10 Tips to Avoid a C-Section - Plus Some | Sarah Lavonne

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hey everyone I'm Sara LaVon and welcome

back to my youtube channel we have been

talking all about c-sections this month

for those of you that are pregnant the

goal is actually to avoid a c-section if

you can ultimately we want safe mom safe

baby but in general c-sections should be

avoided if you are a low risk mama I'm

going to get into all of this there are

some ways for you to prevent a c-section

and so today I'm gonna give you my top

ten tips which actually it's like 13 I'm

going to throw in some extra bonus ones

there but 10 sounded betters 10 tips on

how to avoid a c-section but before I do

that don't forget to subscribe down

below so that you never miss a video and

then let's get started

my dear just like my shirt a little

lioness today that's not a lion some

cheat at Sochi

I've said in my video all about

c-sections that about one in three women

in the u.s. end up having a c-section

cesarean birth it is a birth my job is

to help set you up for that vaginal

delivery and be able to control what you

can control so that we can let go of the

rest how many times have you heard me

say this the goal is to avoid a

c-section because if you are a low-risk

mama with no other complications it's

just a normal pregnancy like a lot of

women have then your chances of

complications and of death go down by

avoiding a c-section it is important for

you to have the information so that you

can make an informed choice to have that

vaginal delivery to avoid possible other

complications particularly with the

c-section its complications and future

pregnancies that we also care about my

goal today is to give you some tips some

things that you can't maybe can control

maybe some things that like you should

be aware of to help you strategize in

your birth with your care provider that

will help you to hopefully avoid a

c-section where do all of these

recommendations come from most of them I

would say are things that I've been

saying because I just know from practice

and from the reading and the experience

that I've done but I did pull out the

ACOG articles so I've mentioned this

before but ACOG is the American College

of obstetrics and gynecology the

governing board that helps to advise and

recommend certain like protocols and

ways that your OBGYN or your doctor

practices even midwives refer to ACOG

ACOG comes out with these consensus

statements and these practice bulletins

where they're saying we are recommending

based on the research certain things the

article I'm referencing is a Coggs

obstetric care consensus it's safe

prevention of the primary cesarean

delivery so by primary I mean you

haven't had a c-section before it's your

first c-section most of the time that

means that you are a first-time mom I'm

gonna try to interpret this article for

you make it super simple for you to

understand show you what you can control

what you can't control and then anything

else that comes up along the way the

important thing that you can be doing

right now in your pregnancy is super fun

control your weight this can be a

sensitive topic I get it it is important

for you to understand that women who

gain excessive weight meaning more than

what they recommend

and by recommend I mean you gain within

that range of weight based on your

original BMI or your body mass index

which is starting out before pregnancy

the way that you're gonna help control

your weight guys is to exercise staying

active and if you're not active doing

something okay you're not like starting

to do CrossFit or run a marathon now

that you're pregnant or anything we're

talking walk around the block do

something active every day if possible

and at minimum three to four times a

week and that will help control your

weight game the other thing is guys you

really only need about 300 extra

calories when you're pregnant and I know

you've seen the movie is that like by

now I can eat whatever I want like tubs

of ice cream and pickles and that's not

really the recommendation a quick rule

of thumb is eat when you're hungry stop

when you're full healthy nutrients are

also very important think about the

types of calories you're putting in your

body it's not so much just the calories

in general but it's am i eating a bunch

of processed white bread or am i eating

whole grain bread like those are gonna

be better calories for you fill you up

and actually give your body the fuel

that it needs to build a healthy baby to

build healthy tissues and prepare you

for your labor and birth enough about

that that's like a whole nother video

and now I can already tell is gonna be a

long one number two higher continuous

labor support studies have proven that

to have continuous labor support which

is likely a doula of somebody that is

trained in labor and birth somebody that

has been there before they have some

tools and resources for you to be there

from start to finish in your birth to

help you know what your options are to

keep you calm

keep your psyche or your mind in line

and help you to cope with whatever may

come your way is going to help decrease

your risk for cesarean birth I feel like

I talked a lot about that which I can't

help myself because I believe in it so

much that that's what I do hire a doula

if you can't afford a doula

there's volunteer doulas a lot of places

there are low cost doulas a lot of

places there's dualism training have


so that you never feel alone you have

those resources and ultimately it does

is proven to lower your risk for


number three is wait to go to the

hospital until it is actually time to go

to the hospital this is where guys

you've got to take a childbirth class to

understand what's the process how does

labor build how does it grow and how

does it come to the point where it's

time to go to the hospital now mind you

I do a video on this I'll link it above

disclaimer just because I get so many

comments about this if you feel like you

need to go then go to oxalá I'm not tell

you not to go to the hospital so more

often than not people are coming to the

hospital way too early the goal would be

that for early labor that happens at

home so long as your doctor says that

that's safe great question for your

doctor midwives let your body decide

that it's actually going to move forward

and deliver you or like really have

contractions that change your cervix the

ultimate goal would be to arrive in

active labor you're less likely of

having a c-section and you're also less

likely of avoiding medical interventions

that you could potentially otherwise

avoid you're letting your body do it on

its own and leaving it ample amount of

time to get into that active labor phase

wait at-home labor at home take the

childbirth class so that you understand

the whole process and you can

confidently be at home having

contractions do your thing take your

time and then feel really confident that

you know yep it's time to go to the

hospital you get to the hospital you're

an active labor your body continues to

take off and then you have your baby

freeze and Lori at the same time while

you're in labor move around when you're

listening to your body you naturally are

going to rock

you're gonna sway you're gonna move with

your sensations listen to your body and

move around change positions frequently

if you're actually in labor go walking

that helps to keep your contractions

coming it helps to get the baby in the

right position when you're like this the

baby kind of just stays there and is

like oh okay and then you have

contractions and it's like this but what

if baby needs to tuck their head or what

if baby needs to rotate a little bit

that you're encouraging and pushing to

what as you move you're rotating the

head back and forth or encouraging the

baby to get in that right position which

is going to speed up your labor and

there's higher chance of your baby

fitting through your pelvis and sneaking

on its way out sneak its way out and

decrease your chance of what we call a


Stosh ax which is where your cervix just

doesn't dilate and that's actually one

of the number one reasons why first-time

moms end up with a c-section because

their cervix just didn't dilate or their

baby doesn't come down now let's say you

get to the hospital and you get an

epidural the goal would be once you have

an epidural you are changing positions

super frequently okay am i super

frequently I mean at least every hour

ideally every 30 minutes to an hour

movement to me as a doula is one of the

most important tips I can give you and

one of the most important things that I

can help you control when I'm with my

clients in labor so move around move

around a lot that's probably my number

one tip honestly that you can control

not to say that they can be rated

because they all are important number

five is semi controversial I really

struggled actually with even including

this one because I feel like I have my

own personal opinions about it which I'm

not entirely sure if I will share or not

but I'm here to just share the

straight-up research with you

number five is regarding induction of

Labor and so the recommendation per ACOG

is to induce at 41 weeks now I've always

said when you wait for labor for a

first-time mom you can expect to go into

labor spontaneously or naturally at

about 41 weeks and three days on average

so that's where I get a little confused

by the data but the data says that at 41

weeks if you were induced your chance of

vaginal delivery does increase despite

what your bishops score is and go to my

induction videos to understand what that

is it also mentions in this article that

once you get 42 weeks there is no

benefit for you to staying pregnant but

the studies at 42 weeks are SuperDuper

clear that the risk of perinatal

morbidity and mortality does increase

rather than waiting for labor to start

whenever it starts induce for sure at 42

weeks but actually at 41 weeks despite

what your cervix says different doctors

especially based on my experience are

gonna have different points of view on

this this is semi-new research and so I

am hesitant to even talk about it but

the research is actually pretty strong

so I feel like I'd be doing a disservice

in lying to you if I didn't actually

tell you what was up you also have to

weigh the experience your preferences

out--we what you understand with the

data if you are low risk meaning you

don't have complications in your

pregnancy you don't have an epidural you

are strictly just laboring and doing

your thing letting it happen the

recommendation is to pursue and see if

it's an option intermittent auscultation

which you can learn about in my medical

interventions class instead of

continuous monitoring where they put

these like monitors on your belly that

watch the baby's heart rate at all times

then instead you would listen to the

heart rate of the baby during the

contraction through the end every about

30 minutes now different hospitals have

different protocols for that flexsim

flow moral of the story it's not

continuous it's intermittent where

they're listening to the heart rate of

the baby and that does show that it has

the same outcomes the more I'm talking

the more I'm like oh I can hear the

opinions of all sorts of professionals

just tell me what it says okay just just

relating the information once you're in

labor we are also finding that labor

takes way longer than we thought it did

and so one of my tools for you is when

you're in the moment if the conversation

for a c-section comes up the question is

can I continue waiting is baby okay and

if baby is okay what are the other risks

what happens if I wait can we keep

waiting is my tool for you ask for more

time for your labor this one gets a

little bit complicated I don't want to

overwhelm you with information if you

are admitted to the hospital before 6

centimeters that is considered latent

phase or early labor until you hit 6

centimeters we don't really care how

long it takes so if somebody is trying

to tell you you need a c-section before

you've hit 6 centimeters and there isn't

any other indication per ACOG a

c-section shouldn't be called before 6

centimeters you've got to get to 6

centimeters before we can start talking

about timeframe of no cervical change or

your your body not dilating you are not

6 centimeters and they're recommending a


give some pushback and say look my

understanding is that before 6

centimeters I'm not an active labor so

we can't really call the c-section yet

ask those questions you may have to

advocate for yourself Li's but in the

long run sometimes you've given a couple

extra hours and all of a sudden you're 6

centimeters and

your body's like oh I want to have a

baby now and then next thing you know

you're 10 centimeters and pushing your

baby out and guess what all you needed

was more time when we get to pushing

what the data shows is that for a

first-time mom

if you push more than 3 hours if it

takes you longer than 3 hours to push

the baby out chances are only one in

four women will deliver vaginally so

that's only like 25% chance of an actual

vaginal birth now you can probably keep

pushing so long as baby looks good your

doctor says it's still safe but just

know that you within that first three

hours of pushing in 3 hours seems like a

really long time

I understand use that as motivation

ladies that when you are pushing you are

really going for it that you are not

holding back that you're not like oh I

want to wait and let me see finding the

strength in you and using that as

motivation to get your baby out within 3

hours if you can get your baby out

within three hours first-time Mama's

you've a higher chance of vaginal birth

now second third fourth time Mama's what

we call multiple multi purse women you

have one in three chance past two hours

of pushing so your goal is that you can

get the baby out within two hours and

then you're kind of in the clear use

that as motivation now does that mean

that if you get the three-hour mark and

the two-hour mark that you can't get

your baby out not at all

just know that statistically speaking if

you don't get the baby out within two or

three hours - if you have babies before

three hours if you have it then the

chances of your vaginal birth go down

significantly so use that as a mo for

pushing your baby out I have to disclaim

that number nine is one of my pet peeves

kind of in the birth world I feel like I

hear way too much women being told that

their babies are big and I saw a lot of

times in the hospital women coming in

for planned c-sections because their

baby is big you cannot call a c-section

for a big baby unless the estimated

fetal weight is five thousand grams or

five kilograms which let me just add

that one up hold on or 11 pounds for you

women who do not have decisional

diabetes now if you have gestational

diabetes the recommendation or estimated

fetal weight is 4,500 grams which is

nine almost ten pounds so we're talking

you have to have

a massive estimated fetal weight or

massively sized baby in order to really

call a c-section and plan a c-section

based on the weight of the baby the only

way to know if your baby fits is by

trying if you're faced with this

situation go to your doctor and say talk

to me about why you think it's risky and

then you can say my understanding is the

recommendation is to pursue a vaginal

birth unless the estimated fetal weight

is 5000 grams or 5 kilograms or 4,500

grams for gestational diabetes if your

baby is not that big and your doctor is

telling you you need a c-section give

some push back make that educated choice

and know that that really is not an

indication for a c-section the other

piece of this is this is where diet and

exercise diet meaning like not dieting

and not eating enough but eating healthy

calories and not too much can contribute

to having a smaller baby or like if you

eat too much you can have a bigger baby

and so the goal is to not have this

massive baby first of all to avoid see

second but for a second of all to avoid

your vagina stretching as big as a

10-pound baby and mind you the biggest

baby I've ever seen is like 12 and 1/2

pounds to live a Julie so it can happen

you want your baby to be on the smaller

side for the sake of it having a better

chance of fitting through your pelvis

now your bonus ones have to do with Mal

presentation like your baby being breech

and then multiple gestation is another

reason for people having a c-section and

we know that breech babies meaning your

baby is but down not head down that is

one of the major indications that is

causing women to have a c-section and

we're losing the art of delivering

breech babies vaginally now it is more

risky I'll get to that when I talk about

it in a video if your baby is breech the

recommendation per ACOG is to pursue

what we call an external cephalic

version which is where they maneuver

your belly and kind of push and pull on

your belly to help flip the baby from

the outside and so if your baby's breech

I encourage you to ask your doctor about

if that's an option is that something

that they do you want somebody skilled

in it and if they don't do it ask is

there someone who could a lot of times

is successful and may lead to you being

able to have a vaginal delivery second

bonus has to do twins asking your

provider if they deliver vaginal

rich twins most providers are gonna say

that that first baby head has to be down

the second baby mate might be able to be

breech or butt down pursue a provider

that will deliver vaginal breech babies

the last one I have for you guys is to

trust in your body how many times have

you heard me say this your body is

capable of so much it needs time it

needs nurturing and support and

education decreasing your fear the more

you can release not be tense surrender

to the process trust in in your body and

in your baby and in your provider and in

your partner and everybody along the way

the more you're able to let loose and

the more your cervix has a higher chance

of dilating you have to be able to let

go and you hold on so tightly your

cervix ends up holding on really tightly

to that baby as well let go trust in

your body ask those questions speak up

for yourself give some push back if

you're feeling like there's any kind of

pushiness going on I'm giving you the

information for you to be able to take

to your care provider have an

intelligent conversation and really

pursue what's best and what's safest for

you based on your specific pregnancy I

feel like that one could be a little bit

controversial and I care but I don't

care I will link this article in the

description box below you can find all

my links in the description box below

these are little things that stacked up

together may really help to decrease

your risk for a c-section the goal would

be that we don't leave any stone

unturned meaning that we've done

everything within our power to get you

that vaginal birth and ultimately

sometimes everything doesn't align and

that's okay if you need a c-section you

can feel confident that first of all to

your decision and second of all that you

really did everything possible to have

that vaginal birth if you want more eye

childbirth classes online of coping with

labor class online and I will say that

coping with labor class helps with

movements and waiting and feeling

confident in your body that's gonna help

assist you to wait at home and kind of

have some strategy for labor and birth

it also may contribute to the whole

continuous labor support thing we're

having a duel if you can't afford a

doula but so you

a really supportive sister or your

partner super engaged and excited to

help you or your mom wants to be there

take the coping with labor class with

them and it will train them to have some

extra skill and knowledge to be able to

support you in labor

coping with labor is on line make sure

you follow me on Instagram the other fun

announcement I have is I am teaching

bundle birth which is my company group

childbirth classes here in LA so if you

were in Los Angeles you can meet me you

can take those childbirth classes with

me I will link that down below you can

go to childbirth prep LA check out the

schedule of events I'm teaching a VBAC

class in person I have my full

childbirth class there I have a baby

hair class I have one-on-one burnt

consultations you can do with me so I

want to meet you which is super fun

because I feel like I'm talking to

myself all day every day when I make

these videos so come meet me at a

childbirth class we are also offering

all sorts of breastfeeding classes there

and postpartum related classes so send

it to your pregnant mamas in LA I look

forward to meeting you hopefully soon

that is a lot of information everything

you can find in the description box down

below until next time don't forget to

flex and flow and I will see you soon

bye Joe do your work get to it number

three is the left shake this is a labor

of love yes

I don't care I always make a weird face

after let's get started

let's get started or what do they call

them a gift just bring some circulation

to my face all about seat back jobs

right now

okay okay