Friday, November 7, 2008

Gross details of the surgery

I met with the anestheologist for my surgery and she went into the details of what will happen during the surgery:

Senario A: A PLANNED c-section (controlled and scheduled):
I will get both a spinal AND and epidural. They use the spinal for the initial surgery BUT also have the epidural in case the surgery takes a long time (the spinal lasts only so long). I will also have an IV in both arms so they have access to do a transfusion if needed (possibly an IV in my neck). Baby comes out first (fast and furious) then they work on me. Because they cut through the placenta and because the bottom of the uterus (where the placenta is) does not contract as much or as efficiently as the top of the uterus (contractions stop the bleeding), there is a very high risk for major bleeding. Best case scenario they get the placenta out and control the bleeding right away then they can close me up. Worst case scenario, they will put me to sleep, put a tube down my throat and have to do some major surgery. IF I go to sleep, Chris can not be in the OR with me. Absolutely worst case scenario is that they can not control the bleeding and I end up with a hysterectomy.

Sounds like a party huh?

Senario B: Emergency c-section:
If we end up in an emergency situation where I have heavy bleeding and they have to do the c-section right away... they will put me to sleep right away and unfortunately Chris can not be in the room (he can see the baby once he's cleared in the NICU). Once I'm asleep they will basically get the baby out right away and then proceed to "fix" me (summarized above). Her warning if they put me to sleep is that when I wake up I will have a tube down my throat and most likely an IV in my neck as well as both arms.

Are we having fun yet?

So that's that...

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