Did you have your tubes tied?

[HannaAddict]

It adds about 5 minutes to the c-section. The tubes are literally right there connected to the uterus, which is already being manipulated to close the incision aka hysterotomy. A tubal ligation at the time of a repeat cesarean section is very common here in Texas and was very common when I was in residency in LA as well. Coming back for a tubal ligation after the fact is far less common.

Personally I'm with sste - I think I'd prefer to keep my options open, even if I felt fairly certain that I was done. I worry too much about the regrets and what ifs otherwise.

I am still glad I deferred to my highly respected and amazing OB and believe her when she said it wasn't just a quick five minute deal. Maybe we do c-sections differently? dunno. She gave a very detailed description of why they don't just routinely suggest it, though were willing to do it if patients wished. I would suggest the OP ask lots of questions and be totally and completely sure. Though I see no reason to "keep options open" when married 20 years and three kids already! ETA - it seemed obvious that my last sentence was tongue in cheek - and about my own situation, but guess not. Sorry. Email/list serve communication can be hard

[TxCat]

I am still glad I deferred to my highly respected and amazing OB and believe her when she said it wasn't just a quick five minute deal. Maybe we do c-sections differently? dunno. She gave a very detailed description of why they don't just routinely suggest it, though were willing to do it if patients wished. I would suggest the OP ask lots of questions and be totally and completely sure. Though I see no reason to "keep options open" when married 20 years and three kids already!

A c-section is a very standard obstetric surgery - there are variations on the uterine incision depending on fetal age and maternal anatomy but there's no new cutting edge approach, regardless of zip code.

As for keeping options open, that was a comment related to not wanting to physically close the door to having future biological children. Having known couples that decide to have more children after experiencing an unexpected loss or serious health issue, it seems like a pretty reasonable concern to have.

[TxCat]

Duplicate

[Kindra178]

No but various medical staff offered to no less than six times when I checked into the hospital for my planned c-section. They want to see the back of me! I am high risk.

It is all personal but I would never, ever pursue tubes tied or a v. There are too many forms of birth control that are reversible and work just fine for us. I have also known a fairly high number of people who changed their minds about being done, some had to reverse Vs. To each their own certainly but I feel like the point deserves raising for anyone making that decision. I guess given my own history I feel like people are lucky to have the option, you want to be very set in your mind about the benefits to you and your family of perm foreclosing it. Good luck whatever you decide!

My doctors told me not to do it/they don't like to do it during a c (if I were to have a csection with twins) (MFM practice at major university hospital). I swear my doc said it would be a separate incision, but my memory could be off on that. I didn't have a csection so it was never an issue.

[Momit]

I have regretted not doing it when I had a C-section. We knew we were "one and done" and didn't expect to change our minds. But I was not expecting to have a C and hadn't asked my doctor about tying my tubes should I need one.

[BunnyBee]

I considered it with my 2nd c-section, but I decided I was too young for a permanent decision. I wound up effectively having a tubal during a medically complicated 4th c-section. The surgeons in my large city seem to do them contemporaneously to the c-sections as a matter of course in typical situations. I'm glad I waited. I swore I was done after two.

[scrooks]

I wonder if docs do not like to do it during a csection because they are afraid women may make a decision, while they may be pregnant and uncomfortable, that they may regret later. Because otherwise, it seems to me, an additional separate procedure, with all of its additional risks, seem like it would be more medically risky.

[AngB]

No but various medical staff offered to no less than six times when I checked into the hospital for my planned c-section. They want to see the back of me! I am high risk.

Ha. My friend and I were just talking about this because she just had a baby (a 30 weeker who is doing great) a couple weeks ago. They asked her multiple times if she wanted her tubes tied and even brought her the consent form in case she had changed her mind. (She delivered at a place with jerks though.) My ob/gyn must have asked me 3 or 4 times through my pregnancy with DS2. Guess they do that to everyone high risk!

[JBaxter]

No and I would not have even if I had a Csection. A friend of mine went through what she described as tubal ligation syndrome and had issues for years. We chose to go with DH getting a vasectomy

[trcy]

If/when I have another, it will most likely be a repeat cs. As sure as I am that 2 will be it (age, finances, logistics, ect), I don't think I would opt for such a permanent birth control. You never know what the future holds. BTW, are you expecting OP???