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Down to Birth

#312 | Avoiding the Unnecessary Cesarean: A Five-Step Evidence-Based Approach

Down to Birth

Cynthia Overgard & Trisha Ludwig

Pregnancy, Childbirth, Postpartum, Midwives, Alternative Health, Home Birth, Society & Culture, Newborn, Documentary, Hypnobirthing, Kids & Family, Health & Fitness, Breastfeeding, Pregnant, Birth, Maternity, Motherhood

4.8 • 586 Ratings

🗓️ 16 April 2025

⏱️ 48 minutes

🧾️ Download transcript

Summary

Today we’re talking about one of the most important—and misunderstood—topics in maternity care: the unnecessary cesarean. In the U.S., about one in three babies is born by C-section, but in physiologic birth settings, that number can be as low as 2–4%. So what’s driving the difference? In this episode, Cynthia and Trisha unpack the many layers behind the rising cesarean rate and offer a grounded, evidence-based approach for avoiding surgery when it isn’t truly needed. From provider practices ...

Transcript

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0:00.0

How many are really receiving a flood of endorphins rather than resisting, having fear, having stress hormones, and her body is in this conflict of trying to get the baby out, but there's the absence of endorphins because she doesn't feel safe.

0:14.7

It's a highly controversial drug, and it should be.

0:18.0

And that's why even the FDA will not go near making blanket recommendations

0:21.8

for Pitocin. It's staying very far away from it. And it's been around for decades, 60, 70 years,

0:27.0

still not something that anyone is, any major authority is really too comfortable getting behind,

0:32.6

but it is used with reckless abandon. Only 39% of women reported walking during labor after they were admitted.

0:42.1

That means the rest of them were in bed.

0:46.4

I'm Cynthia Overgard, owner of hypniburthing of Connecticut, childbirth

0:50.3

advocate, and postpartum support specialist.

0:53.5

And I'm Trescia Ludwig, certified nurse midwife and international board certified lactation consultant.

0:59.4

And this is the Down to Birth podcast.

1:04.1

Childbirth is something we're made to do, but how do we have our safest and most satisfying experience in today's medical culture?

1:11.5

Let's dispel the myths and get down to birth.

1:20.3

Well, today we're going to talk about the obvious. So what do you think, Tricia? Well, I think

1:26.2

one of the most important things that we can do is help mothers learn how to avoid the unnecessary cesarean section.

1:33.7

We know that at least a third, if not more, probably more, at least a third of C-sections are performed unnecessarily.

1:43.7

And that leaves women traumatized by their birth experiences and feeling lack of peace with

1:49.1

their birth outcome.

1:50.5

So if we can help mothers understand, there are very real, very significant, very effective,

1:58.6

and simple things that you can do to dramatically decrease your risk of

2:03.3

having an unnecessary cesarean section. And I just want to make a couple of points off of what

2:09.4

you just said. One is that I know they say probably at least a thing unnecessary, right, the good old

...

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