How is cesarian section with bilateral tubal ligation done?

Answer 1

When you arrive at the hospital the staff we ask you to sign a consent for surgery with a surgical sterilization, they will ask you a few questions to make sure you understand this is considered apermanent method of Birth Control and if you change your mind in a few years the chances of pregnancy after reversal surgery is still fairly low.

The nurse will start an IV and you will probably given a dose of Maalox or milk of magnesia to prevent nausea and vomiting in surgery. Don't be annoyed when every nurse and every doctor asks what time you last ate, you'll be shocked how many women forget they are not supposed to eat for several hours prior to anesthesia and vomiting during surgery can be a true crisis.

After going over your history with the nurse, the anesthesiologist will come by and ask most of the same questions again, go over prior surgeries with you and any complications you may have had, drug Allergies and interactions. If you have any questions or preferences in anesthesia, spinal vs epidural etc, talk up now or even bring your birth plan with you, with a copy to the anesthesiologist. The bottom line is, it will be his final decision, but if he does something different than you want, find out why and if he will work with you. Most will meet you in the middle depending on the request. Ask before surgery starts if f you want a mirror in place, so you can watch your baby make his or her debut.

Right about now you will be taken to surgery, your partner, if not already changed out of street clothes, will be sent in to put on scrubs and usually asked to wait until your anesthesia is in before coming into the surgery suite. The anesthesiologist will have you lie on your side or sit on the table edge, bent over a pillow or hugging a nurse, put the spinal or epidural in place. Have you lie back, a urinary catheter will be put in to keep your bladder drained, the sterile drapes are placed around your abdomen, the obstetrician will check to make sure you are numb and your partner or support person will be brought in to sit next to your head.

The C/Section is done the normal way, cutting through the skin and fat layer, separating the muscles and moving the bladder away, to avoid nicking it accidentally. This gets to the uterus and only takes a a few seconds to a minute. If you have had prior abdominal surgery you may have scar tissue and this can take several minutes for the doctor to get through.

At the uterus, the doctor carefully slices *low in the uterus near the cervix to make an opening to deliver the baby through. You may feel a lot of tugging or pulling as the baby is born, usually no pain though. Once the baby is out, the cord is clamped and cut. The doctor will add pitocin to your IV to allow the uterus to start clamping down, to allow the placenta to easily be removed. The doctor will probably ask you again, at this point if you still want him or her to tie your tubes. The doctor will examine your uterus, close the incision with dissolving stitches and access your fallopian tubes.

Once at your tubes the doctor will cut, tie off, clamp, burn or a combination of any or all on each tube, using their own personal preference. This does not add any pain to the procedure and will be done fairly quickly. Most women are so interested in their new baby they aren't even aware what is going on.

Putting everything back where it belongs, the doctor will sew the tissue under the skin with dissolving stitches, clamp or sew your skin incision, put a pressure bandage on and then you will go to recovery.


*The one exception to a low transverse incision, internally; very rarely a woman will have a low lying placenta or an emergency "crash" section where every second counts. In these cases the doctor must do his incision the quickest way possible and you may have ended up with a vertical incision higher in your womb. Most doctors prefer to cut at the scar site. rather than putting anchor shaped scar from making a new incision site.