1. Don’t get induced unless medically necessary

Years of study have shown that inducing labor often leads to a C-section.

2. Labor at home until you’re approximately 3 centimeters dilated

Consult your DR if your water breaks, they may want you to come into the sterile hospital environment to avoid infection. Also many hospitals start the 24 hour to birth clock when you check in, and your body may need longer than that.

3. Choose your hospital, and your practitioner, carefully

If having a vaginal birth is important to you, shop for a doctor and a hospital with low C-section rates.

4. In the delivery room, ask questions if your practitioner says you need a C-section

Some situations are true emergencies, and a C-section is necessary within minutes to save the baby’s life. That’s not a time to negotiate. But in other situations, parents should ask questions about whether a C-section is absolutely necessary – such as if the Dr says the baby is too ‘big’ or the DR is following a time table.

5. Get a doula

Doulas, or birth assistants, can help advocate for a mother when she’s in labor.