#312 | Avoiding the Unnecessary Cesarean: A Five-Step Evidence-Based Approach

Down to Birth

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Today we’re talking about one of the most important—and misunderstood—topics in maternity care: the unnecessary cesarean. In the U.S., about one in three babies is born by C-section, but in physiologic birth settings, that number can be as low as 2–4%. So what’s driving the difference?

In this episode, Cynthia and Trisha unpack the many layers behind the rising cesarean rate and offer a grounded, evidence-based approach for avoiding surgery when it isn’t truly needed. From provider practices to birth environments, timing to interventions, we explore what really makes a difference in protecting your ability to give birth naturally.

We also talk about the deeper side of birth: how your nervous system, your sense of safety, and your trust in your body all play a powerful role in how birth unfolds. If you’ve ever been told you might need a C-section because your baby is “too big,” or you’re wondering how to stack the odds in your favor for a physiological birth—this episode is for you.

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