Those two little words are dreaded by millions of women across the world. According to a report by the American Academy of Obstetrics and Gynecology, approximately 2 out of every 5 births are either planned or emergency cesarean sections. Each year, an increasing number of patients are requesting c-sections as their preferred method of giving birth.
It is important to understand that a cesarean section is a major abdominal surgery. However, in many instances, this surgery can be life-saving for both the mother and baby. Although complications can arise, cesareans are generally safe. Women are rarely fully anesthetized for a c-section. Instead, they receive either a spinal block or epidural during the surgery. Other risks associated with c-sections include excessive bleeding, blood clots, bowel obstruction, infection, increased risk of future ectopic pregnancy, and a delayed hospital release. Newborns delivered via c-section also face some increased risks after birth, such as breathing problems, potential cuts, development of asthma, and increased difficulty with breastfeeding. Despite these risks, doctors are responsible for making decisions that ensure the best possible outcome—namely, a healthy baby—and in many cases, a cesarean section is the answer.
Increasing Popularity of Elective Cesarean Sections
Since 1989, there has been a steady increase in the number of elective cesarean sections performed. These are women who would prefer a surgical delivery rather than endure labor and natural birth. For many of these women, especially those who have already delivered by c-section, the thought of a cesarean is no longer frightening.
If you’ve had one cesarean section, you may fear that all of your future children will also be delivered this way. The truth is that vaginal birth after cesarean (VBAC) is still an option, though you must discuss the risks with your doctor. The decision largely depends on why you had your first c-section. For women with smaller pelvic bones or those who had difficulty delivering, a subsequent c-section may be the best option. The worst-case scenario is to labor for hours, compromising your baby’s health, and then still need a cesarean section.
One of the most difficult aspects of having a c-section is the emotional toll it can take. When you’re pregnant and envisioning your delivery, few people expect that a c-section might be necessary. What makes it even more troubling is that the events leading up to a c-section often involve a stressful labor or a situation where the baby is in extreme danger. This stress can make many women feel frustrated or let down at the thought of needing a c-section. In these high-pressure situations, many feel forced into surgery without the time to make a calm, rational decision. Doctors rushing around can increase anxiety about the well-being of the newborn, leading to emotional distress during what should be a joyous occasion. This stressful experience can contribute to postpartum depression, which is very common (2 out of 3 women) for those who unexpectedly undergo a c-section delivery.
Having a c-section is not a failure by any means. If you’re pregnant, of course you hope for an easy labor and delivery—at least as easy as possible. Your doctor may not discuss the potential for a c-section, so it’s important to prepare yourself mentally and emotionally in advance. Even if you haven’t had any issues with pregnancy or delivery in the past, a breech presentation or other complications during birth could make you a candidate for a c-section. If this happens, instead of feeling disappointed, try to be grateful that this option exists. Most babies born by c-section are perfectly healthy, and it can be a lifesaver for both you and your child.
Another piece of advice is to discuss your birth plan with your doctor beforehand. Research your options for pain control, medications, and surgical interventions so that you fully understand what you might face during delivery. Making decisions in the middle of labor can be difficult. It’s also important that your partner is well-informed about your wishes. That being said, your health and your child’s health must come first! If a c-section is necessary to save your life or your newborn’s, then it is the best decision for you both.
Many women are understandably frightened about having a c-section. The truth is that while the hospital stay may be longer and the recovery slightly more cumbersome, the difference in pain and healing is minimal. The biggest difference is the small scar left behind, and the fact that it takes longer for the internal incision to heal. Still, after a few days of pain management and care, you’ll start to feel like yourself again.
The rate of cesarean sections is definitely on the rise. It is important to interview your OB/GYN and find out what percentage of their deliveries are cesarean sections versus vaginal deliveries. If a c-section is recommended, ensure that you fully understand why your doctor is suggesting it. Many doctors have found that cesarean sections are not only quicker for them, but also more financially rewarding than attending a vaginal birth.
Labor and delivery can be frightening, whether you deliver vaginally or via c-section. As an informed patient, and one who remains open and trusting that the right decision will be made during delivery, you can reduce your emotional and physical recovery time tenfold. Ultimately, just be thankful that both you and your newborn are safe and healthy.
