This morning I calculated my cesarean rate as best as I could. I lost a bunch of records during a divorce and a laptop meltdown but recreated it to the best of my ability.
So at around 230 doula clients, I have had 11 that ended in cesarean. Assuming I may have forgotten one or two (not to sound uncaring but remembering 230ish births in my brain is a lot!) we will say a dozen cesarean births. Approximately half of those were VBAC turned RCS (vaginal birth after cesarean turned repeat cesarean section). My VBAC success rate is roughly 75%, which is excellent, because not all VBAC can be safely accomplished. Primary cesarean were at approximately 5 clients with one multiparous mother having a serious placental issue.
So to the best of my ability this would be the numbers broken down:
VBAC turned RCS = 5
Primary CS – 5
Multiparous CS -1
These numbers were for birth clients only, not postpartum clients who may have chosen my services and help after a cesarean. Also I do not just take low risk clients or birth center births. My clients may have multiple medical issues going on and know having a trained doula will be a good choice for avoiding unnecessary interventions or making necessary interventions and even surgery be a better experience.
I am very proud of this record. I am very proud of my clients for putting in the work ahead of time to educate themselves and lay the best plans for the best birth experience they can have.
Doulas make a difference!
All Rights Reserved, Knoxville Doula, Kimberly Sebeck, 2014