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Was in hospital for C-section. Asked for tying tubes, which was not answered. Do you think they tied during Operation?

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Practicing since : 1999
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I was having a homebirth and went to hospital for emergency c section. Doc said about tying tubes i said yes but nurse said i should talk to husband first. never signed paper until next day. 3 nurses and 2 docs even post partum asked what birth control i wanted so my question is do you think they actuall tied my tubes or not. wouldnt it say right in the front of my chart.
Posted Mon, 27 May 2013 in Women's Health
Answered by Dr. Timothy Raichle 1 hour later
Hello, I would be happy to help you with your question.

Please answer the following questions:
1. Which child was this for you?
2. Were you awake for the Cesarean section?
3. When you signed the consent, did it include the "tubal ligation"?

Please answer!
Above answer was peer-reviewed by
Follow-up: Was in hospital for C-section. Asked for tying tubes, which was not answered. Do you think they tied during Operation? 13 hours later
This was child #4
I was awake but in a lot of pain and distress I was taken to to the hospital as an emergency. There were several people asking me question. The consent did not include the tubal a nurse came in the next morning and asked if I had it done I said I was supposed to and she well then sign the consent form now.
also my husband wasnt with me my sister in law took me in and the whole suegery start to finish was 25 minutes from epidural to stitching up.
Answered by Dr. Timothy Raichle 24 minutes later
Thank you for the followup information.

I am sorry that you are in a position of such confusion. Here are some things to consider:

1. A typical C/S (Cesarean section) from start to finish is about 30-45 minutes. The fact that it only took 25 minutes is consistent with the time that it normally takes, but it does not indicate whether the tubal was done or not. Doing a tubal ligation adds only about 5 minutes to the procedure.
2. In most cases, speaking from personal experience, we would not do a tubal ligation in the setting of such an emergency. It is a situation where you cannot get adequate informed consent of the patient, and the health of the baby is uncertain.
3. Yes, in those situations, it is almost impossible to consent someone for a procedure. The Cesarean section needed to happen, but the tubal ligation was not a critical part of the procedure.

It was not appropriate for the nurse to have you sign the consent the next day to make the consent "fit" what was perhaps done during the procedure. I would recommend two things:
1. You need to ask for the surgeon to come to your bedside and explain exactly what was done.
2. You need to talk with the nurse manager about your concerns over how the consent was handled.

I hope that this helps. Please ask if you have additional questions.
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