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Expectant and Postpartum Moms
Reply to "Tell me why a C section’s better"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]FWIW I tend to get quiet during birth experience stories because I had an amazing planned C, and I was so happy and thrilled with the experience that I feel bad talking about it with people who had much worse vaginal birth experiences.[/quote] I can't imagine what's "amazing" about having major surgery. Most people would choose not to do so. I wouldn't classify my vaginal birth as "amazing" but I was up and walking around the day after birth and I didn't have to stay in the hospital for 4 days to recover from surgery.[/quote] I was up and walking 7 hours after my scheduled c section. It was pretty amazing for me too! Relaxed, fast, peaceful and recovered easily. I suppose it was able to be 'amazing' because it was directly contrasted to my first baby where I needed an emergency life saving c section without adequate pain relief where my baby was immediately taken to the NICU and I was bedbound on magnesium for 24 hours. For the vast majority of women who have them, a scheduled c section is the way to go. From everything I've read it seems the order of good experiences is: 1) Fast and uncomplicated vaginal delivery (lets say <5 hours and no pelvic floor issues) 2) Scheduled C section 3) Difficult labor 4) Difficult unsuccessful labor that ends in an emergency c The problem is that you have no idea if you're a #1 or a #3 or a #4 until after the show is over.[/quote] <5 hours - there's your impossible (and arbitrary) standard! Anyway most women who have an uncomplicated vaginal deliveries, of any length, don't have pelvic floor issues. And some women who have a c-section do. So you can't predict what anyone's experience will be.[/quote] Sigh. Another lucky woman who doesn’t have pelvic floor injuries is dismissing their incidence and impact. Please stop, you are insulting a lot of women. Second, you are just plain wrong. Plenty of women have pelvic floor injuries from birth. “Giving birth makes women more vulnerable to developing a pelvic floor disorder later in life. About one third of adult women will have a pelvic floor disorder, such as prolapsed uterus or bladder control problems, and twenty percent of these women will need reconstructive surgery to fix it.” https://www.hopkinsmedicine.org/news/articles/link-between-childbirth-and-pelvic-floor-disorders “Vaginal childbirth is associated with increased incidence of SUI and pelvic organ prolapse. The association of other pelvic floor disorders with vaginal birth is less well established; however, operative vaginal delivery is associated with overactive bladder symptoms.” “Operative vaginal delivery significantly increases the odds of pelvic floor disorders; however, clinical decisions must be individualized based on the risk and benefits of this intervention compared with its alternatives.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681820/[/quote] Strictly by the numbers, the PP is not wrong that "most" women do not have pelvic floor disorders. If 2/3s of women do not, that would be "most." And 20% of the 1/3 of women who suffer pelvic floor disorders works out to about 6% of all women require surgery. That is not to dismiss the suffering, particularly of the 6%; but your odds of not experiencing extreme damage requiring surgery are actually pretty darn high.[/quote] Please, just stop. You are minimizing and dismissing suffering you have no idea about, and you’re just plain wrong. “What’s commonly reported is that one in four women will experience a pelvic floor disorder, which, again, is urinary leakage, fecal leakage, or pelvic organ prolapse in their lifetime. That number actually is increased in women who have had children or women who are obese or women who’ve had family members that actually have that issue as well. By the time a woman is 80 years old, she has a 50% chance of having a pelvic floor disorder. So it’s very, very common. More common than things like hypertension and diabetes.”. http://radiomd.com/gwmf/item/39806-introduction-to-pelvic-floor-disorders-and-urogynecology-for-women [/quote] Thanks for adding that - I was just going to post that obesity and family history (and pregnancy) are also risk factors for pelvic issues, not just vaginal delivery. In fact urinary incontinence rates level out with age between the two delivery types (i.e., you're as likely to pee yourself after a certain age as a woman whose kids came out a different way). So vaginal delivery is far from the only risk factor. https://www.ncbi.nlm.nih.gov/pubmed/25314985 And yes, the rates of pelvic floor problems are lower for women who have only had c-sections, but they are not 0%. "When compared with vaginal delivery, cesarean delivery is associated with a reduced rate of urinary incontinence and pelvic organ prolapse, but this should be weighed against the association with increased risks for fertility, future pregnancy, and long-term childhood outcomes." https://www.ncbi.nlm.nih.gov/pubmed/29360829 [/quote]
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