Dear Midwife,
Hi, I had a c-section with my first and to date (27 weeks) plan on having another with this pregnancy.

People keep giving me funny looks and saying things like "oh don't you want natural childbirth".

Honestly I don't but is it really better for the baby? Aren't the chances that I'll need a c-section higher?


It kind of depends on why you had the first cesarean. There is a difference depending on whether it was for breech, for instance, or whether you went into labor on your own without breaking your bag of water until late in labor, didn't have an epidural, but still couldn't get the baby out. I'd suggest you visit the www.ican-online.org web site and might also want to view the this YouTube video:


I guess what I'm saying is that because this decision IS a big one, both for your health and for your baby's, and also for any future children you might have, you should educate yourself as much as possible before you make the decision. And then make sure you have a provider who truly supports your decision, no matter what it is.

-- Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.