The elective Caesarean section

Caesarean sections can be planned or unplanned. A voluntary Caesarean section is when you decide in advance to have a planned Caesarean section, even though there is no medical need for it.

There are many reasons for a voluntary caesarean section

A major issue is certainly the unpredictability of a vaginal birth: you don't know in advance how long it will take, how much pain it will be, whether you will be able to cope with it or whether there will be complications. Fear of the pain is completely normal, as is fear of injury. Some pregnant women want to protect their intimate area and avoid a perineal tear, for example. Others are afraid of failing during a vaginal birth. A planned Caesarean section can counteract these fears. The ability to plan the birth also often plays a role. A set birth date offers some security, particularly in countries where maternity protection in the workplace is little to non-existent.

Whatever your reason for wanting a Caesarean section, it is definitely legitimate and should be taken seriously.

However, a caesarean section is not automatically the easier way

There are risks associated with a Caesarean section and you should be aware of these. Ultimately, it is still an operation and as such can cause complications such as infections, injuries or difficulties in wound healing. In addition, there is no guarantee that your recovery will be faster because you are avoiding the perineal tear - in fact, recovery from a Caesarean section usually takes longer. In addition, some mothers ask themselves after the procedure whether they would not have managed it vaginally. This can lead to self-doubt and a feeling of failure.

Mother-child bonding after cesarean section

During a vaginal birth, hormones are released, such as oxytocin, which promote the bond between the mother and the child. These hormones are lacking during a Caesarean section, which is why some expectant mothers worry about the bond. But the assumption that this would suffer permanently if the child was born by Caesarean section is a bit simplistic. In fact, the mother-child bond is a much more complex process that is shaped by many factors and goes far beyond the birth. The so-called bonding bath can help with this - a healing bath that is intended to help you or your partner experience the vaginal birth (more on this on our Instagram channel under the highlight "Bonding").

The right decision is subjective

As with everything that concerns your health and that of your child, it is important that you inform yourself. Especially before the birth, talk to a medical professional you trust about your reasons and fears if you are considering a voluntary caesarean section.

Ideally, you have already thought about which clinic you would like to give birth in and can speak directly to the local specialists. Together you can get to the bottom of your motivation and ensure that you make a well-considered decision. Your doctor can check whether you have the health requirements for the operation. He or she can also help you assess and classify the risks.

An important question in advance is certainly how much a voluntary caesarean section costs: In the vast majority of cases, your health insurance will cover the costs in the same way as a medically necessary caesarean section or a vaginal birth. In case of doubt, the doctor's assessment is decisive. You can also speak to the responsible doctors about this in advance. In the unlikely event that the caesarean section is not covered by the health insurance, you can expect costs of around 3,000 euros.

After the Caesarean section comes the healing process

Your postpartum period looks a little different after a Caesarean section than after a vaginal birth: Although the procedure avoids a possible perineal tear and vaginal injuries, your wound must heal again.

Unlike in the traditional postpartum period, after a Caesarean section you are advised to get moving again as quickly as possible. You should of course avoid physical exertion and especially lifting heavy objects. Instead, it is about taking small steps to promote circulation in the legs and prevent blood clots. And the sooner you can make your way to the bathroom on your own, the sooner you will be rid of the catheter.

In addition, you can usually start postnatal exercises after 24 hours to support the healing process and to be able to go home with your child as soon as possible. But here too, don't demand too much of yourself and your body at once. After all, you have not only given birth, but also had an operation.

Once the Caesarean section wound has healed, the scar appears

There are a few simple tips and tricks that can help heal the scar or prevent it: Be careful when showering, for example, pat your stomach dry with a towel afterwards instead of rubbing. It's best to avoid full baths until the wound has mostly healed and the lochia has stopped. Loose clothing that doesn't rub (and is usually more comfortable anyway) and special scar oils and ointments also help. If possible, try to handle your scar gently - it is a testament to the life you have created.

Psychological wounds also deserve attention

Even if it was a voluntary Caesarean section, you will probably have to do some psychological healing after the birth. You have just brought a new life into this world, you have become a mother. Take the time you need to familiarize yourself with your new role.

If you feel like you've failed or missed out on something with a voluntary Caesarean section, it can help to think about your original reasons. After all, you made the decision because it was the right one for you at that moment. Mindfulness is a good way to keep an eye on your emotions. Try to be honest with yourself: if you're not feeling as well as you expected, you can admit that. Take a look at our article on baby blues after birth .

You make the decision

Some people think that a Caesarean section is the "easier" option, while others think that a vaginal birth is the most desirable option. No type of birth is better than another per se, what counts is what is right for you. Take your time with your decision, get professional advice, state your motivation, listen to your gut feeling. Ultimately, it's all about holding your child in your arms.

Author: Constanze Dochantschi