On this week’s episode of Sense, by Meg Faure, we explore the complex and deeply personal journey of birth with Dr. Mama Aso Peprah, a leading gynecologist and advocate for maternal empowerment. Birth is a transformative experience, yet many women feel uncertain about their options. South Africa has one of the highest C-section rates in the world, and many mothers are left questioning whether they truly had a choice. Dr. Mama Aso shares expert insights on birth choices, medical interventions, and the steps women can take to feel empowered in their birthing experience. Understanding South Africa’s High C-Section Rate South Africa’s private healthcare system has one of the highest C-section rates globally, reaching up to 75% in private hospitals. Dr. Mama Aso explains the key drivers behind this trend, including fear-based decision-making, medical convenience, and hospital policies. She highlights the World Health Organization’s recommendation that C-section rates should ideally be around 15% to balance safety and necessity. The Power of Informed Birth Choices Mothers should feel in control of their birth experience. Dr. Mama Aso emphasizes that knowledge is power when navigating delivery options. She encourages expecting moms to educate themselves, ask questions, and advocate for the birth they want. She also discusses the importance of choosing a supportive healthcare provider who respects personal preferences. How Fear Impacts Labor and Birth Fear can significantly slow labor progression, often leading to unnecessary interventions. Dr. Mama Aso explains how stress hormones like cortisol interfere with oxytocin, the hormone responsible for contractions. She shares strategies to reduce fear, such as breathing techniques, movement, and emotional preparation, to help labor progress more naturally. The Role of Medical Interventions in Birth While medical interventions can be life-saving, some increase the likelihood of a C-section. Dr. Mama Aso discusses common interventions such as inductions, epidurals, and fetal monitoring, explaining how they impact labor. She also provides guidance on when interventions are necessary and when they may be avoidable. Steps to Take for a Positive Birth Experience Mothers can take practical steps to increase their chances of a vaginal birth if they choose. Dr. Mama Aso highlights the benefits of birth preparation, movement during labor, and having a strong support team, such as a doula or midwife. She also stresses that every birth—C-section or vaginal—can be empowering when the mother is informed and involved. This episode is a must-listen for any expecting mother who wants to feel empowered and informed about birth. Dr. Mama Aso provides expert advice on navigating birth choices, overcoming fear, and advocating for the best possible experience. Whether you’re planning for a vaginal birth, considering a C-section, or simply exploring your options, this episode will equip you with the knowledge and confidence to birth your way. Tune in now for an inspiring and eye-opening conversation!