C-Section | Fit Pregnancy

C-Section

Who you gonna call?

Lori is scheduled for her third C-section this week and emailed with this question: "I've been having contractions for several nights and I'm worried I'll dilate too fast for the doctor to do my C-section in time. How do I know when to call the doctor?" Lori's questions open up quite a few areas for discussion. We'll talk a lot about C-sections in future blogs but this week we'll discuss contractions, scheduled C-sections and phone calls.

Gimme a C

Carla and Louis Gericke began planning for a family after returning from a trip around the world. The Gerickes, both in their 30s, may not know whether they will have a boy or girl or if they want to raise their child in New York, where they now live, but they do know how their baby will be delivered. Carla, an attorney and writer, is insisting on a Cesarean birth, and not because of any medical necessity. “My primary reasons are to avoid tearing, vaginal stretching and incontinence,” she says. “I believe elective C-section is a personal choice.

what is fetal distress?

Tricia Tazuk had been pushing for 30 minutes with her husband at her side in the Seattle hospital, cheering her on. Two midwives had coached Tazuk in shifts throughout 50 hours of intense labor, and everything appeared to be progressing well. Then, as the baby girl began to emerge, one midwife abruptly left the room.

Epidurals: Fact vs. Fiction

Considering that at least 60 percent of American women today have an epidural for pain relief during labor, it’s surprising how misunderstood this procedure is. For starters, even doctors use the word “epidural” generically, to encompass three similar, yet distinct procedures: epidurals, spinals and a more recently perfected procedure, the combined spinal epidural (CSE), or “walking” epidural. Since deciding whether or not to have an epidural means becoming informed about the benefits and risks well before labor begins, here are the facts to help you make sense of some misconceptions.

Repeat C-sections Stir Debate

The Cesarean section rate in the U.S. has been skyrocketing for years. According to the National Center for Health Statistics, C-sections rose to 30 percent in 2005 from 5.5 percent in 1970. Some experts point to women who choose to have elective C-sections. But then there are those pregnant moms who are forced to have them, Time magazine reports.

"C" of Emotion

C-of-Emotion

It's important to allow yourself to have these feelings, says Dana Sullivan, co-author of The Essential C-Section Guide (Broadway Books/Random House). Too often, women are advised to focus on the fact that their baby is healthy rather than to work through their emotions. This not only negates their feelings, but also can lead to intense guilt for simply having them.

Ab Exercise After C-Section

Ab-Exercise-After-C-Section

The ball is great for strengthening and toning the muscles of the back and abdomen. You can use it to support your legs while doing crunches or lie across it while doing leg lifts. It also helps with balance training, which is important as your body's center of gravity shifts back to normal after pregnancy. Just be sure to check with your doctor before beginning this or any exercise program.

Here are four tips to help you recover from a C-section. Read more >>

Early C-Sections Risky for Babies

A new study in the New England Journal of Medicine is shining a light on the risky practice of scheduling Cesarean births too early, the Los Angeles Times reports.

Planned C-Section Risks

Undergoing a scheduled Cesarean section may have advantages, but one downside is a higher risk of re-hospitalization in the month following childbirth. Among every 1,000 women who delivered their first babies via planned C-section, 19 returned to the hospital, compared with fewer than eight per 1,000 first-time mothers who had vaginal deliveries, Boston University doctors found. Wound complications and infections were the major reasons.

Avoiding a Too-Big Baby

Women should lose all the weight they gained during pregnancy before becoming pregnant again, say Missouri researchers. If moms don't drop the pregnancy pounds, or if they gain weight after the first baby, they double the risk their next baby will be too large, increasing their chances for a Cesarean section. "The ideal is to have their weight [at conception] as close to normal as possible," adds study author Robert Blaskiewicz, M.D., a professor at Saint Louis University School of Medicine.

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