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Health & Pregnancy

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Is a Planned C-Section Right for Me?

Has your doctor or midwife suggested a planned cesarean section (C-section) for your baby? Women can go for this option for many reasons -- they had a previous C-section or have a baby who's facing the wrong way, to name two.

For some women, a planned C-section is the best choice. But it's important not to rush the decision. C-sections have risks of their own. Experts say C-sections have become too common. Women who don't need them are getting them anyway.

To protect your health, and your baby's, here's a guide that will help you decide.

What Is a Planned C-Section?

Some C-sections are necessary because of an emergency. In many of these cases, a doctor will switch to a C-section after a woman has already started labor and had problems.

Planned C-sections are different. In these cases, your doctor or midwife has found a medical reason that a C-section makes sense. But it's not an emergency. It may also turn out to be unnecessary. In the end, you and your doctor may decide that a vaginal birth is a better choice.

Planned C-sections for a medical reason are different from purely elective C-sections. Some healthy women want a C-section so they can pick their delivery date or avoid a vaginal delivery. Their doctors may disagree. In fact, experts from the American College of Obstetrics and Gynecology don't recommend a C-section unless there's a medical reason. They add that if an elective C-section is planned, it should not be before 39 weeks of pregnancy and is particularly discouraged for women wanting more children.

If Your Doctor Is Planning a C-Section

You need to ask a lot of questions, such as:

  • Why do you think I need a C-section?
  • If I don’t have one, what are the risks for my baby and me?
  • Do the benefits clearly outweigh the risks in my case?
  • How quickly do we need to decide?
  • Will we be able to wait until 39 or 40 weeks for the C-section?
  • Is there any other option?
  • Does this mean I will need C-sections for all my future deliveries?
  • Is my baby’s size the reason you’re recommending a C-section? If so, how accurate are the weight estimates?

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