Image of woman who wants to avoid a cesarean

Should I Avoid a Cesarean Birth?

Nearly 32 percent of women deliver via cesarean birth, during which a baby is delivered via a uterine incision. If you have a medical issue that could complicate labor or delivery, such as maternal high blood pressure or the baby is in a breach position (buttocks or feet first), your doctor will opt for a C-section. In emergency situations when the baby or mother is in distress delivery will be via an “emergency”  C-section.

How Can I Reduce My Chances of a Cesarean Birth?

These tips may help lower the odds—but don’t panic if your delivery ends in a C-section anyway. Sometimes surgery really is the best method to protect you and your baby from complications.

  • Find a health care provider and birth setting with low rates of intervention. Be sure to ask you health care provider about their philosophy on cesareans and their cesarean rate (rates vary between 10-50%1 nationally).
  • Become more educated about birth by taking childbirth classes, reading books, and asking lots of questions.

Create a Flexible Birth Plan

Key topics to discuss with your healthcare provide include:

  • How long can you stay home before going to the hospital? For example, she might recommend heading in when contractions are four or five minutes apart, at least a minute long, for at least an hour. Often, the longer you’re in the hospital before the baby is born, the higher your risk of intervention.
  • Explore options for coping with pain. If you can, avoid epidural analgesia, at least in early labor. An early epidural limits your movements and your baby’s movements which can lead to the need for an intervention (IV, continuous monitoring, bladder catheter, etc.).
  • Avoid continuous electric fetal monitoring during labor. Studies show that EFM can increase the chance of cesarean by up to one-third3.
  • Ask for recommendations on turning a breech baby, and actively attempt these if necessary.
  • Avoid induction if possible.
  • Arrange for continuous labor support from a professional, like a doula. (Studies show that women with continuous labor support are 26% less likely to have a cesarean2).


Complied using the following sources:

Maternity Center Association. What every pregnant woman needs to know about Cesarean section. New York: MCA, April 2004.
Facker SB. Stroup DF. Peterson HB. Continuous electronic fetal heart monitoring during labor. In Neilson JP et al., eds.
Pregnancy and Childbirth Module of the Cochrane Database of Systematic Reviews, updated June 1996.

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