27/02/2026
If you book a caesarean, we can have the right team for your body.”
Said to a strong, weight-lifting woman planning a HBAC - home birth after c-section.
Read that again.
The implication is not subtle:
if you labour spontaneously and later need surgery, the right people might not be on shift…So you should plan surgery in advance?!
💥This is an extraordinary thing to normalise in maternity care.
Because what’s being admitted, indirectly, is that care is not consistent. Skill is not consistent. Staffing is not consistent. And instead of fixing that, the burden is placed on the woman’s body to become more manageable for the system.
Before we even got to that point, the appointment opened with scar rupture. Quoted as 1 in 200. Technically that sits at the upper end of the range. The overall risk of uterine rupture in a planned VBAC is commonly cited around 0.2–0.5% (roughly 1 in 500 to 1 in 200), lower in spontaneous labour and higher with induction. That context matters. It wasn’t offered.
🎯 When the first fear tactic didn’t land, the goalposts moved.
To BMI.
BMI is a blunt population tool. It does not distinguish muscle from fat. It tells you nothing meaningful about fitness, strength, cardiovascular capacity, or metabolic health. And this woman isn’t ‘overweight’ she trains, she lifts heavy, she is strong. But the number was used as a lever anyway.
And then comes the line about the ‘right team’.
That is not informed consent.
That is a system quietly telling you: we can’t guarantee competent, consistent care unless you book the surgery.
So your options become:
risk spontaneous labour, or schedule the pathway that suits staffing.
This is how coercion works now. Not through force, but through framing. One risk. Then another. Then a logistical warning dressed up as medical advice.
Thank you to KW for sharing her story 💥
Do you have a f**kery you want me to unpack?
Or maybe you want to plan your homebirth with your choice front and centre? If this is you comment HOMEBIRTH and I can share how to start planning!