Reply to What do they not tell you about c-section?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I don’t agree with this, sorry. A planned C section is not the same as an emergency one. Trying to make all forms of birth equal and argue we need better postpartum care doesn’t pass mustard. A planned C section should be a perfectly legitimate choice that is supported and it can be protective of the pelvic floor. Certainly, it comes with other risks so everyone has to choose for themselves. But to act like the pelvic floor is a big mystery means you don’t understand urogynecology. They understand it pretty damn well - and that vaginal and instrumental births are highly associated with PFDs - they just do not have good surgical treatment options right now that don’t fail or cause other problems and good options likely many years away. And yes, pelvic PT is great, but there are plenty of women who aren’t “cured” by it and have to learn to live with really crappy conditions.

My daughter will know that she has a family history of pelvic floor disorders. She will understand the difficulties her grandmother, great grandmother, and mother faced and she will get to choose for herself her mode of delivery and associated risks with full information. [/quote]

https://www.bbc.com/future/article/20180717-the-pelvic-floor-is-still-a-mystery-in-anatomy - written in 2018 and has direct quotes from urogynecologists at highly regarding teaching hospitals.

If its something anatomically dysfunctional with your specific family then that is different. You cant take your family history and extrapolate out to all planned csections. Also pregnancy itself damages the pelvic floor so maybe just no pregnancy? Csections are supported by and large by being a choice for all women, [b]vaginal births arent getting enough support[/b] nor is there enough understanding about how EACH women is different and should be evaluated prior to pregnancy and childbirth. [/quote]

I'm a DP but this is where you natural birth advocates expose yourselves as propaganda pushers. C sections have been straight up demonized in recent years. The rise of (unregulated) midwifery in this country, hospitals publishing (and being harshly judged by) their c section records, baby friendly hospitals, etc etc etc. Vaginal birth and breastfeeding are being promoted to such an extreme extent that IMO the health and wishes of mothers are often put in the backseat in comparison to focusing on those two things.

My first baby was an emergency c section and despite having HELLP and a baby that was IUGR and fading they tried to induce me for a few hours until her heart decels triggered a c. I was ready for a c section the week before (pre e/growth issues had been clear and baby had been in trouble for 3 weeks). Maybe anecdotally this is happening here and there but by and large there has been a MASSIVE movement away from c sections, particularly elective c sections, and despite all that we still have the worst maternal mortality rate in the developed world. So I, frankly, remain unconvinced that anything to do with birthing a baby in this country in this era has to do with real concern for mothers, no one cares about the mothers. [/quote]

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