Guide to Cesarean Birth: Preparing for Planned and Unplanned
Apr 1, 2025
Co-written by Deja Ramos, a Certified Doula (DONA), ICCE, and Co-Founder of The Birth Companions and Anna Morales, Co-founder of Mila Support
Why does it matter?
Cesareans (C-sections) are surgeries where the baby is born through an incision in the abdomen and uterus. Some are planned in advance, others happen during labor. Even if you’re planning for a vaginal delivery, it’s worth knowing what to do in case your doctor brings up a C-section.
Types of C-Sections
What You Can Ask For
Partner present in OR
Clear drape or lowered screen
Music in the OR
Delayed cord clamping
Partner to accompany baby to nursery or NICU
Skin-to-skin in the OR with birthing parent or partner
Add to your birth plan: “If a cesarean becomes necessary, I want time to talk through options unless it’s an emergency.”
What to Expect in the OR
You may be restrained at the start of surgery.
They will bring you in first for preparations and bring your support person in just before baby is born.
Spinal anesthesia is common (you’ll be awake but numb).
Surgery takes about 45 minutes; baby is born in first 10.
You may feel pressure or tugging but no pain.
Baby can often be brought to your chest or nearby quickly.
After a Cesarean
Recovery usually includes 2-4 days in the hospital.
Movement helps healing, but go slowly.
Pain medications help with inflammation, not just pain.
Support is important – accept help!
Bonding, skin-to-skin, and breastfeeding are all possible and encouraged.
Final Note
A cesarean can be a powerful, beautiful birth when you feel prepared and supported. Knowing your options helps you stay in the center of your story, no matter how your baby is born.