I am confident this is my last pregnancy. 4 is more then enough. However a tubal ligation is a major surgery and dont really want to do that. But im thinking if I have to have a c section, could they do it at the same time?
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From what I understand (and this may vary by hospital) its an option as long as its discussed with your doctor ahead of time and consent forms are signed in the office

Check with your dr and see if its something thats allowed at your local hospital. One of our hospitals is own by Catholics so they won't do any procedures like that there.

I had 4 c sections and on my 4th they done tubal ligation as part of my current section before they closed me up so it is possible

Wasn't any longer maybe just abit more sore, but I recovered better with my 4th than my 3rd, I would do it that way again instead of having them done separately

Both my SILs had their tubal ligations while having a c section
Best to talk to your doctor and check with your insurance in order to avoid a surprise bill