Every doula client I’ve ever had has told me that their doctor or midwife knows “I really don’t want a cesarean.” This is generally said with confidence that this will affect whether or not she has a cesarean, when it comes to the day of birth. It doesn’t. Not because their midwives or doctors don’t care about women’s feelings, but because nearly all of their clients really don’t want a cesarean. There are a very few women who would prefer to have major abdominal surgery, feel ‘too posh to push,’ or who feel indifferent about a cesarean for their birth, unless they have had a cesarean in the past. Having a client who prefers a normal birth is actually very common, and it doesn’t appear to affect individual maternity care providers’ cesarean rates.
It is true that often women feel their care providers did not give them a fair shot at a vaginal birth. And also, often women feel their midwife or doctor really went the extra mile for them, used all their special tricks of the trade, and bent policy rules to get them the birth they believed that was best. So what makes the difference? What really works, when women want to avoid a cesarean? The Unnecessarean blog has a list…
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