It’s commonly understood that cesareans are surgical procedures, and therefore come with an element of risk. In fact, risks of the surgery include things as serious as infection, uterine rupture, low birth weight for the baby, and even death for either mother or child. Here I will highlight ways to avoid a cesarean section.
Throughout pregnancy: The easiest way to avoid a cesarean is to educate yourself and decide to birth naturally. Interview many care providers, and choose one that you feel is most concerned with your interests. Introduce them to you birth plan, and gauge their attitude towards it. They should be pleased by your interest to be informed and not defensive or intimidated by you requests for natural birth. Determine what their (and the hospital’s) standards for birth are, including when and under what circumstances a cesarean may be suggested. Ask for the hospital’s birth rates (VBAC, if this is a subsequent pregnancy for you) and become aware of your rights. If your first delivery was a cesarean, seriously consider having a VBAC (vaginal birth after cesarean). Studies show that having a VBAC is safer than having another cesarean.
Studies have also shown that hiring a trained labor support person, such as a doula, will significantly lower your chance of having an emergency cesarean. Strive to maintain a healthy pregnancy, as this will usually translate to a healthy delivery. If you find the baby isn’t in a favorable position late in pregnancy, use pelvic tilts, rocking on hands and knees, and chiropractic care to help turn baby.
Never hesitate to get a second opinion. You have the right to take charge of your delivery!
During labor: Instead of going to the hospital or birthing center right when your water breaks or contractions start, stay at home as long as possible. Take a walk, change positions frequently and labor in the position most comfortable position for you, which usually is NOT on your back. Eat frequently to keep up your energy (these are things to put in your birth plan). Avoid artificial induction or labor augmentation. Instead, try natural forms of induction. Avoid continuous electronic fetal monitoring, which has been shown to interrupt labor, and ask if they can use a fetoscope more often. Do your best to avoid an epidural, which has been shown to slow labor and raise the incidence of further interventions. If you do have an epidural and it makes it difficult for you push, tell the doctor you need a break from pushing and then try again when you feel a surge of energy.
Knowing the risks and benefits of routine and emergency procedures before you are faced with them will help you understand all your options. Don’t be afraid to assert yourself – this is your body!
See also:
Let’s Talk About Elective Cesareans
Let’s Talk About Dealing with Grief from Birth Loss
Let’s Talk About Choosing a Healthcare Provider