Blog Archives

6 Tips to Avoid a Cesarean

April 8, 2013

I’m often asked how to avoid a cesarean. While none of these tips is a sure fire way to avoid a cesarean, they can definitely help you, especially as you add them together.

baby in c section, avoid cesarean, cesarean birth, what happens in cesarean birth, baby held high, holding baby up, baby in lights, April is Cesarean Awareness Month and I am devoting my posts this week to issues surrounding cesarean births. Last week, I wrote about cesareans in general and the U.S. c-sections rate as well as some of the myths as to why the c-section rate is as high as it is.

Today, 6 Tips to help you avoid a cesarean:

1. Choose a Provider You Completely Trust

Your provider will be making the clinical judgment calls throughout your pregnancy, labor and birth; you need to be totally comfortable that your provider hears you, understands your hopes and visions for your birth and demonstrates respect for your questions and birth wishes.

If you leave appointments feeling unheard, brushed off or uneasy, trust your gut. Perhaps that indicates you should shop around. Ask your provider what his/her individual cesarean rate is. How decisively did they answer? Did you get a solid response or a vague explanation of their high risk patient load? How does their cesarean rate line up with the hospital, state and national rates? I’m not suggesting an elaborate analysis, but know this number and listen as you ask.

Remember, too, that while you may love one doctor in a group, you may never see that doc during your labor and birth. Obstetricians are surgeons, consider that as you decide who to hire are your provider. Low risk Moms do very well with midwives whose care is generally collaborative, low intervention, and individualized.

The midwifery model of care is based on pregnancy as a state of wellness, the medical model is focused on complications and problems. Childbirth Connection is a fantastic resource and in this article, explains the differences between the care models of midwives and doctors.

Composing Your Birth Wishes: aka Birth Plan

June 12, 2012

birth wishes, birth plans, writing a birth plan, Since you can’t plan how your labor and birth will unfold, I prefer to talk about your birth wishes or birth preferences than your birth plan. Honestly, I feel the biggest value in writing this document, is not in the end product, but in the process.

Prenatally, it’s important for both Mom and Dad/partner (and anyone who will be attending the birth) to be involved in this exploratory journey. As you learn about and research possible interventions and hospital protocols, you can get an understanding of how you feel about things in a non-labor state of mind. You have the luxury of time to evaluate and prioritize your desires.

As the vision your birth comes into focus, you’ll find there are things you want to really insist upon and things you don’t care about either way. You’ll learn about your options in birth (medications, music, med students, artificial rupture of membranes, hep-lock, etc.) and the immediate postpartum period (delayed cord clamping, infant eye ointment, skin-to-skin, etc.)birth plans, birth options, birth preferences, natural birth in the hospital, planning for birth, labor plans, birth wishes, writing a birth plan,