Most patients express a preference for a planned vaginal birth unless there are strong and compelling reasons to birth via Caesarean section. Sometimes Caesarean section is medically necessary from the outset, for example where the placenta or babies umbilical cord covers the cervix. However sometimes women elect to birth via Caesarean section as a preference. The personal reasons for this usually reflect a well thought through and considered decision. Dr Matt sees it as his responsibility to brief you on evidence-based data about the pros and cons of both approaches, then to help individualise this information so you can make a well informed decision about your preferences.
As wonderful an experience as vaginal birth can be, Dr Matt feels a Caesarean section birth need not be a cold and depersonalised experience for parents whether it be elected or required. Dr Matt Thyer has developed a sterile technique to allow parents to first see their baby delivered, and then accept baby into their arms at Caesarean section provided baby has transitioned well and there are no compelling medical reasons to do otherwise. 90% of Dr Matt’s Caesarean births are conducted in this way and Dr Matt feels it really “makes the moment” and gives mum that first touch, the skin-to-skin that is so important for bonding and breastfeeding.
Recovery can be difficult with generally more limited mobility than that after vaginal birth, however within 24 hours you will have enough mobility to toilet, shower, pick up and feed your baby. This is where post operative analgesia is key to your recovery and the perception of your experience. There is a considerable effort that goes into optimising and balancing your analgesia with your mobility after Caesarean section. However, in cases where you feel your analgesia is inadequate it is very important to get straight onto this by letting your midwife and Obstetrician know. The specialist Pain team will often review your analgesia to support you through the first week following your operation. After one week most people are down to basic analgesia.
It is well known that Caesarean section can delay the onset of milk production compared with vaginal birth. This is usually short lived and with support from Midwives is rarely a problem to establishing successful breastfeeding.
Patients need not feel concerned about their Caesarean section scar. The site of the Caesarean section wound is just above the pubic bone. Dr Matt tries to keep his scars to a very high cosmetic standard; small as is safe and possible, neat, symmetrical, horizontal, along current skin creases where present, and an attempt to try for a wound low enough to be hidden under underwear or bathers. The dressing management Dr Matt employs is designed to maximise healing and reduce scarring as much as possible.
Whichever birthing option you elect for Dr Matt Thyer Perth Private Obstetrician and Gynaecologist is there to support you and to help achieve a delivery that is safe for mother and baby.