There has been a  gradual  increase  in cesarean births over the years. There are some situations in which a cesarean delivery may be  necessary. These include complications such as

• placenta previa
• placenta abruption
• umbilical cord prolapse
• breech presentation of baby
• fetal distress
• failure to progress
• cephalopelvic disproportion
• birth defects
• multiple birth
• gestational diabetes
• preeclampsia
• uterine rapture

 

 
However unless it is medically necessary, there are several steps you can take to reduce your risk for a cesarean delivery.

Ways to avoid a cesarean delivery .

• choose a primary care provider or birth setting with a low cesarean delivery rate
• avoid induction unless medically necessary
• get labor support from a professional such as a doula
• educate yourself about birth by taking an  independent natural child-birth class and reading books. You can also ask your provider lots of questions.
• ask your health care provider how long you can delay going to the hospital when labor starts. It is better to wait until you are about 3 cm dilated before going to the hospital. A common reason for  cesarean delivery is prolonged labor
• avoid epidural analgesia if possible
• find out other alternative for coping with pain
• be active during labor. Find the best laboring and pushing positions that helps your labor to progress
• ask your health are provider about  his recommendations on turning a breech baby and explore these options

 
If you doctor suggests a cesarean delivery, ask question about your concerns.  Some situations are emergencies and a cesarean needs to be done right away to save you and your baby’s life. This is no time to negotiate. However in situation such as your baby is too big for vaginal delivery. Ask questions to make sure you really need the cesarean delivery.
 
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