u/Downtown-Page-9183

Today my cruel algorithm fed me a video where an OBGYN was talking about a hysterectomy after placenta accreta and was discussing the importance of avoiding primary c-section.

I’m not pregnant right now, but I hope to be again soon. I’d like a VBAC if possible, but I think it‘s unlikely for me for various reasons.

Everything that led up to my c-section was my decision. I had cholestasis, so I needed to be induced between 37-39 weeks. They told me I could go to 39, but that freaked me out because of the stillbirth risks (even though 39w is considered safe with the lab values I had) and they let me do it at 38+1. I wish my provider had counseled me against this.

My cervix was not ready, and none of the ripening agents worked. Pitocin didn’t work either and I never went into labor. Eventually they said I could start over or have a c-section. I very happily chose the c-section. I thought I didn’t want to be pregnant again. My mom also had a VBAC and I thought they weren’t a big deal. Nobody told me I could go home and try again, or that there are definite risks to primary c-sections.

I wish I hadn’t been so free to make all my decisions. I’m not an OBGYN or a midwife and I don’t know enough to make these calls.

If I get pregnant again, I will likely need a repeat c-section because I’ll probably develop cholestasis. Even if I don’t, it’s not a great idea to go to 40 weeks plus with a non own egg IVF pregnancy (which would be my situation). It’s possible my cervix will be dilated enough to get a bulb in, but that was not the case last time.

People always talk about being over controlled and counseled in risk, but I wish I had been counseled and pushed some more.

My general dentist said he can remove my wisdom teeth but I’m just feeling really worried about nerve damage. I’m not sure if this is a justified fear or not. They’re partially erupted and I need to get them out because of pericoronitis. I had fairly straightforward extractions of my top ones with no sedation at two different times due to the development of abscesses. I think these might have been more erupted but I’m not sure. I’m also 33 so I know that makes extraction more complicated. I don’t care at all about IV sedation so I’m happy to do it in the dentist’s office with oral benzos and nitrous to save money. My only reason to go to an oral surgeon would be if the nerve damage is a real concern. I don’t know enough to know whether this is a consideration but I am just terrified of this complication.