April is International Cesarean Awareness Month, and as it comes to a close, we want to talk about 3 reasons why cesareans matter. International Cesarean awareness month was originally created by ICAN to raise awareness about cesarean surgery, reduce preventable cesareans, advocate for better patient experiences during cesarean surgery, and advocate for vaginal birth after cesarean surgery too. Here are 3 reasons we believe cesareans matter:
Life Saving
Cesarean surgery saves lives. Medical technology is a great thing when needed. We’re thankful that cesarean surgery exists. If you’ve had cesarean surgery, we’re really glad you’re still here, because 100 years ago, you might not have been. For sooo many reasons, cesarean surgery is a great thing and we love supporting families through the process.
Too Many
There is a whole canon of scholarly research & professional opinons that say we’re doing too many cesarean surgeries. There are higher rates for complications for both the person who is cut and the person being cut out. The population cesarean rate is a challenge, but how does that effect you?
Some questions to think about: What kind of skills does your provider have when it comes to delivery complications? Are they knowledgeable about optimal positioning for labor and delivery? Do they have the skills to deliver a breech baby vaginally? What is their personal cesarean rate for first timers with a head down baby and an uncomplicated pregnancy? You can look up the hospital one here, but your provider’s specific rate isn’t public. How do they feel about delivering multiples vaginally? What tools do they have available? Does everyone on their team have similar tools and approaches?
Remember: “If the only tool you have is a hammer, you tend to see every problem as a nail.” -Abraham Maslow
Do Better
Regardless of if you are planning to have a cesarean birth or not, it is good to know your options so that you can have a better experience. Here are a few questions you can ask your care team:
Will your arms be strapped down to the table during surgery? What kind of drapes do they have available for you? Regular blue drapes, clear drapes, and pass through drapes are options that you could discuss. Will you be allowed to have your doula in the operating room with you as a second support person? What kind of medications are given for anxiety? Definitely specify if you have a preference. Are family centered/gentle or assisted cesarean options? What kind of pain relief options does your provider typically use? Does the hospital provide belly binders for after your surgery? How many patients do nurses with post-cesarean parents have in their care at once? What is the stay length after your surgery and what are the visitation policies?
When it comes to your birth, knowing what to expect can make a big difference, no matter how it happens. Taking a comprehensive childbirth class that discusses ALL the options and how to navigate them can help you be more confident and relaxed when the big day comes, no matter the twists and turns that your path may take. As you can see in this post, even cesarean surgery has options, and if one of these isn’t available to you, ask why! Keep pushing for change and remember, that your experience matters.