Thinking I would prefer a C/S to an episiotomy

Hello all,

This has been a thought floating around in my mind since my first bub. I didn't have either for my first labour, but a few friends have had both and I've been thinking about their recoveries and the impact that both procedures have had on their lives.

I've read some horrific stories on here of recoveries from episiotomy's. To be fair, I've also read some horrible c/s ones but to me they don't seem as bad.

I suppose it comes down to someone taking scissors to my vagina as opposed to my abdomen. The thought of having my vagina cut in that manner is not ok with me. Having to deal with a scar site in my abdomen seems a bit easier for me to manage than my vagina.

Now, if I tear that's a different story. I know what can be done to prevent this. If it happens, so be it. But an episiotomy seems so brutal to me. I know a c/s is also, but mentally I think I can live with this.

Here's hoping I don't have to deal with either scenario. My OB is pro-VB and her episiotomy and emergency c/s rates are low so I'm not worried about being pushed into either scenario. However I do want to make my thoughts clear to her.

Sorry if this is a bit all over the shop. This thought has been running around in my head and I've been keen to get it out.

Did anyone else have this consideration in their birth plan? What are your thoughts?

Fiona

You don't have to consent to an episotomy. Talk to your Ob, tell her you would rather tear then be cut. Look at things you can do to prevent tearing as well, positioning, supporting the perenium etc.

Hi Fiona,

I had a c-sect after a failed induction and my recovery was excellent. I do have a very prominent scar on my lower abodomen though, which is uneven and feels lumpy from the scar tissue, apart from that I have no discomfort.

I can't comment on the episiotomy as I haven't had one.

I don't know under what circumstances an episiotomy is deemed necessary vs tearing naturally but I guess every person would have a differing opinion based upon their personal circumstances. For example, a gf of mine had a 3rd degree tear with her first bubba and opted for a planned c-sect for her second bubba due to complications during her recovery for months afterward - I don't know if her recovery would have been very different with a episiotomy b/c her DD 'turned' sidewards whilst she was pushing, so I think the episiotomy might have had to be a large cut anyway?

Hey Fiona,

It's good that you are thinking about these things! I know lots of other people will have thoughts on epi vs c/s but I can share my epi experience? Might help...

I didn't have a formal birth plan but I had spoken about it with my Obs and she knew what I wanted.

I labored unassisted until it became apparent that DD was a little stuck and needed a bit of help. I'd been in labour for 30-odd hours and pushing for two. I'd started thinking maybe a c-sec would be needed but thankfully my Obs and support crew got me back on track. I had an epi and vacuum and she was out in two pushes.

No epidural or spinal block (or GA!), no major abdominal surgery, no six-week driving exclusion, no time in recovery without DD, none of that. It took about six weeks for it to feel ok down there and maybe 3mths until it felt ok while DTD.

It's been fine since then.

I had some concerns around tearing along the scar with bub #2 and I did tear a little bit but it was fine - healed completely within about a month I think.

To me, that is a much more preferable experience to a c-sec! I was terrified of a caesar!!!

I think it's worth remembering that a epi is a small cut through part of your vagina but a c/s is major abdominal surgery. Bit of a difference in my mind!!

I had a very good ob, and had an episiotomy for a forceps birth. Honestly? My recovery was no issue whatsoever. I have had no pain from it, it healed well. Sure, there was a little stinging in the first few days when I went to have a wee, but it was all over before I left hospital. I also had a superficial tear. The thing that made me feel horrible and in pain was actually haemmoroids! The joys of me pushing for four hours.

I haven't had a c/s so have had nothing to compare it to, but the episiotomy was no issue for me.

i can't comment on a c-sect as i haven't had one. but, like PacRakMG, i had an episiotomy for a forceps birth.

i had no issue with healing - i don't even recall any stinging/pain after about the first two days. i was offered pain relief in hospital but had one lot of panadol & that was it. i didn't find it difficult to clean in the shower or painful when i did so. they had prepped me for a c-section so i'd had an epidural before the epi was done so i can't comment on the pain of the epi itself.

i'm pretty sure we'd resumed DTD within 8-12 weeks but can't remember now! it was a little uncomfy at first but nothing painful & i've had no pain or issue since.

ETA - i also want to add that for whatever reason, i seem to heal quickly in general. i don't know if that's a legitimate medical thing or not, just an observation about myself! no idea if how you heal in general has any impact at all!

I think it comes down to the risk of it - there are things you can do to prevent an epi - ie, refusing consent, trying different birthing positions, support to your peri etc, whereas, if you agree to a c-section, thats a decision thats final and you have to live with it for the rest of your life.

I've had 2 sections. I still get pain from the muscles in that area - the muscles are usually torn apart by the OB's hands, and they do knit back together when you heal, but you still experience pain. Some women get an awful overhang of the skin and muscles in the area as well because its hard to bounce back into the shape it was before, its pretty unattractive.

I think I would personally prefer to take a risk on something that may NOT happen, than have something that is guaranteed to happen ya know? C-sections aren't easy to recover from, especially if you suffer an infection, which is quite common - I got an infection with #2 and it laid me up for a month. Which was awful when I had a 19 month old and a newborn to take care of.

I say do research into both, not just people's stories though, cos people's opinions always get chucked into their stories as well ;) So have a chat with your OB, see what they think, read some books and see where that takes your heart! :D

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i had no issue with healing - i don't even recall any stinging/pain after about the first two days. i was offered pain relief in hospital but had one lot of panadol & that was it. i didn't find it difficult to clean in the shower or painful when i did so. they had prepped me for a c-section so i'd had an epidural before the epi was done so i can't comment on the pain of the epi itself. i'm pretty sure we'd resumed DTD within 8-12 weeks but can't remember now! it was a little uncomfy at first but nothing painful & i've had no pain or issue since.

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Oh yeah, forgot all of that, but that was pretty much the same for me too. Except I didn't have the epidural, the ob gave me a local before he gave me the episiotomy.

Wanted to add too, if this is the path you end up taking, DO NOT let your DH be at that end of the bed when this is taking place!!!!!!! DH happened to be there and he freaked :ROFL:

I've had two epis now. I'm not happy about it, but if we are fortunate enough to fall pregnant again, then I will be having a vaginal birth again, fingers crossed that I won't need to be cut again (first was forceps, second baby had head sideways - ****ty luck, hey?)

I felt the exact same way, Fiona.

It is major abdominal surgery, yes - but there is no significant difference between VB and CS when it comes to pelvic floor dysfunction. Episiotomy is another matter and has far worse results in terms of PFD compared to even tearing naturally.

They were never going to get a pair of scissors near my perineum and I am pretty certain they knew as much too. lol.

Episiotomies are very preventable. Here is a great blog post I came across today, all about tearing and episiotomies. Things like forceps and vacuum can damage your pelvic floor but it is a fallacy that only normal birth damages your pelvic floor. It is the prolonged weight of pregnancy that can result in pelvic floor issues - women who have c/s have pelvic floor issues too. I also posted a youtube clip on painful sex and c/s today.

Bellies and Babies: Would You Rather...

An episiotomy was one of my biggest fears too, second only to induction, so I can understand where you are coming from. One thing to remember is that an episiotomy should only be used to expedite delivery so if your OB recommends one it is usually because they need to get baby out straight away (and not always with forceps, sometimes the epis is enough on it's own) so at that point it may be risky to delay things and opt for a CS. Of course you can always say no to any medical procedure, they do need your consent to cut you. Hopefully this will all be a moot point though and you will need neither :)

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Wanted to add too, if this is the path you end up taking, DO NOT let your DH be at that end of the bed when this is taking place!!!!!!! DH happened to be there and he freaked :ROFL:

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:yeahthat: DH went white and had to sit down for a minute- and he does not have a weak stomach! :rofl:

I had a very good c-section for my first, I healed well, it wasn't very painful at all It was a pre-labour emergency c-section because of lack of movement but bub was 9's despite having some cord issues. I didn't have to suffer through contractions and I was up and walking around within 12 hours.

With my second I had a VBAC. It was 36 hours of labour plus 1.5 hours of pushing. I tore in three places - front, back and on the cervix, I haemorrhaged and needed a catheter for three days post birth because the tear was up near my urethra. For a good week I to hobble around with a purple and swollen vagina. It was uncomfortable and going to the toilet was a little scary and painful at first. It took me about 2 weeks before I no longer was aware of something going on down there. We didn't DTD until about 3 months post birth and it was a little uncomfortable at first until the skin stretched.

However, if you asked me which one I preferred, I would go with the tearing or even an episiotomy EVERY time because it's not just about the scars but everything else. I feel SO different this time around. My child's health is different this time around. Since having my c-section I've had issues with thrush and UTI's that were never an issue before. I found I got the lovely elephant ear of skin that hangs across the scar site and doesn't go away no matter how much I exercise. I had to go on medication in order to breast feed and had constant supply issues after a c-section where with this one I shoot milk across the room if I'm not careful. The mode of birth isn't just about scars but you and your babies hormone production, babies immune system coping the good bacteria from coming out of your vagina, the wringing effect on their lungs. There's a lot more to consider.

BTW I have found DTD after a VB amazing! I never had an issue with O beforehand but after, OMG - so much quicker and powerful afterwards, much easier to go multiple times too. Sex is such a relative thing, and I think the idea that tearing etc. during a VB will ALWAYS have a negative effect on your sex life is just as relative. For me was it obviously not true.

If it helps, in my birth plan I stated that in no way was I to be cut, I wanted to tear naturally.
I also said no forceps were to be used during the birth and if it came to that, I would prefer a c-sect to forceps and an epi.

Luckily I needed neither!!

You don't hve to consent to anything they suggest! So as long as you know you dont want an epi, you shouldn't hve to get one.

Xx

I had an epi with DD1. I didn't have an issue with it. She was in distress and by the time the on call OB got to me for a caesar it would have been too late. Sure it hurt afterwards but it was only for three days. I healed fine down there and we were DTD 6 weeks later. I could lift things, I could drive. I was so grateful to my midwife that she made that call and at the time I didn't care what they did as long as my baby was safe. My friend who tore had a worse time recovering than I did and all my friends who've had CS had a much worse time recovering than I did. Each to their own though. Like a PP said, do your research and don't go by people's experiences because different people if put in exactly the same situation will experience it differently. Pain thresholds differ etc. The actual process of the epi wasn't a problem for me. I had local down there and didn't feel any pain. Two pushes and she was out after four hrs of pushing prior to that (she was posterior).

PakRakMG my hubby burst into tears when he saw the midwife do mine. He really shouldnt have beem looking hehe. I was perfectly fine with no idea what was going on. And he does not cry easily.

Arimeh's Eden made a good point though. Epi = may happen with no guarantee of scarring (I have no scar there, I've looked ;) ) versus c-sect = will happen and will scar. good luck with whatever decision you make. Birth is such an individual thing x

I had an epi with my second birth.. I was very young, and no idea about changing positions etc... so after almost 2 hrs of pushing, I was put on my back, feet in stirrups and an epi, then forcepts.

It was stitched up, and I barely noticed it again.

I had salt baths in the hossy, only stayed one night, and healed fine.

The thought of a c/section scares the crapola outta me!! :lol:

Since then I have had 5 more births, all natural, no tearing at all.
4 full terms, all over 8 pounders,(one almost 9) and a stillbirth.
So the epi hasnt affected me at all.

The only other thing to consider is your future birthing options. After a csec it can be hard to go for vbac...I also urge you to consider the risks to your own health csecs cause, such as an increase in hysterectomy.

Vaginas are made to stretch, tear and heal. An episiotomy should be a last resort and asalready mentioned, by that point, a csec might take too long or be too difficult (since bub is in birth canal).

double post

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You don't have to consent to an episotomy. Talk to your Ob, tell her you would rather tear then be cut. Look at things you can do to prevent tearing as well, positioning, supporting the perenium etc.

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^^ yeah that.

I haven't had an episiotomy, but I have had a CS and a VBAC in which I tore naturally. The recovery from my tear was soooo much better; 2 days of panadol and I was fine & dandy, compared to a couple of weeks for my CS - and that was a 'good' recovery.

Ultimately it is impossible to predict how you will fare with either option. Yes, there are some horror stories around tears and episiotomies, but there are also women who have had quick & easy recoveries from them; and it is the same when it comes to CS.

Yeddi makes a really good point re the other benefits of vaginal birth, for your baby, and what Arcadia says is true as well - it may be too late for CS by the time it comes to it.

Talk to your OB about your options for your birth plan, and go form there. Hopefully she will be able to put your mind at ease and (especailly if her rates of both are low) hopefully you will need neither!

:hug:

I have had both.....

DD1 was born in a huge rush, ended up with a Epi after already having two tears and it was getting pretty messy down there, her HR was lost and she had to come out then and there.
DD2 was born via CS, due to no amniotic fluid, growth had stopped, breech and constant labour and being highly medicated and then not being able to stop them meds due to BP.

The recoveries were very different, DD1 it hurt to sit, it didn't feel "the same" for a long time, painful sex I would say for approximatly 12 months, it was very tight and I used a cream to help everything "stretch" again. BUT I was up and about from the start, I had freedom I wasn't limited with what I could do, lifting, driving, etc
DD2 the recovery from the CS was extremely painful for me, it was not walk in the park for me, it is major abdominal surgery, I couldn't get out of bed by myself, I experienced seering pain when I did, and if my bladder or bowels were full it made it even worse, once getting home 7 days post CS, I slept in a chair for another week or so, because I couldn't get up from lying flat without help. But four months on and I have no isses down below, my CS scar still hurts when kiccks or bumped by DD's unfortunately my uterus tore during the CS, so no only go across but up the side as well, and I have been advised that future deliveries would have to be a CS due to the damage.

If I had my choice...

I would still chose a VB with a tear/episiotomy, because I have been there done that and I know how to deal with the pain/treatment etc to get it all "working" again. I found the CS just too debilitating and to not be able to get out of bed was horrible..... I like my freedom :D

i was induced for DD's birth (at my request) and things progressed well BUt my heart rate shot through the roof and DD's kept dropping, both of which caused a lot of concern to my OB....

he said he needed to "help" me to get her out and asked to use the forceps and i said no, he then told me i had torn and would need stitches and would i consent to a episiotomy....

i had epidural so it didnt hurt, actually i didnt feel a thing when it was done.

once the cut was made my DD literally fell out, my OB told me not to push, and as far as i was concerned i wasnt, my body might have been i dont know, but she just fell out!!!

i was obviously stitched up and to be honest the ligament pain i had ( i was in stirrups for over a hour at a time, 3 times in the 5 days leading up to and including delivery) was sooooo much worse!

i was tender, but i really only noticed it when i went to stand or sit, once i took panadol on the day after she was born and that was it, i didnt need the ice packs or anything.

its definitly a personal choice and honestly before DD's birth i was terrified of being cut and having my fanny stitched but i hardly noticed it....

and TMI but i was sure id be in agony DTD but there is no pain from that either.

good luck with ur decision, do your research and choose the option you feel is right for you!

I had an epi and vaccuum with DS due to he was presentiing and it was unlikely he was coming out on his own ( he had his hand well above his head kind of like superman lol) I ended up with PPH (not due to epi) and had to go to theatre to find the bleed so I had been stitched up after the birth then unstitched and restitched back in theatre and I needed two blood transfusions so my recovery was a bit jaded by that. I couldn't get out of bed for a few days due to the catheter and being too weak. But within a week apart from being a little sore, I was back to my normal self. We resumed DTD after 6 week check up, I think the first time was a little painful but I honestly think that was all in my head as I knew what had gone on "down there". I took only panadol for pain relief and had some salt bathes and felt generally pretty good.

Good luck with whatever you decide, but ultimately it is your choice xxx

You know you can reduce your chance of vacuum & forceps by 40% by having a doula - 40% less chance of episiotomy right there! Oh and 50% less c/s.... And... Lots more :)

I haven't had either but was scared of both. When I discussed my fears of an epi with my private midwife, she told me there were 2 reasons I'd need an epi. 1) If I start tearing into the urethra/clitoris. and 2) if it looks like the perineum is about to burst from the middle out (hard to describe - imagine a marble trying to burst through some cling film). In both situations, a sideways epi would be preferred both to reduce potential damage.

I had a vaginal breech birth with a slight tear in the perineum. no stitches needed.

There are some good medical reasons for a c/s but remember it is major abdominal surgery. It's the great big needle near the spine that scares the hell out of me.

Also, I concur with Yeddi's analysis of post-VB sex. Wow! :o :D

Thanks all. As usual you have given me plenty to think about.

This is not an issue about consent for me. DH and I are switched on, take no prisoners kinda people. We are also very comfortable dealing with medical staff who tell big fat fibs about risk etc. I wouldn't have an OB that I didn't trust or that I had to negotiate with.

I guess this is all hypothetical. I hadn't considered the point that sometimes they are not interchangeable ie. when the baby is in the birth canal. I also hadn't realised that the size of the cut can be different depending on the circumstance.

I hadn't even considered a VBAC and all the issues that go with them. Thanks for raising this point.

I would always prefer to tear if it came to that. That was my strong preference at my first birth, of which this thread reminded me. I had a small tear for my first labour (1 or 2 stitches I think). We were back DTD within 2 weeks and I felt no different.

I understand that everyone's experience is different. Thanks everyone for sharing your points of view.

Cheers, Fiona

P.S. Your points about making sure husband was not at that end of the bed during an episiotomy made me laugh. During our first labour he was adament he was staying up at my head and not going 'down that end'. The reality that there really were no ends to the bed and regardless of where he stood he got a good view was a bit much for him!

Most independent/ homebirth midwives have never ever done an episiotomy, some remember just one they had to do one time. Think that speaks volumes about the ability of our amazing bodies and those who care for us.

Most of us go into birth without any emergencies. But the amount that do at home vs hospital is huge. Not saying where you should give birth, but to take note at the natural ability you are given to birth without interference and differences of whats possible for you - we all plan to birth a certain way - question is - what are you doing for yourself to give yourself the very best chance at that?

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Most of us go into birth without any emergencies. But the amount that do at home vs hospital is huge. Not saying where you should give birth, but to take note at the natural ability you are given to birth without interference and differences of whats possible for you - we all plan to birth a certain way - question is - what are you doing for yourself to give yourself the very best chance at that?

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I just bought me a subscription to BellyBelly - I think that's a very good start!

LOL well I was going to be cheeky and say being here is a good start ;) But the great news is, there are sooooo many things you can do, and it's not hard to get access to. :) I see you're in Melbourne - I highly recommend you look up some great independent birth education classes. Rhea Dempsey's Birthing Wisdom ones are a great start (she is my teacher) and the About Birth classes are great too :)

Thanks for the tips. We did the Birth Ready class with Victoria Marshall-Cerins for my first pregnancy. We also had a doula and she was great. Still looking into a doula for this time as ours has moved away.

In reality I'm unlikely to medically need either an episotomy or a c/s this time. I'm just getting caught up in my own head with a thought that I couldn't get out. However like the anal planner that I am I'd like to be prepared for all possibilities.

Hi!
I think I would prefer not to think about what is going to happen the next time round. I had an episiotomy and then ended upp with nearly a 4th degree tear as my DS waved his arm at a crucial moment and I remember feeling the 'pop'. My doctor was amazing and I was stitched up for what felt like forever. I had abit of discomfort over the next few days but I used those iceblock things that really helped lol. By my 6 week checkup all was fine and I look and feel 100% normal. I am so grateful that I didn't have a c/s. That would have meant extreme difficulty over the next 6 weeks and who knows for how long. My DH could only stay home with me for 2 weeks then I was solo. I can't imagine doing that with a C/s. For me I'd take the epi anytime but with a very good doctor who knows what they are doing!

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Most independent/ homebirth midwives have never ever done an episiotomy, some remember just one they had to do one time. Think that speaks volumes about the ability of our amazing bodies and those who care for us.

Most of us go into birth without any emergencies. But the amount that do at home vs hospital is huge. Not saying where you should give birth, but to take note at the natural ability you are given to birth without interference and differences of whats possible for you - we all plan to birth a certain way - question is - what are you doing for yourself to give yourself the very best chance at that?

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I agree.

I have no doubt, that I been left to my own devices, I would have "felt" the need to change positions.. my daughter was posterior (we didnt know at the time), and had I gotten up off the bed, and onto all fours (where 4 of my 7 have been born!), I believe she would of come down fine. A tear may of resulted, but prob not an epi.

I had an episiotomy with DS. I really had no choice, he had to come out in a hurry and to me that was more important. Havent had a C/S. But in discussions with people i know who have had a c/s.. i would much rather a c/s any day. I dont think i will ever be the same down there ever again. I had a really bad recovery with my episiotomy.. to the point i couldnt stand for more than 10 minutes at a time for the first 3 months without being in pain... then needing to have a skin tag removed as i wasnt sewn properly. Up until i had DD i couldnt DTD without being in constant pain. I only tore with DD but was so thankful the doctor who stitched me was actually a plastic surgeon. He fixed me so at least i can DTD now and the majority of the time not be in pain.. but things just arent the same. Im a bit worried what will happen this time round and pray i dont require another episiotomy, but if they give me the choice, ill be taking the c/s.

I had an epi with my 1st one and swore never again. Not only was I disfigured they didn't even sew my pelvic floor muscles back together. I ended up having repair surgery in 2005 to bring the muscles together again. Sex was horrible as I had no control over the muscles and I thought I had been doing my PF exercises wrong. I have also had a c/s and it was so much easier. Yes initially it was harder but I had no infection and it healed really well. I have the faintest scar there now. I would do another c/s over an epi any time.

Next time I will DEF be demanding a C/S!!! I had an episiotomy after a long labour when my baby was in distress and stuck in the birth canal so was cut and had the vacuum. I had many discussions with my ob, who said he would only do an epi if absolutely necessary - if a severe tear was going to result etc. The recovery was insane - My daughter is 16 months and I still have not recovered. It was agony to sit down for 3 months and at times now it is still tender! I had strong painkillers in hosp for 5 days, they had to keep my catheter in for 2 days as the nurses said I "was so swollen down there, if I had probs going to the toilet, it would be hell and excrutiating pain to get it back in again!"
My sis had an emerg c/s and didn't even need panadol the next day. She could walk and move around better then I could. she has since had a vbac and regrets it after tearing and the recovery being much worse and painful!!!

So I know its major surgery to have a C/S but I have endometriosis and reckon I have a high pain threshold and noone can understand the pain that others feel (which is a good thing!!!) so I think it really has to be an individual decision!

Fiona, while I have agreed with you initially, it is probably really fair now for me to tell you that it was a decision I never had to make, and I am not speaking from any form of experience.

I had 6 VBs, all intact. I damaged the pelvic floor muscle with Diva by being impatient though (to avoid a cannula) and pushing before I was fully ready to. That is, I was pushing fully during those contractions that you can hold off on for a bit, iykwim. They are just meant to be little nudges to move babies head down and help with dilation, but he was putting holes all through my damned arm!! So the best advice I can give is to listen to your body and go at its pace.

Before DD was born I thought the same thing, surely stitches in the belly would heal better than the hoohah. I ended up having an episiotomy for forceps delivery (you can't really tear naturally for that) after a long labour with bub in a bad spot and distressed, and it wasnt that bad. I also had 2 friends who had c/s around 4 weeks before I gave birth and while they both recovered quickly and had a well known excellent ob, I was still up and running around in the gym before them. So yeah while it sucks to have a cut like that down yonder, a c/s is major surgery so will likely (not always I know but that depends on you, bub and the dr) take longer to heal. And DD is only 5 1/2 weeks old now I have no pain and no scarring from my epi -yes I've looked lol!

I guess everyone is different but DD1 was a booked c/s for being breech. We are TTC #2 and I will be doing everything in my power to avoid another c/s. It took me 6 months to fully recover and I am so jealous every time I hear of another friend having a successful VB and looking/feeling awesome. I hated every minute of my recovery as I felt paralysed every time I wanted to do something "normal".

An Epi is not going to be high on my list of things I want to happen but it definitely ranks higher than the c/s.

I have been told its very uncommon to tear or need an epi with subsequent babies, esp if you didnt have one with your first. Obviously there are exceptions as always. I was always terrified of tearing/epi but in the end I worried for nothing - my first I got a graze, my second and third I had nothing. I can remember telling the OB when pushing with Ds2 that I didnt want to because I would tear. He laughed at me and said that if I didnt with Ds1 then I wouldnt with Ds2. He was right!

I think you need to really do your research on risks of both an epi/tearing and a C/S. Id rather take on the slight risks associated with an epi/tearing than with a C/S.

Hi there, I can only comment to the epi as I had a forceps delivery after a very long and difficult labour. Mine healed fine I had no problems with stinging or any type of pain at all afterwards.

It was the hemeroids (long pushing stage before they realised his head was facing the wrong way and no matter what they did he was stuck) and the thrush from the antibiotics ( needed because of the forceps) that was the killer for me afterwards.

Having said that I was petrified of a c section and wanted to avoid one at all costs but then again I was petrified of an epi too just not as much as a csection.

Information is power gather all you need discuss with your dh your birthing plan and options and do what is right for you and your baby.




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