Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to think we shouldn’t worry about an increase in c-sections?

352 replies

PancakeCloud · 14/06/2026 23:13

I came across an instagram post earlier where someone had shared data indicating the UK’s c-section rates have increased significantly in the last five or so years. The commenters almost universally consider this to be ‘tragic’ and think it is ‘so so sad’ that some women are electing to deliver via section. There are also a whole bunch of commenters who think if only women were properly informed they would push for a natural birth even if drs are recommending inductions etc.

I accept the UK’s maternity system is under strain and needs improvement, but really isn’t the point that we have healthy mothers and babies not that women give birth via one method or another.

There are downsides of attempted vaginal births, because of course not all of them go to plan! There is an increased risk of severe birth trauma or hypoxic brain injury to baby vs choosing a c section. For women, tears and pelvic floor injury are very common. While C-sections come with their own risks, these are well known and often presented without acknowledgement that vaginal births have downsides too.

For the NHS I understand planned c sections are cheaper than other births, given so many of them end in emergency sections anyway and because of payouts when things go horribly wrong.

Are we not looking at this all wrong? The goal should be healthy mothers and babies irrespective of how those babies get out. Why are people so fixated on reducing the c section rate?

OP posts:
Thread gallery
6
UnintentionalArcher · 14/06/2026 23:57

As someone who had an emergency c section after being pushed into an induction earlier than I wanted, I’m very interested in why there are these increases. While I may well have ended up with the c section anyway, I felt like my induction was too early and, when the baby clearly wasn’t ready to come despite multiple attempts over four days, I was unsurprised when they told me he was in distress and I needed a c section. It felt like a self-fulfilling prophecy and was exactly what I had feared.

I said throughout my care that I wanted to avoid a c section unless absolutely necessary and I wanted to avoid an induction unless absolutely necessary. Yet I was strongly encouraged to book an induction for my due date. The reason for this was because I was late thirties and had had an IVF conception; there were no issues identified with my actual pregnancy.

When I asked my midwife repeatedly to change the induction to later, she told me that the appointments were ‘hard to come by’ and I had better keep it. She did not tell me that I would get a later appointment if I wanted one so I thought I was at risk of having no appointment if I delayed.

When I complained about this the midwife denied it and I now have to decide if its worth taking the complaint to the ombudsman (I’ve already pushed back twice through the NHS complaints system and they’ve made a concession that the tone of their initial response was dismissive but have maintained that they believe they are right). Anyway, I understand the statistical risks which inductions are designed to mitigate but patients should always have choice, the quality of information provided needs to be much better, and I’m still not sure it’s always being got right.

Most women I know have delivered by c section. If I take one friendship group alone (eight of us) with 13 babies in the last 9 years, 8 of those have been emergency c sections and six of the eight of us have had sections. And that’s a group where the majority were having babies in their early to mid thirties. It’s even more common among my mum friends, lots of whom were older than that when giving birth.

PancakeCloud · 14/06/2026 23:57

BringBackCatsEyes · 14/06/2026 23:53

Why do you think this is?
Maternal fitness or poor maternity care? Maybe both.
I'm mid 50s and most of my peers and my family had vaginal births, mostly uncomplicated.

I also think there were a lot of traumatic births in the past that it was more taboo to talk about. I suppose there was probably a sweet spot when we had healthier mothers and better maternity care where outcomes were better but I’m not sure it’s ever been a panacea.

OP posts:
ChickenBananaBanana · 14/06/2026 23:54

I struggle to understand why anyone cares what another woman chooses as long as it's not harmful.

I wanted elcs and to exclusively bf. My best friend (6 weeks behind me) wanted a vaginal birth and to ff. We just supported each other?

BringBackCatsEyes · 14/06/2026 23:53

PancakeCloud · 14/06/2026 23:34

When did you give birth? I’ve had two babies in last 3 years and in 30s so prime baby having time and hear lots of birth stories and know of very few births that I would describe as ‘natural and uncomplicated’. Certainly aware of far far more emergency sections, severe tears, forceps etc.

Why do you think this is?
Maternal fitness or poor maternity care? Maybe both.
I'm mid 50s and most of my peers and my family had vaginal births, mostly uncomplicated.

furimosa · 14/06/2026 23:52

A lot of my friends & family have had fairly trouble free VBs although I think at times many struggled with the lack of control. I did & found it scary. I have 2 friends who had difficult CS.

PancakeCloud · 14/06/2026 23:52

furimosa · 14/06/2026 23:48

I do think c sections are sold as the easy way out which may be one reason for the uptake. following that

I have no idea why it’s considered easy tbh although I did buy into that idea & was confused why my recovery felt very different to my VB. The stupid thing was I had had my appendix removed years ago & was in hospital for days after & on morphine so I should have realised the impact of cutting through muscle!

I suppose more to the point, who cares if women choose an option they consider to be easier? The objective should be healthy mum and baby and not natural v c section.

Im not saying c section is easy, it’s major surgery, of course it isn’t but a vaginal birth isn’t easy either. You might be one of the lucky ones who does have a straightforward birth with quick recovery but you can never know for sure going in.

OP posts:
WhatWouldDianeLockhartDo · 14/06/2026 23:51

furimosa · 14/06/2026 23:48

I do think c sections are sold as the easy way out which may be one reason for the uptake. following that

I have no idea why it’s considered easy tbh although I did buy into that idea & was confused why my recovery felt very different to my VB. The stupid thing was I had had my appendix removed years ago & was in hospital for days after & on morphine so I should have realised the impact of cutting through muscle!

Having not done natural birth, the description of it sounds much, much worse. Even if it goes well. But I was young and recovered quickly. I always imagined how sore my scar was would be how sore all of me would have been with a natural birth.

Rubuxus · 14/06/2026 23:49

I have had elective c’s. Tbh I am quite proud of them. I don’t ever feel judged and if people ever were I would just think ‘you do you hunny’.

furimosa · 14/06/2026 23:48

I do think c sections are sold as the easy way out which may be one reason for the uptake. following that

I have no idea why it’s considered easy tbh although I did buy into that idea & was confused why my recovery felt very different to my VB. The stupid thing was I had had my appendix removed years ago & was in hospital for days after & on morphine so I should have realised the impact of cutting through muscle!

TallSturdyGirls · 14/06/2026 23:47

Thechaseison71 · 14/06/2026 23:30

Why would they be using scalpels in the vaginal area?

Why would you ask about this. Fucking hell

EeewDavid12 · 14/06/2026 23:46

JoyousWriter · 14/06/2026 23:40

Really? I've had 2 and know many more women who've had good births. (Neither of mine was in hospital, which helps).

My close friends in their 30s and all healthy ended up needing emergency CS, forceps (which in 1 case caused scarring), horrible tearing causing great distress, pelvic floor issues and haemorrhage. Most said they weren’t listened to or pushed into certain situations. I asked for details as I’m nosy and my own worst enemy sometimes- they weren’t scaremongering.

PancakeCloud · 14/06/2026 23:46

inmyera · 14/06/2026 23:45

if we all have cesaerians we'll evolve as a species to not be able to deliver children naturally, which brings a whole host of other issues

We literally won’t. Need to revise your KS3 biology.

OP posts:
Thechaseison71 · 14/06/2026 23:46

WhatWouldDianeLockhartDo · 14/06/2026 23:45

It’s an odd one to me. Medical staff do seem fixated on natural birth which sounds lovely in principle but doesn’t seem that way at all in practice.

I had an emergency, crash section after induction. I’m a strong advocate that first time mothers shouldn’t be induced as the risk is awful. I remember after the section (and while I was pregnant) lots of people telling me a natural birth was a necessity and they were shocked when I said I didn’t really care, just hoped it would be a safe arrival. They were also shocked at my response when they tried to console me or tell me I hadn’t really given birth.

I do think c sections are sold as the easy way out which may be one reason for the uptake. following that, they market the mothers as lazy etc. I do imagine my horrific 20 hour labour, with manual water breaking, lots of meconium, decels and near death for us both was easier because I know we made it and I had a lot of pain relief. I have always been genuinely terrified of natural birth.

a family member is a midwife and she said after that if she’d have been there, she believes she could have managed to get a natural birth. Erm, why? I’m glad they stepped in when they did for a section and very much wish they’d done it when everything started to go downhill.

It does seem this happens more often after induction and other interferences.

PancakeCloud · 14/06/2026 23:45

Pistachiocake · 14/06/2026 23:39

It does worry me as a lot of women do it because they are scared, and in some cases they feel pressured, plus for personal reasons, I worry about what happens with the infection after (and yes, I know this can happen after any birth, but the mw said it was more common with cs).

I think this works both ways though. Some women are pressured / shamed into vaginal birth (in fact, I think this is more common).

Ofc risks with both C-section and vaginal birth, just slightly different risks.

OP posts:
WhatWouldDianeLockhartDo · 14/06/2026 23:45

It’s an odd one to me. Medical staff do seem fixated on natural birth which sounds lovely in principle but doesn’t seem that way at all in practice.

I had an emergency, crash section after induction. I’m a strong advocate that first time mothers shouldn’t be induced as the risk is awful. I remember after the section (and while I was pregnant) lots of people telling me a natural birth was a necessity and they were shocked when I said I didn’t really care, just hoped it would be a safe arrival. They were also shocked at my response when they tried to console me or tell me I hadn’t really given birth.

I do think c sections are sold as the easy way out which may be one reason for the uptake. following that, they market the mothers as lazy etc. I do imagine my horrific 20 hour labour, with manual water breaking, lots of meconium, decels and near death for us both was easier because I know we made it and I had a lot of pain relief. I have always been genuinely terrified of natural birth.

a family member is a midwife and she said after that if she’d have been there, she believes she could have managed to get a natural birth. Erm, why? I’m glad they stepped in when they did for a section and very much wish they’d done it when everything started to go downhill.

inmyera · 14/06/2026 23:45

if we all have cesaerians we'll evolve as a species to not be able to deliver children naturally, which brings a whole host of other issues

Thechaseison71 · 14/06/2026 23:44

PancakeCloud · 14/06/2026 23:43

Gosh that sounds like a very high risk strategy but I’m glad it worked out for you, hope baby was okay.

She was absolutely fine. Grown woman with a job and family of her own now.

ChickenBananaBanana · 14/06/2026 23:44

Besafeeatcake · 14/06/2026 23:43

Because as the NHS states….An NHS routine vaginal (natural) delivery costs roughly £2,350. An elective Caesarean section (planned C-section) typically costs around £6,000.

So a planned c section is a ‘waste’ of money.

Nope.

Knew this argument would pop up before long. See my previous comment on this very post.

https://www.itv.com/news/2019-04-18/caesareans-cheaper-than-natural-deliveries-once-negligence-claims-taken-into-account

mumofoneAloneandwell · 14/06/2026 23:43

I had my dd by c section and would do it again.

PancakeCloud · 14/06/2026 23:43

Thechaseison71 · 14/06/2026 23:41

I had stated with a vaginal birth then they tried to spring a cs on me

But they can't do it without consent. And I refused to give consent. Baby born under an hour later naturally

Gosh that sounds like a very high risk strategy but I’m glad it worked out for you, hope baby was okay.

OP posts:
Besafeeatcake · 14/06/2026 23:43

Because as the NHS states….An NHS routine vaginal (natural) delivery costs roughly £2,350. An elective Caesarean section (planned C-section) typically costs around £6,000.

So a planned c section is a ‘waste’ of money.

furimosa · 14/06/2026 23:42

@Maray1967 I was out the next day with my CS without any painkillers, told to take paracetamol at home. My CS was the right decision but I found my VB so much easier.

Thechaseison71 · 14/06/2026 23:41

PancakeCloud · 14/06/2026 23:38

But if you started with a vaginal birth and things went wrong you might have not been able to avoid it? I’m glad you had a positive experience but I can’t see how you really have much control unless you go for elective section . You can maximise your chances of a natural uncomplicated birth but babies often have other ideas.

I had stated with a vaginal birth then they tried to spring a cs on me

But they can't do it without consent. And I refused to give consent. Baby born under an hour later naturally

JoyousWriter · 14/06/2026 23:40

EeewDavid12 · 14/06/2026 23:22

I had my first c section as my baby was breach and then a 2nd because the first one went well and I still didnt know a single person that had a positive natural birth story! With the endless articles on understaffing and dangerous scenarios giving birth it wasn’t something I wanted to gamble with. Some people are extremely pro natural birth and that’s fine but I don’t blame people for having a c-section over risking damage or having a traumatic experience.

Really? I've had 2 and know many more women who've had good births. (Neither of mine was in hospital, which helps).

Pistachiocake · 14/06/2026 23:39

It does worry me as a lot of women do it because they are scared, and in some cases they feel pressured, plus for personal reasons, I worry about what happens with the infection after (and yes, I know this can happen after any birth, but the mw said it was more common with cs).

Swipe left for the next trending thread