bbtn-screen-shotHow to avoid an unnecesarean? Too many women are delivered surgically without any evidence that they really needed this. The WHO recently stated that Cesarean sections should only be performed if medically necessary.

A Cesarean section is major abdominal surgery and, like everything in life, has its own risks attached. A Cesarean section influences all your subsequent pregnancies and births.

The expert appraoch of Proactive Support of Labor absolutely increases your chances of a normal birth, but sadly in countries like the USA, China and Brazil, to name a few, Cesarean rates are soaring. Quite often there is a financial incentive for the obstetrician, not to mention the convenience of scheduled surgery instead of just sitting with a woman, Supporting her.

There are too many stories of women more or less forced into Cesareans because of: an estimated large baby, a tightly closed cervix at 38 weeks, a failed induction because the dr wanted her to deliver because of his holidays, etc. The list is endless. And still, although the evidence shows VBAC, vaginal birth after cesarean, is safe, too many hospitals ban this option. What effectively means then: once a Cesarean, always a Cesarean. Again with all the risks of uterine rupture or placenta accreta attatched. A Cesarean triples the risk of maternal death.

You can play an active role in reducing the risk of an unnecesarean.

  • Find out the c-section rate of the hospital and of your doctor
  • Find out how it compares to other hospitals
  • Find out how your state compares to others regarding c-sections
  • Ask your doctor if she/he is familiar with Proactive Support of Labor
  • Hire a midwife instead of a doctor
  • Take a natural birth class
  • Hire a doula, make sure you have support
  • Write a birth plan
  • Avoid induction
  • When labor starts spontaneously stay home till you have strong regular contractions
  • Don’t take an epidural if you can cope with the pain
  • Know that the ‘Friedman curve’ is hopelessly out of date.
  • Use the partogramapp
  • Never be afraid of asking critical questions. It is your body, your baby.