Re: Vag delivery, c-section, and the pelvic floor

From: Cheri Van Hoover (cherivh@xdcr.com)
Sun Dec 4 23:08:02 2005


Raymond Stephen wrote:

> Is it possible that the confounding factor might be that those who do
> not have distensible pelvic floors are more likely to end up having a
> Caesarean? I.e. is the Caesar the result of the same make up that
> preserves continence?
>

Entirely possible, since I believe I have seen research in the past which indicated that a very short duration of second stage labor with a first birth is associated with later urinary incontinence. I'm trying to remember where I've seen this, and don't have a reference readily to hand. I also remember seeing some research indicating that hypermobile joints (with increased susceptibility to strain and sprain) in young athletic women was associated with later urinary incontinence. I believe the researchers theorized that it had to do with the distensibility/rigidity of connective tissue.

Cheri

--
Cheri Van Hoover, CNM, MS
Faculty, Midwifery Institute at Philadelphia University
Port Hadlock, WA




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