April is Cesarean Awareness Month, and at Mary’s Center, we want to raise awareness about cesarean births and how to support patients who have undergone cesarean deliveries. Cesarean birth rates remain high in many parts of the world, including the United States. The US cesarean rate is on average 32%, and that is even higher for non-Hispanic Black women. But why are cesareans performed? Should they be prevented when possible? What support exists after an unplanned cesarean birth?  

Firstly, a cesarean section (commonly referred to as a C-section) is a surgical procedure used to deliver a baby through incisions in the mother’s abdomen and uterus. While cesareans can be lifesaving for both mother and baby in certain situations, they also carry risks, including infection, blood loss, and longer recovery times compared to vaginal births. Given these factors, Cesarean Awareness Month encourages informed decision-making.  

There are many reasons why someone would have a cesarean rather than deliver vaginally. One of the most common reasons for a cesarean is when labor does not progress as expected, often due to ineffective contractions or fetal malposition. If the baby shows signs of distress, such as an abnormal heart rate pattern indicating a lack of oxygen, a cesarean may be performed to prevent complications. When a baby is breech, is positioned feet or buttocks first instead of head down, a cesarean may be recommended, particularly in first-time mothers. Although twin pregnancies can be delivered vaginally, many require cesarean delivery, especially if the first twin is not in a head-down position. While vaginal birth after cesarean (VBAC) is possible and safe for many, some individuals may require a repeat cesarean due to maternal or fetal concerns. Some cesareans are scheduled due to maternal requests despite the absence of medical necessity.  

While cesareans can be crucial in emergencies, efforts should be made to prevent unnecessary surgical births. Selecting a healthcare provider and birth facility with a low cesarean rate and a commitment to vaginal birth can increase the chances of avoiding unnecessary interventions. The presence of a doula or trained birth support person reduces cesarean rates by improving comfort, reducing anxiety, and assisting with positioning and coping strategies. Upright and active labor positions, such as walking, squatting, or using a birthing ball, can help labor progress more effectively and reduce the need for interventions. Talk to your clinician about what labor interventions are medically necessary for your labor. Patience with the labor process is essential for supporting the natural progression. Understanding the normal course of labor, pain relief options, and ways to manage labor discomfort can empower birthing people to have more control over their birthing experience.  

For those who experience an unplanned cesarean, emotional and physical recovery can be challenging. Fortunately, resources like those provided by Mary’s Center can offer support, education, and healing opportunities. Many hospitals, birth centers, and online platforms offer support groups where parents can share experiences and receive guidance on cesarean recovery. Recovery after a cesarean can include discomfort, scar tissue, and abdominal weakness. Additional help can fill the needs gap for a recovering parent. Some individuals experience feelings of disappointment, trauma, or loss after an unexpected cesarean. Therapy and counseling through our Perinatal Mental Health program can help process these emotions and support mental well-being.  

For those who experience an unexpected cesarean, support networks and resources at Mary’s Center can play a vital role in emotional and physical recovery. We can work toward a more balanced and supportive approach to childbirth by fostering awareness and education. Learn more about our Prenatal and OBGYN care by visiting: maryscenter.org/medical/adults-and-seniors/prenatal-obgyn-care/