About Us

*Remove the stigma that is often associated with women who choose or need a cesarean
*Emphasize the differences between different types of cesarean surgeries (e.g. emergency versus planned)
*Ensure that women get accurate and balanced information about the risks and benefits of BOTH vaginal and cesarean birth plans
*Highlight the often underestimated risks associated with a trial of labor, and how quality screening can help identify risks and inform birth plans
*Campaign against ideological maternity policies that prescribe 'normal' vaginal birth for all 'low risk' women
*Focus on achieving positive physical and psychological birth outcomes ahead of birth processes as a quality measure
*Work together with other charities, organizations and individuals to save the lives (and quality of lives) of mothers and babies

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electivecesarean.com was created in February 2006 by author and former BBC journalist Pauline Hull, who believes that we can only make an informed choice about our birth if we are provided with the information to make that choice. Pauline says: I am not advocating elective cesareans in every delivery, but equally, I am challenging the assumption that vaginal birth is the best and safest first choice for all women. My goal is to dispel many of the myths surrounding maternal request and other planned cesareans, and to provide a positive environment for visitors who feel confident about researching the facts and discussing their personal preferences with an obstetrician or midwife. I strongly believe that it is your baby, your body and your choice, and that for low risk, healthy women, an elective cesarean is a legitimate delivery choice to make. As an educated woman who carefully considered all the risks, I decided to take advantage of the developments in modern technology and planned a cesarean birth for both of our children. I firmly believe that planned cesarean delivery is a legitimate birth plan when compared with the risks of a planned vaginal delivery." (Disclaimer)

Pauline's Cesarean Background:    
*Co-author of Choosing Cesarean, A Natural Birth Plan (published by Prometheus Books, New York, 2012)
*Registered Stakeholder for the NICE Caesarean Guideline Update 2011
*Registered Stakeholder for numerous NICE guidance (incl. antenatal and postnatal mental health Clinical Guideline Review 2011)
*Active campaigner for maternal request but also quality of antenatal and birth care for all women and babies
*Particpiant in the new film documentary (in production) 'One World Birth'
*Speaker at Birth Conferences in the USA (formally and informally) and various UK maternity forums
*Vocal critic of the 1985 WHO 15% recommended cesarean rate threshold (conceded by the WHO in 2009)
*Mother of two amazing children, Charlotte and Jack - both born by planned cesarean

Full Background and Campaign History published as a chapter in:     
The 21st Century Motherhood Movement
Edited by Andrea O'Reilly (Demeter Press, May 2011)

Please Note
The risks involved with any surgery are very real and should not be underestimated, but neither should the risks inherent with pregnancy and childbirth in general. We want to highlight the growing medical opinion that elective cesarean risks are favourably comparable with vaginal delivery risks in healthy women. We do not suggest that every woman should consider elective surgery and fully support a woman's choice to give birth vaginally. We just ask that both choices are equally respected. Most of all, we want to help you make a more informed choice about elective cesarean birth, by providing you with data, research, interviews and opinion that you may not be aware of. You will still need to discuss your individual risks and benefits with your own physician, and we also suggest that you research other websites and books too. We welcome visitors from around the world, and wish you all the very best with the birth of your baby and look forward to hearing about your experiences in the near future.

Dr Ralph W Hale, MD, FACOG: 'Elective cesarean delivery has become a reality in the practice of obstetrics today as more and more of the women who approach delivery have strong feelings that the option of the mode of delivery should be their decision to make unless there are compelling medical indications for a specific delivery method. Their reasons will vary from woman to woman, but whatever decision she may make, the patient needs to know all of the available risks and benefits. This website will help explain some of the confusion surrounding the choice of elective cesarean delivery so the patient is better able to discuss this option, if she desires an elective cesarean, with her obstetrician or midwife.'
UK Birth Trauma Association: 'Women receive a great deal of information about childbirth. How women interpret this information is a complex process. What is clear is that we need to focus on the needs of the individual and respect personal decision making. Just as there are women who are happy with homebirth and waterbirth so there are also many women who are happy with their decision to have an elective cesarean. No choice should be presented as the 'right' choice and no choice should be stigmatised. ec provides a unique source of information for women who want to consider cesarean or who want to explore all the options before arriving at their own personal decision.'
2002 AIMS Journal: 'Since the dawn of time labour and birth through the vaginal passage have been an inevitable consequence of pregnancy, a journey through life. There was no alternative to vaginal birth, except death. In this new millennium, women do have an alternative, one that has been provided by the wonders of modern technology - women today have choice, something that women in ages past did not have.’ ec note The article concludes: 'There are many very good reasons for having a cesarean and with a little forethought and planning the operation can indeed be a wonderful experience. There is also no denying that a positive cesarean is infinitely preferable to a traumatic vaginal delivery. But what too many have lost sight of, is that even the best cesarean can never hold a candle to a good experience of giving birth to your baby yourself.
ec view We disagree with this last point. We believe that each individual woman should be entitled to make her own birth choice, and that neither vaginal delivery nor cesarean delivery should be elevated to a status of superiority. The best experiences result from positive outcomes for both mother and baby, regardless of delivery method.

*ELECTIVECESAREAN LIMITED is registered with Companies House. No. 07692283
*If you are interested in advertising on this website, please contact us.