Adjusting Birth Plans: When a C-Section Becomes Necessary for Safe Delivery

You’ve carefully written out your birth plan, which clearly states that you’d like a vaginal birth. However, while you’re in the throes of labor, your doctor recommends a C-section. You’ll likely be confused, frustrated and disappointed. We get that, which is why we want to share with you the reasons why your birth plan may not go according to…plan.

One thing that’s important to know is that your physician or certified nurse midwife absolutely respects your wishes and will do everything in their power to make them a reality. However, their number one priority is always the safety and well-being of both mother and baby. Read on to understand who is most at risk for needing a C-section and the unseen complications that may deem them necessary.

What is a C-Section?

A cesarean section, commonly known as a C-section, is a surgical procedure performed to deliver a baby by making an incision in the mother’s abdomen and uterus. It is typically conducted when vaginal delivery poses risks to the health of the mother or baby or in certain specific situations where it is the safest option for a successful birth. Although it involves surgery, C-sections are generally safe and performed under controlled conditions by skilled medical teams.

Maternal Indications for C-Sections

Placenta Previa: Placenta previa occurs when the placenta partially or completely covers the cervix, which can lead to severe bleeding during labor. A C-section is often recommended to prevent complications and ensure the well-being of both mother and baby.
Preeclampsia: Preeclampsia is a pregnancy complication characterized by high blood pressure and organ damage. In severe cases, it can jeopardize the health of the mother and baby, necessitating the need for a C-section.
Gestational Diabetes: Women with uncontrolled gestational diabetes may require a C-section if the baby is too large or experiencing distress during labor.
Previous C-Section: If a woman has undergone a previous C-section, the risk of uterine rupture during a subsequent vaginal delivery increase. In such cases, a planned C-section is often recommended to ensure the safety of both mother and baby.

Fetal Indications for C-Sections

Breech Presentation: When a baby is positioned with their buttocks or feet downward instead of headfirst in the womb, it is called a breech presentation. While vaginal delivery of a breech baby can be risky, a C-section may be recommended to avoid complications, such as head entrapment or umbilical cord compression.
Multiple Pregnancies: In cases of twins, triplets, or higher-order multiples, a C-section may be necessary due to the positioning of the babies, or the increased risks associated with multiple pregnancies.
Fetal Distress: If the baby shows signs of distress during labor, such as an abnormal heart rate pattern, a C-section may be performed to expedite delivery and ensure the well-being of the baby.

Emergent Situations and Unforeseen Complications

Umbilical Cord Prolapse: When the umbilical cord slips through the cervix before the baby during labor, it can become compressed, cutting off oxygen supply to the baby. Immediate delivery via C-section is necessary to prevent potential complications.
Placental Abruption: Placental abruption occurs when the placenta detaches from the uterine wall prematurely, leading to heavy bleeding and potential harm to both the mother and baby. An emergency C-section may be performed to safeguard their health.
Fetal Distress During Labor: If the baby’s heart rate shows signs of distress or lack of oxygen supply during labor, a C-section may be required to ensure a safe and prompt delivery.

Collaborative Decision-Making

It is essential for expectant parents to engage in open discussions with their physicians regarding birth plans and potential risks. By actively participating in the decision-making process, women can make informed choices about their birthing experience, including the possibility of a C-section.

By fostering a collaborative and informed approach to childbirth, we aim to empower women to navigate their birthing journey with confidence, trust, and the reassurance that their health and the health of their baby are always the top priority.

Request an Appointment

Call us today at 770.720.7733 to schedule an appointment with one of our board-certified OB/GYNs or simply request an appointment online at either our Woodstock or Canton location.

Note: The specific reasons for cesarean sections and the recommended approach may vary depending on the medical context and individual patient circumstances. It’s essential to consult with healthcare providers for personalized information and guidance.