C-section vs. Vaginal Births relating to incontinence

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Lots-o-Tots's picture
Joined: 01/29/06
Posts: 574
C-section vs. Vaginal Births relating to incontinence

I have a friend who has had three c-sections and proudly gloats that in her 40s after three kids, she can jump on the trampoline with her kids or sneeze while squatting and has no trouble at all with incontinence, thanks to her c-sections. And it's true that after six vaginal births, I have terrible stress incontinence - heck, it was bad after #3 & 4 (twins), so I've been dealing with this for quite a while. I have no doubt that eventually I'll have to have surgery to correct this problem - ain't no amount of kegels going to help at this point.

What bugs me is not knowing what to say when she says stuff like this. Because there's truth to it, you know?

Joined: 05/31/06
Posts: 4780

Honestly, do you really care? Give the girl something to feel proud of, what does it hurt you? I'm proud I have no stretch marks and a 6 pack, should that bother people with stretch marks or a fat stomach? She also has a large scar and underwent major surgery several times. Does that make you feel better?

I'd say "Thats AWESOME! Peeing myself sucks".

jolly11sd's picture
Joined: 02/02/05
Posts: 3327

"Potter75" wrote:

I'd say "Thats AWESOME! Peeing myself sucks".

ROFL

I've got so serious lack of bladder control that no kegels seem to help either. Sometimes though I question it being to blame only on the vaginal birth I had or the horrible catheter being forcefully put in and then ripped out. I swear that stupid thing screwed up things down there more than birthing any baby ever did. Oh, and that catheter was was during my 1st birth which ended as a c/s.

boilermaker's picture
Joined: 08/21/02
Posts: 1984

Yeah, I'm with Melis. Let her have that one. Smile

It always takes me about a year PP to get my pelvic floor back in shape.....here's hoping everything comes back after #5. But it takes work. For the first year I start leaking anytime I run more than about a mile.....lol. And I just have to stop and think before I sneeze....but I can usually get it back with some effort.

Have you read anything about the French and how they care for women PP? What a good idea!

http://healthland.time.com/2012/02/22/why-france-pays-for-postpartum-women-to-re-educate-their-vagina/

Lots-o-Tots's picture
Joined: 01/29/06
Posts: 574

I guess what I meant was, this kind of bolsters the argument in favor of elective c-sections.

momW's picture
Joined: 09/29/09
Posts: 5634

If that alone could persuade someone to undergo major surgery to give birth, they can have it!

I would assume this is true when you have a c/s without labor because after my first two which were labors followed by a c/s I did have to work really hard at getting my muscles down there back in shape.

AnnaRO's picture
Joined: 07/06/08
Posts: 7033

"Lots-o-Tots" wrote:

I guess what I meant was, this kind of bolsters the argument in favor of elective c-sections.

I wonder if she isn't just looking for the positives of having had c/s births as opposed to vaginal. My BFF has also had 3 kids via c/s. When she was pg with her last one she told me she liked the c/s route because there weren't any unknowns in it for her. After my DD was born via c/s I felt like a complete failure and in some ways still do. I'm hoping my VBAC dreams come true this time around, but I did look for the positives in it.

You could talk about what an amazing experience it is to have a vaginal birth. . . :dontknow:

cactuswren's picture
Joined: 10/19/09
Posts: 4658

"AnnaRO" wrote:

I wonder if she isn't just looking for the positives of having had c/s births as opposed to vaginal. My BFF has also had 3 kids via c/s. When she was pg with her last one she told me she liked the c/s route because there weren't any unknowns in it for her. After my DD was born via c/s I felt like a complete failure and in some ways still do. I'm hoping my VBAC dreams come true this time around, but I did look for the positives in it.

You could talk about what an amazing experience it is to have a vaginal birth. . . :dontknow:

I totally agree with this. A silver lining kind of thing...I definitely don't think peeing a little when you sneeze is even close to a good enough reason to undergo elective surgery that endangers the lives of both you and your baby! :rolleyes:

Spacers's picture
Joined: 12/29/03
Posts: 4087

Well, I've had two c/s and I'm still having trouble with incontinence since Weston was born. OMG, it seemed like he was *on* my bladder from day one! I think it's more a matter of how you carry the baby & how big the baby is, than how the baby comes out. Also, age & gravity & body mass probably have a lot to do with it, too. Tell your friend to just wait a few years. :bigwink:

Also, pass along this study, which looked at urinary incontinence among a group of nuns who had never been pregnant, they found similar rates among them as among women who gave birth either vaginally or by c/s.
http://www.aprilbolding.com/joomla/images/april/study_on_urinary_incontinence_in_nuns_2002.pdf

girlisrad's picture
Joined: 04/24/07
Posts: 1587

:lurk:

Yes, Im lurking, as always.

And I pee myself regularly... two natural and 2 sections... so... I am not sure how much truth there is behind that? I have BIG babies and gain a lot during pregnancy. I would think that would cause more bladder drama than actual "birthing."

Sorry, but I believe peeing yourself is as much a rite of passage as the scars you earn from the pregnancy ROFL I pee and I am PROUD! ROFL

Joined: 12/10/05
Posts: 1681

My mom had 3 c/s (1 with labor, 2 elective, in 3 1/2 years, big babies) and she never once jumped on our trampoline when we were kids... Claiming she would pee.

I grew up thinking that was completely absurd and my mom was just making lame excuses for not playing with us.

And then.... I had kids.... big ones, lots of them, really close together... And I totally get it now Smile

I think it depends on all sorts of stuff. Size and position of baby in pregnancy. Labor. Amount of weight gained. And good old genetics.

cactuswren's picture
Joined: 10/19/09
Posts: 4658

I'd still jump on a trampoline. I'd just make sure to go to the bathroom RIGHT before doing it. Biggrin

Marite13's picture
Joined: 08/07/09
Posts: 3368

"cactuswren" wrote:

I'd still jump on a trampoline. I'd just make sure to go to the bathroom RIGHT before doing it. Biggrin

:clappy:

knhoward's picture
Joined: 04/22/08
Posts: 998

I've had 2 vaginal births and never had a problem with incontinence (yet) However, I am a but leaky when I am pregnant. I have never flat out peed my pants, and I have jumped on a trampoline. It actually seems to me like a really odd thing for your friend to brag about.

momof5sweeties's picture
Joined: 02/08/06
Posts: 525

"momW" wrote:

If that alone could persuade someone to undergo major surgery to give birth, they can have it!

:lurk: (for now...)
I couldn't agree more!! I delivered all 5 of my babies vaginally, and have never had leaking. *knock on wood* So, I am of the opinion that it has more to do with genetics, or factors other than vag vs. C.

MrsMangoBabe's picture
Joined: 04/09/07
Posts: 2276

Yeah, I do think there are a lot of factors involved besides vaginal vs. cesarean. I have never had the best bladder control, and I don't think having kids has really made it worse, but I do have some other pelvic floor issues. If anyone is interested, the Stand and Deliver blog did a series of review on a product called the Intima LaSelle Kegel Exerciser (http://intimina.com/en/kegel-exercisers-laselle.php)--the way I explained it to my husband is "It's like a weight for exercising the vagina." The blog gave out free samples of the exerciser for those who were willing to write a review. You can find the five reviews here: http://rixarixa.blogspot.com/search/label/product%20reviews. Four out of the five reviewers say they saw improvement in their pelvic floor. The exerciser only costs $13 online. I have been thinking about buying one.

kridda_88's picture
Joined: 01/28/08
Posts: 1798

Interestingly enough it can improve too. I agree though, I don't think it's just how you give birth that causes issues. My first I never had a problem with after, my second I leaked for several months before I got my pelvic floor strengthened back up, and after this last one, I never leaked after the first couple weeks. The difference, my second sat on my bladder the WHOLE pregnancy. That was about the only difference between the 3. They were all vaginal births, though I will admit this last one, my home birth was the fastest recovery of my bladder, my first birth was a little more difficult thanks to the catheter that was put in when I got the epi but it mainly left me feeling like I always had to pee rather than leaking issues. lol.

Now if I wait too long to pee then yeah I pee myself but honestly I have always had that issue, I think most people do if they wait too long.

mandi04's picture
Joined: 08/10/03
Posts: 2272

I've had 4 vaginal births and no issues so I'd have to agree that it's more than just vaginal vs section. I imagine this is like the 'breastfeeding makes your boobs saggy'thing. Seems as though weeks of a growing baby sitting on your bladder and beating your pelvic floor to a pulp would have more of an impact than a few hours of labor Wink

alwayssmile's picture
Joined: 08/26/07
Posts: 14483

lurking again and had to comment Blum 3

I had a c/s with DS after 24 hours of labor. I'm fine with everyday activities, but ask me to do jumping jacks and I will totally leak (that was fun to learn in the middle of Stroller Strides class). Totally not wanting to try a trampoline now! lol.

Interesting about the nuns! I never thought that bladder issues were a vag vs c/s issue, but just the nature of being pregnant rather.

Joined: 12/10/05
Posts: 1681

"MrsMangoBabe" wrote:

Yeah, I do think there are a lot of factors involved besides vaginal vs. cesarean. I have never had the best bladder control, and I don't think having kids has really made it worse, but I do have some other pelvic floor issues. If anyone is interested, the Stand and Deliver blog did a series of review on a product called the Intima LaSelle Kegel Exerciser (http://intimina.com/en/kegel-exercisers-laselle.php)--the way I explained it to my husband is "It's like a weight for exercising the vagina." The blog gave out free samples of the exerciser for those who were willing to write a review. You can find the five reviews here: http://rixarixa.blogspot.com/search/label/product reviews. Four out of the five reviewers say they saw improvement in their pelvic floor. The exerciser only costs $13 online. I have been thinking about buying one.

My OB recommends a similar product and says the reviews are fairly positive and she recommends try it at least, before surgery.

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