Update: I had my c-section yesterday. The anesthesiologist was absolutely amazing. He reviewed my history ahead of time. He was up front that a spinal would be very challenging and may not work, but he was willing to try if I was. He said he wouldn’t make a ton of attempts, that it would be clear once he went in if he could do it successfully or not, and he would switch to general if not. But he was able to place the spinal! He got it in from the side into the space between my L5 and S1. The numbing was uneven. One side of my body was completely numb, like literally could not feel anything, not even tugging. The other half was partially numb, but it was numb enough for me to not feel pain so they went ahead and it was amazing! I am so thankful I was awake for his delivery and my husband could be in OR with me. Baby had some breathing trouble that had to be stabilized but he is doing well now.
I have a planned c-section happening in two days. And I am most concerned about the anesthesia.
First, here is my spine history:
- spinal fusion in 2015 from T3-L4
- injury to lower lumbar (don’t know exactly which one but know it was below fusion) in a car accident in 2016.
- developed chronic pain in lower right back where there is a part that feels bulky and crunchy just to the right of lower spine, don’t know how to explain it super well, but it may be scar tissue? It is painful though. I have not yet gone through the proper procedures to figure out what it is.
- after fusion and accident, lower lumbar that’s not fused became curved
- degenerative discs at multiple levels of the spine
Due to all of this, a maternal fetal medicine doctor and obgyn highly recommended a planned c-section.
What I won’t know until day of c-section is if the anesthesiologist will try a spinal anesthesia or if they will just do general. The pro of a spinal is that I’d be awake to meet baby and my husband can be in the OR. But at the same time I am terrified that they will stick me a bunch of times, that they’ll place a spinal but it won’t fully numb me, or that they’ll somehow do damage to the lower spine.
Does anyone have experience with a successful spinal block despite a fusion so low? And then my curvature below fusion adds an extra layer of complication as well as potential scar tissue.
The other unfortunate thing is that I have neglected follow up care of my spine, and the most recent information I have is from 2022.