Why is she choosing a Cesarean?

February 14, 2008 in Birth, Cesarean, Childbirth Education

 This post is NOT about medically necessary cesareans, there are certainly times when choosing a cesarean is obviously the best choice, when the life of mom or baby is at stake.  This is also is a total of 4 posts that go together, scroll down my blog for the rest!

It is sometimes frustrating to see moms choose to schedule a cesarean without what we (people who trust birth) see as a true medical need.   It is easy to blame the moms, why don’t they know better? 

Well, I think the problem is not with the moms, it is with the birthing community leading them to that choice in many different ways…  The moms are often scared into a cesarean or don’t realize they have other options.

Here are some ways moms are led to cesareans before their birthing time even begins. 

Some are gently led there, by little lies given along the way by their care providers.  The big baby card is a prevalent way care providers do this today.  (Your baby looks like it is going to be big… your pelvis is small… this baby is too big for you to birth, you had better have a cesarean) 

Some are scared into it, VBAC moms are told it isn’t safe, or they can never have a vaginal birth, it didn’t work last time, it won’t this time either. 

Some are told vaginal birth isn’t even an option… your baby is breech; you HAVE to have a cesarean.  Moms don’t even know they have a choice, they can try to turn the baby or they can find a care provider who supports vaginal breech birth.  (It is hard to find these care providers, because many are not being trained to do so.)

Twin moms are also often talked into cesareans.  I am not so familiar with the reasons they are given for this, but I know that many moms with twins assume they have to have a cesarean.  So if you know some of the reasoning, feel free to add to my comments.

Scroll down to read the following posts…

So what can we do to help an individual mom?

What if she doesn’t listen?

What can we do to help change the system?

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Talking to a mom planning a cesarean

February 14, 2008 in Birth, Cesarean, Childbirth Education, VBAC

 When I find out someone is planning a cesarean, I start by asking, “Why?”  It helps that I can say, “I had a cesarean with my first baby.  Why are you having one?” 

Then I listen to their reasons.  I ask how they feel about having a cesarean.  Some moms feel really good about it, they have already done their research and know it is the best choice for them.   Most are more on the fence and seem to want more information. 

Making choices with limited information or out of fear is not empowering.  If a Mom is open, I share information of what her choices really are and places she can go to do some research.  I offer support and help if she wants it.

There are a lot of great resources for moms to go to.  For instance moms who have already had cesareans can go to ICAN to find a lot of great information about VBACs.  I also have gathered some resources here. For moms given the big baby card, I send them to this page I wrote about it, after having SO many moms say their OBs were feeding them this line.  Here is a great post with information for moms with Breech Babies

I think that the moms who take time to question what they are being told and do research will be able to make the choice that is really best for them!  They also will feel better about their decision, because it is theirs!  They are making an informed decision, rather than a coerced decision.   Many upon doing some research will realize that a vaginal birth is a good option for them.  They may need to change care providers in order to have support in getting one.    

Some moms may still choose to have a cesarean.  They have taken all the information and combined it with their intuition to make the best choice for them.  This should be respected and supported.  Moms know what is best for them (when they have all the information).   At this point as a friend or CBE, I would fully support them in their decision and help them prepare to have the best possible cesarean birth.  

I will admit, it is sometimes a struggle, if I don’t completely understand their choice.  But I think it is important for me to support them, regardless of what I think.  It is their body and baby and their choice!

Here are the related posts…

What if she doesn’t listen?

What can we do to help change the system?

Related Posts with Thumbnails

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