WEBVTT - The Truth About C-Sections ft Angelique Cabral 0:00:06.519 --> 0:00:11.160 Hello everybody, and welcome to another episode of Katie's Crib. 0:00:11.920 --> 0:00:14.680 Except today it's a super special episode because we are 0:00:14.760 --> 0:00:18.159 not in my crib, you guys. We are actually in 0:00:18.200 --> 0:00:22.720 a soup's fancy recording booth um with a bunch of 0:00:22.760 --> 0:00:25.239 friends and we're gonna be talking about c sections today. 0:00:25.680 --> 0:00:28.240 And you guys were literally like in a recording studio 0:00:28.360 --> 0:00:30.880 that has like head cans on. These are called cans, 0:00:30.960 --> 0:00:33.920 right yep, yeah, cans. You see how professionally I am, guys, 0:00:34.200 --> 0:00:37.879 um So today in this episode, we wanted to uh 0:00:38.040 --> 0:00:40.839 do a round table discussion, which is new for us. 0:00:41.280 --> 0:00:44.279 It's we have three guests here today and in this 0:00:44.360 --> 0:00:48.280 episode we're talking about c sections, which is a very big, emotional, 0:00:48.600 --> 0:00:51.320 scary topic with a lot of different perspectives on it. 0:00:51.360 --> 0:00:53.199 And I bet you guys out there have a lot 0:00:53.200 --> 0:00:56.240 of questions. I know I definitely do. So, like I said, 0:00:56.240 --> 0:00:58.880 we're gonna do this in a round table discussion sort 0:00:58.880 --> 0:01:02.200 of way, and we have three guests. First, we have 0:01:02.760 --> 0:01:07.280 Dr Laney Kumetz. Yea, Dr Laney Kumetz, you guys is 0:01:07.319 --> 0:01:09.920 my ob. She has been for like a decade or more, 0:01:09.959 --> 0:01:12.440 I don't even know. And um it's really nice to 0:01:12.440 --> 0:01:14.440 see you up above my bottom half of my body. 0:01:14.480 --> 0:01:20.360 Doctors lovely, she delivered, Albi. Next, we have my dear 0:01:20.480 --> 0:01:26.000 dear friend Angelique Cabral Yeah. She um currently starts as 0:01:26.040 --> 0:01:30.760 Colleen on CBS's Life in Pieces and Angelique has personal 0:01:31.520 --> 0:01:34.320 experience with c sections. Will be getting to her. And last, 0:01:34.360 --> 0:01:36.800 and definitely not least, is my dear dear friend Emily 0:01:36.920 --> 0:01:40.480 Royfe and she is amazing and a wonderful stay at 0:01:40.520 --> 0:01:43.720 home mom with the cutest daughter ever. Actually, we need 0:01:43.760 --> 0:01:47.360 to get a play date together with Adelaide Tuesday and Albi. 0:01:48.360 --> 0:01:51.440 I mean you guys like them? I like them? Um, Okay, 0:01:51.480 --> 0:01:53.240 so we're going to jump into this because, like I said, 0:01:53.280 --> 0:01:56.760 it's a very big topic. Um. First things first, let's 0:01:57.000 --> 0:02:00.720 go over to Dr Kmetz and can you explain what 0:02:01.040 --> 0:02:03.360 is a C section? How is it done? And walk 0:02:03.480 --> 0:02:06.600 us through it briefly? Sure? So, a C section is 0:02:06.640 --> 0:02:10.440 a surgical way of delivering a baby. Um. It's performed 0:02:10.440 --> 0:02:12.600 in an operating room by an O, B, G. Y 0:02:12.760 --> 0:02:16.720 N A surgeon And uh, the most common way is 0:02:17.160 --> 0:02:19.280 cut in the lower part of the abdomen, just above 0:02:19.320 --> 0:02:22.320 the pubic bone um, separating the layers to get down 0:02:22.320 --> 0:02:24.240 to the uterus, making a cut in the uterus, and 0:02:24.280 --> 0:02:29.440 delivering the baby through mommy's tummy. Wow, guys, it's like 0:02:29.520 --> 0:02:35.600 an episode of Gray's Anatomy. It's unbelievable. Um, So, Angelique, Yeah, 0:02:35.760 --> 0:02:38.440 let's go to you and let's talk about your experience 0:02:38.720 --> 0:02:41.560 with um having a C section. Was this a decision 0:02:41.600 --> 0:02:44.359 you made? How far in advance did you know? This 0:02:44.480 --> 0:02:47.120 was a decision that I actually I did not have 0:02:47.240 --> 0:02:50.840 a choice, and I had placenta previa, and we found 0:02:50.840 --> 0:02:53.839 out about twenty eight weeks or five weeks, I can't 0:02:53.840 --> 0:02:57.160 remember now, but it was far enough long that we 0:02:57.360 --> 0:03:00.320 tried a couple for about a month to move my centa. 0:03:00.360 --> 0:03:03.360 It basically means that the placenta is attached at the 0:03:03.400 --> 0:03:05.679 cervix or near the cervics, so that the baby's head 0:03:06.160 --> 0:03:09.000 cannot come out during labor, and if you try to labor, 0:03:09.800 --> 0:03:13.919 the placenta basically comes out first and will bleed and 0:03:14.000 --> 0:03:16.880 like you die, like the old das would die. Like 0:03:16.960 --> 0:03:19.000 my doctor was like you would be dead, and like 0:03:19.120 --> 0:03:20.959 that's what happened a lot. Like they didn't know that 0:03:21.000 --> 0:03:23.440 the placenta was attached. You would try to labor and 0:03:23.480 --> 0:03:26.240 then the placenta's out first and you bleed out. So 0:03:26.320 --> 0:03:28.800 it's a very from what I understand, it's a very 0:03:28.840 --> 0:03:31.480 like serious thing. And I did not have like a 0:03:31.560 --> 0:03:33.760 super bad case of it, but it was enough of 0:03:33.760 --> 0:03:36.200 an issue that they were like no. Like across the bard, 0:03:36.200 --> 0:03:37.680 I went to four different doctors and they were all 0:03:37.720 --> 0:03:40.160 like no. Because I really wanted to labor. I'm like 0:03:40.200 --> 0:03:42.720 the opposite of you. I wanted to be in my 0:03:42.840 --> 0:03:45.640 element and like be a woman, and I you are 0:03:45.680 --> 0:03:49.400 a woman. I are a woman, a great mom. Thank 0:03:49.440 --> 0:03:52.560 you very much. But I was devastated. And just to say, 0:03:52.760 --> 0:03:56.800 remember we have another person in common, this chiropractory named 0:03:56.880 --> 0:03:59.320 dtor Berlin, who works on pregnant women, and I remember 0:03:59.360 --> 0:04:01.360 him saying something to you on the leak during your 0:04:01.360 --> 0:04:06.640 process of changing your mental the way you phrased to 0:04:06.680 --> 0:04:09.480 yourself that you were delivering your baby in it really 0:04:09.480 --> 0:04:11.760 helped me. He really helped me with that. He he said, 0:04:11.800 --> 0:04:14.160 you need to stop thinking of it as a problem 0:04:14.200 --> 0:04:17.200 and think of it as a beautiful basically, to talk 0:04:17.279 --> 0:04:19.040 to the baby and say, I'm going to be delivering 0:04:19.040 --> 0:04:22.200 you through my tummy like I'm birthing. I'm birthing you, 0:04:22.240 --> 0:04:24.360 but instead of through my vagina, I'm birthing you through 0:04:24.400 --> 0:04:27.440 my tummy. And to come at it um. It made 0:04:27.440 --> 0:04:29.520 me weep at the time because I was so emotional 0:04:29.520 --> 0:04:33.039 and so vulnerable, and I was trying so hard to 0:04:33.040 --> 0:04:36.520 move my placenta, which is an impossibility. It's not something 0:04:36.560 --> 0:04:39.760 we have control over. Placenta previa is very dangerous, both 0:04:39.760 --> 0:04:42.400 for mommies and for babies. And when once I heard that, 0:04:42.440 --> 0:04:44.640 I was like, Okay, then it doesn't matter. So do 0:04:44.680 --> 0:04:46.680 you find the same thing? Dr commits that if you've 0:04:46.760 --> 0:04:49.160 had patients that have placenta previa and they may have 0:04:49.279 --> 0:04:53.080 a sort of really emotional reaction to it, um, do 0:04:53.160 --> 0:04:55.240 you find using the same sort of language is what 0:04:55.360 --> 0:04:58.480 helps them get to an excited point that they're going 0:04:58.480 --> 0:04:59.960 to be there. But baby is a little bit differ 0:05:00.360 --> 0:05:02.360 when they're told that they're going to need a C 0:05:02.520 --> 0:05:06.120 section for medical reasons UM, and that can happen well 0:05:06.160 --> 0:05:09.120 in advance of pregnancy. It can happen in the early 0:05:09.160 --> 0:05:11.680 parts of pregnancy. You may not find out until you're 0:05:11.720 --> 0:05:14.120 in labor that you actually need to have a C section. 0:05:14.640 --> 0:05:16.800 UM plus in a previow is something that is often 0:05:16.839 --> 0:05:20.320 diagnosed well in advance, and um, so there's more time 0:05:20.360 --> 0:05:25.640 to process and everybody's experience with processing that information is different. 0:05:25.800 --> 0:05:28.279 And UM, I really think it does take a little 0:05:28.279 --> 0:05:30.599 bit of soul searching. It is a disappointment. There's often 0:05:30.640 --> 0:05:33.200 some grieving involved. Um, but getting to the point where 0:05:33.279 --> 0:05:37.240 understanding that, um, you know, kids really don't care about 0:05:37.279 --> 0:05:41.680 your plans. They unius and babies they just don't read 0:05:41.720 --> 0:05:44.760 the birth plan. And um, this was the first of 0:05:44.800 --> 0:05:47.040 I'm sure, what's going to be many many, many times 0:05:47.040 --> 0:05:49.880 this kid just does not do what you want to do. 0:05:50.520 --> 0:05:53.320 And it actually ended up being quite a blessing with 0:05:53.360 --> 0:05:55.800 my I'm shooting I was shooting a TV show and 0:05:55.839 --> 0:05:58.120 it was a blessing to know the exact time and 0:05:58.200 --> 0:06:00.200 day because they could write up for me in that 0:06:00.320 --> 0:06:04.560 very moment. And then my obi Dr Susan Morrison, said, well, 0:06:04.600 --> 0:06:07.680 this is Adelaide taking care of you, and I was like, oh, 0:06:07.960 --> 0:06:10.320 like for the first like, she's actually like the cryer people, 0:06:10.560 --> 0:06:12.880 a big crier, which is onny of the things I 0:06:12.920 --> 0:06:16.200 love about her. So that you anxious sweet about having 0:06:16.279 --> 0:06:19.680 like a major surgery or did you feel completely like well, 0:06:19.720 --> 0:06:21.440 we'll get to that, but I've never had surgery. I've 0:06:21.440 --> 0:06:23.080 never been in a hospital, so I was like, I 0:06:23.120 --> 0:06:27.360 got this. This is so easy. And the fucking C 0:06:27.640 --> 0:06:31.000 section and the recovery was a nightmare, Like it was 0:06:31.040 --> 0:06:33.120 the worst thing that's ever Like I've never felt pain 0:06:33.200 --> 0:06:35.600 like that. I did not know how serious. When you're 0:06:35.640 --> 0:06:37.160 talking about like how they cut through your tummy and 0:06:37.200 --> 0:06:40.080 then they cut through uterus, I didn't. I literally thought 0:06:40.080 --> 0:06:42.200 I'd be fine because I'm hardcore and I like work 0:06:42.240 --> 0:06:46.239 out so hard to like meditate really hard, like nothing else. 0:06:47.960 --> 0:06:51.039 Prayers you had playing while Adelaide was taken out of you. 0:06:52.560 --> 0:06:56.680 Mantras did not help her healing process. Um, it was 0:06:57.200 --> 0:06:59.840 common and we don't really think about it, but it's 0:07:00.000 --> 0:07:03.400 ajor abdominal surgery. And it's not just major abdominal surgery. 0:07:03.400 --> 0:07:05.440 It's major obdominal surgery and then taking care of a 0:07:05.520 --> 0:07:09.120 newborn and trying to breastfeed and breastfeeding and the emotions 0:07:09.120 --> 0:07:12.080 that are going through with that and hormonal drop off 0:07:12.320 --> 0:07:15.600 and like that. My I was taking a shower this 0:07:15.640 --> 0:07:17.400 morning and I still have that like I'm not a 0:07:17.400 --> 0:07:19.800 skinny person anyway, and I was looking down like I 0:07:19.840 --> 0:07:22.120 still have like that weird line where it like goes 0:07:22.200 --> 0:07:25.000 in and like my vagina is still swollen six months later. 0:07:25.920 --> 0:07:28.760 So it's like pretty gnarly. I know, I get it. 0:07:28.880 --> 0:07:31.520 I get it. You guys, this will We'll get that. 0:07:31.760 --> 0:07:37.160 So Emily, my dear, please explain that you electively chose 0:07:37.200 --> 0:07:38.920 to have a C section, and what brought you to 0:07:39.000 --> 0:07:41.960 that decision and and were you afraid was it an 0:07:41.960 --> 0:07:45.160 easy choice for you? All of these I never went 0:07:45.400 --> 0:07:47.400 when I found out I was pregnant. I never thought 0:07:47.400 --> 0:07:50.000 I would have a vaginal birth. I just for some 0:07:50.320 --> 0:07:53.760 I had a friend that had a pretty pretty traumatic 0:07:54.120 --> 0:07:57.760 um delivery and she was laboring for two days and 0:07:57.760 --> 0:07:59.960 then she had a C section and then was operated 0:08:00.080 --> 0:08:03.760 ing from like a place of just complete, like ruined, 0:08:04.000 --> 0:08:09.480 and I, you know, it's just exhausted, and and it 0:08:09.680 --> 0:08:12.160 just always stuck out in my head and I'm a 0:08:12.440 --> 0:08:14.840 very anxious person. You said that you were really scared 0:08:14.840 --> 0:08:17.800 of vaginal birth too, and I just wanted to be 0:08:17.880 --> 0:08:21.800 able to know know like what was going to happen, 0:08:21.920 --> 0:08:23.760 how it was going to happen, and be able to 0:08:23.760 --> 0:08:26.760 prepare myself for probably the last time I could ever 0:08:27.160 --> 0:08:32.120 control something um. And so you know, my husband was 0:08:32.120 --> 0:08:35.480 super supportive my OBI didn't question it and it so 0:08:35.600 --> 0:08:37.600 you can. So when you went into your OBI like 0:08:37.760 --> 0:08:39.560 very early on and you just said I'm having a 0:08:39.600 --> 0:08:42.400 C section and that's that, and did she have any 0:08:42.440 --> 0:08:44.360 sort of We talked about it for a second, but 0:08:44.440 --> 0:08:46.679 she was just like, if that's your decision and you know, 0:08:46.720 --> 0:08:51.920 that's what your family's choices and let's let's do it. Wow. Yeah, 0:08:51.920 --> 0:08:56.760 it's very impressive. UM. So, Dr Kumetz, Um, what are 0:08:56.840 --> 0:08:59.280 some of the things and expecting mom should do to 0:08:59.440 --> 0:09:01.760 prepare or for a C section in the days leading 0:09:01.800 --> 0:09:04.480 up to the procedure if they've if they know that 0:09:04.480 --> 0:09:05.960 they're going to have that. I know sometimes there are 0:09:06.080 --> 0:09:08.720 very last minute calls that are made, UM, but is 0:09:08.720 --> 0:09:11.599 there anything you do to prepare yourself? Like, well, you 0:09:11.640 --> 0:09:14.000 know there's going to be the emotional preparation. UM. I 0:09:14.040 --> 0:09:16.559 think it's really important to talk with your doctor about 0:09:16.600 --> 0:09:19.920 what is going to happen. UM. Really spend the time 0:09:20.040 --> 0:09:23.000 so that you understand the process from the beginning of 0:09:23.040 --> 0:09:25.959 what time you're supposed to arrive at the hospital, what's 0:09:26.000 --> 0:09:27.800 the last time you should have anything to eat or 0:09:27.880 --> 0:09:32.679 drink so that you have an empty stomach. That's why 0:09:32.679 --> 0:09:34.000 I had it first thing in the morning, because I 0:09:34.000 --> 0:09:36.760 do not do well without food. Ideally, if you if 0:09:36.760 --> 0:09:38.440 you if you know you're having a C section, if 0:09:38.440 --> 0:09:40.240 you can get it scheduled first thing in the morning, 0:09:40.320 --> 0:09:42.400 that is the best case scenario. Not that you're really 0:09:42.400 --> 0:09:44.640 gonna get any sleep the night before because of the nerves, 0:09:44.679 --> 0:09:48.600 but it's still a little easier. UM. But knowing what 0:09:48.720 --> 0:09:51.920 is going to happen, having a plan, UM, you know, 0:09:52.400 --> 0:09:55.600 having your doctor talk you through what the recovery is 0:09:55.640 --> 0:09:58.240 going to be. Like, how long you should anticipate staying 0:09:58.240 --> 0:10:01.440 in the hospital, UM, talk to you about it. Probably 0:10:01.480 --> 0:10:03.280 like three nights in the hospital for a C section. 0:10:03.640 --> 0:10:06.400 Most insurance plans will cover three to four nights, and 0:10:06.520 --> 0:10:11.360 that's pretty average for how long people stay. Guys, personal tip, 0:10:11.600 --> 0:10:14.720 take those days because you get free nerds, you've got 0:10:14.720 --> 0:10:17.000 you've got babysitters all up in that hospital, you know 0:10:17.000 --> 0:10:18.760 what I mean, And you get home and you're like, 0:10:19.520 --> 0:10:22.520 I loved it. I stayed the four nights. UM. Depending 0:10:22.520 --> 0:10:25.079 on the hospital, the food can be not bad so 0:10:25.200 --> 0:10:28.120 emily in cases of UM when a c section is 0:10:28.120 --> 0:10:31.040 elected like it was in yours. Are there key questions 0:10:31.080 --> 0:10:33.600 that women should ask their doctors before making the decision 0:10:33.640 --> 0:10:35.280 to have a C section. Did you have questions for 0:10:35.320 --> 0:10:38.560 your doctor? No, I mean we walked, we went through everything. Um. 0:10:38.600 --> 0:10:42.199 I think it's understanding the recovery period, understanding what you're 0:10:42.200 --> 0:10:45.520 going to be experiencing, you know, obviously being medicated during 0:10:45.559 --> 0:10:50.400 the birth, being awake while someone's operating on you. It's intense, 0:10:50.480 --> 0:10:55.679 it really is. But oh my gosh, questions to ask. 0:10:55.720 --> 0:11:01.040 It's just getting you mentally mentality for battle. Did you 0:11:01.080 --> 0:11:04.040 guys feel can can either of you guys speak on 0:11:05.040 --> 0:11:08.520 while being awake? Having your stomach and uterus cut open 0:11:08.760 --> 0:11:11.920 A lot of pressure and a lot of pulling, like 0:11:12.000 --> 0:11:15.560 I felt tugging. And then I had a situation where 0:11:15.559 --> 0:11:18.160 I had a um when they were sewing me back up. 0:11:18.440 --> 0:11:21.640 I had um fibroids, which I know they're little and 0:11:22.000 --> 0:11:24.880 that as they're like little cyst they're benign. I've had 0:11:24.920 --> 0:11:28.720 them literally since I was eighteen. Their masses under benign. Okay, 0:11:28.760 --> 0:11:32.360 thank you for that. That's the real thing. And they're 0:11:32.440 --> 0:11:34.600 very common. They're very common, and they but one of 0:11:34.600 --> 0:11:37.360 them was like in the way of the needle or something, 0:11:37.400 --> 0:11:40.520 so they had to burn it off. So it took 0:11:40.520 --> 0:11:43.280 about a half hour longer or twenty minutes longer to 0:11:43.320 --> 0:11:45.320 sew me up, And I was like, what's what's happening? 0:11:45.360 --> 0:11:48.880 And you're so drugged? But I remember being like, what's like, 0:11:48.920 --> 0:11:51.560 I did you guys feel mentally drugged? Like as well, 0:11:51.600 --> 0:11:55.520 like did you feel kind of foggy or high or fine? Um? 0:11:55.559 --> 0:11:58.679 I felt fine when it was happening. I had a 0:11:58.760 --> 0:12:03.080 non conventional play list. I had to Beyonce Kelly Clarkson. Yeah. 0:12:03.840 --> 0:12:07.440 The whole situation was just like very much. I felt 0:12:07.440 --> 0:12:09.640 like I was in an episode of The Mindy Project, 0:12:09.720 --> 0:12:12.240 you know, like my doctor was a badass woman who 0:12:12.320 --> 0:12:15.200 was like running her operating room in a way that 0:12:15.240 --> 0:12:17.480 like I just felt like I'm bringing this girl into 0:12:17.520 --> 0:12:20.160 this world and like, look at what it's just like 0:12:20.160 --> 0:12:23.599 a really good like you feel great about it. I 0:12:23.679 --> 0:12:25.480 felt great about your decision, You felt great about the 0:12:25.480 --> 0:12:27.480 experience for you, I can do it again. And how 0:12:27.559 --> 0:12:30.280 was the recovery for you? Um? Great? I mean we 0:12:30.320 --> 0:12:32.800 had our house has a ton of stairs. I was 0:12:32.840 --> 0:12:36.480 walking the day that we The day of operation isn't 0:12:36.520 --> 0:12:38.959 dr commits. You're supposed to let me if I'm wrong, 0:12:38.960 --> 0:12:39.959 But when you have a C section, you have to 0:12:40.000 --> 0:12:41.480 get up and walk that day like a labor on 0:12:41.520 --> 0:12:44.640 the hospital. Really any surgery, the sooner that you're up 0:12:44.640 --> 0:12:46.880 in walking, the lower your risk of getting a blood 0:12:46.880 --> 0:12:50.080 clot in your legs, The quicker your bowel function will return, 0:12:50.080 --> 0:12:52.640 the quicker you start mobilizing extra fluid that you get 0:12:52.679 --> 0:12:57.320 so the swelling resolves more quickly. Yeah, and how was 0:12:57.360 --> 0:12:59.520 your recovery? We were talking about it a little bit, 0:12:59.559 --> 0:13:02.360 but I mean I didn't I have stairs to that 0:13:02.400 --> 0:13:04.679 were it was. That was tough. I had a lot 0:13:04.720 --> 0:13:07.680 of swelling, So I don't know, but I didn't come 0:13:07.720 --> 0:13:09.640 down for my swelling for almost two and a half weeks. 0:13:09.679 --> 0:13:12.360 My legs were like this big. I can't remember that. 0:13:12.920 --> 0:13:15.360 I couldn't fit into any of my shoes. Um. I 0:13:16.120 --> 0:13:17.760 don't know if it was because of the burn on 0:13:17.840 --> 0:13:19.960 my uterus with the fibroid or what it was, but 0:13:20.000 --> 0:13:23.040 I had a really painful I would say two and 0:13:23.080 --> 0:13:24.640 a half weeks, and then I had to go back 0:13:24.679 --> 0:13:26.960 to work at three and a half weeks, and so 0:13:28.240 --> 0:13:31.720 that was not not easy those first that first I 0:13:31.720 --> 0:13:34.880 don't know, two weeks at work, I was like shuffling 0:13:36.000 --> 0:13:39.320 and very swollen, just very big. Still. I also had 0:13:39.360 --> 0:13:42.360 a c section, and yeah, I was hoping you were 0:13:42.360 --> 0:13:44.120 going to say. I was hoping you were going to say, 0:13:44.160 --> 0:13:46.080 I knew you laters have been through and I can 0:13:46.120 --> 0:13:47.800 talk a little bit about tell me tell me the 0:13:47.880 --> 0:13:50.600 other side of the table, just because that weird. You like, 0:13:50.640 --> 0:13:52.800 know exactly what's happening while you're being cut and now 0:13:52.880 --> 0:13:56.480 here comes scalpel f s whatever it was. It was 0:13:56.559 --> 0:13:58.560 definitely interesting being on the other side of the table. 0:13:58.559 --> 0:14:01.120 And it was to one or full colleagues, good friends 0:14:01.120 --> 0:14:03.960 of mine, that we're operating on me. And um, I 0:14:04.000 --> 0:14:06.800 think they were you know, whenever it's a friend or 0:14:06.840 --> 0:14:09.440 a colleague, there's a little bit more anxiety going into it. 0:14:09.480 --> 0:14:11.000 I mean, you you never want anything to go wrong 0:14:11.040 --> 0:14:13.040 for anybody, but especially when it's somebody that you know 0:14:13.080 --> 0:14:16.600 and respect well. And um, they were very professional and 0:14:16.640 --> 0:14:18.920 it was you know, by the book and calling for 0:14:18.960 --> 0:14:21.680 the instruments and and very formal. And then once my 0:14:21.760 --> 0:14:24.040 daughter was out and we knew she was fine, they 0:14:24.120 --> 0:14:26.600 almost forgot that it was me lying on the table 0:14:26.640 --> 0:14:29.280 and they started chit chatting, you know, how are your kids, 0:14:29.280 --> 0:14:32.920 what are you doing this weekend when vacation and you know, 0:14:33.000 --> 0:14:35.320 it's it's interesting to me because I hear patients hear 0:14:35.360 --> 0:14:38.160 about this and complain about it. And for me, I 0:14:38.280 --> 0:14:42.520 found that so reassuring. I knew everything was going perfectly, 0:14:42.560 --> 0:14:44.920 that it was so routine and so easy for them 0:14:45.160 --> 0:14:49.600 they could talk about other things and have everything still 0:14:49.640 --> 0:14:53.760 go just fine. So for me, it was incredibly reassuring 0:14:53.800 --> 0:14:56.520 to hear my doctors, you know, chat about their kids. 0:14:56.840 --> 0:15:00.160 And um, you know in advance that you were going 0:15:00.200 --> 0:15:01.680 to have a C section or was it an emergency 0:15:01.760 --> 0:15:04.560 last minute thing or so Um I suspected I was 0:15:04.600 --> 0:15:06.160 going to end up having a C section. I also 0:15:06.200 --> 0:15:08.280 have a big fibrid. That fibrid was actually in the 0:15:08.320 --> 0:15:10.920 way of my daughter being able to come out naturally. 0:15:11.040 --> 0:15:14.000 And um, she she was head down the whole pregnancy, 0:15:14.000 --> 0:15:16.640 and then at thirty seven weeks decided to flip, so 0:15:17.360 --> 0:15:20.520 she came out to she first and pooped all over 0:15:20.760 --> 0:15:24.080 my doctors on the way. She pissed about the eviction 0:15:24.160 --> 0:15:26.080 notice and let them know in the only way she could. 0:15:26.480 --> 0:15:30.280 And uh, Um, I presumed I was having a C 0:15:30.400 --> 0:15:34.360 section from the very beginning. Um. And uh, but interesting 0:15:34.360 --> 0:15:35.680 being on the other side of it, And did you 0:15:35.720 --> 0:15:39.080 go back to work? Um? I actually did? Uh? C 0:15:39.320 --> 0:15:41.920 section on a colleague of mine two weeks after my 0:15:41.960 --> 0:15:45.200 daughter was born. So your recovery was it was, it 0:15:45.320 --> 0:15:48.800 was not easy. But um, I also, you know, thank goodness, 0:15:48.800 --> 0:15:50.480 I'm in a position where I have the luxury of 0:15:50.480 --> 0:15:54.440 having control over my schedule and um so I went 0:15:54.480 --> 0:15:57.200 back to work really really minimal hours for the first 0:15:57.760 --> 0:16:00.960 month when I went back, UM, and definitely had backup 0:16:01.040 --> 0:16:03.800 arranged in case it was harder than I was expecting, 0:16:03.920 --> 0:16:06.880 because that's certainly a possibility. Um. But it wasn't easy. 0:16:06.920 --> 0:16:10.400 But the swelling was crazy. It was, But not everyone 0:16:10.480 --> 0:16:14.920 has that. Emily, you didn't have, you would have remembered it. 0:16:14.920 --> 0:16:17.840 If it is there a limit to how many C 0:16:18.000 --> 0:16:22.400 sections a woman can have, there really isn't unless there 0:16:22.520 --> 0:16:28.520 was a complication during her um, during her pregnancy, or 0:16:28.520 --> 0:16:32.520 her c section that would really risk her life if 0:16:32.520 --> 0:16:34.920 she were to get pregnant again. So it's not necessarily 0:16:34.960 --> 0:16:37.240 the number of c sections, But in that scenario, it's 0:16:37.280 --> 0:16:39.680 the number of pregnancies. For example, if somebody had a 0:16:39.760 --> 0:16:43.680 uterine rupture, that woman should never get pregnant again because 0:16:43.680 --> 0:16:45.880 her risk of uterin rupture, which is life threatening both 0:16:45.920 --> 0:16:50.480 to her and baby, is ridiculously high. And unsafe. Um, 0:16:50.560 --> 0:16:54.440 but I've I've done fifth c sections on women you know, 0:16:54.600 --> 0:16:56.920 have five babies. I literally don't understand what's going on. 0:16:56.960 --> 0:17:00.120 Like I I mean, so power to you, but like wow, 0:17:00.520 --> 0:17:06.920 that is wow. Um, yeah, it's really impressive. Are you familiar? 0:17:06.960 --> 0:17:08.719 I haven't. I don't know much about this. But with 0:17:08.760 --> 0:17:11.919 this term gentle c sections, what what is that is 0:17:11.920 --> 0:17:14.199 that different from a traditional C section? Is this just 0:17:14.240 --> 0:17:16.680 a new trender fat or is this something that's actually 0:17:17.000 --> 0:17:20.639 like something that people entertain and should entertain the idea 0:17:20.640 --> 0:17:25.080 of great question? Your opinion? Um, it is definitely becoming 0:17:25.080 --> 0:17:29.359 more popular. Um. The c section. The surgery itself is unchanged. 0:17:29.720 --> 0:17:34.960 Um for somebody that is requesting, you know, changes that 0:17:35.000 --> 0:17:39.000 would make their C section experience, um a little better 0:17:39.119 --> 0:17:42.000 for them. Um, it's not changing anything that I'm doing 0:17:42.040 --> 0:17:45.560 as a surgeon. So it's more of like the I think, 0:17:45.600 --> 0:17:49.960 the music and the attitude if you or not or 0:17:50.080 --> 0:17:52.159 exactly it has a lot to do with how somebody 0:17:52.200 --> 0:17:56.000 feels about about exactly the atmosphere. So um, it involves 0:17:56.160 --> 0:17:58.359 you know, having the playlist that you want going on. 0:17:58.440 --> 0:18:01.600 It involves, um, often having a clear drape so that 0:18:01.680 --> 0:18:05.760 when the doctor's actually pulling the baby out. Mom can watch. 0:18:06.119 --> 0:18:11.280 They have a clear drape, clear drape r field some 0:18:11.320 --> 0:18:16.679 people and some people do. I don't know that I 0:18:16.680 --> 0:18:19.359 would have wanted to watch. Um. I was surprised my 0:18:19.440 --> 0:18:22.119 husband watched. I was expecting him not to want to watch, 0:18:22.160 --> 0:18:24.520 and he was definitely curious, really crazy what goes on 0:18:24.560 --> 0:18:26.600 in there, because I was also like, uh, in my 0:18:26.680 --> 0:18:31.000 vaginal birth, I was like, I'm never looking down there ever, ever, ever, ever, 0:18:31.040 --> 0:18:33.800 And I think I remember like in the last couple pushes, 0:18:34.320 --> 0:18:36.480 Dr Komets, I think you said like, look down, here 0:18:36.480 --> 0:18:38.280 he comes, and I definitely looked down and like he 0:18:38.359 --> 0:18:41.000 was halfway out of my vaginal and I saw it. 0:18:41.080 --> 0:18:42.760 And I definitely had the conversation that Adam wasn't going 0:18:42.800 --> 0:18:45.280 to watch it, and he did. So things just go 0:18:45.359 --> 0:18:47.680 crazy in there. So you choose in advance whether there's 0:18:47.720 --> 0:18:50.520 a clear drape or not clear drape. They can also, 0:18:50.840 --> 0:18:53.400 depending on the hospital and the staffing availability, they can 0:18:53.400 --> 0:18:55.080 try to do skin to skin right away in the 0:18:55.080 --> 0:18:58.800 operating room. Um. We did that. Yeah, Emily, did you 0:18:58.840 --> 0:19:02.399 do that too? I didn't do it. Um. The issues 0:19:02.440 --> 0:19:06.600 are the operating rooms are really cold, and babies cannot 0:19:07.200 --> 0:19:09.919 maintain their heat really well. When they get moved to 0:19:09.920 --> 0:19:11.919 the warmer they're actually under a heat or to make 0:19:11.920 --> 0:19:13.760 sure they're warm because they come out wet and you know, 0:19:13.800 --> 0:19:16.960 they're coming out from a nice, warm, cozy place into 0:19:17.160 --> 0:19:20.880 a cold, wet place that's very bright and um, so 0:19:21.080 --> 0:19:23.120 if you're going to do skin to skin, it's really 0:19:23.119 --> 0:19:26.840 important that we are able to keep the baby warm enough. Also, 0:19:26.960 --> 0:19:29.639 you know, this is major abdominal surgery and there are 0:19:29.680 --> 0:19:32.119 lots of things that are happening during this process, and 0:19:32.200 --> 0:19:35.600 moms can feel shaky, moms can feel anxious. Um, and 0:19:35.680 --> 0:19:38.199 if she doesn't feel like she can colfortably hold the 0:19:38.200 --> 0:19:40.560 baby safely. And again, you kind of have to keep 0:19:40.600 --> 0:19:44.320 the baby at boob level and above because we're working 0:19:45.160 --> 0:19:48.040 we're working below there, so there's kind of a limited space. 0:19:48.080 --> 0:19:50.159 So you also need to have a nurse dedicated to 0:19:50.760 --> 0:19:56.440 helping you with in the operating room if you're doing that. So, um, 0:19:56.480 --> 0:19:58.920 you know, if staff is available to have one extra 0:19:59.000 --> 0:20:01.760 nurse that's simply dead kidded to helping you with the baby, 0:20:01.880 --> 0:20:05.320 that is fantastic. That's not always available, got it? And 0:20:05.680 --> 0:20:08.000 you guys do then, like Rebecca, help me with this 0:20:08.520 --> 0:20:10.800 that was cool, so in yours. So I guess both 0:20:10.800 --> 0:20:14.600 of you kind of had I would say gentle c sections, 0:20:14.600 --> 0:20:17.680 and that you both had playlists. Um, you were asked 0:20:17.720 --> 0:20:19.880 if you could do a clear draper non clear draper, 0:20:19.920 --> 0:20:21.680 and League said you did have skinned skin. For those 0:20:21.680 --> 0:20:23.359 of you guys who don't know, skin to skin basically 0:20:23.359 --> 0:20:26.200 means like when the baby comes out instead of being 0:20:26.240 --> 0:20:28.440 like kind of whisked away and tested on right away, 0:20:28.480 --> 0:20:31.280 if everything is looking good normal in the baby's vitals 0:20:31.280 --> 0:20:34.440