Cesarean Awareness Month

Do you know what all these women have in common? You may have already guessed that they are all women who work in birth. This group includes a Unit Director, Clinical Specialist, Midwife, many Labor & Delivery Nurses, Unit Secretary, Test Nurse, Unit Assistant’s to our inpatient and outpatient facilities and a NICU Nurse.

But would have guessed that they have all had cesareans? Believe it or not, there are even more women that I work with (including myself) who have had at least one cesarean birth. A number of women in this group have also gone on to have successful VBACs.

Indications in this group for c-sections:

  • Multiples
  • Fetal Intolerance to Labor
  • Failure to Descend
  • Failure to Progress
  • Breech
  • Persistent Category II Tracing
  • Attempted Home Birth

When I care for women labor, there are often times that they ask if I have children of my own & how I birthed them. When I share that I have had two births by cesearan, they primary reaction is surprise. “Really? You’ve had a c-section?” Yep. Just because we work in birth does not mean we all have vaginal deliveries. Have you guys ever heard of the “nurse curse”. Just kidding… kind of.

While there are a number of reasons for why we have cesareans, we as birth workers work so hard to avoid taking you there. According to the International Cesarean Awareness Network, “Researchers estimate that almost half of the cesareans performed could be safely prevented”. Advocating for our patients and educating them of their choices during labor and birth can help reduce the amount avoidable c-sections. It’s not enough to just inform our patients. It’s also important that we work on removing our own biases when it comes to cesareans. ICAN is a great resource for birth workers to use as a resource for ourselves and guide our patients.

We also know from our experience in birth that there are cesareans that are necessary and can save the lives of birther and baby. The emergency cesareans, the cesareans for anatomical differences, cesareans for babies who cannot rotate out of a malposition despite all the hard work by the birther, cesareans for previous birth trauma, and the list goes on.

It is so important for birthing people to be able to process their cesarean birth. Birth workers can help them be heard by asking and listening. That is all. It is their choice whether or not they would like to share or not, but we can always offer an ear.

Women who have cesarean births have a very different road to recovery comparatively to vaginal births. We can help support them through and educate them on what to expect in the early days, months and coming years.

Having open discussions with patients and birth workers regarding vaginal birth after cesarean is also instrumental in preventing future avoidable c-sections.

Have you had a c-section? Would you like to share your story?

For more information and resources check out below…

Hi, my name is Kim & I love birth.
I have been a Registered Nurse for ten years, with the last five specializing in Labor & Delivery.
I love human connection & the art of story telling. I believe it can be a major catalyst for change.
I would love to help you share your story or advice so that we may better support each other and the people we care for. 

Do you love birth? Heck yeah you do!

Don’t miss our weekly story. Subscribe below to get new stories & advice delivered directly to your inbox.

Claire

Pre & Postnatal Educator, Founder/Host of The Natural Mama Podcast

New Orleans, Louisiana

I had mastered the whole living abroad thing, fully identifying as a “Forever-Expat,” with no vision of returning home (United States) anytime in the foreseeable future. Well, then comes baby… and “Pregnant-Expat” isn’t nearly as fun as the jet-setting, island-hopping lifestyle I once relished in.

After living in Barcelona, Spain for several years, my husband and I decided to move to Chile, his home country. The week we moved there; I became pregnant. Although we talked about having a baby and had even begun “trying”, we didn’t expect it to happen so quickly.

We were truly overjoyed and incredibly excited. But fairly soon after finding out the good news, I realized being pregnant abroad presented a whole range of challenges that I never expected. The joy and excitement of having our first child was directly counterpoised by the stress and fear of giving birth in a foreign land, in a foreign language, and with foreign standards of medical care.

I always knew I wanted to give birth naturally – vaginally, unmedicated, with minimal interruptions/interventions. After searching for an OB who favors natural births, it didn’t take long to find out that my birth preferences did not fit into the medical system of Chile, a country with one of the highest cesarean section rates in the world. It’s common for a woman to go to her first prenatal appointment and leave with a c-section already scheduled for 38 weeks away. This freaked me out.

Well, the stars aligned (and my incessant searching paid off) because I found the one and only OBGYN, and her team of midwives, who are infamous for being balls-to-the-wall pro-natural. When I called to make an appointment, I was told she was booked for the next five months. But then the scheduler stuttered a bit and told me “Oh wait, someone literally just cancelled as we’re speaking. Would you be able to come in tomorrow morning?” This was a divine moment. I am sure of it, because this doctor was the only one I wanted. Turns out she truly lived up to her stellar reputation.

I was supported and comforted throughout my pregnancy, with very few interventions. I only had two ultrasounds, was weighed only when I asked to be, and was never checked for dilation. Honestly, I didn’t even know pregnancy check-ups were so procedural (weight, cervical exams, etc.) until my best friend told me what it was like for her in Texas.

My pregnancy was a breeze and I felt super prepared for childbirth. My midwife educated me on my own anatomy and physiology, taught me natural pain relief techniques, and continually encouraged me to stay in-tune with my body, trust my body, and be totally present throughout the experience.

On August 4, 2019 I was three days past my due date. I woke up to pee when I noticed I had lost my mucus plug. At 1:30pm my water broke, and I began feeling pretty gnarly contractions. Many of them were double-peaked contractions. I labored at home with my husband for as long as I could… probably too long to be honest. Because my son was almost born in the car on the way to the hospital.

I was unmedicated, I was fully present, and I was put into a euphoric state during labor. Yes, the contractions hurt. But in between each contraction, I was lifted into a state of bliss – the natural rush of oxytocin is INSANE and REAL. About 30 minutes before Mateo was born, we were walking to our car to head to the hospital and I just stopped and looked at my husband with a huge smile and tears rolling down my face. He asked “What’s going on? Are you okay?” I responded between sobs, “yes!!! I’m just so HAPPY!! We’re about to meet our baby!!!!” It was an unforgettable feeling. Thank god my husband kept me on track and ushered me into the car, because it was definitely time to go.

That’s when the fetal ejection reflex (Ferguson Reflex) kicked in. I had heard about how your body “does all the work” on its own, but it didn’t really make sense to me until I felt it first-hand. I was lying across the backseat of the car, and suddenly my contractions changed. My body was pushing out my baby and I had absolutely no control over it. I told my husband “He’s coming!! He’s coming!! My body is pushing him out and I can’t help it! I’m not trying, it’s just happening!!”

My husband drove the car up to the automatic doors of the emergency department of the hospital. The front bumper was literally in the doorway and he hollered at someone to get a stretcher for me. Someone brought a wheelchair and I yelled at them in Spanish that the baby’s head was hanging out of my vagina, there’s no way I can sit in a wheelchair. The stretcher arrived and I was rushed through the hallways towards the labor and delivery section. I was lying on my side, demanding my top leg to be held up in the air as we zoomed through the hallways. The guttural, savage sounds coming from deep within my soul echoed throughout the halls of the hospital until we got to my delivery room. I pushed twice and Mateo was born at 7:39pm.

Once the birth was over, and my doctor’s job was basically done, the lack of medical care became present. We have no idea how much our baby weighed at birth because the scale was broken. They injected him with a Hepatitis B vaccine without my consent. When I got up to use the bathroom for the first time after giving birth, a nurse escorted me to the toilet and walked away, leaving me unattended. I got super dizzy, everything went black. The next thing I knew I was lying on the floor covered in blood, with cuts on the side of my head. I had passed out, by myself. The event was brushed over and ignored by the medical staff as if nothing had happened.

I learned so many valuable things from my experience of being pregnant, giving birth, and becoming a mother in a foreign country. Knowing that I was living in a place with out-of-date medical practices and a complete language barrier, I took it upon myself to research the ins and outs of all things baby-and-birth-related. And I became obsessed.

This is how “The Natural Mama Podcast” was born. A project that embodies and expresses my deepest passion. It is my goal to educate, empower, and encourage women to choose the most natural route possible throughout pregnancy, childbirth and beyond. I believe that when women are properly educated on the design and function of their own bodies, fear of the unknown dissipates, and confidence takes ahold. I began to gather the latest information from peer reviewed medical journals, experienced midwives, OBGYN’s, lactation consultants and fellow mothers.

There was no reason to keep all this valuable information to myself when so many women around me were struggling and desperate for answers. I began recording podcast episodes to share my acquired knowledge with as many women as possible. The Natural Mama Podcast evolved from there into a very active Instagram community and now an official blog-style website.

Women deserve to give birth with dignity. This is something that is so often disregarded in our society’s modern, over-medicalized approach to childbirth. The Natural Mama Podcast is an informational source for women to learn about their own incredible bodies, fully understand the sacred event of childbirth, and confidently make informed decisions to take control of their birthing experience. If I can help just one woman transition into motherhood at ease, I will feel genuinely fulfilled.

How to connect:

Podcast episodes are available on Apple Podcasts, Spotify and Soundcloud.

Please follow @naturalmamapodcast on Instagram and visit www.thenaturalmamapodcast.com to learn more.

Hi, my name is Kim & I love birth.
I have been a Registered Nurse for ten years, with the last five specializing in Labor & Delivery.
I love human connection & the art of story telling. I believe it can be a major catalyst for change.
I would love to help you share your story or advice so that we may better support each other and the people we care for. 

Do you love birth? Heck yeah you do!

Don’t miss our weekly story. Subscribe below to get new stories & advice delivered directly to your inbox.