Reply to C-section or natural after 3rd degree tear?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]This has been such an interesting discussion and I really feel like I learned a lot from reading the pps stories. I googled levator avulsion and that brought up a lot more information on the topic as well as pelvic exercises and other research.

I had an incredibly simple vaginal birth with epidural. But I was looking for info like that while pregnant so I knew what to ask for and what to try to avoid. I'm pregnant again. I don't know how you avoid long pushing? When I dialated 10cm they told me to push. What should you do if you've been pushing for an hour and you don't know how much longer it will take?

I've worked with older women and my grandmas and great aunts were very candid. They all have pelvic floor issues. Some gave birth with forceps and most had twilight sleep. They all had multiple births. I'm an only child and my mom had me via c section- she has pelvic issues now in her 60s. [/quote]

This is interesting because my mother also had two children, both via c-section but now in her sixties has uterine prolapse and pretty significant incontinence issues. This is a big discussion amongst her friends of the same age, and their experiences run the gamut, with most having given birth vaginally, and about half with some mild incontinence issues and/or the need for pelvic OT. Interestingly, my mom's closest friend gave birth to six children naturally, and now has zero issues in her seventies. Most experiences are more middle of the road, but she does have a friend who never even experienced pregnancy but has significant incontinence issues in her sixties. I wish there were a better way to predict and protect women's health in this area, regardless of childbearing status or birthing history, and more attention and better treatments available as a whole.[/quote]

+1, prolapse has to do with the musculature (of the core! Which encompasses the diaphragm, pelvic floor, transverse abs, AND the glutes - these muscle systems are all innerconnected and when there is dysfunction in one, it affects the rest.) Weakness, over-tightness, balance and loading issues are prevalent in women who have been pregnant, but by and large the problems stem from the pregnancy itself; not from birth. However, given that having a c section seriously (further) compromises the integrity of these muscles, I would be more concerned about prolapse going that route [/quote]

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