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Expectant and Postpartum Moms
Reply to "C-section or natural after 3rd degree tear?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I'm not the pp you refer to. Your friend's story sounds terrible. I note that in the posts above there are many examples of trauma. There is a link to a book on traumatic birth. There are many support groups on line with thousands of women who have experienced traumatic births. Please understand that we who have experienced them are trying to warn women that they are more common than we would all like to think so that they can make informed birth choices, and do thigns to prepare, like see a pelvic floor PT and have frank talks with doctors, get a late-term u/s, etc. Misplaced anger on the part of the PP? I would not say so. Again, people with injuries in this string have made it very clear how this has affected them. It's hard. You need to respect that. It sounds as if you did for your friend. We are tired of being marginalized. And would like to see a little more sisterhood, frankly. Because this is something that affects many more people than any of us would like to think. All of the deep sexism in our society that the #metoo movement rises up against plays into these problems. Why is it that in 2017, we can't figure out how the nerves and muscles of the pelvic floor work, and how to protect them? Why is it shrouded in mystery? Why can I get a hamstring avulsion fixed, but not a levator avulsion? A muscle is a muscle, a tendon is a tendon. Why is it that when I went for my follow up visit and told my provider that I had no labia on my right side anymore (the least of my worries, but one more example of being mutilated), I just got a shrug back. Like this part of my body did not matter at all. Why is it that when I suspected I had levator avulsion, three urogynecologists told me they would not do diagnostics unless I was ready to sign up for surgery? Why did I not desrve to know and see the damage in an MRI, like if I had torn my roataor cuff or something? Why was this part of my body less important? Why is it that when I contacted three lawyers I never heard back? Why is it that when I reached out to my seven sister alumnae network about this, every women told me they had also been unsuccessful at retaining a lawyer? I never found anyone - including a woman I met who had fistula - who manged to sue. If something happens to your baby, yes, you can sue. But if something happens to a woman, a mother - forget it. I apologize to OP for going so far off topic. I fervently hope I live to see the day when a woman's pelvic floor, which supports her sexuality, continence and core strength is treated every bit as seriously, thoroughly and carefully as any other part of our bodies. If it were the case now, this string would not exist.[/quote] Coming back to this years later as someone who is livid (4 years after delivery) that I was never warned about the high risk of levator avulsion (1 in 5 vaginal deliveries!) or the near certainty of levator ani tearing with vaginal delivery. With that said, I recently ruptured my hamstring (direct tie to the left sided damage I sustained during my vaginal delivery 4 years ago — my pelvis no longer moves correctly and trying to run again is basically a hilarious chain of fantastic injuries I never had in my prior 15 years of running) — I discovered during my frantic searching for a surgeon that hamstrings haven’t been repaired for that long. The surgery protocol used today was written in 2007, and there are hardly any reports in the literature before that. I’m less than excited about getting my tendons nailed to my butt (thank you, vaginal delivery, for yet another stellar experience), but it makes me hopeful that levator avulsions will be repaired in our lifetime. We need top sports orthos working on the problem, not urogyns. They simply don’t have the skill set and they are too biased — if you had to admit that 1 in 5 vaginal deliveries is going to need a very complex repair that requires total immobilization of the pelvis in a 0 degree angle for 6 weeks, suddenly elective C sections are looking pretty good in comparison. [/quote] Such a depressing thread. No wonder the birth rate is so low. A woman would have to really want to be a mom to go through all this voluntarily. No thanks.[/quote]
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