Surgical Births are Still Births.

Before we begin, it is important to first state that ALL BIRTHS ARE VALID.
CESAREAN SECTION BIRTHS ARE VALID.
And in fact, surgical births can be sacred and ceremonial too.

A C-section is a method of fetal delivery through an open abdominal incision and an incision in the uterus. 

It is often recommended if the birthing parent has had a prior C-section (although you can advocate for a V-BAC if there are no other medical barriers!) , if the birthing parent has herpes simplex or HIV, and other medical situations that put baby or laboring person at risk.

In most cases, the birthing parent is awake during the procedure and receives an epidural to help with pain management.

A c-section, also known as a belly birth or surgical birth does not stop you from having immediate skin to skin with baby, a lotus birth or other ceremonial experiences.

It is important to note that you are supposed to be informed about why a c-section is suggested as necessary before experiencing one and unless medically necessary (meaning you or baby are at risk) you do not need to have a c-section.

What is a C-section?

Planned and Unplanned C-sections

  • This occurs when someone chooses to have one, also known as “elective cesarean” or when the physician is aware of a known medical problem that may make labour dangerous for the birthing parent and the baby. Some examples include: carrying multiples, infections such as HIV or open genital sores that can be passed on to the baby, other medical conditions that may make vaginal birth stressful or dangerous. People may also choose to have a belly birth to avoid gender dysphoria in birth, or resurfacing of sexual trauma.

  • This happens when there is a medical problem during the labouring process. Sometimes this is an emergency and sometimes it is not. Some reasons for an unplanned C-section are: labouring person is tired and changes their mind about how they want to birth. The baby is showing signs of distress or dropped heart rate, the labour is not progressing or other medical emergencies that may be impacting birthing person and/or baby.

The recovery stage following a C-section can be between 3 and 5 days in hospital. After discharge from the hospital full recovery from the procedure can take up to 4 months.

  • Rest as much as needed

  • Avoid heavy lifting 

  • Watch for signs of infection

  • Walk often, slowly increasing the duration of the walks. This will help prevent the formation of blood clots.

  • Do not do exercises that will strain the abdominal muscles until approved by a doctor. 

  • Hold a pillow over the wound when coughing, sneezing, or laughing. This is to brace the wound and help reduce pain. 

WOUND CARE

  • Wash your hands before doing any wound care. 

  • Keep the site clean and dry

  • Showers are okay, do not soak in hot tubs, baths or go swimming until the doctor approves it.

  • Follow the doctors instructions about wound dressing and care

WHEN TO CALL A DOCTOR

  • If you soak through a pad in an hour

  • If you pass blood clots that are as big as a plum. 

  • If the stitches start to open

  • If yellowish or greenish discharge is noticed at the wound site

  • If there is a foul-smelling discharge from the site of the wound

  • If you develop flu-like symptoms

  • If you have a fever that is over 38 degrees celcius

  • If you have pain that does not go away after using pain medication. 

Healing after a C-section

Cultural Ideas & Feelings Surrounding C-Sections

Some cultures and religions may hold negative views about C-section births. Women have reported hearing phrases like "the women in the Bible did not have C-sections, why should you?" 

Some women have reported their cultures insisting women who undergo C-sections are selfish and lazy.

Other women also reported a cultural belief that women should endure pain during childbirth and would not accept a C-section, often resulting in the loss of the child's life and the mother's life.

Some women also reported feelings of failure and like a "bad birther" for not having delivered their baby vaginally.  They reported being shamed and being told they did not deliver their baby, but the doctor who performed the surgery did.

These feelings can cause immense distress for the mother and affect the bonding with the baby. It is important to be aware that these views may influence the way the birthing parent feels about their birthing experience. Encourage the mothers to journal their feelings and speak to others about how they are feeling. If the symptoms of sadness and depression linger for more than 2 weeks, it may be necessary to encourage the mothers to seek out help as this can be a sign of post partum depression. 


INFORMATION ABOUT CESAREAN SECTIONS.

https://www.ontarioprenataleducation.ca/caesarean-birth/

https://www.mountsinai.on.ca/care/cs

https://www.ncbi.nlm.nih.gov/books/NBK546707/

https://www.healthlinkbc.ca/pregnancy-parenting/labour-and-birth/during-labour/caesarean-section

https://medlineplus.gov/ency/patientinstructions/000624.htm

https://acrobat.adobe.com/link/review?uri=urn:aaid:scds:US:8d81fdca-93cd-3282-95b4-5eb654d941de

INDICATIONS FOR C-SECTION

Abruptio placenta

https://www.healthlinkbc.ca/pregnancy-parenting/pregnancy/risks-and-complications-during-pregnancy/abruptio-placenta

Placenta previa

https://www.healthlinkbc.ca/pregnancy-parenting/pregnancy/risks-and-complications-during-pregnancy/placenta-previa

BREASTFEEDING AFTER A C-SECTION

https://trilliumhealthpartners.ca/patientservices/womens/Pages/breastfeeding-after-caesarean-birth.aspx

https://www.nct.org.uk/baby-toddler/feeding/early-days/breastfeeding-after-caesarean-birt

https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0876-1#Sec1

https://www.youtube.com/watch?v=9iOGn85NdTg

C-SECTION BIRTH VIDEO

http://health.sunnybrook.ca/sunnyview/skin-c-section-caesarean-birth/

https://www.youtube.com/watch?v=xyN48VnRYUY

CULTURAL OPINIONS AND FEELINGS FOLLOWING C-SECTIONS

https://www.bbc.com/future/article/20190612-caesarean-sections-in-africa-stigma-and-maternal-mortality

https://www.the-star.co.ke/news/big-read/2021-03-16-mothers-suffer-stigma-over-delivery-by-c-section/

https://www.huffpost.com/entry/giving-birth-and-the-c-section-stigma_b_57dac1a8e4b053b1ccf294b0

https://www.myjoyfilledlife.com/emotions-after-unexpected-c-section/

https://www.vbac.com/emotional-healing-after-a-cesarean/

https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2687-7

https://www.chicagotribune.com/lifestyles/sc-psychological-effects-c-section-family-0606-20170518-story.html


DOULA SUPPORT FOR A C-SECTION 

https://www.washingtonpost.com/national/health-science/doulas-are-playing-a-role-in-c-section-births/2018/07/13/79323372-6447-11e8-a768-ed043e33f1dc_story.html

TIPS FOR RECOVERY AFTER A C-SECTION

https://www.youtube.com/watch?v=Gl3p0U3qS0c

https://www.youtube.com/watch?v=tqm8MWf7JUs

Complications following a C-section 

https://acrobat.adobe.com/link/review?uri=urn:aaid:scds:US:c4c7fc58-cc96-3c18-b991-a377a957c0e8

VENOUS THROMBOEMBOLISM

https://www.nhlbi.nih.gov/health/venous-thromboembolism#:~:text=Venous%20thromboembolism%20(VTE)%2C%20also,leg%2C%20thigh%2C%20or%20pelvis.

POSTPARTUM HEMORRHAGE

https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P02486

REFERENCES

This page was created by Oluwakonyinsolami (Feyi) Ogunrinde, Toronto Met University Nursing student in collaboration with the Ontario Black Doula Society.
You can see her original project page here