Which is better between vaginal birth and c-section?
- Definition
- Procedure
- Pain level
- Safety and risks
When it comes to giving birth, it’s normal to be apprehensive, especially if you’re a first-time mother. In general, you may be offered the choice of a vaginal birth vs c-section.
Sometimes, how a mother gives birth depends on personal choice, but at other times, it’s a medical necessity. Deciding whether a vaginal birth or c-section is right for you should be discussed with your obstetrician.
In this article, we look closer into everything you need to know when it comes to vaginal vs c-section — from the procedure, safety, pain level, recovery, and risk. It’s important to understand your birth options, so you can make informed decisions for yourself and your baby.
Definition
Vaginal birth is considered the natural form of delivery. This happens when the baby is delivered through the vagina.
On the other hand, a c-section is a surgical procedure wherein the doctor makes an incision just above the mother’s lower abdomen and in the wall of the uterus to deliver the baby. A C-section is typically performed 1 week before the mother’s expected due date, or when the doctor says it is needed due to complications during the pregnancy.
Some of the situations that necessitate a c-section include:
- Being pregnant with more than one baby (e.g. twins, triplets, quadruplets)
- Placenta problems
- Slow progress in labor
- The baby is too large
- Maternal infections
Procedure

During vaginal birth, a mother will go into labor once her cervix starts to dilate. Once the mother experiences uterine contractions, which feel like intense menstrual cramps, the baby’s head will move towards the opening of the vagina. This is where the baby will emerge from after the mother pushes.
The first stage of labor occurs when the cervix is dilated to 10 cm. By then, the mother will be asked to push. The second stage of labor occurs when the baby is crowning, which means the baby’s head is already visible from the opening of the vagina. In the last stage, the umbilical cord is cut and the placenta is removed.
The mother will likely be able to hold the baby immediately after birth. Labor and vaginal birth can last anywhere from 12 to 18 hours. However, this is usually shorter for mothers who have given birth before. Labor and delivery can last 12 to 14 hours for first-time moms, and it’s usually quicker for subsequent births.
During a C-section, on the other hand, a screen will be put up so the mother will not see the surgery being performed. The doctor makes an incision just above the lower abdomen and in the wall of the uterus to deliver the baby. Afterward, the umbilical cord is cut, the placenta is removed, and the incision is closed.
A C-section will typically take about 30 to 60 minutes. A C-section is a surgical procedure where your doctor makes an incision through your lower abdomen and uterus to deliver the baby.
Typically, vaginal births result in shorter hospital stays, lower injection rates, and quicker recovery times, according to the Cleveland Clinic.
Pain Level
During vaginal birth, some mothers ask for painkillers such as an epidural, while others can proceed with the delivery without any medications. Vaginal birth can be done under regional or general anesthetic. Under regional anesthetic, the mother will be awake.
For most C-sections, the mother receives either a spinal block to numb the lower body or an epidural. In addition, the mother will be awake. Although, some pressure might be felt as the baby is being pulled out.
Both procedures won’t hurt when painkillers are used. Without painkillers, a vaginal birth may be more painful. It’s worth noting, however, that the pain while recovering from a c-section may outweigh the initial childbirth pain.
Safety and Risks

Mothers who choose to go for vaginal birth might experience perineal tears or issues with bladder control. However, with vaginal birth, the risks for many complications are reduced. A C-section is considered an invasive surgery. It can cause blood clots, bowel injuries, and infections.
Most doctors will agree that C-sections should be done only when it is a medical necessity. C-section is the safest delivery choice in cases like, the baby is in a breech position or the mother has a placenta problem (e.g. the placenta is covering the cervix).
Key Takeaway
In this article, we’ve discussed the differences between vaginal birth and a c-section. At the end of the day, the decision between these delivery methods should focus on a healthy baby. Talk to your doctor about what’s best for your condition!
At Perpetual Help Medical Center – Las Pinas, our experienced obstetricians, and gynecologists can address all your pregnancy and childbirth concerns. We also offer maternity packages in the Philippines! Contact us to learn more about these or visit us at Alabang-Zapote Rd., Pamplona III Las Pinas City, Philippines 1740.