For today...another one from the archives, originally published in April 9, 2013. Updated April 30, 2014 to include information about microbiome seeding; and a gentle cesarean checklist of options to review with your provider and prepare for a cesarean birth journey.
A "Family-Centered" cesarean? A "gentle" cesarean? A procedure that is Woman and MotherBaby-centered? What? Did you just read that correctly?
Yes, you did. There is a "new" trend in cesareans that is hitting the mainstream consciousness here in the United States.
While a lot of the focus during Cesarean Awareness Month tends to center on Vaginal Birth After Cesarean (VBAC), I also want to acknowledge that a VBAC is not the choice that all mothers want to make. Here is an option for mothers who know they want, or are considering, a repeat cesaran birth. It is also an option if a healthy, low-risk labor starts to change it's course and there is time for non-emergent cesarean.
I have linked to THIS post about a "natural" cesaran more than once in previous posts, and today I want to be a little more specific about what a "natural" cesarean is and why a family might opt for this.
To quote the article:
A family-centered, or natural cesarean strives to capture these components of a vaginal birth:
The idea of "seeding the microbiome" is a new concept. Here is a quote from THIS article:
And one from THIS article:
So while your initial reaction might be one of surprise and disgust, think about it. Please take a minute to read both of the excerpted articles and have a discussion with your partner and your care provider before you make up your mind one way or another.
Here are some of the benefits that are causing mothers to request this kind of cesarean option:
If you would like to have a conversation with your care provider about planning for a gentle cesaean as your birth plan or "just in case" plan, HERE is a list of options for you to discuss with them, provided by ICAN of Phoenix chapter leader Jenni Froment.
I also want to mention: these are evidence-based recommendations. If your care provider scoffs at you and laughs you out of the room, thank them very much for their time and go have a conversation with another provider in your area. Your local ICAN chapter or ICAN international are great resources for respectful, family-centered providers.
What do you think?
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