You’ve been told that you need a caesarean. What now?
You might feel a mixture of emotions, including confusion, fear, frustration, and relief. You may feel like you have failed, that you are “missing out on” a traditional birth, or worse, encounter the ridiculous label: “too posh for pushing.” What is an Elective Caesarean?
Let me state it clearly and loudly: Choosing or needing to have a caesarean does not make you less of a mom. Nor does it make your experience with your baby easier. In many cases, a caesarean is a brave and strong decision, one that’s made to protect your health and the baby’s.
I’ve seen it myself. I’ve had both an elective and an emergency caesarean. I’ve had both an elective and an emergency caesarean. Each birth was unique, with its challenges and fears. But each brought a beautiful child into my arms. What matters is whether you make the right decision for yourself.
Let’s discuss what an elective cesarean is, what you can expect, and why you may need one.
What Is an Elective Caesarean?
Elective c-section is also called a scheduled caesarean. It’s a planned surgical birth. The procedure is usually performed about a week before the due date. It’s a controlled, calm environment, unlike an emergency C-section.
An obstetrician will make an incision on your abdomen to deliver your child. This is major abdominal surgery, let’s be clear about that. But when you plan, you’ll have more time to prepare yourself mentally, emotionally and physically.
While some people may think that “elective caesarean” is just a choice or option, in reality, most women elective caesareans do done for medical reasons.
Why You Might Need an Elective Caesarean
Contrary to old myths, elective caesareans don’t mean skipping labour. It’s about avoiding serious risk.
Here are some very valid reasons (and common) why your healthcare team may recommend a planned C-section.
Your child is in an abnormal position
A vaginal delivery may be impossible if your baby is transverse or breech. A c-section is the safer option in these situations.
You are carrying multiple babies
Although twins are sometimes delivered vaginally there is a greater risk of complications, especially if the baby in question is breech and they share a placenta. Triplets and more require almost always a caesarean.
Placenta Previa
A vaginal delivery would be dangerous and lead to serious bleeding if your cervix is partially or completely covered by the placenta. The safest and most recommended option is a planned caesarean.
Your health is seriously affected
Conditions such as high blood pressure, heart disease or cancer, or infections (such as HIV or herpes),, can make a cesarean easier for you and your child.
Your uterus may rupture
There is a small risk that you may experience uterine rupture in labour if you have had previous uterine surgery. This was why I chose a planned C-section.
You should be concerned about your baby’s health
Some babies develop medical complications while in utero, such as Hydrocephalus (extra liquid on the brain) and other concerns that require careful surgical delivery to prevent trauma.
Your mental health is affected
Women with severe anxiety or PTSD, as well as conditions such as anorexia, may benefit from a planned cesarean. This can reduce their trauma and allow them to have more control over the birthing experience.
You’ve had a previous caesarean
Your doctor may recommend another c-section if you have had one before. This is especially true if the births were close together or if complications could arise during labour due to your previous incision.
You’re a mother over 40
Women who give birth between the ages of their late 30s to mid-40s can face greater health risks. A caesarean may be the best option for mom and baby.
What to Expect: Before, During, and After Your Elective Caesarean
It’s perfectly normal to be nervous if this is your first caesarean. Understanding what to expect will help you feel more confident and reduce your anxiety.
Before the Operation
- You will receive a booking at least 39 weeks in advance (unless you have a medical condition that requires it earlier).
- The hospital will contact you the day before to confirm your appointment time.
- You will be told to fast for several hours before the test (normally no food or clear liquids for 6 hours and 2 hours).
- Pack your hospital bag with comfortable clothes, high-waisted underwear, snacks, phone chargers and toiletries.
On the Day
- Arrive at the hospital, and you’ll change into a gown.
- You will have to remove all jewellery, make-up, contact lenses, glasses and nail polish.
- You can bring a partner or someone to support you into the theatre. They will wear scrubs and a mask, as well as a hat.
- You will have a drip in your arm to administer fluids and medication.
- An anaesthetist can administer an epidural or spinal block to numb your chest.
- Since you will not be able to use the toilet for a few days, a catheter will be inserted.
- You will not be able to see the procedure unless you opt for a transparent screen.
- Your doctor will start the operation once everything is in place. From the first incision until delivery, it usually takes 10 minutes.
- Your baby will be wrapped and placed on your chest to bond (unless they require special care).
- After the medical team has closed the incision, it will take between 15-30 minutes.
- The real bonding will begin after you are wheeled into your room.
The Recovery
It’s important to be honest: recovering from a C-section is not easy. After all, it’s a major abdominal operation. The good news is that many women will recover well with the right pain management, support and rest.
What to expect
- For the first 12-24 hours, you won’t be allowed to use the toilet or walk.
- After the IV pain medication wears off, you’ll receive regular pain relief. These are usually oral medications.
- Wear compression socks to reduce your risk of blood clots.
- You may need to stay in the hospital from 3 to 5 days, depending on your condition.
- Within 24 hours, you’ll be encouraged to start moving gently — even sitting up and going to the toilet helps circulation and healing.
- Once you are home, go slowly. No heavy lifting or intense housework for 6 weeks.
- The scar is initially raised and red, but it will fade over time and be barely visible.
Most importantly, don’t hesitate to ask for help from your partner, family, friends or community. When you are supported emotionally and physically, healing is quicker.
Elective Doesn’t Mean Easy, It Means Informed
Let’s dispel the myth that it is “too expensive to push”. The elective caesarean is not a cheat code. It’s not a shortcut. They are an acceptable, and sometimes medically required, way to bring new life into the world.
Many women elect to have a c-section after much worry, discussion and grief about the birth they had hoped for. You may be one of these women. If so, you should know that it’s still a birth. It is raw, courageous and beautiful.
You’re not Alone. Every day, thousands of women take this journey. They come out with not only a baby but also a story worth telling and celebrating.
Keep Calm, Caesar on
Each birth is unique. Each baby is born in their way. The real miracle of all is that your baby is safe and in your arms.
Take a deep breath if you are facing an elective cesarean. Ask questions, discuss your fears and trust in your body and medical team. You’re not taking the easy route; it is the right path for you and your child.
What’s that tiny scar under your bikini? It’s not an imperfection. It’s your silent proof of resilience, strength and love.
