Most women in this position have little if any choice when it comes to childbirth options. The majority of women with breech babies are offered an elective cesarean section, and most of which choose to go with a scheduled one, rather than waiting for the pregnancy to mature. A very small number of women actually wait for the contractions to start or their water to break. Either way, the majority of women with a breech baby end up having a cesarean section.

A successful vaginal delivery of a breech baby is completely possible with an obstetrician experienced in these types of births. In Frankfurt, Germany, there is a lot of experience in successful breech baby vaginal deliveries in recent years. Their experience shows success in such births especially with the women laboring on all fours. There are vaginal deliveries of breech babies with little medical interference, no constant monitoring, no epidural and no need for stitches.

Well, yes, it is one route you can take to avoid certain fears you may have, but is having an operation the best solution for you? Before you make that decision, consider whether or not you want / prefer having staples in your belly and catheter in your bladder; is it really worth having to experience a longer hospital stay as well as a longer recovery. Also, do you want to take the risk of returning to the hospital because of an infection.

Know that once you have one cesarean section, you will most likely have repeat cesareans in future pregnancies. Though today more and more women have successful VBACs (Vaginal Birth After Cesarean), most obstetricians will prefer you have a cesarean if you have had one before.

When a cesarean section is needed for medical reasons, or due to an emergency, you may not have a way to avoid it, but will be grateful for this life saving operation. Though in the absence of such circumstances, weigh your options and consider which is safer for both you and your baby, as well as which will allow you to recover faster and/or better.

Like any other medical procedure where you are being cut open, a cesarean section is a major surgery. This means there is a recovery time, about 2 to 4 times longer than the recovery time needed after a vaginal birth. There is also the risk of infection around the incision area, as well as the possibility that future births will result in another cesarean section.

Elective cesarean section is becoming more accepted these days. Some expecting mothers get impatient and want to meet their baby rather than wait. Others want to choose their child birth date, or want to avoid the pains of labor and maybe have a tummy tuck along the way.

Nevertheless, there are many women who prefer to give birth vaginally. If you are one of them, start with speaking to your healthcare provider and write a birth plan to better your chances of having things go your way. Make sure your OBGYN is on board with your plans. Also check the cesarean section rate at the hospital you intend to deliver at. If your OBGYN or the hospital do not have the right answers for you, considering switching to another provider.

You can help avoid undergoing a cesarean by taking care of yourself and listening to your provider. Towards the end of the pregnancy, your doctor will monitor the size of the baby and may alert you to change your diet if there is a concern that your baby will be too large to be delivered vaginally. Do not take this advice lightly.

Listen to your body and take care of yourself throughout your pregnancy. Eat healthy, exercise, sleep well and stay safe. If you are at a higher risk for a cesarean or your baby’s position does not allow for a vaginal birth, talk to your OBGYN about what you can do to help change the situation.

Vaginal Birth after Cesarean is actually quit common. Some 90% of woman who have had a cesarean delivery can deliver vaginally the next time around.

The biggest concern for women who have had a previous cesarean is the risk of a uterine rupture during a vaginal birth. Studies show increased rates of uterine rupture in women who go through labor induction or augmentation. Discuss the possible complications of induction with your OBGYN before you make your decision.

You can avoid a cesarean this time around if the reason for your first cesarean delivery is not repeated with this pregnancy, you have no major medical problems, you baby is a normal size, the baby is head-down

To be considered for VBAC you must have had no more than 2 low transverse cesarean deliveries and no additional uterine scars, anomalies or previous ruptures. You will be monitored through labor and may end up undergoing a cesarean if the situation shall call for one.

You may require a cesarean delivery if you are pregnant with twins, have diabetes or high-blood pressure.

With any other surgery, allowing yourself recovery time is logical and usually a relatively easy task. However, other surgeries do not send you home with a child to take care of when you return home.  Having to care for a child while recovering is difficult and it becomes harder to rest and let your body to recuperate. After all, your schedule is now in the hands of a tiny baby with needs he cannot fulfill independently.

What do you do? Ask for help and/or accept any help offered. If you have relatives in town who came especially for the birth or live nearby, take advantage of their presence and let them take some of the weight off your shoulders. You need the help and they will most likely be happy to give a hand.

First, take care of yourself. Drink plenty of water to avoid constipation, which is usually an issue for the first week after delivery. Make sure you get the rest you need, but at the same time make a point to walk around regularly, increasing activity gradually. It will help your healing process and prevent complications such as blood clots.

Secondly, don’t overdo it. Wait until your postpartum checkup (six weeks after delivery) before starting up exercising and/or resume sexual activity. Speak to your OBGYN when you meet about your readiness for these types of activities. Speak to your healthcare provider sooner if you have any questions or concerns.

Finally, cut yourself some slack. Recovery may take longer than you expected, or you may find yourself emotionally recuperated while still physically strained. Try not to let it get to you and certainly don’t be too hard on yourself. You have a newborn to care for, your body is healing, and you may be experiencing the blues – after all your life has changed completely! Keep your chin up and listen to your body. You will be 100% soon!

Birthing Centers offer a home-like environment with the freedom to experience labor in your own way. Birthing centers are run by nurse-midwives, and are fully equipped with a variety of medications, IVs, oxygen, and resuscitation equipment should your baby need it. There are no electronic fetal monitoring equipment, epidurals, labor induction devices, drugs, or cesarean deliveries.

A birthing center offers a natural birthing experience, as close to a home birth as you can find. Something you should know and consider is the fact the women are discharged right after the birth, or no longer than 12 hours thereafter.

Hospital Birthing Centers combine the “homey” ambiance with the security of high-tech birthing options. They are also run by nurse-midwives and are very similar in décor to other birthing centers, but have the advantage of accessing high-tech medical care when needed.

These types of centers are most appropriate for pregnant women who are not sure they can make it through labor without pain medication and those who may need to spend up to 48 hours in the hospital post-birth.

Home Birth allows the mother-to be to experience birthing on her own terms within the comfort and familiarity of her own home. It is suggested that a midwife follow the pregnancy and assist with the birthing process. If you are interested in this experience, take the time to research and interview midwives to find the one who is right for you.

If a certified midwife tells you that a home birth is not in your best interest, listen to her. She has the experience and credibility to provide these suggestions. Best candidates for home births are healthy women with a normal pregnancy and a good after-care support system.

Most importantly, listen to yourself. Whatever decision you make, be sure you feel comfortable about it.

Things have certainly changed quit a bit over time, but there are still couples who choose not to include the dad in the delivery room. The fact that men are now allowed in the delivery room, does not mean they have to attend. This is a decision made between the couple. When you prepare your birth plan think of what you want and need, and decide who should be present during the delivery.

Regardless of which way you voted, dad’s role will start with the first contraction, while you are still at home (or elsewhere…). This is the time for dad to be a distraction from the contractions and get you two organized for the hospital.

A father to be’s role in the delivery room these days can take on different forms depending on what the mother to be wants and needs. If you have gone to a birth preparation class together, dad can help with breathing techniques and count, massage, hold mom’s hand, and provide encouragement and support.

“Having a baby together is an intense, life-changing experience that most couples want to experience together. The father can be an immensely reassuring presence for the mother” says Patrick O’Brien, a consultant from the Royal College of Obstetricians and Gynecologists.

If you choose this as your route, the best thing you can do is take a class together, talk to each other about your expectations and/or speak to friends or family who have experienced a delivery with dad present in the delivery room about their experience. This can be a very special experience, and talking about what you want, need or even expect of each other before hand, can be a tremendous help in putting both mom and dad at ease.

After any delivery, vaginal or cesarean there is vaginal bleeding from the uterus, which is healing and cleaning itself out from the pregnancy. At your postpartum visit your doctor will check your incisions to see how those are healing, and see if the bleeding has stopped. This is usually when you will get the green light to resume intercourse.

While most of the post partum issues resolve within 6 weeks or so, you may be dealing with still tender incision area. In that case try positions that will not introduce any direct contact with the incision area.

Another thing to take into account is that most new moms, and especially breastfeeding moms (usually for as long as they breastfeed), will experience excessive dryness and may need the help of lubrication gels or creams.

When you do decide to get back in the game, give yourself a break and ask your partner to do the same by taking things slowly. Things may not feel the same at the beginning, and muscles will be or feel stiffer than normal, or more tender. Start slow, and listen to your body. Talk to your partner and share your feeling / pain / etc. Things will return to normal eventually, but forcing things will not speed up your body’s healing process.

A cesarean section is a surgical operation in which the mother’s abdomen and uterus are cut to allow the baby or babies to be taken out into the world. After the baby is out, the placenta will be removed and the incision is sewn shut. This operation was originally designed to be performed only if its benefits are grater than the risks.

More often than not, the medical system may prefer a cesarean section on a vaginal birth. The modern machinery and knowledge provides a safe option, which can be a used as a safe solution to any question mark or issue, as minor as it may be, that may arise before the delivery. This fact rises the percentage of cesareans, at times with no real reason.

Elective Cesarean Section

When a cesarean is planned in advanced (mostly for no medical reason such as risk to the mother or baby), it is called an elective cesarean, which means it is done out of choice. In an elective cesarean, the date is selected / scheduled in advanced by the doctor and there is no dependency in the start of contractions or any other factor.

Today, many women prefer to have an elective, pre scheduled and contraction free cesarean section operation even if there is no medical problem requiring one. Remember, the operation is in fact an operation, with risk of complications and a long recovery. At the same time, the objective for each birth is to deliver a healthy baby while keeping the mother in good health (physically and mentally), so if the end result is just that, an operation can count as a valid means.

Emergency Operation

At times, a complication in the process of a delivery that has started vaginally may force the medical staff to perform an emergency operation. If the emergency c-section is performed due to a fetus distress, you will most likely not have the time to understand exactly what happened and be a part of the decision making. If there is time, ask to take part in the decision making, and understand why the doctors think it is best to proceed this way.  Later, after the delivery, you will feel better knowing you took part in the decision making.

Father presence during the C-Section

In some hospitals the father is allowed to be present in the room for a cesarean section. Unfortunately, he will not be allowed in the room for an emergency operation.

Elective Cesarean Section Advantages

• Protects the pelvic floor, which prevents future problems such as uncontrolled urine leak, uncontrolled gas and the likes.
• Prevents fetus distress during delivery in case of an emergency cesarean.
• Prevents risks of forceps delivery to the baby and mother
• Minimize uncertainties – date, time, length of operation, are all known in advanced to the women & the medical staff, and allow them to prepare for it.
• Eliminates the possibility of passing the 40^th week with no delivery, which may introduce complications.

Elective Cesarean Section Disadvantages

• Chance of infection after the operation
• There is no delivery experience.