Understanding the Dangers of Cesarean Birth: Making Informed Decisions

Nicette Jukelevics
Foreword by Charles Mahan, M.D.
304 pages, graphs, photos
Praeger Publishers
Media Type: Hardcover

Book available at a discount from ICEA.org (with membership or registration) and from Amazon.com

Buy your copy from Amazon using GoodSearch and the vendor will donate to the Coalition for Improving Maternity Services (CIMS). Go to www.goodsearch.com/goodshop.aspx, choose CIMS as your charity, then choose Amazon and enter Dangers of Cesarean Birth in the Amazon search bar.

Listen to a Bellycaster interview with Nicette speaking about the out-of-control cesarean rate and , the health impact of  interventions on mothers and babies.

Cesarean delivery - childbirth through an incision in the mother's lower abdomen - is now the most common major surgical procedure performed in the United States. No one argues over the fact that it can be a life-saving procedure when the baby or mother is at risk. But for almost three decades in this nation, cesarean deliveries have increased, without substantially better outcomes for babies or mothers. Experts warn that up to 50 percent of the more than 1 million C-sections performed here each year are unnecessary. And that is where Nicette Jukelevics, a certified childbirth educator, researcher and writer, steps in with this book. Jukelevics aims to give women the insights they need to make an informed decision about whether natural or C-section birth is best for them and their babies. She explains when C-sections are necessary, and when they are not needed. She also addresses the overuse and misuse of medical procedures that can complicate labor and lead to C-sections, as well as reasons doctors may support or suggest C-sections, including outdated medical information, fear of liability, and economic advantages measured in doctors' time.

This work also examines midwifery practices shown to safely reduce cesarean deliveries, but ignored or resisted by hospitals. Understanding the Dangers of Cesarean Birth will interest not only expectant and future parents, but also to students and scholars of women's health, nursing, and public health. Childbirth educators and doulas will also find this book helpful since each chapter includes, Especially for Mothers, a section with helpful guidelines, questions, and numerous resources for making informed decisions about birth professionals, hospital interventions, and place of birth.

Table of Contents

Series Foreword by Julie Silver, M.D.
Foreword by Charles Mahan, M.D
List of Abbreviations
1. Freefall
2. Nondisclosure: The Missing Information for Making Informed Decisions
3. Patient Choice or Physician Choice Cesareans?

Cesarean Delivery and Its Impact on Mother and Baby
4. About Cesarean Section
5. How Safe Are Cesareans?
6. Breaking the Silence: Birth Trauma, Cesareans, and Post Traumatic Stress
7. How Does a Cesarean Birth Affect the Baby?
8. Impact of a Cesarean on Future Pregnancy
Common Reasons for a Cesarean
9. I’m Laboring as Fast as I Can: Prolonged Labor, a Highly Variable Diagnosis
10. Especially for Mothers: Walk, Rock, Sway, Squat, You Can Help Your Labor to   Progress
11. Laboring for a VBAC: A Safe Alternative to a Repeat Operation
12. Electronic Fetal Monitoring: More Information Is Not Always Better
13. Breech Version: A Safe Alternative to a Planned Cesarean
14. Elective Induction of Labor: A Risk Factor for Cesarean Delivery
Reducing the Risks for Cesarean
15. Especially for Mothers: Coping with the Pain of Labor
16. Labor Support by Women for Women
17. Giving Birth with Midwives: Excellent Outcomes with Fewer Cesareans
18. Out of Hospital Birth Lowers the Odds for Cesarean Section
19. Especially for Mothers: Reducing the Odds for a Cesarean - What To Do during Pregnancy
20. Especially for Mothers: Reducing the Odds for a Cesarean -What To Do during Labor and Birth
Changing the Status Quo
21. Why Normal Birth Matters
22. Resources: Truth and Transparency in Maternity Care


Corrections to the first printing of the book (PDF)