Reply to Focus on Infants During Childbirth Leaves US Moms in Danger

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Reply to "Focus on Infants During Childbirth Leaves US Moms in Danger"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]
Right, show me the well designed clinical trial showing that better POSTURE will reduce maternal mortality.

Also the second stage of labor is the stage you push, so that's where pelvic injury would happen. And obviously there can still be damage in a short labor. If you really want to avoid it, get a c section. [/quote]
NP here.  I actually thought it was pretty well-established that many pelvic floor issues are the result of pregnancy itself, not L&D.  Given that sometimes people who have c-sections get them, there has to be ways other than vaginal delivery that cause it.  FWIW, I'm 10 mos PP with my second, pushed 3+ hours with both kids, and I do not leak pee. [/quote]

Yes, some weakening is caused by pregnancy alone. But there is a lot of research on pelvic damage caused specifically by vaginal delivery. Some research shows that muscle damage is as much as 80%, although that doesn't mean 80% will have a prolapse. None of this is to say that everyone should get a c section (I guess that's what the troll thinks I am saying). But the point is that avoiding serious pelvic injury and informed consent should be a goal of maternity care that cares about women. So for instance a woman would be properly advised about the risks of prolonged pushing, forceps, vacuum, and everyone would get assessed for pelvic rehab after birth. [/quote]

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