First of all, it is normal to be nervous, anxious and scared about anesthesia. Since you have had anesthesia before, it is likely that you have specific experiences that were difficult or that you are worried about. The best way to allay some of your fears (as well as to evaluate your anesthesiologist) is to have a discussion with them about your specific fears, about the risks and benefits of different options for surgery, about your expectations of the process, etc. Make sure you ask a lot of questions and that you receive answers that satisfy you.

You can also ask your anesthesiologist about his training, his experience, his certification and licensure, etc. during this time if you wish.

As far as your specific medical situation, it sounds like you are having a planned, elective cesarean this time around. Since the first two cesareans were emergencies it is likely that you had general anesthesia in a stressful environment and under hurried circumstances. With an elective cesarean, you will likely have a regional anesthetic (epidural or spinal) in a calmer, more controlled situation. Discuss regional anesthesia with your anesthesiologist. In very general terms, it will allow you have anesthesia for the surgery while remaining awake, continuing to breathe on your own, maintaining the ability to let your anesthesiologist know how you are doing and interacting with the baby once s/he is born.

Again, it is normal to be worried and scared when faced with surgery and anesthesia. Education and preparation will help and confidence in your anesthesiologist can be gained from asking questions. Best of luck!

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