Advice: “How to avoid having a Cesarean Section” from

by faithgibson on December 19, 2017

in Cesarean Politics, Contemporary Childbirth Politics

From: Nicholas Olow <>
Subject: Best Practices for Reducing Primary Cesarean Births…
Date: December 19, 2017 
If you, a friend, family member, partner, co-worker, or client of yours is wanting to reduce their risk of having a primary cesarean birth in a hospital please read and share the following article with your network of birth professionals on other Facebook and email groups so they can share this with their pregnant client’s in order to help them find a doctor, medical group, and hospital that uses the following best practices for reducing primary cesarean births.
The organizations listed below have all endorsed the following labor management guidelines as best practices for reducing primary cesarean births and promoting vaginal births:

American College of Obstetricians and Gynecologists (ACOG)
American College of Nurse-Midwives (ACNM)
The Association of Women’s Health
Obstetric, and Neonatal Nurses (AWHONN)
Society for Maternal Fetal Medicine
1) waiting for labor to begin and progress on its own
2) admission to hospital labor and delivery units in active labor as opposed to pre-active labor

3) freedom of movement in the absence of any fetal compromise that can be achieved with listening to the fetal heart intermittently with a handheld Doppler or electronic fetal monitor
4) no restrictions on food and drink

5) the continuous presence of a support person or doula who is not part of the medical team

6) revised time limits on the progress of labor
7) upright positions for pushing and delayed pushing until the woman feels the spontaneous urge to push

8) access to certified nurse-midwife (CNM)-attended births versus just having access to only an OBGYN doctors.
If you can take the time to share this article with your network of birth professionals (Midwives, Doulas, Childbirth Educators, L&D RNs, L&D Managers and Supervisors, OBGYN doctors, etc…) and your pregnant clients in order to start a dialogue about having hospitals incorporate the above labor management guidelines as best practices to reduce their primary cesarean birth rates and improve maternity and neonatal outcomes that would be awesome!
With Love and Support,
Nick Olow, MS, L.Ac.
Board Certified and Licensed Acupuncturist / Educator
Founder and CEO of Better Birth 360 and AcuMassage Therapy Center
P.S. If you would like to receive more timely articles from me on how to promote a natural, more comfortable, and positive birth experience, feel free personally friend me on FB and also join the Better Birth 360 Inner Circle Group by clicking on the links below

Personal FB Page:
Better Birth 360 Inner Circle Group:
1.Healthy Birth Practice #1: Let Labor Begin on Its Own – J Perinat Educ. 2014 Fall; 23(4): 178–187.

2.Early versus Late Admission to Labor Affects Labor Progression and Risk of Cesarean Section in Nulliparous Women – Front Med (Lausanne). 2016; 3: 26.

3.Approaches to Limit Intervention During Labor and Birth – ACOG Committee Opinion Number 687 Feb 2017

4.Restricting oral fluid and food intake during labour – Cochrane Database Syst Rev. 2013 Aug 22;(8)
5.ACNM Healthy Birth Initiative for Reducing Primary Cesareans
6.Reducing the Primary Cesarean Birth Rate: A Quality Improvement Project – Journal of Midwifery and Women’s Health – July 13, 2017

To get access to this article please click on the link below and request to be added to the Better Birth 360 Inner Circle Group and then goto the file section called “Reducing Primary Cesarean Birth Rate.pdf”
Click on the link below to get access to this timely article:



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