Dr. Pamela Smith, ND 

Dr. Pam has a family practice at The Nest Family Wellness Centre which offers naturopathic and midwifery care. She combines science-based natural medicine with conventional medical therapeutics. Learn more about Dr. Pam and the services offered by her clinic here, or book an appointment at www.drpamelasmith.com.

Check out the latest Ask Dr Pam Q&A and posts by topic below as well as her health and wellness posts.

Ask Dr Pam   

What are the circumstances that would require me to have a C-section?

Certain complications during birth may require the need for a Caesarean delivery. This may include: fetal distress, health problems with mother, cervical dystocia (cervix fails to dilate), or undesirable positioning of the baby. Your healthcare provider may suggest that you schedule a planned C-section if the placenta is covering the cervical opening, known as placenta previa. Other reasons for a planned Caesarean include multiples (i.e., twins), severe preeclampsia, or a breeched baby. A subsequent birth to a C-section delivery may also require a C-section especially if there is a lack of medical emergency support in your community, if your previous C-section was a vertical incision (which increases risk of uterine rupture), or if you had two consecutive Caesarean deliveries and no vaginal deliveries. For the majority of women it is possible to have a vaginal deliver following a C-section delivery, this is termed VBAC - vaginal birth after caesarean.

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