Coping with Anxiety About Scheduled C Section: Tips and Insights
- Darbey Gaynor
- Mar 20
- 13 min read

Are you feeling nervous about your upcoming scheduled C section? You’re not alone. The thought of major surgery can lead to anxiety about scheduled C section, which can be overwhelming, but understanding what to expect and how to cope can ease your fears.
This article offers practical tips and insights to help you manage your anxiety about a scheduled c section. Additionally, it’s important to acknowledge the emotional and physical aspects of the baby's birth during this significant moment, as parents await the arrival of their baby in the surgical environment.
Key Takeaways
Feeling anxious about a scheduled C-section is normal; open communication with your healthcare team can help ease these worries.
Utilizing relaxation techniques and positive affirmations can significantly reduce pre-surgery anxiety and boost confidence.
Understanding the C-section process, from preparation to recovery, can help you feel more in control and less anxious about the experience.
Understanding Anxiety About Scheduled C Section
Feeling apprehensive or scared about a scheduled C section is common.
The uncertainty and the fact that it involves major surgery can understandably lead to anxiety. Emotional reactions before surgery often include anxiety and tears, as the anticipation of major abdominal surgery can be overwhelming. Discussing these concerns with your doctor or midwife before the cesarean delivery can be incredibly beneficial. Open communication about your preferences and what to expect can alleviate some worries.
Moreover, the excitement of meeting your baby can be a powerful antidote to anxiety. One mother shared that despite feeling terrified before her unplanned C section, she ended up feeling fine and even fell asleep during the surgery. This highlights how anticipation of the baby’s birth can help you navigate through the anxiety of a scheduled C section.
Different women feel various emotions about their body image changes and the decisions they made regarding their childbirth. Feelings can range from guilt and disappointment to a sense of control and empowerment. It’s important to understand that these feelings can vary widely, and seeking support from others who have gone through similar experiences can be very helpful.
Remember, it’s perfectly normal to have these feelings, and there are ways to manage them effectively.
Managing Pre-Surgery Nerves
Anxiety before surgery is a normal part of the preoperative experience. The anticipation of major surgery, along with inherent risks and potential complications, can trigger a cascade of emotions. Fear of losing control, uncertainties about the procedure steps, and the overall unknown can amplify these feelings. Setting realistic expectations and discussing your concerns with your healthcare provider can help manage these anxieties effectively.
Relaxation techniques, such as prenatal yoga or breathing exercises, can significantly reduce pre-surgery anxiety. Practicing these in the days leading up to surgery can help calm your mind. Additionally, a personal mantra to repeat during the procedure can help focus your mind and reduce stress. For instance, repeating a phrase like ‘I am strong, I am capable, I am ready to meet my baby’ can provide immense comfort.
Talking with healthcare providers is another crucial step. Discussing your fears and clarifying any uncertainties regarding the C-section process can make a significant difference. Your medical team is there to support you, ensuring you feel as comfortable and informed as possible before the surgery.
Coping with Fear and Apprehension
Coping with fear and apprehension is a common experience for many women who are preparing for a cesarean delivery. It’s natural to feel nervous about the unknown, and the thought of undergoing major abdominal surgery can be daunting. However, there are several ways to manage your fears and feel more prepared for the experience. With the right perspective you will persevere through your anxiety about a scheduled c section, or an unscheduled c section.
What to Expect During a Scheduled C Section
Before your scheduled C section, the medical team will conduct thorough check-ups to ensure there are no health problems, allergies, or medication interactions that could complicate the procedure. Having all essential documents, like your ID and insurance card, packed in your hospital bag can help avoid any issues upon arrival. Patients are typically asked to fast for about a few hours prior to the surgery to prepare their bodies.
During the C section, the first step is to clean the area with antiseptic and cover it with sterile cloths. The doctor will then make a cut through the tummy and uterus, usually about 10 cm long. You might experience a tugging or pulling sensation when the baby is being lifted out. However, you shouldn’t feel any pain during the process. Regional anesthesia, such as a spinal block, is commonly used for elective caesarean birth, providing fast pain relief and allowing you to remain awake during the baby’s birth.
Once the baby is delivered, the umbilical cord will be cut by the medical team as part of the procedures to ensure both the mother's and the baby's safety.
The operating room will be filled with a team of medical professionals, including an obstetrician, assistant surgeon, anesthetist, theatre nurses, and a midwife, ensuring a smooth and safe vaginal delivery. Understanding these steps and knowing what to expect can help you feel more prepared and less anxious about the procedure.
The Role of Your Birthing Partner
A supportive birthing partner can make a world of difference during a scheduled C-section. Partners can offer reassurance by staying close to your head, providing emotional support and encouragement. Discussing the birth plan beforehand can help partners understand how to best support you during the C-section and express your wishes to the healthcare team.
Beyond the surgery, your partner’s role continues to be crucial during the recovery period. Providing emotional support and helping with tasks around the house or with other children can significantly alleviate stress and enhance the overall experience for both partners.
Having someone by your side who understands your needs and can advocate for you makes the journey smoother and more comforting.
Pain Relief Options for C Sections
Pain relief is a critical aspect of the C-section process. Most C-sections in the U.S. utilize regional anesthesia, allowing the mother to remain awake while blocking pain in the lower body. Spinal anesthesia provides rapid pain relief by delivering medication into the cerebrospinal fluid, while epidural anesthesia involves a catheter for continuous pain relief. In some cases, where there isn’t enough time for regional anesthesia or due to medical necessity, general anesthesia might be used, putting the mother to sleep during the procedure.
Discussing pain relief options with your medical team beforehand ensures you are informed and comfortable with the chosen methods. Knowing what to expect and having a plan in place can help you feel more in control and reduce anxiety about feeling pain during the surgery.
It is also important to avoid strain on the abdominal muscles during recovery. Engaging in gentle movements and using supportive garments can aid in recovery and ensure the core is well-supported.
Positive Affirmations and Self-Talk
Positive affirmations and self-talk can be powerful tools in managing anxiety and building confidence before a C section. Using affirmations can help shift negative thoughts into positive ones, fostering a sense of calm and confidence. Repeating affirmations regularly can help mentally prepare for the surgical birth experience.
Encouraging yourself with positive self-talk, such as focusing on the joy of welcoming your baby rather than on fears related to the surgical process, can make a significant difference. Affirmations can help mothers feel more supported and loved, reinforcing their belief in their ability to handle the challenges of a C section.
Breathing Techniques for Calmness
Breathing techniques can significantly reduce anxiety and promote relaxation during a C section. Engaging in organized breathing, where you inhale deeply through the nose and exhale through the mouth, helps center your focus and provides oxygen during the procedure. Regular practice of these techniques in the days leading up to your C section can help you feel calmer and more prepared.
To practice deep breathing exercises, start by finding a comfortable position, close your eyes, and take a deep breath in through your nose, filling your lungs completely. This simple yet effective technique can help you stay calm and focused during surgery.

Preparing for the Big Day
Preparation is key to reducing stress and ensuring a smooth experience on the day of your scheduled C-section. If you have other children, organizing childcare arrangements ahead of time is crucial. Pack your hospital bag by 36 weeks of pregnancy to ensure you are ready in case of preterm labor.
Packing your hospital bag early can help you feel more secure and prevent last-minute stress as your due date approaches. Include a comfortable outfit for going home that is loose-fitting to accommodate your postpartum recovery, especially after a C-section.
Prepare snacks for after labor, as you might be hungry and may not want to rely solely on hospital food. Arrange transportation to the hospital well in advance to ensure a stress-free arrival on the day of the C-section.
Getting Ready for the Hospital
One effective way to cope with fear and apprehension is to focus on getting ready for the hospital. This includes packing your hospital bag, preparing your home for your return, and making arrangements for your other children or pets. Having a plan in place can help you feel more in control and prepared for the unexpected.
Educating yourself about the cesarean delivery process can also alleviate some of your fears. Understanding what to expect during the surgery and recovery can make the experience less intimidating. You can talk to your healthcare provider, read books or online resources, or join a support group to learn more about the procedure.
Practicing relaxation techniques such as deep breathing, meditation, or yoga can help calm your nerves and reduce anxiety. These techniques can also be beneficial during the recovery process, when you may be feeling uncomfortable or in pain.
Finally, having a support system in place is essential. Whether it’s a partner, family member, or friend, having someone by your side can provide emotional support and help you feel more at ease. Don’t hesitate to ask for help or talk to someone about your fears and concerns.
By taking these steps, you can manage your fear and apprehension, making the experience of a scheduled C-section more manageable and less stressful.
Post-Surgery Recovery Tips
Recovery after a C-section involves a combination of rest and gradual movement. Pain management may include oral narcotics and anti-inflammatory medications that are generally safe for breastfeeding mothers. Monitoring the incision site for signs of infection, such as redness, swelling, and leakage, is crucial to ensure proper healing.
Rest is paramount during recovery, but it’s also important to get up and move around as soon as possible to speed up healing. Asking for help with housework and taking care of other children can allow you to focus on resting and bonding with your new baby. Sleep when the baby sleeps to ensure you get enough rest during this critical period.
Many mothers successfully breastfeed after a C-section, and support from midwives and lactation consultants can make the process smoother. The Womb Room offers various support services, including prenatal yoga and support groups, which can be beneficial during recovery.
Emotional Well-Being After C Section
The emotional journey after a C-section can be complex, with women experiencing a range of feelings from happiness to guilt or disappointment. Conflicting emotions can arise from the combination of surgery and childbirth, impacting emotional recovery. It’s normal to feel a mix of relief and sadness, often referred to as ‘baby blues,’ which usually lasts a few days.
A C-section birth does not necessarily determine future births, and it is important to seek positive narratives and support during recovery.
Talking to a midwife, GP, or health visitor about your feelings is important, especially if you feel overwhelmed. Many healthcare teams provide accessible support for emotional recovery post-C-section, including midwives, health visitors, and GP consultations. Journaling feelings and affirmations can also be therapeutic, allowing you to express your emotions and reinforce positive thinking.
Connecting with other women who have had C-sections can provide reassurance and help you process your feelings. Support services like ‘birth reflections’ are available for women to discuss their experiences and emotional responses after a C-section. If feelings of anxiety last more than a couple of weeks, contact a healthcare provider for support.
Skin-to-Skin Contact and Bonding
Skin-to-skin contact is a powerful way to bond with your baby after a C section. This contact can stabilize your newborn’s heart rate and reduce stress levels, enhancing physiological stability. Holding your baby skin-to-skin can also significantly decrease the likelihood of excessive crying and boost their immune system.
Many expectant mothers believe they cannot have skin-to-skin contact with their newborn after a C section, but this is often possible if arranged ahead of time. Holding your baby skin-to-skin releases oxytocin, promoting bonding between you and your baby following the baby’s birth.
Consider bringing a nursing pillow to facilitate breastfeeding comfort after your surgery.
Breastfeeding as a form of Bonding
Breastfeeding is an essential aspect of bonding with your newborn baby, and it’s entirely possible after a cesarean section. Starting breastfeeding as soon as possible after delivery can help stimulate milk production, promote bonding, and support your baby’s overall health. Skin-to-skin contact and breastfeeding can create a strong emotional connection between you and your baby, fostering a sense of security and comfort.
Some benefits of breastfeeding after a cesarean section include:
Promotes bonding and attachment between mother and baby
Supports the baby’s immune system and overall health
Helps with milk production and supply
Can reduce the risk of postpartum depression
Supports the mother’s physical and emotional recovery
Holding your baby skin-to-skin immediately after birth, if possible, can help regulate their heart rate and temperature, reduce stress, and encourage breastfeeding. This contact releases oxytocin, a hormone that promotes bonding and milk production. Using a nursing pillow can also provide additional support and comfort while breastfeeding after a cesarean section.
By prioritizing skin-to-skin contact and breastfeeding, you can enhance the bonding experience and support your baby’s health and development.

Breastfeeding After a C Section
Breastfeeding after a cesarean section can present unique challenges, but with the right support and guidance, you can successfully breastfeed your baby.
Here are some tips to help you navigate breastfeeding after a cesarean section:
Start breastfeeding as soon as possible after delivery: Early initiation of breastfeeding can help stimulate milk production and establish a strong breastfeeding relationship.
Use a lactation consultant or breastfeeding support person for guidance: Professional support can provide valuable advice and techniques to ensure successful breastfeeding.
Position the baby correctly to avoid discomfort and promote latching: Proper positioning is crucial for a comfortable breastfeeding experience. Experiment with different positions, such as the football hold or side-lying position, to find what works best for you and your baby.
Use a nursing pillow or other support to help with positioning and comfort: A nursing pillow can provide additional support and help position your baby correctly, reducing strain on your incision site.
Monitor milk supply and seek help if needed: Keep an eye on your milk supply and seek assistance from a lactation consultant if you encounter any issues.
By following these tips and seeking support when needed, you can overcome the challenges of breastfeeding after a cesarean section and provide your baby with the best possible start.
Staying Active and Healthy
Staying active and healthy during pregnancy is crucial for a smooth and safe delivery, even if you are expecting a cesarean section. Engaging in light physical activities, such as walking or prenatal yoga, can help maintain your physical and mental well-being. However, it’s essential to consult with your healthcare provider before starting or continuing any exercise routine during pregnancy.
Some benefits of staying active during pregnancy include:
Reduced risk of complications during delivery
Improved mental health and mood
Increased energy levels
Better sleep quality
Healthier weight gain
In addition to physical activity, maintaining a healthy diet, staying hydrated, and managing stress are vital for a healthy pregnancy and a smooth recovery after the cesarean section. Eating a balanced diet rich in fruits, vegetables, lean proteins, and whole grains can provide the necessary nutrients for you and your baby. Staying hydrated helps maintain amniotic fluid levels and supports overall health. Managing stress through relaxation techniques, such as meditation or prenatal yoga, can also contribute to a healthier pregnancy.
By taking these steps, you can enhance your overall well-being and prepare your body for a successful cesarean section and recovery.
Common Myths About C Sections
Several common myths about C sections can contribute to anxiety. One misconception is that having a C section is an easier delivery option. In reality, it is major surgery with a longer recovery period compared to vaginal birth. C section delivery involves its own challenges and risks during recovery, and it is not necessarily an easier route.
Another myth is that C section deliveries are only performed in emergencies. While many are performed due to complications during labor, C sections can also be planned for various reasons, including medical necessity or personal choice.
While C sections are routinely performed and considered safe, they are major surgeries that carry inherent risks, just like any other surgery, including an emergency c section.
Some people worry that having a c section means that they cannot have vaginal birth again. This also is not true, and more healthcare providers are realizing that VBAC -- Vaginal Birth after Cesarean -- is safe. You can read more about preparing for a VBACin the FAQs below.
Summary
Understanding and managing anxiety about a scheduled C section involves preparation, communication, and support. From managing pre-surgery nerves to post-surgery recovery tips, each step of the journey is crucial. Remember to engage in positive affirmations, breathing techniques, and skin-to-skin contact to enhance your experience. With the right support and mindset, you can navigate this journey with confidence and joy. You are stronger than you think, and soon, you’ll be holding your precious baby in your arms.
Frequently Asked Questions
What are some common feelings experienced before a scheduled C section?
It's completely normal to feel anxious, fearful, or uncertain before a scheduled C-section since you're facing major surgery and the unknown. Just remember, these feelings are shared by many, and it's okay to express them.
How can I manage my anxiety before the C section?
Managing anxiety before your C-section is all about finding what works for you. Try relaxation techniques like prenatal yoga and deep breathing, communicate with your healthcare provider, and use positive affirmations to calm your mind.
What should I expect during a scheduled C section?
During a scheduled C-section, you can expect a comprehensive pre-surgery check, some fasting, and a supportive medical team around you. The procedure includes cleaning the area, making an incision, and using regional anesthesia to ensure you're comfortable.
How can my birthing partner support me during the C section?
Your birthing partner can really make a difference by staying close to you, advocating for your wishes with the medical team, and assisting you during recovery. Their presence and support can help ease anxiety and make the experience feel more team-oriented.
What are some myths about C sections?
One common myth is that C-sections are always easier than vaginal births, but they are major surgeries that come with their own risks and challenges. They can also be planned for non-emergency reasons, not just emergencies.
Another myth is that once you have a c section that you cannot give birth vaginally after that. This is not accurate, fortunately. Here you can learn more about How to Strengthen Your Uterus for a VBAC and check out our VBAC Class.
Elective C Sections: What You Need to Know
An elective cesarean section is a planned surgical delivery where a woman chooses to have a cesarean section instead of a vaginal delivery. While cesarean sections are generally considered safe, they do carry some risks and complications. It’s important to weigh the pros and cons and discuss your options with your healthcare provider before making a decision.
Some things to consider when thinking about an elective cesarean section include:
Risks and complications: Cesarean sections involve major surgery, which carries risks such as infection, blood clots, and respiratory problems for the baby.
Recovery time and post-operative care: Recovery from a cesarean section typically takes longer than recovery from a vaginal delivery. You’ll need to plan for adequate rest and support during the postpartum period.
Impact on future pregnancies and deliveries: Having a cesarean section can affect future pregnancies and deliveries, potentially increasing the likelihood of needing another cesarean section.
Insurance coverage and costs: Check with your insurance provider to understand the coverage and costs associated with an elective cesarean section.
Personal preferences and values: Consider your personal preferences and values when making your decision. Some women may prefer the predictability of a scheduled cesarean section, while others may prioritize the experience of a vaginal delivery.
By carefully considering these factors and discussing them with your healthcare provider, you can make an informed decision about whether an elective cesarean section is the right choice for you.
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