Statistics on Cesarean Deliveries
According to the CDC, the number of cesarean deliveries in the United States increased by 60 percent between 1996-2009, with no demonstrable improved outcomes for moms, birthing people or babies. The overuse of this major surgical procedure has significant social, economic and health costs, including:
higher rates of maternal complications and longer recovery times
higher rates of NICU admissions
increased barriers to the breastfeeding/chest-feeding relationship between baby and mother/birthing person
One of the major contributors in the overuse of cesarean deliveries is among low-risk, first-time mothers and birthing people. Once a woman/birthing person has the first cesarean delivery, the successful rate of VBAC (vaginal birth after cesarean delivery) is approximately 8 percent.
Supporting vaginal birth involves various aspects that aim to promote a safe and positive experience for the mother and baby. Here are some key points to consider:
1. Education and Preparation: Expectant mothers benefit from prenatal education, which can include classes on childbirth, pain management techniques, and understanding the stages of labor. Knowledge empowers them to make informed choices.
2. Birth Plan: Creating a birth plan allows mothers to communicate their preferences regarding labor and delivery. This can include positions for labor, pain relief options, and preferences for immediate postnatal care.
3. Support System: Having a supportive team, whether it includes a partner, family members, or a doula, can help the mother feel more comfortable and less anxious. Continuous support during labor has been shown to improve outcomes.
4. Comfort Measures: Various non-pharmacological methods can help manage pain and discomfort during labor. Techniques such as breathing exercises, massage, hydrotherapy, and movement can enhance the labor experience.
5. Responsive Care: Healthcare providers play a crucial role in supporting vaginal birth. They should be attentive to the mother’s needs, provide reassurance, and be willing to accommodate her preferences as much as possible while ensuring safety.
6. Medical Interventions: While natural vaginal birth is often the goal, there may be times when medical interventions become necessary. Understanding the reasons for interventions, such as labor induction or episiotomy, can help mothers feel more at ease.
7. Postpartum Support: After a vaginal birth, support continues with postpartum care. This includes physical recovery, emotional well-being, and breastfeeding support. Establishing a network of help can be invaluable during this time.
8. Creating a Positive Environment: A calming and empowering environment during labor can significantly impact a woman’s experience. Hospitals or birth centers that allow for personal touches, such as music, lighting, or favorite items, can help achieve this.
9. Promoting Normal Physiological Birth: Encouraging practices that promote the body’s natural ability to labor and deliver, such as upright positions, mobility, and skin-to-skin contact after birth, can enhance the experience and outcomes for both mother and baby.
10. Community Support: Engaging with community resources like support groups or networks can help mothers share experiences, advice, and encouragement throughout their pregnancy and beyond. Overall, supporting vaginal birth is about creating a holistic and empowering experience for the mother while ensuring the safety and health of both mother and baby.
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