Reply to So what exactly is the problem with C-Sections?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I have had one very bad vaginal birth with forceps that shredded my pelvic floor, and one scheduled C section. If I could go back and do it again, I would have had two scheduled  C sections. Dealing with major pelvic organ prolapse in my 30s has destroyed my self confidence, sex life, quality of life, and ability to be active. Oh and I have urinary incontinence now and can’t poop properly either. The rest of my life—until I die— will now suck because a bunch of stupid midwives and a moronic natural childbirth instructor made me terrified of C sections. Now I can’t chase my children or stand in line or walk without my vagina basically trying to turn itself inside out. My bladder is basically falling out the front wall of the vagina and the rectum is pushing into and falling out the back wall. It feels like someone basically blasted a hole into my crotch, all the time, and my pelvic organs are falling out through the hole. It’s horrifying and disgusting and makes me
Feel disfigured. Tampons just fall out now - even the biggest size - and water gushes inside me when I swim
Or bathe and then slowly drips out when I get out. I have to wear maxi pads because there’s no muscle left to
Hold in a cup or disk. And Don’t get me started about the problems with sex. Pelvic PT can’t fix this and the only solution modern medicine has  is a massive pessary that is incredibly uncomfortable and hurts or major reconstructive surgery with a high failure rate and requiring at least 6 months to a year to be fully recovered. So yeah, I would take all the risks of a C section twice over if I didnt have to live this way. [/quote]

A major criticism of obstetrics that I have is that these topics need to be discussed well in advance before the s**t starts swirling the toilet. Once you are in hard labor and baby is going into distress, informed consent cannot be given. You do not have time to research the topic or to get a second opinion. I got a very informative VBAC informed consent paper that laid out all the pros and cons and risk and mitigating factors. Every prospective vaginal birth patient should be presented with such a document and scenarios where pink flags start appearing. At what point do you pull the trigger on a C section? I am pro vaginal birth but I do agree there are scenarios where a C section would have been better. The decision to convert to a C needs to happen while it is still a pink flag situation. Once it is a red flag situation the decision is made for you (i.e. likely whatever is faster). [/quote]

This is why I had a doula. My MIL once derisively said when she gave birth she didn’t need a doula, but no one knows if they will need an advocate and a husband who has witnessed either no or maybe one other births is not going to be able to advocate effectively. You wouldn’t go to court without a lawyer, why would you give birth without a doula? I don’t understand their underutilization when so many north outcomes and experiences in the US are so bad.[/quote]

I’m the PP with the pelvic floor injuries. I did have a doula. Advocacy is not in a doula’s scope of practice. And most doula’s do not have experience with complex medical issues and very difficult births. Mine, who boasted she’d had over a decade of experience as a doula, was utterly useless when things got hairy.

It’s binary, oversimplified thinking to think that, “if this woman just had a doula or did more of the “right” things, that would not have happened to her.” But I promise you, I did all the “right things.” It’s a fallacy to believe that Women’s bodies are flawlessly designed to give birth and that, if given the right environment and support, birth can be uncomplicated, peaceful, and non-injurious, resulting in a perfectly healthy mom and baby.

Mother Nature is cruel, and doesn’t much care if you or your baby lives or dies.[/quote]

My doula was my advocate and I'm so sorry you had that experience. I had HELLP syndrome with my first and really should have ended up with c-section, but after a very difficult induction I was able to give birth vaginally while taking magnesium - no small feat if you know anything about that. I also had some complications with my second and had a pretty easiy vaginal birth, where my doula played less of a role -- but you never know what scenario you'll be in. It's important to find someone who can be advocate and who you can trust. It sounds like that didn't happen with you, which is unfortunate. I had a very experienced doula who was very knowledgeable when it came to complex medical conditions, such as HELLP syndrome. Doulas aren't going to prevent you from having a c-section if that's the necessary course of action. They are going to help you to feel empowered, in part by advocating for you, so that you can have the best experience possible. [/quote]

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