Many patients ask us about this and we can talk about this subject at length. About one-fourth to one-third of all babies are delivered by Cesarean section, and there are many reasons for this. Medical indications include, but are not limited to: failure of the cervix to fully dilate, fetal distress, twins, breech, herpes, placenta previa, pre-eclampsia (toxemia), previous cesarean section, babies suffering from intrauterine growth restriction (IUGR) or babies that are disproportionately too large to fit through the pelvis.
Our Cesarean birth rate (as many people ask us) is not the lowest in town, and it is not the highest. We feel that every Cesarean Delivery that we do is for appropriate medical reasons. At the time that this decision is made, we thoroughly explain the reasons for the choice so that it is felt by both the parents and the physicians to be the safest and best decision given their particular situation.
Cesarean By Request
The American College of Ob/Gyn supports the concept of a Cesarean Section based on the patient’s request. In this case, the patient would not have to go through labor, and the Cesarean Section would be scheduled about one week before the due date. Our job is to inform you of the potential risks and benefits of this approach when compared with the standard approach of trying for normal vaginal delivery. Some experts believe that Cesarean Section can prevent certain vaginal and pelvic problems that some women experience later in life such as urinary incontinence and pelvic organ prolapse.
If you choose to have your baby by a planned Cesarean, we are able to do this for you.
If we know that your delivery is going to be a planned C/S, we arrange a pre-op visit about 1-3 days before the actual delivery. During this visit, we perform a physical exam and then review the C/S paperwork and procedures. After this visit, you will usually proceed right to the Hospital Admitting Dept. There is more paperwork (I know!) and you will also meet one of the L&D nurses who does some pre-op teaching and arranges for a blood draw. This is also a good time to modify your diet by trying to eliminate gassy-type foods such as broccoli, beans or other green veggies, to help minimize post-op discomfort.