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Thread: Ttc 2013

  1. #1696
    Join Date
    Nov 2011
    Location
    USA
    Posts
    272
    I will also do my introduction, as requested by alzora! Who could say no to her?

    I am almost 29 years old, have been married for almost 3 years, and have been with my hubby for that last 7. This will be our first child and I am so overwhelmed with joy at the possibility of starting a family! I was on birth control for the last 10 years (with only a month off here or there!) and know it may take some time for my cycle to even/regulate. This is our second cycle off birth control. Expecting AF this week. Oh the anxiety!

    I love reading this thread and reading about all the BFP! Good luck to everyone!!!

  2. #1698
    Quote Originally Posted by blade View Post
    I am not trying to be rude but you really, really don't know what you're talking about here and you sound quite silly. Everything you wrote is factually incorrect, and I highly doubt you gleaned this information from a surgeon or an obstetrician, but rather yet another op-ed blog written by a layperson.

    The uterus is sutured closed each and every time. It is not glued, glue is used for the epidermis only. It's sutured in a double-stregth "baseball stitch" technique with permanent 2-0 suture. The uterine scar itself is the only thing of relevance when it comes to discussing future uterine rupture risk in TOLACs, etc.

    Next to be closed is the fascia-- the abdominal wall. This is sutured with 2-0 Maxon in a 'figure-of-eight' pattern. It is the major strength layer of any operative repair. Once the fascia is closed, the rest is gravy/cosmetic, including the skin incision.

    Third to be closed is the dermis and connective tissue. This is typically sutured with a dissolving stitch, usually 3-0 Polysorb, in a buried fashion.

    Finally, the skin is closed. Once the dermis has been closed the skin is more or less approximated and even if nothing further is done, it will heal in a linear scar. The "plastic surgery closure" favored by surgeons is a running subcuticular stitch with a 4-0 or 5-0 monofilment suture, clear in color. Other types of surgeons use Dermabond. The epidermis itself is NOT a strength layer of the repair and very little stress is placed on the most superficial layer of the incision (not to mention the fact that epithelialization usually occurs within 48h), so glue works just fine if you prefer it.

    General surgeons and OBs often use staples instead of the latter two (the dermal and epidermal sutures). Stapling takes approximately 20-30s whereas suturing takes 10-15min. Since OR time is $2000/hr ($3000/hr in New York), cost-conscious doctors will staple you to avoid charging you/your insurance the extra $500. If you would like a plastic surgical closure you should feel free to request it.
    Here is the source I got the wound separation information from:
    http://www.ncbi.nlm.nih.gov/pubmed/22875661
    I don't expect you to have read it since it's from 2013 my midwife has never heard of it either. It wasn't a huge study: only 239 deliveries, but it's relevant information to me.
    "Overall WS [wound separation] rate was 7%; with Dermabond, it was 5% versus 13% with staple (p = 0.090) and 2% with suture (p = 0.651)."
    So what I get out of this is that staples = bad (increased risk of wound separation). Sutures = good (less of a risk of wound separation although my insurance pays more).

    Today I asked my midwife if I could request sutures instead of staples if I had to have a cesarean and she told me to not worry about a cesarean because my placenta would probably move. But I kept asking if I could have the sutures instead of the staples or the dermabond and after much chastising she finally said, "Yes. If you request sutures the Resident would probably do it for you." I didn't have time to cite my source (this small study) since we only had 15 minutes for our visit. She said there is no difference between staples and sutures just like what you said. My midwife (at the teaching hospital) disagrees with you on breech delivery safety. So I think it's safe to say it's not just me being paranoid: there are professionals who agree with me.

    I would go dig up more studies, papers, etc . . . but I think we both have better stuff to do with our lives than argue about what method of birth is best for what situation. We both want to do what's best for our babies and we each believe different scientific studies. Statistics can be used maliciously to prove or disprove all kinds of stuff in the interest of power or greed. Just look at the "scientists" who are currently trying to disprove global warming with "science." In the end we have to use our best judgement to sort through it all.

    I'm sorry to hear that you have a low lying placenta at however many weeks you are. At least yours isn't complete like mine is! I hope your placenta atrophies and hypertrophies itself upwards.

  3. #1700
    Join Date
    Mar 2013
    Location
    Canada
    Posts
    187
    Welcome new TTCers! Hope your journey is quick and easy!!


    Update: still getting those boob burning feelings. Nipples starting to get sore. Ewcm back (although small quantity) and dull cramps in right ovary area. CD25. All new experiences so maybe that's good?!? Lol wishful thinking!
    Shannon, recently married my BFF and TTC our first <3

  4. #1702
    Join Date
    Apr 2013
    Posts
    140
    Casilayne – hope your fertility specialist appointment goes well this week! Keep us posted!

    Kat – sounds like a lot of changes in your life – hope the move went well and have fun decorating!

    Welcome Lindseywhite! Out of curiousity, have you recently come off the Pill? I only ask because I just did, and I had a very short LP this month (if I did in fact ovulate) – I also chart BBT. Anyway, like others have said, try to enjoy this time and not stress! ☺

    Milasmama – hope this is your month, before your trip back to NZ!

    Welcome Vee! Hope you have good luck!

    Welcome LPLafleur!

    Not sure I already welcomed you, Roxanne, but if not, welcome and thanks for the intro!

    Not much new here, minus the minor flooding and power outage in Toronto yesterday - MaggiefromCanada, were you affected badly? All is good in my area now. I am currently on day 5 of a heavier and more painful period than I got used to on the Pill. Looking forward to seeing if my cycle is more regular this month!

    As to losing a favourite name – it is a scary thought. My sisters and I have a tacit agreement not to use the others’ favourite names, as long as it’s been disclosed.

  5. #1704
    Join Date
    Oct 2012
    Location
    Australia
    Posts
    256
    Thanks to everyone for the well wishes! Welcome to the newbies to this thread too - you will find everybody on here is very positive, honest and helpful in their responses. I've done the GP visit, booked my 1st obstetrician app'ment (not till I'm 13 weeks), booked my first scan (at 11 weeks) and get blood/urine tests next Tuesday. So now I'm just going to bunker down and wait out the next two months or so. I'm optimistically cautious due to my history with miscarriage but what ever will be will be now.
    I'll still be on the thread checking everyone's progress, though not much input from me! Hoping July/August bring some happy news for all!
    Mummy to the gorgeous Alice Heather and the delicious Harry George

    Bubba #3 due March 2014! Finalising short list of favourite names!

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