I was 36 weeks pregnant, and my baby had been stubbornly breech for weeks. Despite the midwife’s optimism, she showed no intention of turning. My consultant had even tried external manipulation (gentle at first, then not so gentle!), but with no success.

This was the late 1980s, long before Google searches and parenting forums. I devoured what little information I could find, spoke to anyone who would listen, and convinced myself that a “natural” birth was best. Big mistake. Huge!

What followed was 36 gruelling hours of labour, a syntocin drip, eight hours on an epidural, two episiotomies (my daughter was 8lb 4oz with a generous head circumference), and finally a baby born with an Apgar score of just 2, needing resuscitation. This was not what I had planned.

The trauma — to both of us — is a story in another blog, along with the long-term impact of my decision. But what I learned is this: while the research often says vaginal birth is better for mother and baby, there are times when a Caesarean section is absolutely the right, and safest, choice.

Why Might You Have a C-Section?

The number of caesarean births (C-sections) in the UK has steadily increased over the past decade. In England, 42% of all deliveries in 2023/24 were by caesarean—up from 25% in 2013/14. Among women aged over 39, it was the most common method of onset and delivery.

C-sections can be planned during pregnancy or decided during labour. There are many reasons why it may be the safest or most positive choice for you and your baby. Common reasons include:

• Baby’s or placenta’s position: If your baby is breech (bottom first), lying sideways, or if the placenta is blocking the birth canal (placenta previa).
• Labour not progressing: When labour slows or stalls and the mother becomes too exhausted to continue, a caesarean may be the safest option.
• Baby’s wellbeing: Signs of distress may mean your baby needs to be delivered quickly.
• Multiples: Carrying twins or more can make a C-section the safest choice for everyone.
• Maternal health: Certain medical conditions mean a caesarean is recommended.‍
• Previous caesarean: Depending on your circumstances, a repeat section may be advised (though vaginal birth after caesarean, or VBAC, is possible).‍
• Personal choice: Some women opt for a caesarean for peace of mind and wellbeing.

What Makes a Positive Birth Experience?

A “positive birth” doesn’t mean one specific type of birth. You might picture a calm water birth surrounded by soft music—but a positive experience can take many forms. Even when things don’t go to plan, your birth can still feel empowering if you feel safe, supported, and respected.

Two key factors help make that happen:

• Maximising oxytocin: The “love hormone” helps labour progress, supports bonding, and promotes breastfeeding. Oxytocin increases when you feel safe and loved, so surround yourself with supportive people and a calm environment.
  
  
• Feeling informed and in control: Research shows that being part of decision-making, understanding what’s happening, and feeling respected all increase satisfaction and reduce the perception of pain.

8 Tips for a Positive C-Section

Whatever the reason, a caesarean can still be calm, empowering, and positive.

1. Get educated

Knowledge is power. Taking a hypnobirthing or antenatal course (online or in person), listening to birth podcasts, or reading about caesarean experiences can help you feel informed and confident.

2. Create a birth plan for your C-section

You can include preferences like music, dim lighting, or having your partner by your side. Even if you plan for a vaginal birth, it’s worth noting your wishes in case a C-section becomes necessary. Discuss your plan with your midwife in late pregnancy and keep spare copies for the hospital.

3. Ask about a “gentle” or “family-centred” caesarean‍

Many hospitals now offer this approach, which may include lowering the drape so you can see your baby being born, delayed cord clamping, or immediate skin-to-skin. These small changes can make the experience feel more connected and less medicalised.

4. Ensure skin-to-skin contact
Skin-to-skin helps regulate your baby’s temperature, heart rate, and breathing, reduces crying, and releases oxytocin for both of you. It can often happen in the theatre or recovery room—if not with you, then with your partner.

5. Talk through the process beforehand

Knowing what to expect reduces anxiety and builds confidence. At your pre-operative appointment, ask questions about the procedure, fasting, and what happens on the day. Even if you’re not planning a caesarean, understanding the process can be reassuring.

6. Include your birth partner
Partners can play an active role—cutting the cord, announcing the baby’s sex, or simply offering reassurance. Their presence helps you feel calm and supported.

7. Think ahead about recovery
Recovery from a C-section typically takes around six weeks, though full healing can take longer. Prepare by:

• Arranging help at home for meals or chores
  
  
• Filling your freezer with easy meals
  
  
• Following the 5-day rule: 5 days in bed, 5 on the bed, 5 near the bed
  
  
• Limiting visitors and focusing on rest and bonding

There is much more on protecting this vital time in our blog: 'Can we reclaim the first 40 days of motherhood'.

8. Consider a birth debrief
If aspects of your birth stay on your mind, you can request a debrief from the hospital. Talking through what happened can support emotional healing and reduce postnatal anxiety or trauma.

Did you have a C-section? What was your experience? 

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