Does A C Section Protect Against Incontinence

23 Replies
Guest - December 3

A story this week in USA Today says it might not matter whether you deliver va___ally or by c-section: http://www.usatoday.com/news/health/2005-11-30-moms-bladders_x.htm The reporter who wrote the article, Rita Rubin, also wrote the book "What If I Have a C-Section?" The book does a great job of explaining the pros and cons of c-sections. It's available on Amazon and in bookstores.

 

Carolina - December 4

See this article http://www.sfgate.com/cgi-bin/article.cgi?file=/chronicle/a/2003/03/06/MN188428.DTL&type=printable

 

Carolina - December 4

In order to access the article from the site I just posted, take out the dash in the word article. Take out the dash after 03/ and also take out the dash after the word printable. The only dash that belongs in the website is the dash in cgi-bin. Thank you.

 

Carolina - December 4

See this article as well http://www.sfgate.com/cgi-bin/article.cgi?file=/examiner/archive/2000/05/23/NEWS15309.dtl&type=science

 

Carolina - December 4

There are four dashes that do not belong in the above site. I do not know why this website puts dashes in when you just do a simple cut and paste from your browser. Anyway, take out the dash after "a" in the word article. Take out the dash in "200-0". And take out the dashes in the word "scienc-e-". The only dash that belongs in the site is the dash in cgi-bin. Thank you.

 

hi - December 4

well, I had a section and I would say no because if I sneeze too hard, cough or laugh I sometimes have a little problem-if you know what I mean. I am sure that if I made it to pushing it may be worse, but for me I would say no.

 

Hello . . . - December 4

A c-section may protect against a___l incontinence more than it may protect against urinary incontinence. If a woman has an episiotomy in a v____al birth and the if cut extends down into the rectum then the woman may end up with a___l incontinence, which a c-section may have prevented. But again, it depends on the woman. Also read the thread "History of a___l Fissures So Would C-section be Best".

 

Hello . . . - December 4

I brought the thread "History of a___l Fissures So Would C-section be Best" up to the top of the threads as it was further down on the list in case anyone wants to read it.

 

djh - December 4

In my opinion, NO THEY DO NOT PROTECT against any of the bladder bowel, incontinence, pelvic floor issues. I had four c-sections and I have all those problems, they were directly attributed to pregnancies and family genetics...I am small and had average sized babies. Just being pregnant and carrying a baby for many months can weaken all those areas. So I have to say having c-sections only made the damage worse because then all those areas got incredible scar tissue formation which then required a hysterectomy to free up my bladder and bowel from it all. I wouldn't have surgery on that basis alone.

 

Maisy L/D RN - December 4

They used to believe it did, but studies after studies are coming back that refute that. More and more studies are determining that exposure to relaxin (the hormone that relaxes pelvic bones and tissues at the end of pregnancies) has an effect on surrounding musculature and organs too. Combined with the heavy weight of term and near term infants, plus the prolonged stretching of the pelvic ligaments, these are being determined to be the cause of many pelvic floor maladies including incontinence. It does not behoove one to elect a surgery based on this premise. There are many many women who have incontinence and a___l fissure issues that have never been pregnant at all. This is not to say that some of these conditions don't occur from v____al birth, they do, but a prophylactic cesarean section is no longer thought of as preventative as the conditions are showing up more and more in c-section mothers too.

 

neenie - December 6

no they don't. I lose urine ever since I had my baby 2 years ago via c-section. my doctor said sometimes the nerves are cut or injured during the cesarean and the bladder loses tone and nerve impulses...I wish I hadn't had a c-section because THAT is what gave me incontinence.

 

Melissa - December 6

I am wearing a colostomy as a result of my v____al birth by a midwife. I posted on these forums before. So, in my case, I believe that a c-section would have prevented my total incontinence. I would trade losing urine from a nick to my bladder nerves during a c-section any day to using the bathroom in a bag for the rest of my life. A woman can wear a pad if she leaks urine if her bladder nerves are cut during a c-section. My v____al left me all torn up down there and torn right through the rectum - disgusting.

 

neenie - December 6

sorry about your horrible outcome, but that is very rare I hope! Yes, we can wear pads and smell like urine and be just as ashamed as you about intimate relations because we don't want urine and its smell to fill the room and get on our lovers. I know its not feces, but at some point peeing or pooping your pants doesn't make much difference, they are both disgusting (in our minds) and both totally change how we go about our lives and our relations. I don't have the bag, I have the smelly pee odor around me all the time so both are very humiliating. You might have been helped by a c-section I was permanently HARMED by one. I understand your bitterness, but you shouldn't disqualify my unfortunate change in circ_mstance either. Neither one of us can wear a Bikini, let our lover get REALLY INTIMATE down there, wear certain clothes or be far from a bathroom...see what i mean?

 

3rd Time Mommy - December 12

I was wondering about the whole thing just recently. I, of course, had trouble after the v____al delivery, but I was quite surprised to have the same trouble and a cystocoele (bladder dropped into v____a) after my first c-section! I just had my 2nd c-section and haven't had such trouble, but I'm thinking it may be because I was in hardly any labor this time.

 

Genie - December 12

I feel it is pregnancy that causes a lot of the incontinance issues, I have both a bladder cystocele AND a slight a___l prolapse due to my births, all sheduled c-sections due to all breech babies. I think the pressure of a baby down there for months causes a lot of the problems, not just pushing. I was very surprised and my doctor, a new MD, said he would add this to his knowlege base, that you can get all those problems without labor and delivery too.

 

Fact - December 14

Just to let you guys know that being pregnant past 20 weeks is considered a major risk factor for pelvic floor dyfunction. Others are v____al deliveries especially, instrument birth, birthweight >4000g,prolonged or very rapid 2nd stage. Also people who have never had a baby can have problems from constipation/straining, heavy lifting and just bad genetics!

 

Yep!!! - December 14

Yes, Fact is correct, I never had labor because of medical issues and after being pregnant only ONCE with a scheduled c-section I got some prolapse issues and a___l problems from scar tissue. My OB said they used to blame it all on v____al deliveries but studies are showing otherwise. Not to say some women don't have those problems from pushing, but a lot of c-section moms are getting the same problems so I wouldn't get a surgery based just on that.

 

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