Thank you for taking the time to look this over! I feel it is a very important issue which receives little attention.
This is a hard subject to cover in one post. There is a lot to say. And there are many ways for women to feel about it.
But it is near and dear to my heart, so I want to try.
This post is intended to be for people who know and care for a woman (or women) who've had a c-section; and that women is experiencing any negative feelings about the c-section.
Please Note: I do not wish to imply anyone should feel negatively about having a c-section. I do not believe that at all. I believe that every birth, and every entry into motherhood, is sacred and not to be looked down on. I believe that every mother is amazing and strong, and that she gave gloriously of herself to become a mother.
And therefore, I write this post because I know that some women (not all) (but more than I had originally realized) do feel some form of negative feelings after a c-section. And it is my deep hope to be able to give some peace and healing for those in that scenario.
If you do not feel any negative feelings about your c-section I am so very glad, I wish that for every mother. But if that is the case you may find this post less applicable or helpful.
If you, yourself, have had a c-section and want to check this post out, I'd love to hear your thoughts on it in the comments! ALSO, I'd just like to give you a heads up that if you are in an emotional state over your c-section while reading this, it could potentially be a difficult read. Please take that into account and give yourself a chance to read it at a good time.
My name is Lydia and I had a c-section in 2010 delivering my first.
It was shockingly difficult for me, emotionally. I wasn't expecting that.
Then in 2012 I was blessed to be able to have a wonderful VBAC (Vaginal Birth After a Cesarean) delivery with my second.
Despite having that experience, I still had many emotions to work through regarding my c-section.
In the interim, I started blogging my heart on the matter. Through that and everyday life, I've met many women who've opened up to me about how hard a c-section was on their heart.
Not every woman struggles with their c-section---I personally know a few women who were just fine with theirs, even quite happy with it. But I've met many more who've wrestled deeply with disappointment, a sense of loss or lack of resolution, an impression of failure, or lack of strength. This notion seems to ring particularly true in the case of first-time-moms who haven't experienced any other births to weigh their experience against.
Because of these things, in this post I'm going to lay out ideas about how to support women who are grieved by having a c-section.
If you are taking the time to read this, then I know you already care deeply for a woman in your life who's had a c-section.
I can't pretend to speak for her specifically. We are each very unique. But I do hope to shed some light that may help your relationship during her recovery.
Please feel free to share this with anyone you think may benefit from it.
Original photo source: Here, which got it from Here?
The first thing you should know is, if she is feeling anything negative about her c-section, it is valid. She should be allowed to feel those feelings. Having negative feelings doesn't mean she can't simultaneously be thrilled that she has a healthy baby because of the c-section (in best case scenarios). One can be fully grateful and utterly disappointed at the same time. And it's okay if she is.
If you can allow her the space to have both feelings that will be HUGE in her emotional recovery. It can be very difficult to work through without that leeway.
There are things that she has lost and she should be allowed to grieve them.
These things may not seem like something to everyone. But if they mean something to her, you will not be able to convince her that they don't mean something. The only way through a loss is grieving it.
One of the hardest parts of this particular dynamic of grief is that it is very hard to relate to without experiencing it yourself. These emotions are hard to convey, but in attempt to help you relate I will share a couple of ways in which I have heard them described. Of course they are not universally accurate, but merely attempts to convey the emotion.
One source said it is like planning a wedding that doesn't happen. They said this because they are both a special day you plan and wait for with a certain outcome anticipated. If you've planned a wedding and have your heart set on it, yet it doesn't come to fruition, if you've been stood up at the alter, that is certainly something to grieve. A c-section can be slightly similar: a date with much anticipation and much disappointment instead. *This, of course, cannot account for the happiness of having a baby, so it doesn't fully depict the scenario.
Instead, I think this is the best comparison I've heard: Another source described it as if your house caught fire and burned to the ground, but you and your family got out alive. Of course you are thrilled to be alive and have your loved ones---you will likely be filled with a sense of awe, love, gratefulness, and perhaps a renewed sense of self. But there is still so much loss---your home, all your personal belongings, especially the irreplaceable things like family photos and heirlooms. If you knew someone who lost those things in a fire, you may try to remind them what they still have... but you would admit it a loss. You can never get back your grandmother's wedding dress. Additionally, it would not be at all surprising if the fire survivors struggled with post traumatic stress syndrome. A traumatic birth is actually quite comparable to this scenario -- an experience full of blessing and gratitude but mixed with sorrow; and perhaps accompanied by distressing memories which can be hard to overcome. (Here is a link to a women’s account of living through an actual house fire which happened in the middle of the night and thankfully her family got out alive. It’s heart wrenching, and while I have never lived through a house fire, I do relate to her range of emotions she experiences soon after it, as they correlate to many things I felt after my c-section.)
You may be wondering what has she really lost by having a c-section?
It may not seem like much, if anything. But she has actually lost some sizable things. Each woman will register the deficiency differently, but a general summary of some of the losses are:
- The physical fulfillment of pregnancy---giving birth out of your own self. This includes the hormonal shift naturally intended for mothers. Women experiencing vaginal birth have a different hormonal experience than c-section mothers. And in some cases it can result in challenging effects, both physical and emotional, for the mother.
- A sense of true womanhood/accomplishment/inner-strength.
- Sadly, she will have lost the respect of some people in regards to how she has birthed. Whether or not she believes their opinions to be true or false, or of any value at all, their opinions will at times be placed upon her without her permission. That can be very hard to live with.
- In most scenarios, a mother who births via cesarean loses the chance to experience the first hour or two of her baby's life, as most hospitals take the baby to the nursery and the mother to a recovery room for at least an hour, possibly longer. It can feel like a profound loss.
- In the same vein: a c-section is more difficult to recover from than a vaginal birth and it requires a longer amount of time to do so. Many c-section-mothers feel they have lost the ability to really enjoy the first weeks (or longer) of their baby's life while they are dealing with the effects of major surgery. Many feel they had an inability to take care of their baby they way they had hoped---simple things like getting out of bed to reach a crying baby can feel next to impossible, which may also adversely affect her ability to bond well with her baby.
- She has lost an unscarred uterus.
- With her uterus now scarred, she has lost the ability to simply see the doctor or midwife of her choice for any subsequent births. She may not even get to go to the hospital of her preference for future births. Many midwives will not see women who've had a prior c-section. And many hospitals and providers will not allow a woman to have a vaginal birth after cesarean under their care. In that case, regardless of her opinion, if this mother would like to be seen by that provider she will need to have a repeat cesarean. Depending on where she lives her options for birth could now be severely limited.
- She has lost the chance to be spoken to in a non-threatening way regarding future births. During any future pregnancies lots of stipulations will be placed on her. And many more fear-filled scenarios will held over her head.
- Most women who've had a c-section have lost the ability to not fear birth. She may struggle deeply with the idea of having more children even if she had previously wanted many.
- Additionally, many providers will now suggest she only have repeat cesareans, and therefore limit for her how many children she should have, since they do not recommend having many repeat cesareans. Depending on her hopes for future family members, it could be devastating.
These are just a few things she may be mourning. And she needs space to work through that.
Here are some tips I have for caring for this woman you know, based on how well you know her.
You may want to just read the section that applies to you. But you certainly may read it all to gain further insight.*IF after reading this post, you find that you would like to learn more about grieving a cesarean this has been the most in depth article I've ever come across on the subject.