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Truths and Facts about Cesarean Births


Cesarean Awareness Month
The month of April brings an important topic to all mothers and future mothers, cesarean awareness. Having a baby is always a miracle, but sometimes the process of childbirth does not go as smoothly, causing a mother to have a cesarean surgery. In this blog post, there will be discussion about myths that come with cesareans. This is a subject that absolutely needs to be talked about! The common myths that are frequently said are: how it’s the easy way out, no need for a long recovery, and once cesarean, always cesarean. Any of these myths ring a bell to you? Did you think they were correct? Keep reading to find out why these myths are in facts, just myths.
Once cesarean, always cesarean. Right?
                Simple answer, no. It’s okay if you’re shocked. Many people believe that a cesarean surgery automatically leads to future childbirths to be done this way as well. The reasoning behind this theory is the possibility of having a uterine rupture during labor, especially if the mother has had a cesarean with a vertical incision. When in fact, if the mother does not have history of Cephalopelvic disproportion (CPD), chronic health conditions, or a vertical incision – they have a high possibility to have vaginal birth after cesarean (VBAC). It’s actually safer for a mother who has had multiple c-sections to have a VBAC because of how hard the surgery is to the body. A cesarean is a major surgery, and a mother should not have to go through it multiple times if they do not have to. It’s shown that 60 – 80% of women who want a VBAC during child birth, are able to do so. Even though uterine ruptures are a big reason as to why mothers with past c-section surgeries are advised to keep getting them, they are actually very rare and only affect 1% of women who attempted VBAC. Are you a mother thinking about VBAC? Here are the links for more information.

“Cesarean sections are the easy way out”. Are they though?
                Having a cesarean section allows for a mother to not be in labor near as long as compared to a vaginal birth, but mothers who do have c-sections are required to have a longer hospital stay and recovery time. A mother who has gone through a cesarean instead of vaginal birth is also 2.3 times more likely to have to go back to the hospital due to complications compared to having a vaginal birth. Along with that, a c-section is a major surgery and can cause severe bleeding, infections, scarring, pain that lasts longer, or a reaction to the anesthesia. Yes, the mother may not be having a vaginal birth that is considered the normal way to deliver a child, but having a c-section is not any simpler than natural birth because of those potential complications. Another reason why it is not the “easier way out” is because mothers who undergo the surgery are not able to make immediate contact with their newborn for breastfeeding. That is hard for a mother to go through, as they just want to hold their newborn. There is also after effects on the baby after a cesarean. For example, babies who are born by cesarean sections are more likely to have breathing problems like asthma, since a vaginal birth allows fluid to be squeezed out of the newborn’s lungs. Babies who are not delivered vaginally do not get receive the good bacteria that boosts their immune systems and protects their intestinal tracts. In the end, a cesarean section is not the "easier way out"e. Mother’s should never be ashamed for having this major surgery. 

Recovery after a Cesarean Section. How long should a new mom take it easy?
                A cesarean section requires an incision through the abdominal wall to deliver the baby. The key muscle that is being cut into is the transverse abdominis. This muscle wraps around the midline of the abdomen to the spine making it help lower back muscles, along with pelvic floor muscles. To say it simply, the transverse abdominis is extremely important. Every movement we do, whether reaching for a glass in the cupboard or taking a step, this muscle is activated. It provides support, balance, and strength to the upper and lower extremities of the body. From that, it is extremely important to provide the abdomen muscles at least two weeks of recovery after a c-section so they can heal correctly with no future complications. Here are some activities to avoid after a cesarean surgery:
·         Take it slow. No running, doing errands, house chores, or quick movements as it can set the recovery back farther.
·         As hard as it is, don’t pick up your older children. Until strength has been regained, a mother should not pick up anything heavier than her new born.
·         Try not to drive. Having to break quickly could put stress on the recovering muscles.
After the abdomen muscles are recovered and healed, it’s important to regain strength in the abdomen because of how important a strong core is for our health. Here are some exercises you can do after you have healed from a c-section and are now ready become strong:
·         Belly breathing – works the Transverse Abdominis
o   Lie on your back on a comfortable bed or couch.
o   Place your hands on your belly and relax your body.
o   Take a deep breath in through your nose, feeling your abdomen expand into your hands.
o   Breathe out through your mouth. As you exhale, pull your bellybutton in toward your spine, contracting your abdominal muscles. Hold for 3 seconds.
o   Repeat 5 to 10 times, 3 times a day.
·         Wall Sit – works the Quads, Hamstrings, Pelvic Floor, Core, and Lower Back
o   Stand with your feet 1 to 2 feet away from the wall.
o   Slowly lean back toward the wall, lowering yourself into a sitting position. Your hips and knees should be at 90-degrees to one another.
o   Engage your core. Take a deep breath in and while you exhale, feel as if you’re pulling your belly button into the wall.
o   For an added bonus, contract your pelvic floor by doing a Kegel while holding this position.
o   Hold for as long as possible. Rest 1 minute, then repeat 5 times.
·         Leg Slides – works the Transverse Abdominis
o   Lie on your back on the floor with your knees bent and feet flat on the ground. Wear socks or put a towel under your feet to allow your feet to slide easily on the floor.
o   Take a deep breath. As you exhale, contract your abdominal muscles by pulling your belly button to your spine without changing the curve of your lower back.
o   While maintaining this contraction, slowly extend your foot away from your body until the leg is fully extended.
o   Slowly bring it back to the starting position.
o   Repeat 10 times on each side. Perform once per day.
Cesarean recovery is crucial, and don’t let anyone tell you otherwise!


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