Anonymous
05/15/2024 12:03
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:I can't believe anyone would opt for a c-section if it wasn't necessary. Cutting through several layers, including muscle, to deliver the baby. The recovery is difficult and painful.
My mom had to have major reconstructive surgery as a result of her vaginal births so she ended up getting cut open anyway. My c sections were all easy and uncomplicated and I don't have prolapse and pelvic floor issues and won't need to have my bladder reconstructed.
Pelvic floor and bladder issues are related to pregnancy. Not simply birth method. I’d advise you to keep this in mind closer to menopause as your family may be predisposed to them. I’m sorry your mother suffered and hope you do not. 💗
Sharing more for others, in case they are struggling and had c section.
But some pelvic floor disorders and conditions are strongly correlated to delivery mode.
“Although spontaneous vaginal delivery was significantly associated with stress incontinence and prolapse, the most dramatic risk was associated with operative vaginal birth.”
https://pubmed.ncbi.nlm.nih.gov/21897313/
Hands at JHU has researched this extensively.
And yet, how much is being done to decrease operative vaginal delivery. Most OBs are still requiring women to push on their back and wont accept any other position and will only coach closed glottis pushing/purple pushing.
PFPT is not covered by most insurance, there arent a whole lot of providers, and there is no counseling done prior to delivery and very few women see a PFPT post-delivery unless they have extreme issues because loss of bladder control, leaking, and prolapse have been normalized by the OB community even though there are things that can help. 5-10 years down the road is not too late but I would put money on the hypothesis that 6mo-2 year PP intervention is best.
THANK YOU
Anonymous
05/15/2024 12:02
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:I can't believe anyone would opt for a c-section if it wasn't necessary. Cutting through several layers, including muscle, to deliver the baby. The recovery is difficult and painful.
My mom had to have major reconstructive surgery as a result of her vaginal births so she ended up getting cut open anyway. My c sections were all easy and uncomplicated and I don't have prolapse and pelvic floor issues and won't need to have my bladder reconstructed.
Pelvic floor and bladder issues are related to pregnancy. Not simply birth method. I’d advise you to keep this in mind closer to menopause as your family may be predisposed to them. I’m sorry your mother suffered and hope you do not. 💗
Sharing more for others, in case they are struggling and had c section.
But some pelvic floor disorders and conditions are strongly correlated to delivery mode.
“Although spontaneous vaginal delivery was significantly associated with stress incontinence and prolapse, the most dramatic risk was associated with operative vaginal birth.”
https://pubmed.ncbi.nlm.nih.gov/21897313/
Hands at JHU has researched this extensively.
Absolutely no one saying that it isn’t. Promise. And certainly if it is a major overwhelming concern, then schedule the procedure.
I’m adding that if that’s the concern just be aware that it can still happen even if you have a C.
Anonymous
05/15/2024 11:58
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:I can't believe anyone would opt for a c-section if it wasn't necessary. Cutting through several layers, including muscle, to deliver the baby. The recovery is difficult and painful.
My mom had to have major reconstructive surgery as a result of her vaginal births so she ended up getting cut open anyway. My c sections were all easy and uncomplicated and I don't have prolapse and pelvic floor issues and won't need to have my bladder reconstructed.
Pelvic floor and bladder issues are related to pregnancy. Not simply birth method. I’d advise you to keep this in mind closer to menopause as your family may be predisposed to them. I’m sorry your mother suffered and hope you do not. 💗
Sharing more for others, in case they are struggling and had c section.
But some pelvic floor disorders and conditions are strongly correlated to delivery mode.
“Although spontaneous vaginal delivery was significantly associated with stress incontinence and prolapse, the most dramatic risk was associated with operative vaginal birth.”
https://pubmed.ncbi.nlm.nih.gov/21897313/
Hands at JHU has researched this extensively.
And yet, how much is being done to decrease operative vaginal delivery. Most OBs are still requiring women to push on their back and wont accept any other position and will only coach closed glottis pushing/purple pushing.
PFPT is not covered by most insurance, there arent a whole lot of providers, and there is no counseling done prior to delivery and very few women see a PFPT post-delivery unless they have extreme issues because loss of bladder control, leaking, and prolapse have been normalized by the OB community even though there are things that can help. 5-10 years down the road is not too late but I would put money on the hypothesis that 6mo-2 year PP intervention is best.
Anonymous
05/15/2024 11:34
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:https://www.dailymail.co.uk/home/you/article-13391033/Louise-thompson-traumatic-childbirth.html
Why aren’t elective c-sections offered as an option to all women, as is standard in other countries? It seems so infantilizing to gatekeep women’s healthcare in this way. Personally, I found it rye-opening that most OBs choose c-sections for themselves. I’m not saying it should be pushed or encouraged - just that it should at least be a choice. Of course all surgeries come with risks, but why do we trust women to weigh those risks when contemplating a repeat C vs. VBAC, but not in the first instance? Just weird and smacks of misogyny imo.
A little over the top but I agree the general dogma over some “optimal” way to give birth leads (complete with birthing plans!) to a lot of problems, especially for new moms, who get set up for feeling like failures when something goes wrong. There’s a LOT of money at stake behind those “right way to deliver a baby” messages too.
Anonymous
05/15/2024 11:31
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:I can't believe anyone would opt for a c-section if it wasn't necessary. Cutting through several layers, including muscle, to deliver the baby. The recovery is difficult and painful.
My c-section was necessary for my breach baby, but I would definitely choose it if it were an option but not necessary. My recovery was very easy and I've heard too many horror stories of women getting maimed from vaginal birth - including my SIL who had to have a hysterectomy and good friend who went into septic shock.
Anonymous
05/15/2024 11:31
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:I agree- but more importantly, I think partial hysterectomies should be on demand. No need to keep bleeding once you choose you’re done having kids or not having kids, saves money saves hassle and reduces your chances of uterine or cervical cancer to zero without putting the recipient through menopause? Magic.
It sometimes does cause earlier menopause, even when the ovaries are preserved. The surgery can cut off the blood flow.
Anonymous
05/15/2024 11:29
Subject: Unpopular opinion - elective c-sections
Aren't C-sections generally more expensive? That's a reason to avoid them. I mean insurance will cover it, and then we all have continued rising insurance costs.
Anonymous
05/15/2024 11:27
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:I don’t know any practice in the D.C area that doesn’t offer elective cesarean. Where are you posting from?
My cousin in Florida had to get diagnosed with "birthing anxiety" or something like that to get her c-section approved.
Anonymous
05/15/2024 11:25
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:Anonymous wrote:Anonymous wrote:I can't believe anyone would opt for a c-section if it wasn't necessary. Cutting through several layers, including muscle, to deliver the baby. The recovery is difficult and painful.
My mom had to have major reconstructive surgery as a result of her vaginal births so she ended up getting cut open anyway. My c sections were all easy and uncomplicated and I don't have prolapse and pelvic floor issues and won't need to have my bladder reconstructed.
Pelvic floor and bladder issues are related to pregnancy. Not simply birth method. I’d advise you to keep this in mind closer to menopause as your family may be predisposed to them. I’m sorry your mother suffered and hope you do not. 💗
Sharing more for others, in case they are struggling and had c section.
But some pelvic floor disorders and conditions are strongly correlated to delivery mode.
“Although spontaneous vaginal delivery was significantly associated with stress incontinence and prolapse, the most dramatic risk was associated with operative vaginal birth.”
https://pubmed.ncbi.nlm.nih.gov/21897313/
Hands at JHU has researched this extensively.
Anonymous
05/15/2024 11:17
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:I recommend going doctor shopping, OP. Those that will give you the C-section you want will probably be more likely to actually listen to your preferences in other dimensions. I've no experience but other posters say such doctors exist.
For scheduled C, there’s no doctor in the DMV who won’t grant it at patient request. Some will want it more explicit in the chart that it’s elective by request so it doesn’t hurt their numbers, but they will all agree to it.
Anonymous
05/15/2024 11:12
Subject: Unpopular opinion - elective c-sections
Also you can have a myriad of pelvic floor issues having never conceived, men too.
Anonymous
05/15/2024 11:10
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:Anonymous wrote:I can't believe anyone would opt for a c-section if it wasn't necessary. Cutting through several layers, including muscle, to deliver the baby. The recovery is difficult and painful.
My mom had to have major reconstructive surgery as a result of her vaginal births so she ended up getting cut open anyway. My c sections were all easy and uncomplicated and I don't have prolapse and pelvic floor issues and won't need to have my bladder reconstructed.
Pelvic floor and bladder issues are related to pregnancy. Not simply birth method. I’d advise you to keep this in mind closer to menopause as your family may be predisposed to them. I’m sorry your mother suffered and hope you do not. 💗
Sharing more for others, in case they are struggling and had c section.
Anonymous
05/15/2024 09:51
Subject: Unpopular opinion - elective c-sections
I recommend going doctor shopping, OP. Those that will give you the C-section you want will probably be more likely to actually listen to your preferences in other dimensions. I've no experience but other posters say such doctors exist.
Anonymous
05/15/2024 09:51
Subject: Re:Unpopular opinion - elective c-sections
I just want to add that there is plenty of evidence that HOW women give birth raises the risk of the complications from vaginal deliveries and until those are addressed then yes, a csection seems safer from a worst-case scenario but there are worst-case scenarios for c-sections too.
Anonymous
05/15/2024 09:33
Subject: Unpopular opinion - elective c-sections
Anonymous wrote:I can't believe anyone would opt for a c-section if it wasn't necessary. Cutting through several layers, including muscle, to deliver the baby. The recovery is difficult and painful.
My mom had to have major reconstructive surgery as a result of her vaginal births so she ended up getting cut open anyway. My c sections were all easy and uncomplicated and I don't have prolapse and pelvic floor issues and won't need to have my bladder reconstructed.