Cesarean section

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There are few things that women love more than sharing their birth stories. The good…the bad…the embarrassing. What always trikes me during these inevitable conversations is how unique each story is. Yet how much the stories are all the same. I read this birth story on the blog Today’s Parent and I was immediately transported …

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There were all sorts of rumors about the birth of Jay-Z and Beyonce’s baby’s birth last month — like, did you hear the one about how Blue Ivy was actually born via surrogate? And that Beyonce wore a fake bump for most of 2011? (One look at Beyonce in this red dress mere weeks after Blue Ivy’s birth should have put those rumors to rest: those are the breasts of a new mom!) How about the rumor that Beyonce scheduled a c-section for the sake of convenience? She dismissed this one a statement to US Weekly.

But I digress. Rumors like this get people talking about why some women choose to have a Cesarean when there is no medical reason. This topic fires people up! When I was doing research for the book I co-wrote, The Essential C-Section Guide,

I learned that in some countries where a minority of people have private health insurance  — including  Mexico, Chile, Brazil — it’s trendy for women to choose a c-section. It’s actually a status symbol! In this country, Britney Spears and Christina Aguilera reportedly scheduled their c-sections. So did Victoria Beckham. The Spice-Girl-turned-fashion-designer reportedly had four scheduled c-sections, hence the nickname for the trend: “Too posh to push.”

In the United States there are some physicians who will do c-sections for the sake of convenience, but it’s pretty rare. For one thing, insurance companies frown on the practice in part because the extended hospital stay makes it so much more expensive.

I’m sure insurance coverage isn’t an issue for the celebs who schedule their baby’s births, but I just can’t imagine volunteering for surgery — even if I had the Grammy or Academy Awards on my calendar!

What do you think? Should c-sections that are not medically necessary be covered by insurance? Should the mode of delivery be a woman’s choice rather than her doctor’s?

Most women I know who have had a c-section — or two or three — have at least a few regrets about their babies’ births.The common theme is that the c-section was unplanned (as most are) and so none of the plans they had made for their “natural,” i.e. drug free and/or vaginal, birth, happened the way they envisioned.

My writing partner just sent me this video that we both wish we had seen before our c-sections (we’ve had 6 between us). One thing that caught my attention was that after the baby is delivered, the doctor places the baby right on the mom’s chest so they both can take advantage of the skin-to-skin contact that so much research shows is really important for bonding and breastfeeding success.

With this “natural” approach to c-section, the parents get to watch the birth of their child as active participants. The physician also delivers the baby more slowly than is typical and squeezes the baby’s chest (which may help reduce risk of later breathing problems that I wrote about previously).

Be warned: this video shows some pretty intense surgical shots, but it’s AMAZING.

Was your c-section anything like this? If you’re planning to have more babies, would you ask your doctor to do anything you see in this video?

Yes, it’s 2012, but a few weeks ago the 2009 birth statistics from the National Center for Health Statistics came out. The stat that caught my eye was the number of Cesarean section births in the United States. In 2009 32.9 of the babies born were delivered by by c-section. These stats always get me thinking about my first baby’s birth. It was full of unexpected drama and a far bit of trauma.

“Don’t cut her open, she’s not numb!” I heard the anesthesiologist yell to my OB as a team of nurses rushed me down the hall toward an operating room. “Wait, wait, wait!” was all I could think, so stunned that I couldn’t even speak. This wasn’t how it was supposed to happen.  “But I’m barely in labor,” I managed to say before the anesthesiologist placed a mask over my face and instructed me to breath.  He counted to three and the lights went out. When I awakened later, it was to the news that my newborn son was on life support.

That was how my perfect and perfectly uneventful pregnancy ended. In a matter of minutes, labor shifted from ordinary to potentially disastrous and an emergency Cesarean became necessary. I had never even considered the possibility that I would have a Cesarean. And for weeks after my son Liam’s birth, when I was home and well on the road to recovery following the surgery, I felt an overwhelming sense of failure. “Why me?” and “What did I do wrong?” were questions that I asked myself for months.

My story has a happy ending: Liam is totally healthy. And with the benefit of hindsight, I know that my c-section wasn’t the result of anything I did, or didn’t do. But very few pregnant women–at least those who are not carrying multiples or have certain medical conditions–plan even for the possibility that they will experience birth via c-section. More of us should — just look at that 32.9% statistic.

During the past few years, there has been a lot of controversy surrounding the number of c-section deliveries in the U.S. A number of healthcare providers, including some OB/GYNs, believe that the Cesarean birth rate in the United States is too high and that, in many cases, surgical deliveries are unnecessary. “We have turned childbirth into a medical procedure,” is a frequent refrain. While I certainly don’t believe that a Cesarean is the ideal way to give birth–and I would never encourage anyone to request a c-section for the sake of convenience–neither should women who have this experience feel like their birth experience is anything but extraordinary. Childbirth by Cesarean is still childbirth. It’s also worth noting one issue that is rarely brought up by the media: medical advances during the last several decades have made c-section surgery much safer, so today many physicians will opt for a Cesarean birth before the situation becomes desperate.

I hope you’ll find both solace and helpful information here. If there is a topic you’d like me to write about, please ask. I’m blessed to have amazingly generous physicians in my list of contacts who are always willing to talk to me about this topic.

Did your baby’s birth go as planned? Was there something you wish you had done differently when you were pregnant to prepare for the birth?