What are the risks involved in caesarean births?

So many mothers and caregivers are going straight to Caesarean delivery without even considering vaginal birth. I, and many others, firmly believe that vaginal birth is the best option for an uncomplicated pregnancy. I also believe that vaginal birth is not the only way to give birth and that as long as the expectant parents are well-educated on the different birthing options, it is ultimately their decision as to which birthing option to choose.

It is necessary to consider the risks involved in Caesarean births:

• There is a risk of problems related to the anaesthesia used for the surgery and the medication used for pain relief after the birth.
• There is an increased incidence of infection and the need for antibiotics.
• There is more blood loss in a Caesarean birth with an increased risk of hemorrhage, which can lead to anaemia and may even necessitate blood transfusion.
• The hospital stay after a Caesarean birth is longer than the stay after a vaginal birth and the medical costs involved are thereby increased.
• There can be problems with the Caesarean scar tissue and possibly adhesions inside the abdomen.
• Postoperative pain may last weeks or even months and makes taking care of yourself, baby and baby's siblings difficult.
• There is the possibility of injury to other organs (bowel and bladder) within the abdomen during a Caesarean.
• There is a risk of blood clots in the leg and pelvic region.
• There is an increased risk of breathing and temperature regulation problems for the newborn.
• There is a higher rate of infertility than in that of women who have had a vaginal delivery.
• There is an increased risk of placenta praevia (a placenta that covers the cervix and makes vaginal delivery impossible) or retained placenta (the placenta does not come away from the uterine wall following the birth of baby) in future pregnancies.
• There is an increased likelihood of Caesarean in subsequent pregnancies.

It is important to note that there is NO DIFFERENCE in a mother's risk of postnatal depression or pain with intercourse three months postpartum in Caesarean and vaginal births.

Ultimately, educate yourself thoroughly and communicate your wishes and concerns with your caregiver. You will need to come to a decision mutually.

Kerry