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

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. Watch the full videos of all our episodes on YouTube ! ********** Our sponsors: Silverette Nursing Cups -- Soothe and heal sore nipples with 925 silver nursing cups. Postpartum Soothe -- Herbs and padsicles to heal and comfort. Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20% DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample pack ENERGYbits --the superfood every mother needs for pregnancy, postpartum, and breastfeeding Use promo code: DOWNTOBIRTH for all sponsors. Send us a text Needed <-- this link for 20% off your whole subscription order DrinkLMNT <-- this link for FREE 8-day supply Primally Pure: ingredients good for you and the earth. Promo code: DOWNTOBIRTH Postpartum Soothe : Organic herbal padsicles for healing. Promo code DOWNTOBIRTH ENERGY Bits : <--this link for 20% off Join Patreon for our exclusive content IG @downtobirthshow Down to Birth Show Call 802-GET-DOWN Watch full videos of all episodes on YouTube ! Please note we don’t provide medical advice. Speak to your licensed provider for all healthcare matters.