Send to a Friend   Printer Friendly   Save in My Connection   

Advice for Women About Cesarean and Vaginal Birth



As early as possible in pregnancy:
  • learn about c-section and vaginal birth: c-section offers important benefits in selected circumstances; however, without a clear, well-supported reason for having this surgical procedure, vaginal birth is likely to be far safer for mothers and babies
  • set your goals, considering what you learn and your values and preferences
  • take action to help reach your goals.
For help with all three steps, see resources on this website: Your choice of maternity caregiver and place of birth may be the most important thing you can do to influence the care that you will receive. "Practice style" varies widely. Choose wisely, and be sure that you will get support for your goals. A provider's caution about use of cesarean and a rate well below the national average (well below 30%) are good signs. Enthusiasm for c-sections and a rate around or above the national average are cause for concern (apart from a high-risk specialist caring primarily for mothers and babies with very serious problems).

Arranging for continuous labor support can help you avoid an unnecessary c-section.

The booklet What Every Pregnant Woman Needs to Know About Cesarean Section (PDF) can help you set and reach your goals. It has a section with many tips to help you avoid an unnecessary c-section and have a safe vaginal birth. If this is your goal, it is important to become informed as early as possible and make and carry out your plans due to the current climate where more and more cesareans are being performed. You can also download Vaginal Birth and Cesarean Birth: How Do the Risks Compare? (PDF), the companion at-a-glance summary.

For most pregnant women who had a c-section in the past, a vaginal birth after cesarean (VBAC) is a reasonable choice. If this is your goal, it is very important to become informed as early as possible, plan ahead and put care arrangements into place. To learn more, decide and take action, see Should I choose VBAC or repeat c-section?.

You may have heard that vaginal birth is harmful, and a c-section will prevent incontinence later in life. There are many problems with this line of thinking. Before undergoing major abdominal surgery for this reason, get the facts: Finally, understand and be prepared to exercise your maternity rights, including your right to informed consent and informed refusal.
Most recent page update: 2/22/2007


© 2010 Childbirth Connection. All rights reserved.

Childbirth Connection is a national not-for-profit organization founded in 1918 as Maternity Center Association. Our mission is to improve the quality of maternity care through research, education, advocacy and policy. Childbirth Connection promotes safe, effective and satisfying evidence-based maternity care and is a voice for the needs and interests of childbearing families.
News and Features

"2020 Vision" and "Blueprint for Action" Reports Available
Leaders from across the U.S. health care system have prepared several reports for improving the maternity care system.
Learn about Transforming Maternity Care project
Read the "2020 Vision"
Read the "Blueprint for Action"
Read the Consumer Workgroup report
Help implement Blueprint recommendations

Rising Maternal Mortality
Analysis of maternal mortality data for the state of California, with 14% of the nation's births, strongly suggests that maternal mortality is increasing in tandem with rising rates of cesarean section and obesity.
Read article about maternal mortality in California 
Read companion Q&A 

Maternity Care Fact Sheet Available
A new fact sheet (12/09) summarizes U.S. maternity care trends and figures from the latest federal reports. The fact sheet updates background information in the 2008 Milbank Report on Evidence-Based Maternity Care.
Get the fact sheet 
Read Evidence-Based Maternity Care 

US Cochrane Center (USCC)/Consumers United for Evidence-based Healthcare (CUE)
Visit the USCC/CUE website for the latest pregnancy and childbirth systematic reviews.

Maternity Care, a Major Segment of Health Industry, Must Be Overhauled for Health Care Reform to Succeed
As competing interests work out the particulars of health care reform, Childbirth Connection reminds the nation that rapid gains in the quality, cost, and value of maternity care are achievable.
Read the press release (PDF)

National Policy Symposium Honors Childbirth Connection's 90th Anniversary

Nearly 250 leaders deliberated about Transforming Maternity Care in Washington DC in April 2009.
Learn about symposium, next steps
See 90 years of milestones for women and families (PDF)

Seton Family of Hospitals Receives First Maternity Quality Matters Award
Childbirth Connection presented its inaugural Maternity Quality Matters Award to an organization that is achieving significant gains for women and newborns.
Learn more about award winner

Maternity Care Priorities in Health Care Reform

Childbirth Connection has issued a statement about health care reform priorities for a high quality, high value maternity care system.
Read the statement (PDF) 

Evidence-Based Maternity Care Report Released
A major new report takes stock of the U.S. maternity care system and finds great opportunities for improvement. Childbirth Connection collaborated with the Reforming States Group and the Milbank Memorial Fund to develop the report.
Learn more, get the report 
Read companion USA Today article
Read the USA Today article
Read the Consumer Reports story
Take the Consumer Reports quiz
Read Our Bodies Our Blog entry

eNews Sign Up
Occasional news on maternity care research and other useful info.
*

Our Privacy Policy
 Find us on Facebook logo  Tweet with us on Twitter
@childbirth

Help Transform Maternity Care!
Help Transform Maternity Care! Please join our efforts to make quality maternity care a top national priority. Your support will help make the transformation possible.
View 2009 Supporter Roster 

New Mothers Speak Out
National Report Released

The latest report in Childbirth Connection's Listening to Mothers series is now available. Get an eye-opening look at the reality of life as a mother of young children in the United States, based on national surveys conducted by Harris Interactive.
Learn more, get the report
Read the Wall Street Journal story and listen to the podcast
Download Quick Facts (PDF)
New Content!
journey to parenthood
Journey to Parenthood
Full Book Available Online!

A family-friendly book covering the trimesters, pregnancy resources, and the latest information on baby's first year of development. Available online (free) and for purchase in the Bookstore.
Browse through Journey to Parenthood childbirth connection journey to parenthood
Buy this book and learn more journey to parenthood in bookstore
"A boppy is invaluable for a breastfeeding mother, especially at first."
-Listening to Mothers® survey participant
Every woman has the right to full and clear information about benefits, risks, and costs of the procedures, drugs, tests and treatments offered to her, and of all other reasonable options, including no intervention. She should receive this information about all interventions that are likely to be offered during labor and birth well before the onset of labor.