Pelvic Floor Issues After C Section

The two year follow up of the term breech trial which compared maternal outcomes after planned c section with planned vaginal birth for breech presentation at term showed no differences in the currency of urinary incontinence between the two groups. I am happy to say that after receiving pelvic physiotherapy from talented colleagues and myself i have since completed many post graduate courses in pelvic health my urinary issues have been completely. I m just after some advice real life experiences of c section vs natural birth when you ve got exciting pelvic floor issues from a difficult forceps first birth.

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I ve been left with fecal urgency issues which i m now terrified are going to get worse with this pregnancy birth.

Pelvic floor issues after c section.

Approximately 32 7 of women nationally and 21 of women in pa in 2012 according to the cdc end up delivering via c section. During a c section the abdominal muscle wall is cut to deliver the baby. You need proper medical advice on this though c sections aren t for everyone and there are cons as well as pros. The study built on earlier research linking pelvic floor disorders to childbirth by tracking more than 1 500 women for up to nine years after the birth of their children.

C section wasn t associated with a significant reduction in pelvic floor disorders. There is a myth that having a cesarean birth means that your pelvic floor was not affected and that you don t have to worry about the common issues a mom who had a vaginal birth may experience. I thought these issues were going to resolve after a few months. Presumably many pelvic floor problems are the result of vaginal trauma sustained during delivery.

This myth is an important one to debunk because many women are experiencing issues in the pelvic floor that are related to their c section and they are unaware of the relationship. There are many cases where pelvic floor muscles do not heal properly and require special attention for optimal recovery. However my youngest daughter turned three and i still had the same issues so i decided to seek knowledge and get treatment. After a c section you may have a urinary catheter and these exercises will help after the catheter is removed.

Women whose babies are delivered via cesarean section are less likely to suffer from long term pelvic floor disorders such as stress urinary incontinence according to nih funded research. This is where pelvic floor therapy comes into play. During pregnancy these muscles have been overstretched and strained. Pelvic floor sit on the edge of a chair with your feet on the floor.

A pelvic floor pt will be able to assess your c section scar and start treating the area with scar massage. I ve had 2 c sections and my pelvic floor feels exactly the same as it did before my first pregnancy but some friends who ve had natural births have had incontinence problems afterwards. Many women have asked me about pelvic floor problems after a cesarean delivery. Women who have c sections are unlikely to.

This entails the physical therapist using their hands to manipulate mobilize the scar and surrounding tissues in all different directions using skin rolling techniques and pressing and rubbing motions.

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