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

April 16, 2025

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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.

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Please remember we don’t provide medical advice. Speak to your licensed medical provider for all your healthcare matters.

View Episode Transcript

If you enjoyed this podcast episode of the Down To Birth Show, please share with your pregnant and postpartum friends.

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About Cynthia Overgard

Cynthia is a published writer, advocate, childbirth educator and postpartum support specialist in prenatal/postpartum healthcare and has served thousands of clients since 2007. 

About Trisha Ludwig

Trisha is a Yale-educated Certified Nurse Midwife and International Board Certified Lactation Counselor. She has worked in women's health for more than 15 years.

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