The burgundy color of the ribbons represents birth and the wearing of the ribbon upside down symbolizes the state of distress many pregnant women find themselves in when their birthing options are limited. The loop of the inverted ribbon represents a pregnant belly and the tails are the arms of a woman outstretched in a cry for help. The shape also signifies the uterus and fallopian tubes. The Cesarean Awareness Ribbon debuted in April of 2004 for Cesarean Awareness Month.
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