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General Parenting Discussion
Reply to "C- Section Awareness Month "
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]In addition to this, how about a natural birth awareness month where we can talk about all the ways your vagina, bladder, rectum, and pelvis can be destroyed by vaginal birth. We can talk about chronic/permanent fissures, cystocele, rectocele, uterine prolapse, urinary incontinence, flatal incontinence, fecal incontinence, vaginal laxity, scar tissue, levator avulsion, broken tailbones, coccydynia, tears to the anal sphincter, hypertonic pelvic floors, etc. What sort of misogynistic culture are we to think that somehow vaginal birth is somehow superior to c section? Human Birth is a crappy evolutionary compromise (the massive human head has to come out of a tiny opening on the bottom of the female torso, from the same part that is also tasked with holding our inside pelvic organs up, maintaining our continence and sexual function, absorbing impact, etc.) that women can pay dearly for. The idea of natural being “better” when it results in so much damage to women is insulting. [/quote] Well vaginal birth doesn't come with its own set of potentially life-threatening risks, except infection if you have a severe tear (which the majority of women do not). So there's that.[/quote] Uh, preeclampsia? Placental abruption? Shoulder dystocia? Postpartum hemorrhage? Placenta previa? Pretty sure those are life threatening. Also—a lot of the aforementioned conditions caused by vaginal birth result in surgery to fix the issue (ie hysterectomy, mesh repairs, sacrocolpopexy, mesh bladder slings, sacral nerve stimulators, etc) which are a whole hell of a lot riskier than a planned c section and fail pretty often. There is a cost to all forms of birth. [/quote] Well, preeclampsia, abruption, hemorrhage, and previa can all happen AS PART OF PREGNANCY. These are not unique to vagina birth. Dystocia is also not unheard of in c section delivery. Hysterectomy, bowel and bladder perforation, etc. are also not unheard of in c section. This isn’t a competition. Here’s the thing... most c section parents are already dealing with a complication or they wouldn’t be having a c section. Baby is coming out of an area created not by nature, but by surgery. [/quote] Oh STFU. Anyone who has studied this understands that Mother Nature made a massive compromise in human birth. Human heads are utterly massive when compared to primates. The pelvic anatomy and musculature of primates are hugely different. Their pelvises have room to spare and primates can give birth quickly and easily. In contrast, the levator hiatus of a primiparous woman is 15 cm square and has to undergo a puborectalis muscle stretch to over 90 cm to deliver a fetal head. In about half of all women, this is successful. In the other half, there is levator ani damage, up to and including full avulsion of the muscle from the bone - which is basically the pelvic floor version of a full Achilles tear. That injury results in all sorts of problems for women that I mentioned previously. Yet OBs are not taught pelvic floor anatomy in med school and don’t have any clue how to look for this injury, and are largely taught that these injuries are just part of what happens when you have a baby. I am all for awareness—of the risks of all delivery modes. [/quote] How about awareness of your grasp on facts and figures? Half of women do not suffer levator injuries.[/quote] Really? Research says the opposite. Since virtually 100 percent of OBs are not looking for this injury and do not know how to assess for it, it goes routinely undiagnosed. The sad fact is that biologically we were not meant to have our first babies at age 30, 35, and 40. There is a cost for being AMA at first delivery, and women pay dearly for it. “In about half of all women after vaginal childbirth, there is substantial alteration of functional anatomy affecting the puborectalis component of the levator ani muscle.” https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/ajo.12059 [/quote] How would you know if you have this? I have no changes from before kids at all - no incontinence when I sneeze or any other time, no bowel issues, tight vagina, no sex issues (it’s actually more “snug” than before), no prolapse. This is making it sound like damage is a given, but I can’t see how that’s possible. [/quote]
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