Being Proud of Your Cesarean Birth

I love when I make new acquaintances and we get on the topic of birth.  As a doula, birth is always on my mind. I am always excited to talk about other womens' experiences. Lately, I've noticed a trend that makes me sad.  Women hanging their heads in shame when they tell me that one of their births ended in a cesarean section.  This shame saddens me to no end.

When have we started as a society, shaming women because their child was birthed surgically?  What gives us the right to shame other women.  Women are shamed today for just about everything.  We have fought for the right to vote, the right to decide what to do with our bodies, and equality. We have to justify our decision to work outside the home, be a stay at home mom, our finances, and the endure the endless shaming of our appearance on advertising, television, and social media.

Yes of course for most women, a cesarean is not the desired birth.  But for some, it is.  It is not our right to judge.  My job and my personal belief is to support women of every culture, background, and decision they make. Women make decisions based on what they believe to be the best for their baby and their body.

Don't hang your head if you had an unplanned, unwanted c-section.  You are not a failure.  You accomplished an awesome feat!  You brought a beautiful baby into the world.  You and your baby overcame an obstacle and thrived.  Be proud of yourselves ladies.  Stop shaming each other.  Most importantly, stop shaming yourself!  You were created by God and he doesn't make mistakes.

So the next time I talk with a woman who birthed her baby via cesarean, I want to hear all about the positive aspects of the birth.  Don't hang your head in shame. Be Proud!

Peace and Love,

Cathy Smith, CD(DONA)

Dilation is Just A Number

Most people know that when it comes to giving birth vaginally, a woman’s cervix must go from 0 cm to 10 cm, before she can deliver her baby. Okay, so it's not just a number, it does play a pretty important role. Personally, though, I think that expecting parents can focus a little too much on the number and often times don’t realize the many other ways that labor is progressing.

For example, during the birth of my 4th daughter, I was in very active labor (if not transition) when my midwife suggested that she check the dilation of my cervix.  I consented & after checking me, she told me I was 5 cm.  Being very vulnerable & definitely in transition, I thought there was no way!  I had to be close to done!  After walking from the bathroom to the bed and a few really tough contractions, I was complete & began involuntarily pushing.  I went from 5 cm to baby in my arms in about 15 minutes!

That being said, aside from contractions & cervical dilation, there are other factors that can show us progress in labor.

1.Position of Cervix- A cervix moving from posterior (near the back, hard to reach) to anterior (near the front of the vagina, easy to reach) is considered a sign of progress.

2.Effacement- The cervix starts out long & firm, but as labor progresses, the cervix shortens &  thins.

3.Baby’s Station- The caregiver finds the ischial spines & estimates the distance between the spines and the baby’s head.  If the head is above the spines, it’s considered a negative station.  If it’s below, it’s considered a positive station.

4.Checking for Position
Anterior fontanel- The diamond shaped fontanel located near the front of baby's head is presented.
Posterior fontanel- The triangle shaped fontanel located towards the back of the baby's head is  presented.

As you can see, there are quite a few factors to look at when determining progress in labor.  Cervical dilation is just one of them.  Try not to get stuck on the number.

Written by: Andrea Myers

 Disclaimer: As doulas, we DO NOT perform clinical tasks i.e. check the cervix.  We leave that to the medical professionals.  We are just familiar with how the cervix works.