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*****BECKY....the below assumes that the shunt you have is a cerebral/spinal fluid shunt. I don't even know for sure what kind of shunt you have and for what purpose - if you don't want to post it publically, please PM me the details and I can do research for you on exactly the situation you are in. If your shunt is not to relieve crainal/spinal fluid pressure then the issues below may or may not apply to you at all******
Special care means the mom is at increased risk for comlications with a c-section or epidural. It probably means that if you need a c-section, it would most likely be done with GENERAL anesthesia (ie, knocking you completely out), which carries MUCH higher risks to you and especially the baby than doing a section under spinal or epidural anesthesia.
I'd ask a LOT of questions NOW about what would be safest for you. I'm betting with the shunt, that an UNMEDICATED birth (ie, no epidural) would be safest, just because epidurals and spinals are delivered either just outside or inside the spinal fluid, and if you have a shunt for spinal fluid already they wouldn't want to give you anesthesia in that area. They are probably talking scheduled c-sec because so many women choose epidurals, and if you aren't a good candidate for that, then they are figuring a scheduled c-sec under general is your only option as far as managing pain of labor.
IF that is the case - I mean that they are concerned about side effects of pain drugs/epidurals conflicting with your shunt (and I highly suggest you find out NOW NOW NOW exactly WHY and WHAT they are talking about...!!!!) then another good option is a NATURAL, unmedicated birth.
If you are interested in natural birth as an option, I'd highly recommend the Bradley method. (
www.bradleybirth.com to find a teacher) or some other natural birth method. Hospital classes are 'lowest common denominator' classes - they cover the basics, but don't really teach women how to deal with labor naturally. You probably won't learn enough in a hospital class alone to deal effectively with labor.
Natural labor is a wonderful thing for those moms who understand the process, have prepared well for it, and have a good support person(s) to act as their coach. I've had all my babies without any pain medicine at all, and wouldn't trade feeling one contraction, and the sense of power and accomplishment I feel from having my babies MY way, for any amount of numbing pain meds.
Again, though.... you need to understand exactly WHY they are talking C-section, and how your shunt may effect labor, your pain relief options and the risks involved with all the above, and then decide what is best for YOU and your baby.
And if you don't like what you are hearing, or feel you are getting patronized, etc, then find yourself another OB today who will take the time to explain things to you so you do FULLY understand your options. Don't wait!