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[quote=Anonymous][quote=Anonymous]I think a lot more women will have the “ready for (and wanting) sex at six weeks/out with friends for a glass of wine at four weeks/not miserable” experience when we do something drastic about postpartum care in this country.

Normalize night nurses/have postpartum doulas covered by health plans. Have insurance companies required to cover pelvic floor PT. Make maternity leave mandatory. Subsidize childcare.

I know women who didn’t even get a grudging referral for pelvic PT until they’d been incontinent for a full year!! A year peeing my pants I wouldn’t feel like having sex either! Waiting so long also means a woman isn’t on maternity leave and gets to schedule her appointments around all her other commitments.

We do this by having a stingy and unsupportive system and then wonder at the outcomes.[/quote]

+1, although I do think a lot of it has to do with trends like living far from family and having kids at later ages. Both of those factors diminish the likelihood of a helpful grandmother who will step in. My mom helped postpartum and was basically my doula but she was relatively young and was willing/able to travel to us.

Also we need to have a more holistic view of birth methods that incorporates pelvic floor health and impacts on women's intimate lives. No one should be having a vacuum/forceps birth in 2023. C-sections aren't ideal but OBs (and midwives) need to stop pushing vaginal birth at all costs- not everyone is suited to a vaginal delivery and I'd so much rather have a slightly risky surgery than be incontinent or unable to make love with my spouse without pain for the rest of my life.[/quote]

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