Pressured into c-section?

[babochka]

I’ll ignore all the anti-women garbage at the end of this post, but I think it’s perfectly reasonable to say that it is safer to schedule a c-section when it is legitimately believed that a c-section is inevitable, for example when the baby is breech. There’s no point in waiting to go into labor and risk having an emergency situation when the surgery is already indicated for medical reasons. There does come a point in the third trimester when it is almost impossible for a baby to flip.

I wouldn’t blame anybody for scheduling a C-section when they believed that a C-section was inevitable. I’ve had three long, difficult laborers that ended in C-sections. There are some benefits to the baby if a mother goes through some labor, even if the end result is a C-section.

Cesarean Section vs. Vaginal Birth

And breech babies have been known to turn on their own in the last weeks and days, even during labor.

 

[Allegra]

There are a lot of things that are known to be possible that are still very statistically unlikely. A breech baby turning in labor is one of them. Most scheduled c-sections still aim for 39 weeks, unless there are issues of preE or something else that requires the baby not go to full term. If a baby is still breech at 39 weeks, the chances are not good of the baby turning. This article doesn’t explain when those hormones start, so I am curious about whether or not the month has to be in full-blown labor in order to produce them, or is the week or two leading up to it sufficient? Obviously some hormones are released in the weeks leading up because for most pregnancies, the cervix begins dilating a few days or even weeks in advance.

 

[Anicette]

Breech babies are not in itself a counter indication for a vaginal birth.

It can be according stricts criterias, but trying a natural birth is possible and safe if all baby/mother matches are goods, the patient cooperate and the medical team is trained and used to help giving birth to breech babies.

For eg, in France vaginal birth for breech babies are condidered a safe practice under stricts criterias of acceptation before, and strict medical protocols during the birth:

How singleton breech babies at term are born in France: a survey of data from the AUDIPOG network - PubMed

For all specific births, breech, twins etc a specific obsterician knowledge, practice and team and hospital invetsment are requieed to provide safe births. When this knowledge is gone and of the providers prefered to perform automatic caesarians, it is no possible to have a natural birth in safe conditions, so there is no other choice than a caesarian.
Many countries have choose this path.

In an extension of the topic when some countries have rate as high than more than 50% (such as Brazil or Turkey) it is obviously not a choice of the mother or a medical necessity but decided bu hospital or obsterician for others reasons.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32394-8/fulltext

 

[starlady]

My son was breech…I actually felt him flip into breech position when I was around 24 week along (something like that). I was just sitting on the couch with my husband and I felt a very strong movement that actually hurt my abdomen. At my next OB appointment, I mentioned it to the doctor, and he confirmed it on the ultrasound. The OB tried flipping him at the hospital, and I tried putting myself in different positions, walking extra, doing all these things that I found on the Internet to get my son to flip, but his head was stubbornly stuck up under my ribs haha.
We ended up scheduling the C-section for the day before his due date. And of course, they checked the ultrasound once more before surgery and confirmed that he was still breech. Apparently I was contracting but didn’t realize it, believe it or not. I’m not sure how frequently they were happening.

My experienced, Catholic OB said that a vaginal breech birth is not impossible, but he didn’t recommend it for someone’s first pregnancy/birth. Again, that’s not to say it isn’t impossible, but that was his recommendation to me. Indeed, nowadays, having a C-section does not mean that a future vaginal birth is not impossible. My personal recovery was extremely easy following my C-section. Of course, now we have to make decisions because we are expecting our second. Either way, I trust my OB completely, whichever direction we choose to go.