4 New Approaches to the C-Section Decision | Fit Pregnancy

4 New Approaches to the C-Section Decision

Revised guidelines for docs that can help you sidestep surgery.

pregnant woman in hospital gown

The C-section cause: Baby’s positioning is off.

Fetal malpresentation, when Baby isn’t positioned headfirst, accounts for 17 percent of C-sections.

Currently, C-sections deliver 85 percent of these babies, even though many could be maneuvered into the proper position.

The new guidelines:
Versions (when the doctor pushes on your abdomen to flip your baby into the right position) are often successful, but data shows doctors are doing fewer versions than ever. Doctors should offer and perform versions whenever possible.

The C-section cause: You’re having twins!

Multiple babies (twins, triplets, and so on) make up seven percent of C-sections.

Many times, one of the babies will be in the wrong position, but even so, vaginal birth can be successful (see above).

The new guidelines:
Patients should be encouraged to attempt vaginal births. Residents should be trained and obstetric care providers provided ongoing training to maintain skills needed to perform twin vaginal deliveries.

Related:   How Safe Is a Vaginal Birth for Twins?

The C-section cause: The baby is too big.

Suspected fetal macrosomia is to blame for four percent of C-sections.

Translation: Your doctor thinks your baby is too big for a vaginal birth.

The new guidelines:
It’s extremely difficult to determine how big a baby is prior to birth, especially based on ultrasound. It’s also difficult to know how big of a baby you can deliver. That’s why new guidelines say suspected fetal macrosomia isn’t a reason to do a C-section.

Shouting Hallelujah! yet? Just remember: It may take a while before all doctors are comfortable changing the way they practice. If your doctor suggests it's time to go to the OR, ask her about these guidelines, and don’t be shy saying you'd rather hang tight.

Related:   Why Unnecessary C-Sections Do More Harm Than Good



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