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[quote=Anonymous][quote=Anonymous]This is such an awesome thread, thank you so much PPs! NP here. Knowing what you know and reading this thread, if you had a choice between an elective C section (for context, DH was born without GD at 12.5 lbs and 24 inches and) would you just...elect for this from the get go? Seems like the ideal is:
1) Vaginal Birth- no issues, no tearing
2) Planned C section
3) Vaginal birth, vaginal trauma
4) Emergency C with hours and hours of pushing and trauma

Is a scheduled c for a first birth nuts? It sounds a heck of a lot better than some of these horrible pelvic floor tearing options. [/quote]
Most women only get minor tearing and they usually heal just fine. There are risk factors for severe tearing but large baby isn't the biggest. Having a prolonged labor, an induction, a first birth to an AMA mom, an episiotomy, or an operative birth (vacuum, forceps) are much bigger risk factors for severe tears.

I don't think the categories you listed are that clean in reality. The majority of women have tearing with no trauma. I had a tear and I have a pelvic pain disorder so I thought it would be debilitating, but it healed quickly and I never had any issues. More women have severe hemorrhages and emergency hysterectomies from planned c-sections than they do from vaginal birth. Plus, labor and vaginal birth carry benefits for the baby and typically reduce your recovery time. However, c-sections are somewhat more protective of your pelvic floor - prolapse and incontinence issues (although studies show as women age the rates of incontinence are about equal between the two modes of delivery).

There are things you can do to reduce your risks of tearing. Waiting to go into labor on your own, laboring at home until active labor, moving around throughout labor, delaying pushing for up to an hour after transition, and pushing in an upright position are all things that raise your chances of giving birth without trauma.[/quote]

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