10 evidence-based strategies for reducing your risk of cesarean section.

Cesarean sections, while life-saving in some situations, are major surgeries that carry both immediate and long-term risks. Many expectant parents aim for a vaginal birth to avoid these risks, but what can you do to reduce your chances of needing a cesarean?

Fortunately, there are several evidence-based strategies you can adopt during pregnancy and labor to lower the likelihood of a C-section. Here are 10 tips, supported by research, to help you achieve your desired birth experience while supporting both you and your baby’s health.

1. Take a childbirth class

Knowledge is power. Studies have shown that taking childbirth education classes can help you feel more confident and prepared for labor. These classes can also provide you with tools to manage pain and reduce anxiety, both of which can help prevent a cascade of interventions that may lead to a C-section.

2. Build a strong birth team

Choosing a supportive healthcare team is crucial. This includes finding a provider and birth environment that respect your birth preferences and encourage a vaginal birth. Hiring a midwife can help you achieve a natural birth and avoid an unnecessary cesarean.

3. Consider a doula

Doulas offer emotional comfort and physical support during labor. Research consistently shows that having a doula present can reduce the likelihood of needing a cesarean section. Doulas are known to reduce stress, help manage pain, and guide you through various stages of labor, all of which can contribute to a smoother vaginal birth.

4. Avoid inductions

Elective inductions, particularly before 39 weeks, increase the risk of C-section. Many women are encouraged to try natural labor without medical intervention unless there are clear medical reasons for inducing labor. If induction becomes necessary, opting for techniques like the Foley bulb or low-dose Pitocin may lower the chances of a cesarean compared to stronger interventions.

5. Stay active during pregnancy

Regular physical activity during pregnancy is one of the best ways to prepare your body for labor. Exercise, such as walking, swimming, or prenatal yoga, can help your baby get into the best position for birth and may also improve your endurance, flexibility, and strength, which can reduce the need for surgical intervention.

6. Stay upright and mobile during labor

When labor begins, avoid lying on your back in bed, as this position can increase the likelihood of a C-section. Instead, stay upright, walk around, use a birthing ball, or try hands-and-knees positions. Studies show that staying mobile during labor helps the baby move through the birth canal more efficiently and reduces the chances of fetal distress or the need for forceps or vacuum-assisted delivery.

7. Use natural techniques for pain management

While an epidural is a common form of pain relief for many women, epidurals are associated with higher rates of C-section. Instead, consider options like breathing techniques, massage, or hydrotherapy to help manage pain. Research indicates that non-pharmacological pain management options can lower the chances of needing a C-section.

8. Avoid unnecessary interventions

Every intervention during labor—whether it’s the use of an epidural, synthetic oxytocin, or a fetal monitor—has the potential to lead to more interventions down the line. If you and your healthcare provider can minimize unnecessary medical interventions and allow labor to progress naturally, your chances of a vaginal birth are greatly increased.

9. Positioning and pelvic alignment

Certain positions during pregnancy and labor can encourage better fetal positioning and an easier birth. For example, exercises to help you align your pelvis properly may encourage your baby to move into a head-down position, reducing the need for interventions. You can also use positioning techniques during labor, such as leaning forward or squatting, to create more space in your pelvis and ease the baby’s descent.

10. Consider hydrotherapy

Water birth, or giving birth in a tub of warm water, can provide many benefits, including pain relief and enhanced mobility. Studies have found that women who give birth in water have lower rates of C-sections compared to those who deliver on land. Water birth can also help reduce the need for epidurals and other pain medications, which can, in turn, reduce your risk of surgical interventions.

By taking a proactive, evidence-based approach to your pregnancy and labor, you can significantly reduce your risk of needing a cesarean section. While not all cesareans can be avoided, adopting these strategies can empower you to make informed choices about your care and increase the likelihood of achieving a vaginal birth.