C-Section | Fit Pregnancy


A C-section’s toll on your insurance


If you’ve had a Cesarean section, you may have trouble getting a second one covered by insurance if you apply for an individual policy (one that you purchase on your own). Once you’ve had a C-section, the chances that you’ll have another are about 90 percent, according to the National Center for Health Statistics. And since C-sections cost about 76 percent more than vaginal deliveries, some individual insurers are rejecting women who’ve had the operation—or charging them higher premiums or deductibles.

Talking about Cesarean Sections

I’ve spent this week interviewing obstetricians and midwives for several upcoming articles.  I also hosted a baby shower.  While none of these events were intended to be “all about cesarean sections;” c-sections became the focus of our conversations and shined some light on the prevailing opinions people currently have about c-sections.  While the most “informed” opinions presumably came from the obstetricians, the most enlightening conversations happened at the baby shower.

Your Birth Plan

Remember: It's really more of a wish list. It's best to keep your birth plan short and sweet, and to really think through a few key questions which will help you communicate your wishes.

Use this form to write open-ended answers to five crucial questions. Then, print it out and share it with your health care provider.



C-Section Extras

Fit Pregnancy contributing editor Carole Anderson Lucia narrates behind-the-scenes footage from her C-section with twins Claire and Aidan at Sharp Mary Birch Hospital for Women in San Diego.

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


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.