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

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[quote=Anonymous][quote=Anonymous]This has been such an interesting discussion and I really feel like I learned a lot from reading the pps stories. I googled levator avulsion and that brought up a lot more information on the topic as well as pelvic exercises and other research.

I had an incredibly simple vaginal birth with epidural. But I was looking for info like that while pregnant so I knew what to ask for and what to try to avoid. I'm pregnant again. I don't know how you avoid long pushing? When I dialated 10cm they told me to push. What should you do if you've been pushing for an hour and you don't know how much longer it will take?

I've worked with older women and my grandmas and great aunts were very candid. They all have pelvic floor issues. Some gave birth with forceps and most had twilight sleep. They all had multiple births. I'm an only child and my mom had me via c section- she has pelvic issues now in her 60s. [/quote]

Thanks for sharing, PP. I really hope that people can learn from my experience, and that they will have empathy for those of us dealing with these issues which are completely devastating to quality of life and which do not have good treatment options.

I would highly recommend you read the book, Ever Since I Had My Baby. It is a few years old but the advice is solid and there is a section for women who are pregnant about what to do in labor and delivery. I wish I had read this before I delivered. It should be required reading for all pregnant women. Also, I would watch the video I posted from YouTube from Dr. Dietz explaining levator avulsion and discussing pelvic floor issues. He is a real advocate for women and he has taken an unpopular stance to push his OB colleagues to recognize how their beliefs and actions can contribute to these disorders, and to remind them that they are first supposed to do no harm.

https://www.amazon.com/Ever-Since-Had-Baby-Understanding/dp/0609808729

Finally, I would not push for more than a few hours and would not push using directed, breath holding valsalvas as many of us are directed to do. I would instead find an OB who encourages an epidural to allow the body to relax and do the work itself until the very end. Trust me, even if your labor and delivery nurse tells you to, she's probably never heard of prolapse herself and will not have to deal with the long term consequences of your delivery. Good luck to you. [/quote]

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