What would you do?

Sa

So I’m 36weeks and I just got my C-section date and it’s my husband’s birthday so we’re really excited that that is the day we got because we thought it would be a few days earlier than that. I’m having a C-section because I have Lichen Sclerosus and I don’t heal well. I’ve seen 2 OBs and I expressed to both of them how my LS affects my life and that the likely-hood of not tearing with a natural birth is too low for me to risk it so I think a C-section is the better route. I have 5 problem spots down there, 4 of which are cuts or tears. 1 of them is from elementary school.. I fell on a bar and my inner labia got cut, and it healed as a blood blister and every time I have a flare up(which is about once a week) that spot hurts. 2 of them are inside and have actually been cauterized with silver nitrate by the GYN that diagnosed me and was hoping that would help those spots heal. Unfortunately it did not work and they cause me issues all the time, sex or tampons aggravate them and they will just randomly hurt like it can hurt to sit. And the 4th one is a perineal tear, I’ve done perineal massages with the steroid cream they prescribe and even other oils but it has never changed anything. It will heal and then rip again at the smallest thing, all of these spots are very fragile. Needless to say, my condition negatively affects my quality of life so I don’t think having a baby come out of there is a good idea when a normal sized tampon can hurt me. Anyway. The first OB right off the bat started telling me the complications that can arise with a C-section(all of which are quite rare and she even admitted that) and then said she understands my concerns but this will still be an elective C-section because I CAN have a natural birth. And I’m thinking yea I CAN do it but at what cost?? The one good thing she said was that if my gut is telling me to do a C-section then maybe there is a reason for it. But then wrote in the notes on the appt that “patient has requested C-section due to having LS, the elective nature of this was explained to her”. I also asked her about not having a catheter put in for the surgery, I’ve found multiple studies that all concluded that a catheter is unnecessary for a C-section, I’ve had 2 LS patients tell me that they had a C-section but the catheters caused damage so they have issues peeing! This OB was adamant that I’d need a catheter. The second OB was a lot more understanding about my condition and empathetic to how it affects me. She clearly knew more of the condition because she started telling me about how bad the scar tissue can be for someone with LS so if I tore with a VB I could need more surgeries. And I asked her about the catheter and she agreed that my concerns were valid and said she wasn’t sure about not using a catheter but that maybe a smaller one could be used and I suggested it be removed before I have feeling back so it can be removed slowly without the possibility of me moving or them trying to be quick to avoid discomfort. And she agreed and said she didn’t think this was a big ask and that I’d just need to talk to whoever ended up doing my C-section.

My C-section has been scheduled on the perfect date… but with the first OB that I don’t really like.

Would you call and ask if you could be scheduled with the other OB that you felt comfortable with? Even though it would probably change the date. Or would you try to get the first OB on the same page as you so you feel comfortable with them and have the perfect date?