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"Elective c-section - incision/scar"

About: Karratha Health Campus / Surgical Services

(as the patient),

I previously had a caesarean for my 2nd birth and I was told I would need to have another so I elected for another caesarean for my 3rd birth.

I had healed really well from my previous c-section so figured the doctor would use my previous scar to cut through for my planned c-section.

Unfortunately that was not the case, the doctor had created a new incision which I believe was large than my previous one and a lot higher. I didn't know this at the time when I was in hospital as I couldn't see my incision due to my belly still being swollen from my pregnancy. Once a few days had passed and I was home I noticed how much higher it seemed the incision was and was unsure as to why this had happened.

When I finally called the hospital and spoke to my doctor, they advised me that they couldn’t see my previous scar as it had healed so well so they just made the incision where they usually would. I was not too happy with that answer as I was completely awake so I felt they could have spoken to me to ask permission or advise that they couldn't see it. There was no rush to get the baby out so we had the time or I wish that before going in to surgery they had come and checked my previous incision and we could have drawn the line.

Based on my experience, my advice for anyone going for a repeat c-section would be to make sure the doctor/surgeon knows where the incision was and that you are both on the same pages before going into the operation room. Im happy my baby made it out safely but im not at all happy with my incision as it's so much bigger and not at smooth as my previous one. I feel because it is high my recovery is taking longer than previously as well.

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Responses

Response from Liam Avery, Operations Manager, West Pilbara, WA Country Health Service (WACHS) Pilbara 10 months ago
Liam Avery
Operations Manager, West Pilbara,
WA Country Health Service (WACHS) Pilbara

Operational Management of the West Pilbara Health Services

Submitted on 20/06/2023 at 3:30 PM
Published on Care Opinion at 4:14 PM


picture of Liam Avery

Dear telescopiumyq89,

Thank you for taking the time to share with us your birthing experience at Karratha Health Campus via Care Opinion.

There are a number of clinical indications for a new incision site rather than use the previous one however from the experience you have described this was not the case and also not our expectation.

It is difficult to provide a more detailed response without first conducting an investigation into your elective ceasearean procedure, which I would do in conjunction with the Senior Medical Officer and Midwifery Manager.

Would you mind please getting in touch with me at your earliest convenience so that I can obtain your consent and details? My name is Liam Avery and I am the Operations Manager for WACHS West Pilbara, you can contact me via email Liam.Avery@health.wa.gov.au or alternatively by phone on (08) 9144 7777.

Warm regards,

Liam Avery, Operations Manager, WACHS West Pilbara

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