The 10 Best Ways to Avoid a Caesarean
Giving birth by caesarean is not an easy way to have a baby. It comes with more potential problems, a longer recovery and an emotional toll that can last a lifetime. If anyone tells you that it’s “the easy way out” of birth, you can be certain that they’ve never done it.
As a nurse, I’ve scrubbed into countless caesareans and I’ve helped as many mamas recover. As a mom, I’ve had two of my own. In my opinion, there is no better term for a woman who has a belly-birth than “birth warrior”.
There are lots of instances where a caesarean birth is the safer option for mom or baby. In my case, there was a history of my babies getting stuck on the way out; they had to break my first two babies’ collarbones. In that situation a baby can become paralysed or even die, so we made the tough decision to give birth by caesarean based on a solid medical history.
In 2017, about 30% of Canadian babies were born by a belly-birth. The World Health Organization (WHO) believes that only 15% of birth should happen by caesarean.
So why the discrepancy? It seems that a lot of women start their low risk, healthy labour and then go to the hospital to give birth. At the hospital, a labouring woman is on an invisible timeline based on:
Obviously she’s being monitored in labour to make sure her and the baby are tolerating it well, but if any of the monitors blip in the wrong direction, all of the above will be taken into consideration when making a decision about whether to let a labouring mom continue to progress or move straight to the operating room.
Now, like I said- I’ve had 2 caesareans so I obviously agree that they can be necessary. But like I also said, I’ve been on the birth team when these decisions were being made. The good new is that you can do some things to avoid a caesarean when you've had a normal, low-risk pregnancy.
LET LABOUR START ON ITS OWN
We often sit and count down the days to that magic date that our doctors gave us because we’re so excited to meet the baby. But if you can let go of that and imagine yourself having your baby up to 2 weeks past that date, it reframes your brain to accept every day past your "due date" as a step in the right direction, instead of a failure to “hit a target”. This is especially important for Type A moms who feel satisfaction from meeting deadlines. Let labour begin on its own, in its own time so you can avoid induction. Studies show, inducing labour almost DOUBLES your chance of having a caesarean.
If a doula were a drug, it would be unethical not to use it.
Dr. John H. Kennell
HIRE A DOULA
Ok - I know I’m biased because I am one, but having skilled, continuous support in labour has been scientifically proven to reduce your chance of caesarean by about 30%.
STAY HOME IN EARLY LABOUR
If you are at or past your expected date of birth and you’ve had a normal, low risk pregnancy- stay home in early labour!
The average length of a labour for a first birth is between 12-17 hours. Stay home and rest, walk, move freely, have a bath or shower and eat!
ASK FOR INTERMITTENT MONITORING
In a normal birth, it’s just as safe to have a hand-held fetal monitor as it is to be connected to a machine. The difference is, if you’re not strapped and lying in bed, you’re free to move! Why would you want to?
Use a birth ball, a rocking chair, walk the halls, get on all fours…research shows that moving frequently can shorten labour by about an hour! It also reduces your chance of having a caesarean for “Failure to Progress” because if you’re moving, you're helping to encourage contractions and helping the baby move down.
REQUEST A SALINE LOCK
If you give birth at a hospital that has a policy about having a labouring woman on an IV, ask for a saline lock. They place the IV catheter in your hand/arm and cap it off so you don’t have to drag a bag and pole with you. If they need to give you any medications quickly, the vein is open for business!
USE NATURAL METHODS OF PAIN RELIEF
Hear me now- I will never, ever judge another human’s pain. Ever. All I’m saying is that you should at least try to use alternative methods before you rush for an epidural. Why? Because as soon as you get an epidural, you are introduced to other interventions: you lay in a bed and you have an IV. Try to use non-medical methods for coping like: moving, breathing, hypnosis, a shower, a TENS machine.
REQUEST MORE TIME IN LABOUR
As long as you and the baby are tolerating labour well, it’s ok if it’s longer than average. Plateaus are completely normal and they don’t necessarily mean something is wrong. Sometimes they happen so you can rest up for the next phase of labour.
DON’T PUSH UNTIL YOU FEEL THE URGE
Even if you have an epidural, it’s best to wait until you feel the urge to push. Your body will tell you when it’s time- you don’t need somebody yelling a countdown at you.
BELIEVE IN YOUR BODY
This is probably the hardest for many women, but your body is amazing and it’s meant to give birth! According to the WHO, about 85% of the women in the world are meant to give birth vaginally. It’s safer for you and your baby.
Your memories of birth stay with you forever, Mama. As someone who has given birth both vaginally and by belly, I’m urging you to do everything you can to avoid a caesarean. It’s not advice based on judgement, but on experience- as a mama and a nurse. Caesarean birth affects you long after the scar has healed.
Joanne Ilaqua - CEO of MamaSoup
Hey there, I’m Joanne.
I’ve spent about 20 years serving women as a nurse, doula and Lamaze educator. I have 4 kids and I know firsthand how lonely and isolating motherhood can be, so I created MamaSoup. I'm mostly known for my love of red wine, spontaneously singing and my confidence in being my true self on social media. When I’m not busy building women up, you can catch me taking Instagram stories of my bulldog Ruby, watching The Handmaid’s Tale, playing MUber (Mom Uber) to my kids or vacationing in my favourite town: Cabo San Lucas, Mexico.
I love serving the world by providing a space for moms to connect and support each other. In my opinion, moms are the backbone of communities because they are (literally) raising the future!
As the founder and CEO of MamaSoup, I’ve been featured on CHEX TV Morning Show, KawarthaNOW, Economic Development- The City of Kawartha Lakes and MyKawartha.
Still with me? Join me over at MamaSoup to keep the conversation going!