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I ve worked with many cesarean birth moms who are shocked how weak and disconnected their pelvic floor is.
C section for weak pelvic floor. Many women have asked me about pelvic floor problems after a cesarean delivery. The researchers identified differences in the rates of other pelvic floor disorders too. Muscle tensing is a natural response to pain as well as to anxiety stress and fear all of which might be present from a birth experience. While 10 of women who had c sections suffered from overactive bladder the figure rose to 16 in the vaginal birth cohort.
The pelvic floor may also respond by tensing up post cesarean due to the pain from the procedure. This is where pelvic floor therapy comes into play. 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. Presumably many pelvic floor problems are the result of vaginal trauma sustained during delivery.
There are many cases where pelvic floor muscles do not heal properly and require special attention for optimal recovery. Similarly the rates of pelvic organ prolapse in the c section and vaginal birth arms were 5 and 17 respectively. 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 pregnancy these muscles have been overstretched and strained.
Women who have c sections are unlikely to.
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