Carole Falletta, MS, MA, PMHNP-BC, FNP-BC, RNC-EFM, IBCLC, LCCE Carole is a nurse practitioner with over 30 years of experience in nursing, specializing in women's health, newborn care, and reproductive and postpartum mental health. Actively practicing in healthcare, she supports women and families during the perinatal journey through compassionate, evidence-based care. A dual board-certified nurse practitioner in psychiatric and family health, Carole is also an International Board-Certified Lactation Consultant (IBCLC) and Lamaze Certified Childbirth Educator, combining her clinical expertise and passion for education to empower mothers and babies.
When you hear “C-section,” you probably think about surgery, recovery time, and physical healing. What’s often overlooked is the emotional impact of a cesarean delivery. This impact can occur before, during, and after the birth.
Your C-section might be scheduled. Alternatively, it might end up being the safest route unexpectedly. It’s normal to have a swirl of emotions. You feel fear, disappointment, anxiety, relief, or even guilt. These feelings are all valid. And how you care for yourself mentally makes a real difference in your overall experience.
Here are some thoughtful, supportive ways to prepare your mind for a cesarean birth.
Give Yourself Permission to Feel All the Things
Planning for a vaginal delivery but learning you’ll need a C-section can be a big mental shift. You might feel like your experience is less “natural” or that you’ve missed out on something. Please know this: a cesarean is no less a birth. It’s still your strength, your courage, your motherhood.
Let yourself grieve the birth you thought you’d have, if that’s what you need. There’s room for joy and sadness to exist side by side.

Talk It Through with Your Support Team
Understanding what to expect during a cesarean can ease a lot of mental stress. Consider asking your OB team these helpful questions ahead of time:
– Who will be allowed in the room with me during the procedure?
– What sensations should I expect to feel while the surgery is happening?
– Will I be able to hold or see my baby right away?
– Can we play music or adjust the lighting to make the environment more calming?
– Is it possible to start nursing in the operating room, or shortly afterward?
– Can I use aromatherapy or bring something comforting to help me relax during the procedure?
These little details can help you feel more involved and less like a passive participant.
Create a “Cesarean Birth Plan”
Even with surgery, you still have choices. You can ask about:
– Having your partner or support person near you
– Immediate skin-to-skin if possible
– Delayed cord clamping
– Keeping the mood calm and quiet
It’s not just about logistics—it’s about helping you feel seen and supported.

Build Your Emotional Support Team
Whether it’s your partner, a doula, your sister, or your best friend—have someone you trust by your side emotionally. This also means having a therapist or counselor ready to check in with after birth.
Mental preparation isn’t just about feeling calm on the day. It’s also about creating a safe space for your feelings after the birth.
After the Birth: Rest, Heal, and Feel
Recovery from a C-section is layered. Yes, there’s incision care, lifting limits, and soreness. But there’s also the mental recovery. You might feel vulnerable, frustrated by limitations, or overwhelmed by emotions you weren’t expecting.
Some reminders:
– You don’t have to “bounce back.”
– You’re still bonding beautifully with your baby.
– It’s okay to ask for help (and accept it).
– Give yourself grace. Healing takes time.

If Your Feelings Linger, Reach Out
It’s normal to feel wobbly emotionally after birth. But if you’re feeling persistently low, anxious, detached, or overwhelmed, reach out to your provider or a mental health professional. Postpartum mood shifts can affect anyone—C-section or not—and getting support is a sign of strength, not weakness.
You Are Still the Center of This Birth Story
Your baby enters the world in their own way. You are the one who brought them here with love. You cared for them with immense strength. A cesarean birth is not “less than”—it’s another version of incredible.
Be kind to yourself. Prepare your heart as much as you prepare your hospital bag. You deserve care, gentleness, and support—not just for your body, but for your mind too.

Carole Falletta, MS, MA, PMHNP-BC, FNP-BC, RNC-EFM, IBCLC, LCCE Carole is a nurse practitioner with over 30 years of experience in nursing, specializing in women's health, newborn care, and reproductive and postpartum mental health. Actively practicing in healthcare, she supports women and families during the perinatal journey through compassionate, evidence-based care. A dual board-certified nurse practitioner in psychiatric and family health, Carole is also an International Board-Certified Lactation Consultant (IBCLC) and Lamaze Certified Childbirth Educator, combining her clinical expertise and passion for education to empower mothers and babies.