Avoiding A C-Section. Is it Possible?

Pregnancy is such a magical thing. We go nine months dreaming and preparing for the perfect labor and delivery, analyzing every little moment. There are tons of fears and concerns for different people going into labor. Will it hurt? Will I tear? Will I poop? (that’s a whole other topic that we will discuss, but shit happens). One of the biggest concerns parents have going into their big day is, “What if I need a c-section?”. This concern is totally valid. A cesarean is major surgery and usually over with fairly fast. There are many medical reasons for needing a c-section, but the big question is, Can they be avoided? The answer is, YES! A c-section can be avoided, in most cases. However, in the event of a true emergency, sometimes its needed for the health and safety of the birthing person and baby. Please note that if you do end up needing a c-section… that is okay! You are still a bad ass and you are no less than anyone who has had a vaginal birth. We are all AMAZING. 

Anyways, Here are my top things you can do to avoid a c-section:

1.    STAY EDUCATED. Its so important to be educated on your rights during labor. Informed consent is real and you can say NO to anything you do not want. Staying educated will let you know what interventions are actually medically necessary for you or your baby.

2.    CHOOSE YOUR PROVIDER CAREFULLY. There are some providers/birthing places that are cut happy and love to revert to a c-section no matter what. If you are birthing in a hospital, check their c-section rates. 

3.    LABOR AT HOME AS LONG AS POSSIBLE. If the birthing person and baby are healthy and there are no further complications, laboring at home as long as possible can hinder any possible interventions that can lead to a c-section. Examples: Pitocin, AROM(breaking of waters).

4.    AVOID INDUCTION. Although there are multiple factors to this, avoiding an induction will minimize the number of interventions needed. 

5.    HIRE A DOULA. Hiring a professional to educate and help you advocate for yourself can give you some of the best outcomes for your birth. 

In hindsight, we can do everything under the sun to avoid a c-section, but sometimes baby has other plans. It’s important to remember that a healthy baby is really the goal and there is no shame in which way you birth!

Written by: Natalie Story

How Do Doulas Help Parents Delivering By Cesarean?

Labor doulas are typically hired by people planning to have a vaginal birth. A doula's knowledge of normal physiological birth, the constant support through labor, and the skilled hands-on care are all reasons doulas are growing in popularity.

But what if you suddenly need a surgical birth or are planning a cesarean delivery from the onset? Are labor doulas helpful then?

Yes.

When it becomes necessary to decide to have a non-emergency cesarean, after long hours of hard labor, the flood of emotions is intense and overwhelming for many. The medical team will be focused on getting you prepared physically for unexpected surgery.

Your doula will be focused on your mental and emotional preparedness.

Having all your questions answered, understanding the risks, helping you wade through the options all happen before the choice is made. And once made, your doula can help you to prepare for what will happen next.

• Your doula will outline what you can expect to see, smell, and experience in the operating room.

• Your doula will outline what the next few hours will look like, and when you see her next (if doulas are not allowed in the operating room), and keeping you and your partner tuned into each other while getting ready to meet your baby.

• Your doula can help your partner know how they can support you through surgery if she is not able to attend.

Help During Recovery

After surgery, you are going to need immediate help from both the medical team and support team for the first hours after you deliver. Having a cesarean birth is major abdominal surgery, and nurses will monitor your vital signs and postpartum bleeding.

Usually, in those first hours, parents are eager to have skin-to-skin or start breastfeeding. Families now have time together that may have felt stolen because of the limitations a surgery places on movement and autonomy. All of these activities require more care and attention because of the strain they apply to the new surgical wound on the lower abdomen, and a doula is a skilled set of extra hands and knowledge to help families reconnect.

A doula can help with positioning, answer questions about breastfeeding, and be available to keep baby in a safe position. At the same time, the birthing parent continues to come fully aware after the anesthesia wears off.

Planned Cesarean Delivery

For those people who know they are going to deliver by cesarean, having doula support through pregnancy can offer some unique advantages. Having a doula can lead to better home planning for your post-operative abilities, combined with the needs of your new baby. A doula's experience can help you understand what will and won't be possible after surgery and help you identify any ways you may need to adapt.

It's a complicated world post-surgery of understanding your body's new abilities, caring for your baby, and the intense emotions that come with being a new parent. Having a doula helps make all of the big questions seem smaller, and the unknowns easier to adjust.

Doulas are not only for an unmedicated vaginal birth. Doulas are for any person who wants one-on-one personal support through an experience that can be intense and overwhelming.