STRATEGIES
for the
C-SECTION
MOM
A COMPLETE FITNESS, NUTRITION,
AND LIFESTYLE GUIDE
MARY BETH KNIGHT
Founder of Fit Revolution and Maternal Fitness Expert for
Discovery Health
Copyright 2010 by Mary Beth Knight
All rights reserved.
This book, or parts thereof, may not be reproduced in any
form without permission from the publisher; exceptions are
made for brief excerpts used in published reviews.
Published by
Adams Media, a division of F+W Media, Inc.
57 Littlefield Street, Avon, MA 02322. U.S.A.
www.adamsmedia.com
ISBN 10: 1-4405-0202-1
ISBN 13: 978-1-4405-0202-6
eISBN 10: 1-4405-0737-6
eISBN 13: 978-1-4405-0737-3
Printed in the United States of America.
10 9 8 7 6 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
Knight, Mary Beth.
Strategies for the C-section mom / Mary Beth Knight.
p. cm.
Includes bibliographical references and index.
ISBN 978-1-4405-0202-6
1. Cesarean section Popular works. I. Title.
RG761.K65 2010
618.86 dc22
2010009949
This publication is designed to provide accurate and authoritative information with regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional advice. If legal advice or other expert assistance is required, the services of a competent professional person should be sought.
From a Declaration of Principles jointly adopted by a Committee of the American Bar Association and a Committee of Publishers and Associations
Many of the designations used by manufacturers and sellers to distinguish their product are claimed as trademarks. Where those designations appear in this book and Adams Media was aware of a trademark claim, the designations have been printed with initial capital letters.
Strategies for the C-Section Mom is intended as a reference volume only. In light of the complex, individual, and specific nature of health conditions, this book is not intended to replace professional medical advice. The ideas, procedures, and suggestions in this book are intended to supplement, not replace, the advice of a trained professional. Consult your physician before adopting the suggestions in this book, as well about any condition that may require diagnosis or medical attention. The author and publisher disclaim any liability arising directly or indirectly from the use of this book.
All photos copyright StrollerFit powered by mommymuscle. Mary Beth Knight is featured in all exercise photos.
StrollerFit, mommymuscle, restore the core, and Fit as a Family are all registered trademarks of Fit Revolution Inc. The Muscle Bar and Fit Revolution 10-Week Weight Loss Program are registered trademarks of Mary Beth Knight.
This book is available at quantity discounts for bulk purchases.
For information, please call 1-800-289-0963.
ACKNOWLEDGMENTS
A very special thank you to the doctors of the Seven Hills Women's Health Centers in Cincinnati, Ohio, who graciously gave their time and expertise to this project. The knowledge and passion that this group of doctors, midwives, and nurses possess could fill the pages of hundreds of books on women's health issues. I thank them for opening up their offices, their operating rooms, and their hearts to this book and to helping women. I must also thank them for taking the fear out of C-sections and guiding me through my journey into motherhood. Visit www.womenshealthcenters.com/womenshealth.html for more information and wonderful resources for healthy moms and babies.
I would also like to thank my family and friends. Especially my mom who told me as a child that I would be a writer her intuition proved to be correct! My parents have been wonderful role models my entire life I am forever thankful for the roots and the wings, the sacrifice and the love.
Also, a huge thank you to Katie Kelly Schmidt, who edited my weekly advice column Healthy Living for more than two years and spent countless hours reviewing and editing this book. No doubt her ability to weed through my long-winded thoughts and pull out the vital information has saved readers many hours of precious time! Katie's life as a new mom has often brought new perspective to my writing and without her this book would not have seen the light of day.
And to my husband Eric, through the thick and the thin he has been there and I wouldn't want to ride the emotional rollercoaster of parenthood with anyone else!
FOREWORD
By Dr. Robert Stephens, MD, Obstetrician/Gynecologist, Seven Hills Women's Health Centers, Cincinnati, Ohio
The rate of cesarean sections in the United States is currently high very high and it is continuing to rise. At many delivery centers in the United States, more than 30 percent of births are via C-section, and the rate is continuing to increase. By comparison, when I first started practicing about 25 years ago, the cesarean section rate was about 15 percent. So what has happened between then and now?
A perfect storm of reasons has combined to lead us to our current state of affairs. First of all, doctors are reluctant to take any risks whatsoever when delivering a baby. Physicians feel threatened by the current medical malpractice climate and will recommend a C-section much earlier than in prior years. Also, the use of forceps and vacuum devices to assist with vaginal deliveries has drastically declined in recent years, and younger physicians are not being adequately trained in these techniques, leading to a decrease in vaginal deliveries.
Furthermore, many patients are now conceiving at an older age, going into their pregnancies with medical problems that were far less common in the past. We are now seeing hypertension, diabetes, and obesity on a regular basis. Finally, patients today who have had a cesarean delivery with their first child are reluctant to try a vaginal delivery with their next pregnancy. An attempt at a vaginal delivery after a cesarean section is safe in most cases, with careful supervision in a skilled obstetrical unit. However, most patients are requesting a repeat C-section and declining an attempt at a vaginal delivery. This has exacerbated the problem and has led to an escalation in the number of cesarean deliveries.
Most obstetrical patients trust their doctors. They assume that they are highly skilled and have performed numerous cesarean deliveries in the past. They also expect to encounter no further medical complications after recovering from the operation. However, most patients are uninformed as to the actualities of a cesarean section. They normally have little concept of the surgical procedure itself or of the postoperative recuperation. Most patients go into the procedure expecting to do well, but with little advanced knowledge of what to expect afterward.
The best advice I can remember I learned as a Boy Scout years ago always be prepared. Knowing what to expect and planning accordingly lead to excellent outcomes and less stress. This attitude should also extend to patients having a cesarean delivery, which is where Mary Beth Knight can help. In Strategies for the C-Section Mom, she expertly breaks down the cesarean process to let you know exactly what is going to happen and how you can expect to feel afterward. This knowledge will lessen your anxiety and help give you a sense of comfort. It will also give you confidence in managing the postoperative recovery period.
Mary Beth's flawless research has led her to create an excellent blueprint for getting through a C-section comfortably and confidently. Not only has she done her homework through extensive anatomical study, but she has also had two C-sections herself and therefore possesses the added benefit of firsthand knowledge. Additionally, she has been present in the operating room for several operations and has seen the procedure from both sides.
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