The Challenge of Unplanned Cesarean Births
The World Health Organization calls for every birthing person to have a positive perinatal experience. But for many, especially those undergoing unplanned cesareans, that goal remains out of reach. Research shows that these births are associated with higher rates of mistreatment, trauma, and reduced quality of life — with lasting emotional, physical, and social impacts.
Systemic Disparities in Birth Outcomes
The U.S. cesarean rate of 32% exceeds healthy levels. In California, C-sections are a contributing factor in 37% of severe maternal health issues, disproportionately affecting Black women. In the United States, Black and Latinx birthing people face higher rates of unplanned first-time cesareans and systemic barriers to accessing vaginal birth after cesarean (VBAC) services. Experiences of racism, disrespect, and lack of informed consent during cesarean birth are common — and harmful. These inequities affect physical health, mental health, breastfeeding success, and maternal-infant bonding.
Why VBAC Access Matters: Equity in Future Births
A negative cesarean experience shouldn’t have to be repeated. But many hospitals in California do not offer VBAC, forcing people into repeat cesareans. Black and Latinx patients interested in VBAC can face barriers to accurate information about their birth options, encounter biased VBAC decision support tools, and restricted access to VBAC services.
Our Study: Community-Engaged Research in California
We partnered with Black and Latinx birthing people in California to explore their experiences with cesarean birth, focusing on two key questions:
- How do patients experience informed decision-making during and after a cesarean birth?
- What are the roles of mistreatment, racism, and respectful care during and after a cesarean birth?
Our findings will directly inform the design of a culturally responsive, equity-centered intervention to improve cesarean care experiences and outcomes.