Strollerderby

C-Sections Go "Natural"

Posted by Amy Kuras

 As someone who had two, I am a pretty staunch defender of C-sections if that's the best thing for the mother and the baby (and for the record, I feel the same way about homebirth and whatever other options are out there to give mothers and babies the birth experience they wish for).  But I'll acknowledge one criticism of them as valid – they don’t give the mother and baby very much of a chance to bond immediately after birth.

Salon's Broadsheet wrote last week about the idea of "natural" C-sections, which is gaining ground among some doctors. In short, if a c-section is non-emergency, they let the birth partner watch, uterine contractions (versus lots of pulling OUCH) can help deliver the baby, and babies are placed on the mother immediately for skin to skin contact.

I love this idea, although I wouldn’t want things to go so far as an unmedicated c-section (OMG). With my first baby, she was born by emergency c-section after a pretty terrifying labor experience (anyone who would like to trash me for having a c-section doesn’t get to judge unless they got to hear their baby's heartbeat slow almost to a stop while they lay petrified and helpless to save her). I couldn’t touch her right away, or even for a few hours, and really the whole thing left me kind of shocked and numb.

With my little guy, it was planned and the whole thing was different emotionally – not least because our hospital had, in the three-plus years between kids, instituted a "bonding nurse" program after surgical births. Also, the nurse anesthetist that was by my head during the procedure put up a mirror so I could see my son emerge and she helped my husband put the baby's head on my shoulder right away, so I could kiss him and snuggle him.  

That in and of itself was so much more wonderful than my daughter's birth, but the other thing that was great was that my husband got to leave the room with him and carry him off to the nursery, and bring him to me in recovery when I arrived. The bonding nurse stripped him down and let me encourage him nto urse right away and just let me hold him for as long as I liked, which I think had everything to do with how great I felt right after his birth.

Circumstances surrounding my two birth experiences were so different I can’t say that my son's was so much better just because of the attention paid to bonding with him, and I am pretty strongly bonded to my girl as well. But I know I am awfully glad I had the chance, and I wish everybody did. Let's hope this catches on.




+ DIGG + STUMBLE

Comments

 

c-section mommy said:

Great idea! My c-sections were heavy on the bonding, too. In both cases, I was able to hold and nurse them within minutes of being wheeled out of recovery. I never once felt like I missed out on any bonding by doing it this way. Of course, I've never experienced anything different, either.

September 8, 2008 4:14 PM
 

Margarita said:

I'm sorry, but I think this whole nonsense with immediate bonding/ skin-to-skin contact being necessary is one big guilt tripping BS, constructed to yet again make us women feel inadequate! Seriously, do you think being a "good" mother is dependent (or even partially dependent) on the first few minutes of life? Do you think, like some people do, that the emotional security and well being of an infant is determined by these first minutes/hours?? If so, I feel sorry for you, it must be so stressful to think that you can fail before you get the chance to try....

I personally think we humans are pretty robust animals and that the love, security and warmth that we do need is something that accrues over long periods of time. I concede that it's very very nice FOR THE MOTHER to have a relaxed birth, followed by relaxed interaction with the baby, but this is not - and never has been - the case for a large percentage of women. Let it go!! The baby-mother bond won't suffer, the only thing that really suffers is the confidence we women have in ourselves.

BTW, I have two children - first born naturally and breastfed (with great difficulty), the second by chaotic emergency cesarian with slow recovering and no breastfeeding . I feel my bond with the second has been more immediate and strong (very strong to both!), which I partly attribute to personality differences, but mostly to me being a second time mother and therefore not freaked out!

Sorry for the emotive response - I just really hate these generalizations! Think for yourselves please.

September 8, 2008 4:33 PM
 

Larissa said:

Sorry Margarita, no one is trying to make mothers feel guilty but there ARE biochemical responses to skin to skin contact and to bonding.  These responses impact mothers and babies, we know this.  

We also know that bonding can be facilitated even if the mother/baby dyad do not have a biochemical bonding at birth.  This is the beauty of higher-order thinking.

Feel free to think for yourself but please also recognize that human bodies and brains act in consistent and predictable ways.

September 8, 2008 5:44 PM
 

Laura said:

Does anyone understand how they get the uterus to contract during a planned c-section?  I can't figure that part out.

September 8, 2008 9:09 PM
 

Alice said:

Okay this skin-to-skin thing does help newborns thrive but it does not promote bonding.  I have an adopted child and we have bonded just fine without needing that magical skin to skin, touching after birth thingy.  

September 8, 2008 10:15 PM
 

mommashay said:

I completely agree with Margarita!  It is so much nonsense to guilt moms for everything we do or do not do.  I kissed and soothed my baby boy after our c-section but had no other physical contact with him for several more hours.  Let me assure you that we bonded just fine.  I couldn't adore him anymore than I already do and he is one damn happy cuddly loving little guy.  We are attached at the hip and I believe that is because he has received so much love since the day he was born, even if it wasn't the minute he was born.

September 8, 2008 11:48 PM
 

km said:

My oldest son was held by one nurse for a long time right after he was born.

I don't think he can pick her out in a crowd.

September 9, 2008 12:06 AM
 

a-traxx said:

It's nice to read these comments - I had a c-section and was given so much grief from other (amazingly nasty and judgmental) mothers who thought I was some sort of devil woman for having a surgical birth.  I wasn't able to cuddle my baby immediately, I'm not sure I really got to hold him for even another 24 hours, but my kid and I couldn't be any closer and more in love with each other than we are now.

September 9, 2008 6:49 AM
 

Delilah said:

I had a horrible c-section experince with my first child. He was taken 6 hours away from me to a better NICU facility. I did not get to hold him until three days later. I do not belive this got in the way of our bonding but I can understand wanting that experience with your child. I also know the skin to skin contact helps healing which I do think helped my little boy. I don't think we should knock mothers for wanting that experience.

September 9, 2008 10:52 AM

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