Cesarean birth (also called c-section) is surgery in which your baby is born through a cut that your doctor makes in your belly and uterus. For some women and babies, a c-section is safer than vaginal birth. You may need a c-section because of medical reasons that affect your pregnancy.
If your pregnancy is healthy and you don’t have any medical reasons to have a c-section, it’s best to have your baby through vaginal birth.
Complications during labor and birth
Yes. If there are medical reasons for having a c-section, you and your provider can plan for and schedule it. If you’re scheduling your c-section, talk to your provider about waiting until at least 39 weeks of pregnancy. This gives your baby the time she needs to grow and develop before birth.
Last reviewed June 2013
Yes. But more and more c-sections are being scheduled early for non-medical reasons.
Experts are learning that this can cause problems for both mom and baby. If you know you're having a c-section, wait until at least 39 weeks of pregnancy. This helps you make sure your baby has all the time she needs to grow before she's born. You may not have a choice about when to have your baby. If there are problems with your pregnancy or your baby's health, you may need to have your c-section earlier. But if you have a choice and you're planning to schedule your c-section, wait until at least 39 weeks.
You may need a c-section if there are medical problems that put you or your baby in danger. For example, you may need a c-section if your baby is too big to pass through the birth canal, or if the baby is in a breech position (feet first) or a transverse position (shoulder first). The best position for your baby is head first. You may need a c-section if your labor is really slow or if the baby's heart rate slows during labor. Other reasons for a c-section include having problems with the placenta or with the umbilical cord, having an infection that you can pass to your baby during birth, and being pregnant with twins or more. If you've had a c-section in a previous pregnancy, you may need to have one in your next pregnancy. If your pregnancy is healthy and there's no medical reason to have a c-section, it's best to plan for a vaginal birth and wait for labor to start on its own. Ask your provider if there are reasons why you may need to have a c-section.
Most likely you'll have regional anesthesia so you can stay awake for your baby's birth. This kind of anesthesia numbs you from below your breasts all the way down to your toes. If you have an emergency c-section, you may need general anesthesia. General anesthesia makes you go to sleep during the surgery.