Reply to C-section or natural after 3rd degree tear?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]God, who is this person who also knows about Handa and Dietz!!!  Wonderful!!!  When I had my child in 2014, I was so badly mangled and I felt like the only person, in the subsequent months of trying to put myself back together, who knew who they were.  Thank you for highlighting their work.  To the adamant vaginal birth person who has posted previously: You can sing your song after you have walked in my shoes.  I cannot hold gas, or soft stools.  Constipation pushes my rectum into my vagina.  Evacuation has to happen edigitally because all the hard stool goes to where my levator ani used to be, and guess what, there is no anus there.  My sexual enjoyment - what's that?  I am a giant hole with three prolapsed organs (uterus, bladder and rectum) hanging in it, and no levator on my right side to contract for any sort of pleasure.  Did I forget to tell you about my intussception?  I really notice that when I am constipated, because when I can finally evacuate the stool, part of my colon emerges from my body.  Thankfully it goes back in.  But I dont know if it will when I have menopause someday.  And did I mention my nerve damage (again, sexual enjoyment), enterocele and general daily pelvic pain?  Or what it was like to not be able to life anything over ten pounds after my son, or how it feels inside when I have to tell him i cant carry him or pick him up?  FWIW, arguably the most prominent midwife practicing in the district was in the room when I delivered.  So, fuck your sanctimony.  You try being me first.  For the rest of your fucking life.[/quote]

Thanks, PP. I think we should be BFFs. I am another casualty of a well known DC midwifery group. I also have multi organ prolapse, loss of bowel control, and a damaged sex life. I used to be a marathoner but I can't even walk without prolapse pain and discomfort now and I live a very sedentary life. I only know all this stuff now that it's too late for me, but I'll be damned if I let other women continue on in sheer ignorance when they can still educate themselves about the risks before irreparable damage is done. My quality of life sucks now in many of the ways you have described, and I wish daily for my old life back.

Those who are battling this decision would be well served to read the work of Dietz and Handa. But no matter what you decide, avoid forceps at all costs. The rate of damage with them--even when used properly--is incredibly high. There are several countries who have stopped using them entirely, but the resurgence in the US is frightening. I love this video, as it explains why and has excellent info.

https://m.youtube.com/watch?v=7V5mcAqItDw

[b]I dearly wish I knew this stuff before I had my baby[/b]. [/quote]

NP here.  I'm sorry you went through such a traumatic experience.  Can I ask, what decisions would you have made differently due to this knowledge?  Were there signs or risk factors for these potential issues before you went into labor so that, armed with this knowledge, you could have chosen an elective c/s instead? [/quote]

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