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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]You guys realize CS have serious risks to them? Not just now but in the future? Recovering from a bad tear isn't easy but how do you think they get the baby out in a CS? They cut open your abdomen and uterus. That's a much bigger and more serious wound.

I'm a midwife and I see women who've had serious tears not even need repairing the second time. I'd choose a vaginal birth and ask that my provider do good perineal support and let me lead pushing rather than direct it themselves. [/quote]

Just about everyone recovers from a C-section, especially a scheduled C-section after a routine pregnancy, without incident. I've had a third-degree tear, and I've had a C-section, and I'd choose the latter again in a heartbeat.

There's no gold medal for vaginal birth, OP. Despite what midwives might claim.[/quote]
This is nonsense. First off, more women die, almost die, and have major complications from c-sections than they do from vaginal birth (in this country, not in less developed areas where the c-section rates are still too low). So yeah if the surgery goes well, super, you've saved your pelvic floor (I guess, although many women with c-sections still have painful sex and incontinence because of pregnancy and hormonal changes). And if you only need one, the first c-section is usually simple and straightforward. They get more and more dangerous the more of them you have. For you and your baby.

I could post data and stats but this makes a much better case I think.
https://www.washingtonpost.com/posteverything/wp/2015/06/05/im-an-ob-gyn-i-dont-think-most-babies-should-be-born-in-the-hopsital
[/quote]

Let's talk PP because you clearly have an agenda to push and you're not doing it very well. 
[...]
All of this is not to say that Cesarean delivery is not without risk, as it certainly is. But you need to stop with this "natural birth" dogma and ideology, Cesarean fear mongering, and medical paternalism. Women need to have all the information they deserve without bias so they can make the best decisions for themselves and their families and supported no matter what decision they make and whatever outcome they have.

[/quote]
PP really wasn't pushing an agenda. I'm done childbearing (I just hang out here sometimes for fun) and had section and two vaginal births. C-section [i]is[/i] more dangerous in terms of maternal health and life, it just is. There's no sense in denying it.

That doesn't mean OP shouldn't choose it, especially a planned one. I bid you peace and good luck, OP. [/quote]
Correct (this is the PP you were referring to). Not pushing an agenda, just underscoring what many don't fully understand, among other things that the c-section you have NOW, regardless of your recovery, carries potentially serious implications for each and every pregnancy down the line. Look up the placenta accreta and miscarriage/stillbirth stats and you will see what I mean.

That said, I never said nor do I believe that surgical birth can't be a valid choice. In fact I agree women are very lucky today to have surgery+antibiotics available that make it relatively safe (i.e. not the death sentence it was 100 years ago).

I'm not fear-mongering with this stuff. If you choose c-section that's great. Just don't go into it blind. Make sure your OB has a lot of experience and performs them regularly. I've read a study that showed much better outcomes when the surgeon performs at least 3 or 4 a month. Make sure your hospital has an adequate blood bank. Those are measures you can take as a consumer to protect and advocate for yourself.

This thread makes very clear that women are not universally given realistic information about the risks of any mode of delivery, as people seem to be completely oblivious about the above not to mention the prevalence of severe tears and what I very openly admit I myself (someone who reads a lot of the research) did not fully realize was such a widespread problem with forceps use (thank you to the PP who posted the YouTube video; if I ever give birth again I'm writing a birth plan for the explicit purpose of including the phrase "No forceps under any circumstances"). That particular message needs to be right up there with the noise on episiotomies. Frankly I'm disturbed that providers are doing so much damage without any repercussion. But that is probably a topic for another thread.[/quote]

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