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Expectant and Postpartum Moms
Reply to "Postpartum incontinence"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Op, pelvic floor physical therapy can help but it isn’t always a cure. A Post partum body will be forever postpartum it’s not gonna be the same as before. I have stress incontinence and a very mild prolapse. None of it was bad enough to warrant surgery per two Urogyns. I saw some improvement with two rounds with certified physical therapist specializing in pelvic floor disorders at VHC. They were very good and it’s an excellent program. However I still need to wear a liner every day just in case I have an unexpected cough or sneeze and I do not run/jump if I can help it. I just want to put that out there because sometimes I feel like pelvic floor physical therapy is presented as a cure all for this issue and it will certainly help but it is not always a cure-all for all women[/quote] Agree with this…but my question continues to be, why don’t ob gyns warn about all of the permanent negative body changes beforehand? I knew all about post partum hair loss, stretch marks, etc, but never knew about prolapse or dreamed I’d have bathroom issues like an 80 year old man in my 30s. Had I known, I would have made a different choice about delivery method and may have decided not to have kids. I doubt many women are in my boat on the second point, but running was my life before my kid and I wanted it to be a large part after. I also didn’t want all of my toileting organs gathered together in my vagina, which seems like a reasonable ask. To the OP — I’m sorry; this sucks. I wish there were better answers. [/quote] I think 1) doctors just aren't trained in this yet, and 2) a lot of common birth practices really aren't healthy for the pelvic floor (like pushing forcefully on your back), so thinking about the pelvic floor would really call a lot of other common birth practices into question. Even c sections can lead to problems in the pelvic floor, which nobody really talks about. Also, it's not just the birth itself that causes the issues. A lot of times it's poor habits pre-pregnancy, during pregnancy, and post-partum. All kinds of things like how your posture is, how much you sit, what kind of exercise you do, etc. The most widespread pelvic floor health advice we have right now is "do kegels," but even in that case, a lot of people do them incorrectly (like they push down instead of pulling their pelvic floor up, in which case they are making something like prolapse WORSE), AND a lot of women actually have a hypertoned pelvic floor, which can ALSO cause incontinence, and kegels just make that worse too.[/quote] This post is some straight up victim blaming. And many younger women get prolapse, not just older women. The major modifiable risk factor is vaginal delivery with forceps but sure, blame women for poor posture FFS[/quote]
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