM. I personally do. I think it

836
00:42:42,880 --> 00:42:45,719
Speaker 1: ends up looking better than if they're not put together. UM.

837
00:42:45,760 --> 00:42:48,120
Speaker 1: But the recovery is a little bit harder for the

838
00:42:48,160 --> 00:42:50,600
Speaker 1: first week when they are put together, because there are

839
00:42:50,640 --> 00:42:53,880
Speaker 1: now stitches through the muscle, and anytime you use your muscles,

840
00:42:53,880 --> 00:42:56,200
Speaker 1: like to get into and out of bed or um

841
00:42:56,239 --> 00:42:59,839
Speaker 1: in and out of chair, up and downstairs. Um, it's

842
00:43:00,040 --> 00:43:03,400
Speaker 1: to pull on those stitches and that hurts. And I

843
00:43:03,480 --> 00:43:07,080
Speaker 1: remember about breastfeeding, like I chose to keep my baby

844
00:43:07,200 --> 00:43:09,239
Speaker 1: in her own crib, in her own room from day

845
00:43:09,239 --> 00:43:11,120
Speaker 1: one because it was part of the sleep training method

846
00:43:11,160 --> 00:43:14,040
Speaker 1: that I did. And the hardest part was those stitches,

847
00:43:14,040 --> 00:43:16,960
Speaker 1: like getting up every three hours to go breastfeed her

848
00:43:16,960 --> 00:43:19,279
Speaker 1: because I didn't want the baby coming into my room

849
00:43:19,320 --> 00:43:22,120
Speaker 1: and that was hard, Like that was probably the hardest part. Yeah,

850
00:43:22,280 --> 00:43:24,879
Speaker 1: was painful, those stitches, Like you could really feel that right.

851
00:43:25,239 --> 00:43:28,560
Speaker 1: Abdominal binders help a lot um and that's a good

852
00:43:28,560 --> 00:43:32,000
Speaker 1: tip guys to be underused. Are those the like binding

853
00:43:32,160 --> 00:43:35,640
Speaker 1: like those I wore them too, Like belly bandage band

854
00:43:35,680 --> 00:43:37,319
Speaker 1: It makes it great when a lot of hospitals will

855
00:43:37,320 --> 00:43:39,719
Speaker 1: offer them. It's basically a giant ace bandage that is

856
00:43:39,760 --> 00:43:43,720
Speaker 1: just kind of holding all all your banks around your thighs.

857
00:43:43,719 --> 00:43:46,359
Speaker 1: But they make ones that velcrow around your stomach. And

858
00:43:46,440 --> 00:43:49,560
Speaker 1: I actually found it really helped too because I didn't

859
00:43:49,560 --> 00:43:51,279
Speaker 1: have a C section scar, but I but I what

860
00:43:51,400 --> 00:43:54,600
Speaker 1: I felt inside was all this space and my organs

861
00:43:55,400 --> 00:43:57,680
Speaker 1: had moved out of the way for where the baby

862
00:43:57,760 --> 00:43:59,640
Speaker 1: was growing, and then all of a sudden, the baby's gone.

863
00:43:59,760 --> 00:44:01,759
Speaker 1: And so when you would sleep on your side, I

864
00:44:01,760 --> 00:44:05,080
Speaker 1: could literally feel all my like insides go to one

865
00:44:05,120 --> 00:44:07,200
Speaker 1: side and then shift to the other side when I'd

866
00:44:07,239 --> 00:44:09,080
Speaker 1: roll in the middle the night, which was very uncomfortable

867
00:44:09,160 --> 00:44:11,160
Speaker 1: and kind of weird feeling. And so if I wore

868
00:44:11,640 --> 00:44:14,520
Speaker 1: the binding thing, it just felt like everything was far

869
00:44:14,560 --> 00:44:17,799
Speaker 1: more supported, um and not like wiggling around so much

870
00:44:17,800 --> 00:44:20,799
Speaker 1: in there. Um. Before we get to the end here,

871
00:44:20,880 --> 00:44:23,799
Speaker 1: I want to ask three, you know, let's just go

872
00:44:23,840 --> 00:44:26,560
Speaker 1: through this a little bit. Um. Can you guys talk

873
00:44:26,560 --> 00:44:29,160
Speaker 1: a little bit about the stigma surrounding c sections and

874
00:44:29,600 --> 00:44:31,920
Speaker 1: UM talk about I think we got into this a

875
00:44:31,920 --> 00:44:35,640
Speaker 1: little bit, which helped Jelique mentally prepared for changing her

876
00:44:36,800 --> 00:44:38,759
Speaker 1: the way she was thinking about giving birth this way,

877
00:44:38,800 --> 00:44:42,320
Speaker 1: but how a c section people don't consider it actually

878
00:44:42,360 --> 00:44:45,880
Speaker 1: like giving birth, Like what what what is that? I

879
00:44:46,160 --> 00:44:49,520
Speaker 1: What I find bothers me is that when people say, oh,

880
00:44:49,600 --> 00:44:52,000
Speaker 1: you gave birth the old fashioned way, I'm like, what

881
00:44:52,080 --> 00:44:54,839
Speaker 1: the hell is that? You know what I mean? Or um,

882
00:44:54,880 --> 00:44:59,720
Speaker 1: because you got to push or something that that makes

883
00:45:00,360 --> 00:45:04,280
Speaker 1: one labor better? Than the other. Um, there's definitely a stigma.

884
00:45:04,440 --> 00:45:08,879
Speaker 1: I felt felt another part of this. You did, for sure.

885
00:45:08,920 --> 00:45:11,320
Speaker 1: And I remember being like, yeah, I'm having like talking

886
00:45:11,400 --> 00:45:14,880
Speaker 1: about as I'm getting closer to my due date, speaking

887
00:45:14,920 --> 00:45:17,279
Speaker 1: about like oh, I'm going in at five am or

888
00:45:17,320 --> 00:45:20,680
Speaker 1: whatever on this date, and people being like oh, like

889
00:45:20,760 --> 00:45:23,120
Speaker 1: that there was like a there was a tone that

890
00:45:23,160 --> 00:45:27,320
Speaker 1: people would receive that information and like almost with like pity,

891
00:45:27,719 --> 00:45:30,160
Speaker 1: like don't but don't pity, like it's fine, Like it's fine.

892
00:45:30,239 --> 00:45:33,799
Speaker 1: I think there's a stigma about that. It's like a

893
00:45:33,880 --> 00:45:37,640
Speaker 1: failure of some kind as a woman or a pregnant

894
00:45:37,680 --> 00:45:42,000
Speaker 1: person having a baby. And I was very shock surprised

895
00:45:42,040 --> 00:45:44,759
Speaker 1: at that I didn't. And Emily, who who electively had

896
00:45:44,800 --> 00:45:46,919
Speaker 1: a c sections like no, I'm actually really looking forward

897
00:45:46,960 --> 00:45:52,359
Speaker 1: to I think there's so much competitiveness as women and

898
00:45:52,960 --> 00:45:57,200
Speaker 1: as parents and you know, as moms that I didn't

899
00:45:57,239 --> 00:46:00,520
Speaker 1: want to subscribe to any of that, Like my birth

900
00:46:00,560 --> 00:46:03,520
Speaker 1: is more valid than yours. And you know, when you

901
00:46:03,600 --> 00:46:05,840
Speaker 1: raise a kid, it's about your family unit and what

902
00:46:05,960 --> 00:46:08,960
Speaker 1: works best for you as a family, and it's not

903
00:46:09,000 --> 00:46:11,480
Speaker 1: about what someone that you went to high school with

904
00:46:11,560 --> 00:46:13,960
Speaker 1: thinks about and posted on Facebook. You know, it's like,

905
00:46:14,000 --> 00:46:15,719
Speaker 1: did you find yourself when people would ask you and

906
00:46:15,719 --> 00:46:17,200
Speaker 1: you'd say, no, I chose to do this, and I'm

907
00:46:17,200 --> 00:46:19,799
Speaker 1: really excited. Did you find yourself really like digging in

908
00:46:19,840 --> 00:46:23,839
Speaker 1: and like making a stand when you would tell that Yeah,

909
00:46:23,920 --> 00:46:27,200
Speaker 1: I mean, yeah, I definitely did because I it was

910
00:46:27,239 --> 00:46:30,000
Speaker 1: my choice and I'm happy and proud. I mean, I'm

911
00:46:30,000 --> 00:46:32,480
Speaker 1: talking about it on a podcast, you know. I get

912
00:46:32,560 --> 00:46:34,680
Speaker 1: like it was what was right for us, and that's

913
00:46:34,680 --> 00:46:37,640
Speaker 1: what as moms we have to do for our families.

914
00:46:37,680 --> 00:46:40,320
Speaker 1: That's true. Yeah, I would like defend my I would

915
00:46:40,320 --> 00:46:43,080
Speaker 1: defend it, and then once you kind of explain like no,

916
00:46:43,200 --> 00:46:45,800
Speaker 1: I have to for medical reasons otherwise baby and myself

917
00:46:45,880 --> 00:46:48,080
Speaker 1: or in danger, like oh okay, I get like, but

918
00:46:48,080 --> 00:46:52,520
Speaker 1: it's also the method in what your child was. I

919
00:46:52,520 --> 00:46:55,920
Speaker 1: also think l A is the worst in general as

920
00:46:55,920 --> 00:46:58,279
Speaker 1: far as what you're saying. The competition of how you

921
00:46:58,320 --> 00:47:00,480
Speaker 1: have your baby and do you use endesty asia, and

922
00:47:00,560 --> 00:47:03,960
Speaker 1: like are you breastfeeding? The breastfeeding too. It's like everyone's

923
00:47:04,000 --> 00:47:06,400
Speaker 1: judging everything all the time. If you have to go

924
00:47:06,440 --> 00:47:07,879
Speaker 1: back to work, if you don't go back to work.

925
00:47:07,880 --> 00:47:09,960
Speaker 1: I find I found myself being really sensitive to the

926
00:47:10,040 --> 00:47:13,279
Speaker 1: vocabulary I used, which was I had to get really

927
00:47:13,320 --> 00:47:16,760
Speaker 1: comfortable with saying the word vaginally because I didn't I've

928
00:47:16,760 --> 00:47:20,040
Speaker 1: had a lot of really great friends, close friends give

929
00:47:20,120 --> 00:47:22,359
Speaker 1: birth through c section, and I didn't want to ever

930
00:47:22,440 --> 00:47:25,359
Speaker 1: say like mine was natural versus yours, that's my own

931
00:47:25,360 --> 00:47:27,759
Speaker 1: personal preference, like whatever. But I would just say, oh,

932
00:47:27,840 --> 00:47:30,520
Speaker 1: I had my baby vaginally, which like, try saying that

933
00:47:30,560 --> 00:47:32,480
Speaker 1: word a lot, like in front of dudes. Why do

934
00:47:32,560 --> 00:47:36,200
Speaker 1: they get so weird? I'm like, guys, vagina, vagina, vagina, vagina,

935
00:47:36,239 --> 00:47:41,000
Speaker 1: Get over it. I don't get the stigma either. Um.

936
00:47:41,040 --> 00:47:44,279
Speaker 1: You know, when you get to decide what happens to

937
00:47:44,360 --> 00:47:47,000
Speaker 1: your body, whether it's an elective C section or in

938
00:47:47,040 --> 00:47:50,240
Speaker 1: the situation where it's not elective and there's a medical

939
00:47:50,280 --> 00:47:52,920
Speaker 1: reason to do it, you're making the choice that's the

940
00:47:52,960 --> 00:47:56,840
Speaker 1: best thing for you and your baby. And birth means

941
00:47:56,920 --> 00:47:59,520
Speaker 1: a child has come out of you, regardless of the

942
00:47:59,560 --> 00:48:01,759
Speaker 1: way child came out of you. When a child comes

943
00:48:01,760 --> 00:48:05,440
Speaker 1: out of you, you have given birth, and it I

944
00:48:06,080 --> 00:48:10,200
Speaker 1: truly don't understand the the reason that there's a stigma

945
00:48:10,200 --> 00:48:13,960
Speaker 1: associated with that. Um. They're both super scary and super

946
00:48:14,000 --> 00:48:17,680
Speaker 1: exciting at the same time. UM, really quick and the

947
00:48:17,760 --> 00:48:20,680
Speaker 1: last question, is there anything that comes to mind that

948
00:48:20,760 --> 00:48:23,719
Speaker 1: you would uh that you wish someone had told you

949
00:48:23,760 --> 00:48:25,360
Speaker 1: before you had a C section, Like a little piece

950
00:48:25,360 --> 00:48:29,320
Speaker 1: of advice, a little anything. I know these are always

951
00:48:30,040 --> 00:48:32,879
Speaker 1: because I can't ever think of anything either. I think

952
00:48:32,880 --> 00:48:35,399
Speaker 1: the bell I would say, like just know that you're

953
00:48:35,400 --> 00:48:37,840
Speaker 1: going to still look pregnant, and like that your clothes,

954
00:48:37,880 --> 00:48:39,400
Speaker 1: like what are you gonna wear? Like that was a

955
00:48:39,440 --> 00:48:41,200
Speaker 1: really big thing for me, like I didn't know how

956
00:48:41,239 --> 00:48:43,280
Speaker 1: to dress. I remember going to my first table read

957
00:48:43,680 --> 00:48:45,520
Speaker 1: and I was like, I have no clothes that fit me,

958
00:48:45,560 --> 00:48:47,839
Speaker 1: and I didn't want to wear my pregnancy clothes because

959
00:48:47,840 --> 00:48:49,960
Speaker 1: they're tight. Oh I work by pregnancy clothes for a

960
00:48:50,000 --> 00:48:53,640
Speaker 1: good nine months because they were so much more comfortable

961
00:48:53,719 --> 00:48:55,840
Speaker 1: than anything else I owned. But a lot of the

962
00:48:55,840 --> 00:48:58,319
Speaker 1: pregnancy clothes hug your bump, and then once you have

963
00:48:58,400 --> 00:49:00,719
Speaker 1: the baby, you don't want your bump out there because

964
00:49:00,719 --> 00:49:03,040
Speaker 1: then there's nothing in there, you know. I found that

965
00:49:03,080 --> 00:49:05,880
Speaker 1: really confused maternity where is I wish someone is still

966
00:49:06,080 --> 00:49:09,600
Speaker 1: subject to? For me, A lot of it's not good.

967
00:49:09,600 --> 00:49:11,799
Speaker 1: It's not just gonna s great, it's not great. But

968
00:49:11,880 --> 00:49:14,920
Speaker 1: you would suggest would be getting some nice new clothes

969
00:49:14,960 --> 00:49:17,960
Speaker 1: that made you feel better in a bigger size that

970
00:49:18,000 --> 00:49:20,759
Speaker 1: you exactly like I wish I had feel like, yes,

971
00:49:20,880 --> 00:49:22,560
Speaker 1: I just had a baby, and I look good, and

972
00:49:22,600 --> 00:49:25,560
Speaker 1: I like how I look in this Like yeah, like

973
00:49:25,600 --> 00:49:28,400
Speaker 1: go to Gap or whatever, any old navy and just

974
00:49:28,440 --> 00:49:31,400
Speaker 1: buy like a couple of dresses or move moves that

975
00:49:31,440 --> 00:49:32,960
Speaker 1: are just a couple of size bigger than what you

976
00:49:33,040 --> 00:49:35,840
Speaker 1: normally wear and wear that so you feel pretty. I

977
00:49:35,840 --> 00:49:37,600
Speaker 1: would get that too, because I would have people come

978
00:49:37,600 --> 00:49:40,080
Speaker 1: over and like not have anything. And I didn't fit

979
00:49:40,120 --> 00:49:42,120
Speaker 1: back into my old clothes for sure, but I definitely

980
00:49:42,120 --> 00:49:44,319
Speaker 1: did feel a little bit weird about my maternity clothes

981
00:49:44,360 --> 00:49:51,600
Speaker 1: as well. Um, Emily anything you would say, twenty four

982
00:49:51,680 --> 00:49:55,359
Speaker 1: year old brother made a great playlist baby time and

983
00:49:55,400 --> 00:49:57,680
Speaker 1: it was you know, it was wonderful. But um, I

984
00:49:57,719 --> 00:50:00,319
Speaker 1: think the only thing that was incredibly shocked to me

985
00:50:00,360 --> 00:50:03,239
Speaker 1: as I lost the ability to um know that I

986
00:50:03,280 --> 00:50:06,080
Speaker 1: had to pee for like a few months. And I

987
00:50:06,120 --> 00:50:09,120
Speaker 1: don't know if that's common. I just like I would

988
00:50:09,120 --> 00:50:10,680
Speaker 1: have to look at the clock and be like, oh,

989
00:50:10,680 --> 00:50:13,000
Speaker 1: I should go to the bathroom because I could go

990
00:50:13,120 --> 00:50:15,600
Speaker 1: all day and be like, what's going on here? Um?

991
00:50:15,640 --> 00:50:19,080
Speaker 1: And that was the biggest surprise I think it's not

992
00:50:19,120 --> 00:50:21,160
Speaker 1: uncommon for the bladder to get a little stunned after

993
00:50:21,600 --> 00:50:23,719
Speaker 1: after a C section. Um, we actually have to move

994
00:50:23,760 --> 00:50:26,240
Speaker 1: the bladder off of the uterus because it's typically attached

995
00:50:26,239 --> 00:50:28,080
Speaker 1: to the lower part of euterus, typically where we're making

996
00:50:28,080 --> 00:50:30,520
Speaker 1: the incision to get the baby out. So we move

997
00:50:30,600 --> 00:50:33,840
Speaker 1: the bladder off of the uterus, and that can affect

998
00:50:33,880 --> 00:50:35,719
Speaker 1: some of the nerves to the bladder, and it's not

999
00:50:35,840 --> 00:50:41,239
Speaker 1: uncommon to feel some difficulty controlling your bladder. Um, you know,

1000
00:50:41,320 --> 00:50:44,120
Speaker 1: anywhere from a day or two to a few months afterwards.

1001
00:50:44,640 --> 00:50:46,880
Speaker 1: Oh that's that's good to know. See, Like, here's all

1002
00:50:46,880 --> 00:50:49,279
Speaker 1: the stuff, guys. Nobody tells you, but we will want

1003
00:50:49,360 --> 00:50:52,840
Speaker 1: Katie's grip and Dr Coomb as any advice or something

1004
00:50:52,880 --> 00:50:55,200
Speaker 1: you wish someone had told you before you yourself had

1005
00:50:55,239 --> 00:50:58,760
Speaker 1: a C section. Um, well, I'd actually like to answer

1006
00:50:58,800 --> 00:51:02,600
Speaker 1: slightly different questions. I would say, approach your pregnancy by

1007
00:51:02,640 --> 00:51:06,720
Speaker 1: trusting your doctor. Um. As I mentioned at the beginning,

1008
00:51:06,719 --> 00:51:09,600
Speaker 1: you know, babies and uterus is just often don't read

1009
00:51:09,640 --> 00:51:12,359
Speaker 1: the birth plan. They are just not on board with

1010
00:51:12,440 --> 00:51:15,680
Speaker 1: what your goals are. And um, you know, I try

1011
00:51:15,719 --> 00:51:19,680
Speaker 1: to liken um birth and birth plans and when patients

1012
00:51:19,680 --> 00:51:23,280
Speaker 1: come to me with their seven page, single line type

1013
00:51:23,840 --> 00:51:26,600
Speaker 1: typed birth preferences, which I think is a better term

1014
00:51:26,640 --> 00:51:29,680
Speaker 1: than birth plan. Um. You know, I tried to explain

1015
00:51:29,719 --> 00:51:32,799
Speaker 1: to them. You know, think about your delivery. As you

1016
00:51:32,840 --> 00:51:36,600
Speaker 1: have charted a really expensive private flight, there's a lot

1017
00:51:36,640 --> 00:51:38,759
Speaker 1: of choices that you can make on that trip. You

1018
00:51:38,760 --> 00:51:40,080
Speaker 1: can decide if you want to sit in the window

1019
00:51:40,080 --> 00:51:41,359
Speaker 1: seat or you want to sit in the aisle seat.

1020
00:51:41,480 --> 00:51:43,680
Speaker 1: You can decide if you want to fly around the

1021
00:51:43,680 --> 00:51:45,520
Speaker 1: mountains or you want to fly over the lake. You

1022
00:51:45,520 --> 00:51:48,399
Speaker 1: can decide if you want to have chicken or fish

1023
00:51:48,400 --> 00:51:50,560
Speaker 1: for lunch. And I might make some suggestions in there,

1024
00:51:50,600 --> 00:51:52,520
Speaker 1: like I think the chicken is better than the fish.

1025
00:51:52,560 --> 00:51:55,560
Speaker 1: But ultimately those choices you're yours. But if the plane's

1026
00:51:55,600 --> 00:52:00,360
Speaker 1: going down, let me take care of you, and you

1027
00:52:00,400 --> 00:52:02,800
Speaker 1: have to trust that your doctor can fly the plane

1028
00:52:03,239 --> 00:52:05,920
Speaker 1: and make sure that you have a relationship with the

1029
00:52:05,960 --> 00:52:07,920
Speaker 1: person who's taken care of you that if they're saying

1030
00:52:07,920 --> 00:52:10,400
Speaker 1: to you, look, this is an emergency and we really

1031
00:52:10,440 --> 00:52:12,080
Speaker 1: have to go ahead and do this, or you know,

1032
00:52:12,160 --> 00:52:15,200
Speaker 1: they're altering your plan in some way, there's usually a

1033
00:52:15,280 --> 00:52:18,200
Speaker 1: reason and hopefully there will be enough time to explain

1034
00:52:18,239 --> 00:52:20,839
Speaker 1: that reason to you. But if there isn't trust them

1035
00:52:20,880 --> 00:52:24,760
Speaker 1: that this is really in your best interest. Amazing you guys.

1036
00:52:24,880 --> 00:52:27,600
Speaker 1: I can't thank you all enough for doing this fancy,

1037
00:52:27,760 --> 00:52:31,800
Speaker 1: fancy version of Katie's Crib in this awesome recording booth

1038
00:52:31,960 --> 00:52:36,920
Speaker 1: and um. Thank you guys for all of your advice

1039
00:52:37,120 --> 00:52:40,759
Speaker 1: and words of wisdom and sharing your experiences with your

1040
00:52:40,800 --> 00:52:43,799
Speaker 1: c section. And thank you guys all listening to this

1041
00:52:43,840 --> 00:52:46,720
Speaker 1: episode of Katie's Crib. You never know