Are you having a caesarean birth? Here are 7 ways to personalise it and plan the birth you want and deserve!
1. Hypnobirthing
Yes, you can use hypnobirthing, meditation, mindfulness and relaxation to your advantage before and during a caesarean birth. Practise calm breathing techniques, positive affirmations and bonding with your baby. The calmer you are, the more oxygen reaches your baby (or babies), and the better your recovery is likely to be. Hypnosis also has a positive effect on your mental wellbeing in pregnancy and after the birth.
2. Skin-to-skin
Immediate skin-to-skin with a parent helps your baby regulate their temperature, spreads good bacteria and much more – it’s beneficial all round! The good news is that most UK hospitals support immediate skin-to-skin between birthing parent and baby after any type of birth, as long as it’s safe. So if you and your baby are well (and the cord is long enough – it usually is!), you can have immediate skin-to-skin.
3. Optimal (delayed) cord clamping
Optimal or delayed cord clamping allows your baby’s blood to flow from the placenta back to them. This can improve their Apgar scores and their immediate and longer-term health. Most UK hospitals support optimal cord clamping for all types of birth, including caesareans.
4. Adapt the environment
Have your partner or doula with you (some hospitals allow two birth partners in theatre) and choose your music. Some birthing parents wear headphones to block out the sounds of surgery, listen to their hypnobirthing tracks, or have their partner repeat their affirmations with them.
5. Stay calm
Use whatever helps you stay calm – your partner, your doula, your relaxations, your music, or a photo of a loved one or pet. Being calm may help reduce blood loss, means more oxygen for your baby, and can improve your recovery.
6. Vaginal seeding and your baby’s microbiome
Vaginal seeding means transferring vaginal fluids – using a sterile gauze or swab placed in the vagina about an hour before the caesarean – to the newborn’s mouth, nose or skin, to pass on the mother’s vaginal flora. Some parents ask about it, but the evidence is still limited and it isn’t routinely recommended in the UK, so discuss it with your care provider. Other ways to support your baby’s microbiome are lots of skin-to-skin and breastfeeding.
7. Ask about a gentle (family-centred) caesarean
Many UK hospitals offer gentle or family-centred caesareans. Rather than the obstetrician pulling the baby out, the baby is born more slowly, helped by the uterus contracting (aided by synthetic oxytocin). It’s usually accompanied by immediate skin-to-skin and optimal cord clamping. Read more in What is a gentle caesarean birth?
Here is an article about a gentle caesarean birth story: The Guardian
And here is a video of a gentle caesarean at one of my local hospitals in Nottinghamshire:
Knowledge is power
Knowing your options and what happens during a caesarean helps you plan the right experience for you. Discuss skin-to-skin, optimal cord clamping and adapting the birth environment with your healthcare provider, and write them into your birth plan.
The video below shows how many people are usually present during a caesarean birth.
These are just 7 ways to personalise your caesarean birth – I’m sure you can think of more! Please share your ideas and experiences in the comments. You might also find Recovery after Caesarean Birth helpful.
Online Birth Preparation Course only £35!
Please also check out my online course! No videos, just text and images to learn in your own time. Includes hypnobirthing mp3s, scripts, workbook, handouts, infographics and much more! Lots and lots of information at your fingertips! Includes:
- hypnobirthing mp3s
- hypnobirthing scripts
- written information
- infographics and other imagery
- printable handouts
- printable workbook/journal
Sources and further reading:
Caesarean Birth and VBAC Information
Ginandes C, Brooks P, Sando W, Jones C, Aker J. Can medical hypnosis accelerate post-surgical wound healing? Results of a clinical trial. Am J Clin Hypn. 2003 Apr;45(4):333-51. doi: 10.1080/00029157.2003.10403546. PMID: 12722936.
Hourigan SK, Dominguez-Bello MG, Mueller NT. Can maternal-child microbial seeding interventions improve the health of infants delivered by Cesarean section? Cell Host Microbe. 2022 May 11;30(5):607-611. doi: 10.1016/j.chom.2022.02.014. PMID: 35550663; PMCID: PMC9237654.
Smith J, Plaat F, Fisk NM. The natural caesarean: a woman-centred technique. BJOG. 2008 Jul;115(8):1037-42; discussion 1042. doi: 10.1111/j.1471-0528.2008.01777.x. PMID: 18651885; PMCID: PMC2613254.
Wilson, Brooke C. et al. (2021) Oral administration of maternal vaginal microbes at birth to restore gut microbiome development in infants born by caesarean section: A pilot randomised placebo-controlled trial. eBioMedicine, Volume 69, 103443. Available at: https://www.thelancet.com/journals/ebiom/article/PIIS2352-3964(21)00236-X/fulltext [accessed 3 April 2023]

