Pelvic Floor Issues After C Section
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Many women have asked me about pelvic floor problems after a cesarean delivery.
Pelvic floor issues after c section. During a c section the abdominal muscle wall is cut to deliver the baby. Presumably many pelvic floor problems are the result of vaginal trauma sustained during delivery. 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. 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.
However my youngest daughter turned three and i still had the same issues so i decided to seek knowledge and get treatment. A pelvic floor pt will be able to assess your c section scar and start treating the area with scar massage. You need proper medical advice on this though c sections aren t for everyone and there are cons as well as pros. 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.
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. There are many cases where pelvic floor muscles do not heal properly and require special attention for optimal recovery. Women who have c sections are unlikely to. C section wasn t associated with a significant reduction in pelvic floor disorders.
During pregnancy these muscles have been overstretched and strained. 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. This is where pelvic floor therapy comes into play. Approximately 32 7 of women nationally and 21 of women in pa in 2012 according to the cdc end up delivering via c section.
I thought these issues were going to resolve after a few months. 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. After a c section you may have a urinary catheter and these exercises will help after the catheter is removed. 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.
I ve been left with fecal urgency issues which i m now terrified are going to get worse with this pregnancy birth.
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