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C–Sections vs. Vaginal Deliveries

Does a Cesarean Mean Fewer Babes in Your Future?

I read an article in the New York Times that says women who gave birth via cesarean were less likely to have more children than those who delivered vaginally. The article quoted a study from the journal Obstetrics & Gynecology:

Women who underwent C-section to have their first baby were 12 percent less likely to have another child than women who gave birth vaginally.

To finish the piece,

I have many friends who have had their babies using the surgical route rather than the natural one. As I sit here thinking about it, they are all planning on, if not already, having at least one more child.

Tell us, do you think the manner of delivery affects how many tots someone desires?

lms lms 9 years
I had a vaginal birth, but I would think that c-section mothers would be more likely to have more children b/c they felt less pain in delivery. I have seen c-section mothers in extreme pain for 2 weeks after and some in no pain at all. I guess it would depend on their personal experience.
Greggie Greggie 9 years
I've had three c-sections. One emergency, one technical emergency when I went into labor before my scheduled date, and one scheduled. Having c-sections has made me far more likely to have more children rather than the opposite. The mere thought of attempting any kind of labor and vaginal delivery again makes me physically ill. It was awful, whereas my c-sections have been wonderful. I still wouldn't use anything but NFP, but I'd be much less likely to ever deliberately have attempted another pregnancy if I'd been forced into a VBAC. Of course c-sections have limitations. So do vaginal births for some women, although it's less likely. But after 3, I'm still fine to have more. I know several people who've had 4 or more. Strangely, the people I know with a higher than average amount of kids all have c-sections.
abqmama abqmama 9 years
I haven't had to have a c-section, thank goodness, but this woman I used to work with had three of them and even 10 years later she said she still had pain from the incisions all the time. Of course, that was a while ago so maybe they do things differently now and they heal better. I think if I had to have one I might not have had another baby. At least not for many years. I am a chicken when it comes to surgery.
duck-duck-goose duck-duck-goose 9 years
((**sorry for the long-windedness**))
duck-duck-goose duck-duck-goose 9 years
All of my children have been delivered surgically. None of the c-sections were performed according to "preference" -- each pregnancy had its own necessity. (Although none of my surgeries were emergencies in the strictest sense, I labored many long, hard hours for my first and was informed that a c-section was my best medical option.) My first was needed after three hours of pushing (following many more hours of back labor), and yet the baby hadn't budged and his heart-rate kept intermittently dropping. My second son was born twelve months and twenty days later. He was breech and the doctor had hoped to turn him, but I was in a horrific car accident at eight and a half months along (my abdomen took the brunt of the trauma), and my OB was extremely worried that my placenta would detach from my uterus if he tried to manipulate the positioning of the baby. I had hoped for a V-BAC with my third boy, but was informed by my doctor in the hospital (after my water had already broken) that (statistically) my chances of a successful vaginal delivery (due to my circumstances) were roughly seven percent or less, and that the chance of uterine rupture during a trial-of-labor were high enough for it to be considered dangerous. He strongly recommended another surgery (in his gentle, soft-spoken way) and told me that I would be forced to sign legal papers stating that I went against doctor's orders if I chose to labor rather than consent to surgery. (Make no mistake -- he did not bully me, but he did present facts fairly and he let me know my options.) There really wasn't much of a choice for my most recent delivery. Considering all the info I'd been given just before my third delivery, I knew that any future deliveries would be c-sec. But, I also found that I was pregnant with twins, so V-BAC wouldn't have been an option anyway. Then I suffered a partial miscarriage and lost one of my babies during my fifth month. I was considered a special sort of high-risk, and would have needed a c-section anyway. So. . . I'm not certain if my circumstances in truly *needing* four cesareans have had any effect on the number of children I've had or will have, but I can say that my fourth cesarean (just this January) was ten times harder than any of my others. More than one OB (though never my own) has made assumptions that I would naturally have planned to get my "tubes tied" during the procedure -- and they all have taken a pause when I've responded, "No." I want many children. I'd love more than what I have now. (Believe it or not, I have fertility problems -- although my twins were a natural occurrence -- conceiving is not easy for me. It has taken as long as five difficult years actively attempting conception to succeed.) But I just don't know when I've passed the threshold of personal safety. I had so much scar tissue this time around, I needed two OBs cutting through all of it for an extended period of time after my last son was delivered. My husband was so nervous waiting with our little babe in the hospital room, he was sure something went wrong and that they were going to return to the room and tell him I had died (or something similar). There is a definite limit for c-sections mothers, I just don't know what it is (as it varies for each person). But I wish there were no such limitations. It hurts my heart to think it might not be safe to try for another.
paris1 paris1 9 years
I had an emergency c-section 3 months ago...the incision then opened up and I had to have wound treatment for 2 months afterwards. Because of this experience, I am having a really hard time deciding if I want to have another baby. But I'm hoping, with time, I will change my mind.
faerymagick15 faerymagick15 9 years
I have had 2 csections and plan on having another! It didn't deter me and still won't!
LA-Mommy712 LA-Mommy712 9 years
I had Jack via c-section because he was breech, and I intend on having one more baby (hopefully I'll be able to have a VBAC and attempt that natural delivery I'd dreamt of with Jack!). Vaginally or c-section, I'd never intended on having more than two kids. However, most doctors won't do more than three c-sections (or so my doctor told me). I guess there could also be a correlation between difficult labors and c-sections, and maybe those moms don't want to go through a c-section again.
anniekim anniekim 9 years
I just the NY Times and the reasons for the % decrease were not clear, but the Norwegian study did not adjust for age so that may have been a factor. I would recommend checking out the Times article on line (thanks for the link, babysugar.) The discussion following the article is both extensive and highly informative. More info on the study is presented in the comments which range from the personal and compassionate to the argumentative to the professionally and medically informed.
albeli albeli 9 years
I've had 3 c-sections and would love to have another child.
Gruberr1 Gruberr1 9 years
Having already had one c-section (breech baby), I can honestly tell you that it has no bearing on my decision to have more! I really don't believe that the recovery was that bad and would never let it dictate my decision on whether or not to have more children! I wonder who they interviewed!
anniekim anniekim 9 years
I'll be having a 3rd c-section in June. It would not be medically feasible for me to have a much larger brood--no 8 kids here! I would like to know more about the reasons for the % difference. It doesn't sound like that big of a difference.
meumitsuki meumitsuki 9 years
I have had two c-sections for breech babies and I plan on having at least one more, maybe two. Maybe it has to do with if you have an emergency c-section. That is alot different mentally than a planned one.
kikidawn kikidawn 9 years
I didn't read the article, but was the reasoning behind it b/c they had a harder time getting pregnant again? (Perhaps w/ implantation) Or are they just opting to not get pregnant again b/c they don't want another c-section?
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