Q&A with Miracle in Progress – Part 3

Welcome to part 3 of our Questions & Answers Blog. Created by Miracle in Progress because we all have so many questions yet sometimes we are just to scared or shy to ask, therefore we hope to provide a useful and friendly solution to this. If there is any questions you would like to see answered in the next Q&A then please send us a private message on Facebook or via our website and we will be happy to help ???? Enjoy x

 

I had a cesarean section with my first baby and this time I don’t know what to do for the best. What are my options??

Congratulations on the announcement of your second baby. Your question is one raised by many and after a caesarean, whether planned or not, lots of mums and dads are not debriefed about ‘what to expect next time’.

This in itself can cause a lot of speculation and worry. In the UK in 2016 caesarean sections represented 25% of all births, therefore there is most certainly room for discussion surrounding mode of delivery for subsequent deliveries. There are options but ultimately the decision is made in collaboration with your Obstetrician. There are some pregnancies that carry increased risk if a vaginal delivery is attempted, if so this will be discussed at your consultant appointment. Some pregnancies require monitoring before a decision can be made at 34 weeks, many couples are given the option to attempt a vaginal delivery.

Doctors and midwives quote around a 75% success rate of a vaginal birth after caesarean, this includes women who had a trial of labour with their first baby and those that didn’t. Dependant on your stage of pregnancy your booking midwife at around 6-8 weeks will fast track a consultant appt for around 17-20 weeks where you can discuss your thoughts and preferences. However, please note that no secure plan will be put in place until around 34 weeks when an overall review of our pregnancy can determine if a vaginal birth after caesarean is an option you and your doctor could consider.

 

My nipples are inverted and I so want to breastfeed. Am I just best to bottle feed?

What I firstly would like to get across to any mother thinking of breastfeeding their baby to remember the size and shape of your nipples and breasts vary widely between all women. These differences have little to do with the ability to breastfeed.

We have found however, that if one or both nipples are flat or inverted it can take a little more time to establish the feeding and may take a little more patience at the beginning. The support of a breastfeeding counsellor or midwife even before the baby is born to discuss your support mechanisms and establish way to improve your experience of early days breastfeeding is a great start.

My advice is to become confident with handling your breasts and assess ways of stimulating the nipple prior to a feed. Some very inverted nipples can retract if pressure is applied to the areola and in this case the technique to hand express maybe very beneficial when your baby is very young or a nipple shield can be used when your milk has arrived. Whatever method is used it is crucial that a deep latch is maintained for successful breastfeeding. Remember babies breastfeed and not nipple feed so there is good potential that you can nurse your baby well. Nipple shields, breast pumps and hand expressing are all ways of potential support if needed.

I would however, strongly recommend contacting your midwife or La Leche League representative for support. Remember all hospitals will have a lactation consultant who should be willing to provide consultations. Confidence is everything.

 

I’m 24 weeks pregnant and don’t look pregnant. Is this normal?

Everyone keeps commenting and its worrying me!

We as women have undergone an enormous amount of judgemental comments within the twentieth century with regards to our image. This isn’t healthy, it isn’t fair and unfortunately you don’t even have a break when you are pregnant. There is no such thing as a perfect bump and often many people don’t understand that their ‘concerns’ or ‘opinions’ are frustrating and can hurt.

At 24 weeks you will have recently had a 20-week scan providing reassurance that your baby is growing well. If this is your first baby you can expect to look quite discreet until well into your 3rd trimester when the baby starts to increase its body fat. At 24 weeks your baby will be an average 1.5lbs and hopefully you will be starting to feel the baby move.

Each pregnancy is unique and every mummy-to-be carries totally different. If you are under weight or over weight prior to becoming pregnant your midwife should be providing you with some guidance on how to ensure your pregnancy weight gain is healthy. No two women are the same and from 24 weeks your midwife will be measuring your tummy. Any concerns relating to your growing baby your midwife will refer you for further scans. Keep positive and look forward to holding your baby.

 

All our best from everyone at

Miracle in Progress

Private Prenancy Clinic, Early Gender Scanning & Antenatal Classes.

01509 508 222